Form 1265

- 07 (Revised 09/2011)

OMB Control No.: 2060

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Previous editions are obsolete 

### 1 United States 

### ENVIRONMENTAL PROTECTION AGENCY

Washington, DC 20460 AGENCY USE ONLY

OMB Control No.: 2060

- 0226

Expires: 8/31 /2014



## SNAP INFORMATION NOTICE
For Significant New Alternatives Date of Receipt:

Date 90 Day Review Begins:

Date Review Comple ted:

CBI Status: When completed send this form to:
Via US Postal Service: Via Overnight Delivery Service:

SNAP DOCUMENT CONTROL OFFICER SNAP DO CUMENT CONTROL OFFICER OFFICE OF AIR AND RADIATION, 6205 J U.S. EPA
U.S. EPA 1310 L STREET NW
1200 PENNSYLVANIA AVE NW 10 th FL OOR (MC 6205J) WASHINGTON, DC 20460 WASHINGTON, DC 20005

Enter the total number of pages in your SNAP information Notice: Document Control Number



### INTRODUCTION

GENERAL INSTRUCTIONS

This form may be used to submit information under the Significant New Alternatives Policy (SNAP) program for the review of

alternatives to class I and class II ozone

- depleting substances (ODS) under section 612 of the Clean Air Act. Submitters are required to provide this information on new substitutes to assist the Agency in assessing the acceptability of chemicals or processes that are considered alternatives for ODSs. A separate notice must be filed for each alternative you are submitting

.

PAPER SUBMISSIONS: All paper submissions mu st be provided in three complete copies. If information is to be claimed as confidential, all confidential information must be excised from one of the copies, which will be placed in the public docket; the other two copies must include the confidential ma terial. If no claims of confidentiality are made for the submission, all copies

must be identical.

CD

- ROM SUBMISSIONS: The SNAP program also accepts submissions via CD

- ROM. If information is to be claimed as confidential, all confidential information mu st be excised from one of the files on the CD

- ROM, which will be placed in the public docket; the other file must include the confidential material. The file with the confidential material must include “contain s CBI” in

the file name.

STEP

- BY

- STEP INSTRU CTIONS: The Instructions for the SNAP Information Notice and TSCA/SNAP Addendum (“Instructions”)

are designed to assist applicants in completing this form. The Instructions provide step

- by

- step guidance on submitting a SNAP notice, asserting confidentiali ty claims, completing the notice form, sector

- specific data requirements, and submitting test data and supplemental information.

To facilitate Agency review of alternatives, this form must be filled out as completely as possible. Please provide all info r mation requested to the extent that it is known or reasonably ascertainable. Make reasonable estimates if actual data is unavailabl e.

TYPE OF NOTICE (Check only one box)

Select the appropriate box identifying the type of notice submitted:

Manufacturer Submission: New alternative, Substance, or Formulation___________________________________________

Petition: New alternative, Substance, or Formulation__________________________________________________________

Petition: Revision of the Existing SNAP list

_________________________________________________________________ _ 

# X

Petition: Request to Grandfather Use of An Unacceptable Substitute_____________________________________________Form 1265

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### 2 Part I

- GENERAL INFORMATION

You must provide the identity of the alternative chemical o r processes and the identity and percentages of all components in a blend and/or process, even if you claim the identity as confidential. You may authorize another person to submit the identity for you, but your submission will not be complete and review cannot begin until EPA receives this
information.

Part II

- ALTERNATIVE

- SPECIFIC INFORMATION

Please indicate the sector(s) for which you are submitting
information on the subst itute by checking the appropriate
boxes:

• Refrigeration and Air Conditioning 

### X

• Foam Blowing

• Solvent Cleaning

• Fire Extinguishing

and Explosion Prevention

• Sterilization

• Aerosols

• Adhesives, Coatings, and Inks

• Tobacco Expansion

• Pesticides

You may need additional copies of Part II if there are several manufacturing, processing, or use operations that you will

describe in this notice. Please reproduce these sections as
needed.

If you r substitute is also subject to review under FIFRA, provide the FIFRA Registration Number:

_____________________________ Part III

- RELEASE AND EXPOSURE DATA

Please reproduce additional copies of Part III as necessary.

Part IV

- LIST OF ATTACHMENTS

Please attach additional sheets if you do not have enough space on the form to fully answer a question. Label each continuation sheet with the corresponding section heading and the question. In part IV, list the se attachments and any test data, other data, or any optional information that you include in this notice.

TEST DATA AND OTHER DATA

You are required to submit all test data in your possession or control and to provide a description of all other data know n to you if
these data are related to the health and environmental effects of the manufacture, processing, distribution in commerce, use, or disposal of the alternative. Standard literature citations may be submitted if they do not appear in the open scie ntific literature. Complete test data (in English), not summaries of data, must be submitted if they do not appear in the open literature. The following are test data and other data that might be submitted (see the

Instructions for a more complete list o f data to be submitted.) Please indicate test data to be included in your submission notice by checking the appropriate boxes:

 Health Effects Data Yes X No

 Flammability Data Yes X No

 Environmental Effects

Data Yes X No

 Environmental Fate

Data Yes X No

 Risk Assessments Yes X No

a. Test Data Not in the Possession/

Control of the Submitter Yes X No

 Other Data X Yes No

CONFIDENTIALITY CLAIMS

Anyone submitting information must assert a claim of confidentiality at the time of submission for any data which are to be t reated as Confidential Business Information (CBI). Substantiation of this claim must also be provi ded at this time. All information claimed as CBI will be treated in a manner consistent with 40 CFR Part 2, Subpart B. Failure to assert a claim of confidentiality at th e time of submission may result in disclosure of information by the Agency without fu rther notice.

To assert a claim on this form, circle or bracket the information you claim as confidential and mark the confidential box at the bottom of the page. Then provide substantiation of this claim on an attachment to the notice. If any informati on is claimed as confidential, you must provide a “sanitized” version of this notice, including attachments, to EPA with y our submission. For additional information on claiming information as confidential, please see the Instructions Manual.

Information submitted as CBI may be accessed by companies designated as Authorized Representatives of the United States Environmental Protection Agency (EPA) under an EPA contract for the purpose of assisting EPA in the development and implementation of national regul ations for the protection of stratospheric ozone, including the development of the SNAP program. These Authorized Representatives may have access to any information received by the Stratospheric Protection Division within the EPA Office of the Atmospheric Programs for use in reviewing the need for possible control of any substance, practice, process or activity that may reasonably be anticipated to affect stratospheric ozone. Access to such information is necessary to ensure that these companies can compl ete the work required by the contract.

Authorized Representatives of the Administrator are subject to the provisions of 42 U.S.C. 7414(c) respecting confidential bu siness information as implemented by 40 CFR 2.301(h).Form 1265

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### 3 Part I

- GENERAL INFORMATION

Se ction A

- SUBMITTER IDENTIFICATION

1. (a) Person Submitting Notice (in U.S.)

____ Darrel J. Walker

_______________________________________________________________ VP of Engineering

_ Name of Authorized Official Title

____ Manitowoc Foodservice

_______________________________________________________________________________ ______ ___ Company/Organization

____ 980 S. Isabella Road , M t. Pleasant, MI 48858

___ ______________ __ (9 89 ) 775

- 9218 ; (9 89 ) 775

- 9218 Mailing Address Telephone & Fax Numbers

______darrel.walker@manitowoc.com

______________________________________________________________________________ E

- mail Address

(b) Agent (if applicable)

_______________________________________ ______________________________________________________________ ______ _ Name of Authorized Official Title

_________________________________________ ____________________________________________________ ___ ________ ___ _ Company/Organization

_____________________________________________________________________________________________________ ______ _ Mailing Address Telephone & Fax Numbers

____________________________________________________________________________________________________________ E

- mail Address

(c) Joint Submit ter (if applicable)

____________________________________________________________________________________________________ ______ __ Name of Authorized Official Title

____________________________________________________________________________________________________ ______ __ Company/Organization

_____________________________________________________________________________________________________ _____ _ _ Mailing Address Telephone & Fax Numbers

_________________________________________________________________________________ ___________________________ E

- mail Address

2. Technical Contact (in U.S.)

_________ (same as 1.)

_________________________________________________________________________________ ____ __ Name of Authorized Official Title

______________________________________________________________________________________________________ ___ Company/Organization

______________________________________________________ _______________________________________________ ____ _ Mailing Address Telephone & Fax Numbers

_______________________________ ___________________________________________________________________________ E

- mail Address

3. If you have had a prior communication with EPA concerning this notice, note the date and type of communication (letter, ph one, etc.) and the EPA staff person’s n ame:

Mark (X) if None ________________ X

Mark (X) this box if this page contains CBI __________Form 1265

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### 4 Part I

- GENERAL INFORMATION (continued)

Section B

- ALTERNATIVE IDENTIFICATION

1. Commercial/Trade name (s) of alternative:

R

- 290 (refrigerant grade propane)

2. (a) Name of chemical(s) (preferably IUPAC nomenclature ) and/or process name. For blends, provide the percent composition of each

constituent. For powdered aerosols used in fire suppression, s ee page 11 of the Instructions for additional nec essary composition information. (b) Chemical Abstracts Service (CAS) registry number and molecular formula. (c) For alternative processes and technologies describe the technology and and provide a diagram of the system. Also provide the

informatio n on any chemical constituents. (d) If you have applied for or hold a patent on the substitute, provide the patent name

, number (if available), and information on the topics covered in the patent.

Propane

– C 3 H 8 CAS No: 74

- 98

- 6

3. Generic name : I f the name of the substitute is declared Confidential Business Information , provide a generic name

.

N/A

4. Specific End

- Use

(a) Describe each end

- use that may be reasonably anticipated for the alternative. Be sure to provide a broad descr iption (e.g.

, terpene

- based

semi

- aqueous solvent cleaner for electronic parts, or HFC substitute refrigerant for centrifugal chillers). For a list of end uses, see Appendix A

to the I nstructions, beginning on p. 23

. If the alternative is a refrigerant, i ndicate whether it is a candidate for use in retrofits of existing equipment, for use in new equipment only, or both. (b) Identify the ODS and the quantity of substitute needed to replace it for each end use in pounds ( i.e., the replacement ratio).

( a) End use requested by this petition (type 4) is commercial automatic ice machines, subject to use conditions. R

- 290 is a substitute refrigerant for the vapor compression cycle employed in commercial ice machines. R

- 290 is a candidate for use only in

ne w equipment specifically designed for R

- 290. Details for end use provided in attached document.

(b) ODS replaced by R

- 290 are CFC

- 12, HCFC

- 22, and R

- 502. Quantity of R

- 290 required is typically between 35% and 50% of ODS quan tity.

Mark (X) thi s box if this page contains CBI __________Form 1265

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### 5 Part I

- GENERAL INFORMATION (continued)

Section B

- ALTERNATIVE IDENTIFICATION (Continued)

5. Impurities (a) Identify each impurity that may reasonably be anticipated to be present in the chemical alt ernative as manufactured for commercial purposes. If there are unidentified impurities, enter “unidentified.” (b) Provide the CAS Registry Number for each impurity if available. (c) Estimate the maximum weight percentage of each impurity. If ther e are unidentified impurities, estimate their total weight
percentages.

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for all applicable information on R

- 290.

6. Byproducts: (a) Describe any byproducts o r degradation products r esulting from the manufacturer, processing, use or disposal of the chemical alternative or chemicals used in the new alternative. If there are unidentified byproducts/ degradation products enter “unidentified.” (b) Provide the CAS Registry Number for each byproduct or degradation product if available. (c) Indicate where the byproduct/degradation product is formed (e.g. during manufacturing, during use, in case of fire, etc.) and the amount

or rate at which it is formed.

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for all applicable information on R

- 290.

Mark (X) this box if this page contains CBI __________Form 1265

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### 6 Part II

- ALTERNATIVE

- SPECIFIC INFORMATION

Section A

- PHYSICAL AND CHEMICAL PROPERTIES

– See Appendix B to the I nstruc tions to see which properties apply

to which uses.


### 1. Molecular weight

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for all applicable information

on R

- 290. 

### 2. Physical state at 20 o C

3. Melting point at 1 atm. pressure o C 4. Boiling point at 1 at m. p ressure o C

5. Specific gravity g/ml 6. Odor threshhold mg/m 3



### 7. Solubility using solvent @ temperature o C g/L

8. Solubility in water @ temperature o C

9. Partition coefficient Log K ow 

### Log K

10. Vapor pressure @ 20 o C psi

(Also provide vapor pressure

- temperature curve for refrigerants.) 

### 11. Critical temperature

o C 12. Critical Pressure psi

13. Are spectra attached? 14. Disassociation constant

15. Particle size distribution 16. Volatilization from soil

17. Volatilization from water 18. Viscosity @ 20 o C

19. pH@concentration 20. Thermal conductivity (for foam blowing agents)

21. Ads orption coefficient 22. Flammability limits (LFL, UFL) % vol

23. Flash point 24. Heat of combustion

25. Maximum pressure rise 26. Maximum rate of pressure rise

27. Other (specify)Form 1265

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### 7 28

. Flammability: Provide any information on flammability concerns. For example, if any abatement techniques are being used to minimize the risks associated with flammable substances or mixtures, detail those techniques below. If a substitute is flamm able, an

assessment of overall risk in each end

- use may be required. For flammable refrigerants, provide a fault tree analysis for each end use.

For flammable foam blowing agents used in spray foam, provide a training program that addresses flammability concerns specific to this

substitute. (See Appe ndix B to I nstructions for sector

- specific data requirements for flammable substances).

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for all applicable information on R

- 290.

Attached documents provide detailed information on risks due to flammable natu re of refrigerant, and measures taken in the design and manufacture of the product to mitigate risk.

Reference Quantitative Fault Tree Analysis attachment

.

Mark (X) this box if this page contains CBI __________Form 1265

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### 8 1. Ozone

- depletion potential (ODP): (a) Provide the 100 year ODP of the alternative relative to CFC

- 11, if known. If the substitute is a blend, provide the ODPs of the

individual constituents. R eference the source for each ODP. (b) Provide any additional data on the ODP of the alternative (e.g. atmospheric lifetime, chlorine or bromine loading potentials). Refer ence the source of this information and attach any supporting documentation.

ODP = 0.

2. Global Warming Characteristics: (a) Provide the alternative’s atmospheric lifetime and global warming potential (GWP) relative to carbon di oxide over 100

- year time horizon, and 20

- year or 500

- year time horizon, if known. Reference the most recent assessment report of the Intergovernmental Panel on Climate Change (IPCC AR4) . Alternate sources may include the 2010 World Meteorological Organization (WMO) Scientific Assessment of Ozone Depletion or the peer

- reviewed literatu re

. If the substitute is a blend, provide the GWPs of the individual constituents and an estimate of the blend at its nominal composition

. (b) If known, provide the alternative’s expected impact on energy efficiency relative to the substance it is rep lacing (e.g. +/

- X%) and results of any testing or modeling done (both theoretical and actual testing). Energy efficiency information is particularly useful for refrigerants and

foams. (c) For GWP values that do not come from AR4 or WMO 2010, p rovide any available additional data on the atmospheric lifetime and GWP of the alternative, including infrared absorption spectrum and infrared absorption capacity. Reference the source of this information.

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for all applicable information on R

- 290.

Detailed information on energy efficiency comparison to current refrigerant in use, R

- 404A, is provided in attached document.

Mark (X) this box if this page contains CBI __________ 

### Part II

- ALTERNATIVE

- SPECIFIC INFORMATI ON (Continued)

Section B

- ATMOSPHERIC INFORMATIONForm 1265

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### 9 Part II

- ALTERNATIVE

- SPECIFIC INFORMATION (continued)

Section C

- OTHER STATUTES AND STANDARDS

1. Describe whether and how the manufacture, use, and disposal of the alternative is regulated under other environmental regulatory statutes

such as those listed below. List any concentration

- based or other numerical standards to which the alternative is subject under the standards and regulations.

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for all applicable information on R

- 290.

Titles of the Clean Air Act (CAA) other than Title VI _____________________________________________________

the Clean Water Act (CWA) _________________________________________________________________________

the Safe Drinking Water Act (SDWA) _______________________________

__________________________________

the Resource Conservation and Recovery Act (RCRA) ____________________________________________________

the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) ____________________________________________

the To xic Substances Control Act (TSCA) ______________________________________________________________

the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) ________________________

the Emergency Planning and Community Right to Know Act (EPCRA or SARA Title III) ________________________

S tate and local laws _________________________________________________________________________________

Other applicable environmental federal, state, and local laws not mentioned above _____________

__________________Form 1265

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### 10 2. Describe whether and how occupational, consumer, or general population exposure to the alternative is regulated under health and safety related statutory authorities, such as those implemented by the Food and Drug Administration (F DA), the Occupational Safety and Health Administration (OSHA), the Department of Transportation (DOT), and state and local laws. List any concentration

- based or other numerical standards to which the alternative is subject under the above statutes and reg ulations. Also list any other standard

- setting organizations such as the National Fire Prevention Association (NFPA) the American Society of Heating, Refrigerating, and Air Conditioning Engi neers (ASHRAE), or Underwriters Laboratories (UL) that will eval uate the substitute from a health and safety perspective

.

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for general regulatory information on R

- 290.

Safety evaluation for commercial ice machines is under the scope of UL Standard 563 , which has been ame nded through the addition of Supplement SA

– Requirements for ice makers employing a flammable refrigerant in the refrigerating system. Supplement SA for UL 563 directly follows the Supplements SA and SB in UL 250 and UL 471. Supplement SA for UL 563 is out for final ballot due September 23,

2013.

USDOT 49CFR 172.101 UN3358 governs shipment of refrigeration systems using flammable refrigerant.

Mark (X) this box if this page contains CBI __________Form 1265

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### 11

Part II

- ALTERNATIVE

- SPECIFIC INFORMATION (continued)

Section D

- COST AND AVAILABILITY OF THE ALTERNATIVE

1. Estimate the cost per pound for the substitute chemical. For alternative processes and technologies, describe installati on costs associated

with the alternative. Please d escribe the information used as the basis for this cost estimate

.

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for all applicable information on R

- 290.

2. Provide information on production of the substitute. Include estimates on:

(a) Year su bstitute will be available if not currently produced.

(b) Total pounds production per year (current figure).

(c) Years to maximum market penetration.

(d) Maximum total production per year at market saturation.

(e) Estimated percentage of ma rket at market saturation.

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for all applicable information on R

- 290.Form 1265

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### 12 3. Describe any new equipment and use profiles that will be necessary in order to use the substitute . If retrofitting of existing equipm ent is required, detail changes in technologies needed to use the alternative and address any materials compatibility issues. Provi de information on

each end

- use and capital costs associated with the substitute or alternative process. Include cost of equ ipment and/or any new materials, equipment lifetime, changes in labor and energy costs

.

Production of commercial ice machines with R

- 290 will require new leak detection and charging equipment in the manufacturing facilities due

to the flammable nature of the refrigerant. It is also necessary to replace the brazing process typically used to seal the process tubes used for charging with a mechanical sealing process to ensure worker safety. Service companies will also need to have mechanical sealing tools t o seal the hermetic refrigeration system following a repair and recharging sequence. No retrofitting of existing equipment will be allowed. R

- 290 is compatible with conventional compressor lubricants and other materials used in refrigeration system compo nents for HFC refrigerants. Due to the differences in pressure, volumetric capacity, and mass flow it is necessary to use unique parts for the compressors, e xpansion devices, and other refrigeration system components, but they can be easily developed and produced with existing production facilities for these

components. The capital cost required to convert an existing commercial ice machine production facility using HFC refrigerants to one capable of manufacturing equipment charged with R

- 290 is between $500k and $1,000k. Equipment lifetime is expected to increase due to the lower operating pressures of R

- 290 when compared to the HFC alternatives, labor cost to manufacture the equipment is unchanged with R

290, and energy efficiency of the equipment is i ncreased by 20 to 30 % as a result of the improved thermodynamic properties of R

- 290 and other system changes when compared to the HFC alternatives.

Mark (X) this box if this page contains CBI __________ 

## XForm 1265

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### 13 Part III

- RELEASE AND EXPOSURE DATA

Se ction A

- TOXICITY AND HAZARD INFORMATION

For chemical alternatives and for chemicals used with alternative processes, summarize below (and attach supporting informati on on ) the acute and chronic toxicity of the substitute and of its constituent chemicals on any organism (e.g. human and/or other mammals, fish, wildlife, and plants), if available. Include any data on impurities and degradation products if known. Also include information on an y permissible exposure limits (PELs), occupational exposure limi ts (OELs), or A cceptable Exposure Limits (AELs) that have been set for the substitute for use in the workplace. In addition, please attach a copy of any hazard warning statement, label, material safety data sheet, or other information which will be provid ed to any person who is reasonably likely to be exposed. (See Pgs. 16

- 17 of the Instructions for sector

- specific requirements for toxicity testing ).

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for all applicable information on R

- 290.



### Sectio n B

- ENVIRONMENTAL RELEASE AND DISPOSAL AT MANUFACTURE

For each manufacturing site ( for manufacturing of substitutes and/or products containing substitutes) :

(a) Identify all site locations (i.e.

, name and address) for each chemical manufacturing p rocess. (b) Identify all site locations for manufacturing of products using substitutes (e.g.

, refrigerators containing the substitutes). (c) Identify the points of release and/or exposure during the manufacture of: (i) the substitute and/or (ii) products containing the substitutes. (d) Provide information on the magnitude of release if available, along with the media to which the substitute is released (e .g.
, indoor air, outdoor air, water, land).

(a) Reference Docket ID No. EPA

- HQ

- OAR

- 20 09

- 0286 for all applicable information on R

- 290.

(b) Manitowoc Ice, 2110 South 26 th St, Manitowoc, WI 54221

- 170

(c) The only potential point of release for R

- 290 during the process for manufacture of the commercial ice machine is at the charging stati on used to add R

- 290 to the hermetic refrigeration system. A leak in the hermetic system could release up to 150 grams of R

- 290 into the indoor air, which due to the positive ventilation system used in the charging area, would subsequently be released int o the outdoor air adjacent to the manufacturing facility. There is also a very small possibility for leakage of the refrigerant from the tank used to supply t he charging system, but the design of the tanks and charging system are such that this is highly unlikely, and the tank size for the charging system is intentionally

limited (25 or 50 lb tanks) to further manage the potential release quantity in the event of a failure of the tank , and the charging system has a sealed compartment that will automaticall y vent the R

- 290 to the outdoor air in the event of a leak from the tank

.

Mark (X) this box if this page contains CBI __________Form 1265

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### 14 Part III

- RELEASE AND EXPOSURE DATA

Section C

- OCCUPATIONAL EXPOSURE AT MANUFACTURE

For each manufacturing site (manufacturing of substitutes and/or products containing substitutes):

(a) Describe the activities in which workers may be exposed to chemicals at the manufacturing facility

. Answer items (b) through (g) for each activity. (b) Describe any protective equipment and engineering controls used to protect workers (e.g.

, goggles, gloves, chemical hoods). (c) Indicate the physica l form of chemicals at the time of handling/exposure (e.g.

, solid, liquid, gas). (d) Estimate average and maximum numbers of workers involved in each activity. (e) Estimate average and maximum duration of activity for any worker, in terms of (1) hour s /day and (2) days/year. (f) Enter the contact pathway (e.g.

, ingestion, inhalation, dermal). (g) Estimate the average and high

- end exposure concentrations (separated by a /), being sure to provide units of measure.

(a) Exposure to R

- 290 wo uld be limited to the charging and leak detection activities

(b) No special protective equipment is needed to protect the workers beyond the gloves and eye protection that they are already using in the charging and leak detection area.

(c) R

- 290 is in a liquid form in the storage tank and during charging of the ice machine, and would be a gas in the event of a leak event.

(d) At full production, there may be 6 workers involved in charging and leak detection.

(e) Average duration for a worker would b e 6 hours, and 10 hours would be a maximum per day, with an average of 250 days/year and a maximum of 260 days/year

(f) Contact pathway would be dermal with some slight ch ange for inhalation (diluted with indoor air.)

Reference Docket ID No. EPA

- HQ

- OAR

- 2009

- 0286 for more additional information on occupational exposure for R

- 290.



### Section D

- ENVIRONMENTAL RELEASE AND DISPOSAL IN END

- USEForm 1265

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### 15 For each end

- use of a substitute (end

- uses u s ing the substitute in products and/or processes) :

(a) Provide the estimated amount (in kg/day) of each chemical released to the environment (e.g.

, as a solid waste or wastewater effluent) at the point of, or subsequent to, the end

- use at a site using the substitute (e.g.

, in products containing the substitute and proces ses using the substitute). (b) Identify the media (indoor air, outdoor air, land, water) to which the chemical will be released from that release point. (c) Describe the control technology used to limit release; estimate the amount released to th e environment with the control technology in place to limit release. If the substitute is to be disposed of, indicate the method and location of disposal. (d) Are releases covered under RCRA? If so, identify the RCRA hazardous waste codes. (e) Identify the approximate number of sites expected to use the substitute. (f) Provide information on recycling of the substitute. Describe any associated costs and equipment.

(a) It is estimated that less than 50 grams/day of R

- 290 would be release as a result of leaks from defective braze joints in the sealed refrigeration system.

(b) Release will be into the indoor air in most cases, outdoor air in some instances where unit is installed in an outdoor environment.

(c) Control technology is leak check with helium mass spec (detection of <0.1 gram/year leak rate) prior to charging, and leak check again following operational test of machine. C harge limit of 150 grams of R

- 290 for each individual ice machine, and recovery of R

- 290 from

machines that require repair following operational test.

(d) No.

(e) Number of sites will depend on number of commercial ice machine manufacturers that choose to use R

- 290, but could be up to 6.

(f) No recycling means currently exist.

Mark (X) this box if this page contains CBI __________Form 1265

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### 16 Part III

- RELEASE AND EXPOSURE DATA (continued)

Section E

- OCCUPATIONAL EXPOSURE AT END

- USE

For all end

- use scenarios of the substitute (end

- uses utilizing the substitute in products and/or processes):

(a ) Describe the activities in which workers may be exposed to chemicals at the end

- use (i.e., during installation, maintenance, inspection, servicing, or use)

. Answer items (b) through (g) for each activity. (b) Describe any protective equipment or en gineering controls used to protect workers (e.g.

, goggles, gloves, chemical hoods). (c) Indicate the physical form of chemicals at the time of handling/exposure (e.g.

, solid, liquid, gas). (d) Estimate average and maximum numbers of workers invol ved in each activity. (e) Estimate average and maximum duration of activity for any worker, in terms of (1) hours/day and (2) days/year. (f) Enter the contact pathway (e.g

, . ingestion, inhalation, dermal). (g) Estimate the average and high

- e nd exposure concentrations (separated by a /), being sure to provide units. Personal monitoring data may be required for some end uses (see pg s. 17

- 18 of Instructions).

(a) End use workers could be exposed to R

- 290 for short duration in the event of a leak from the ice machine.

(b) Due to the rapid mixing of the R

- 290 with the ambient air within the machine compartment of the ice machine, which is encased by panels that prevent an end use worker from close proximity to any potential leak site in the re frigerant piping or components in the ice machine refrigeration system, there is no need for any protective equipment or engineering controls.

(c) Exposure would be to a dilute gas form of R

- 290.

(d) Average number of workers involved in activities near the ice machine would be 2.

(e) Average duration for workers involved in activities near the ice machine would be 15 minutes/day and 250 days/year.

(f,g) Contact pathway would be inhalation of concentrations that would be significantly below the LFL.



### Section F

- CONSUMER EXPOSURE

For each end

- use of a substitute (end

- uses where a consumer might be exposed) :

(a) Identify the potentially exposed consumer population (e.g

, . indoor residents). (b) Identify the exposure medium (e.g.

, air). (c) Enter the contact pathway (e.g

, . ingestion, inhalation, dermal). (d) De s cribe the exposure point of concentration. Provide (1) average and (2) high

- end concentration estimates , including units of measure

.

(a,b,c,d) Consumer exposure would be s imilar to end use worker exposure, but at even lower concentration due to the additional mixing that would occur from the leakage site in the kitchen area of the restaurant or other foodservice facility to the area within the building where

customers would be allowed access.

Mark (X) this box if this page contains CBI __________Form 1265

- 07 (Revised 09/2011)

OMB Control No.: 2060

- 0226
Previous editions are obsolete 

### 17 Part III

- RELEASE AND EXPOSURE DATA (continued)

Section G

- GENERAL POPULATION EXPOSURE (optional)

For manufacturing of substitutes and products containing substitutes:

(a) Identify and number potential general population exposure points. (b) For each exposure point described in (a), identify the potentially exposed population (e.g.

, residents at the fenceline to the manufacturing facility ). (c) Identify the contact pathway (e.g.

, ingestion, inhalation, dermal). (d) Identify the exposure medium (e.g.

, air, water). (e) Enter the exposure point concentration (mg/m 3 or ppb ). Provide (1) average and (2) high

- end estimates.

(a,b,c,d,e) General population exposure would be through eventual escape of highly diluted R

- 290 in the event of an equipment leak from the indoor air in the restaurant or other facility to the surrounding outdoor air.

Ma rk (X) this box if this page contains CBI __________Form 1265

- 07 (Revised 09/2011)

OMB Control No.: 2060

- 0226
Previous editions are obsolete 

### 18 Part IV

- LIST OF ATTACHMENTS

List below any attachments that complete the responses to the questions on this form or that provide additional information t hat may assist EPA’s review of the alternative under Section 612 of the Clean Air Act. Also, pr ovide citation s for information already submitted to EPA as part of past regulatory and information activities, as well as for other information that could not be included with this sub mission. If you have attached continuation pages, describe the Part, S ection and question number being continued. Attach additional pages if necessary. Mark (X) in the CBI box next to any attachment that contains information you claim as confidential.

Attachment Name Question # Number of Pages CBI



## EPA SNAP Submittal

– Re vision to Extend R

- 290 Use

to Commercial Ice Machines Various 9 X

Test Reports(2), IEC 60335

- 1, IEC 60335

- 2

- 24, Safety of household and similar electrical appliances, Particular requirements for refrigeration appliances, Ice

- cream appliances and ice maker s Various 90, 89 X

Flash chamber ignition testing of an enclosure protecting and open contactor Various 10 X

Area Specific Modular R

- 290 Ice Machines

– service training presentation Various 28 X

Field leak rate for modular ice making heads (factory

seal ed refrigeration), 1000 lbs/day and less, 3 year cumulative failure analysis Various 1 X

Quantitative fault tree analysis (PowerPoint overview and linked pdf and excel detail) 28 17, 19 , 3 X

DFMEA R290 Ice machine Various 6 X

Mark (X) this box if this page contains CBI __________Form 1265

- 07 (Revised 09/2011)

OMB Control No.: 2060

- 0226
Previous editions are obsolete 

### 19 Part V

- CERTIFICATION

I certify to the best of my knowledge and belief that:

1. All information provided in this notice is complete and truthful as of the date of the submission.

2. I am submitting with this notice all test data in my possession o r control and a description of all other data known to or reasonably ascertainable by me.

3. If this is a submission of a new alternative, the company name d in Part I, Question 1a of this notice: (a) intends to manufacture, formulate, import, market , or use a new alternative to a Class I or Class II ozone

- depleting substance which is identified in Part I, Section B, Question 2. (b) seeks an acceptability determination on a new alternative(s) to a Class I or Class II ozone

- depleting substance, wh ich is identified in Part I, Section B, Question 2.

4. The accuracy of the statements made in this notice reflects my best prediction of the anticipated facts regarding the alternative described herein. Any knowing and willful misinterpretation is subje ct to criminal penalty pursuant to section 113(c) of the Clean Air Act and 18 U.S.C.§1001.



### Signature and Title of Authorized Official (Original Signature Required): Date

VP Engineering 10/9/15

Signature of Agent (Where Applicable): Date

For persons filing a SNAP Information Notice, the re porting burden is estimated to average 171 hours per year. For persons filing a TSCA/SNAP Addendum, the reporting burden is estimated to average 36 hours her year. Burden means that total time, or financial resources expended by persons to generate, main tain, retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instruction; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying
infor mation; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and trans mit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid
OMB control number.

Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including thr ough the use of automated collection techniques to the Director, Collection Strategies Division (2822T), U.S. Environmental Protection Agency,1200 Pennsylvania Ave NW, Washington, DC 20460. Include the OMB control number in any correspondence. Do not se nd the completed form to this address.