Initial to indicate certification as to information on this page

(full text of certification is on page one).

Date

INSTRUCTIONS: Please type or print in ink. Please read carefully the attached instructions and supply the information requested on this form. 

Use additional sheet(s) if necessary.

2. Case # and Name 3. Date and Type of DCI and Number

4. EPA Product

Registration

5. I wish to cancel

this product 

registration 

voluntarily

6. Generic Data 7. Product Specific Data

6a. I am claiming a Generic Data 

Exemption because I obtain the 

active ingredient from the source 

EPA registration number listed 

below.

6b. I agree to satisfy Generic Data

Requirements as indicated on the 

attached form entitled 

"Requirements Status and 

Registrant's Response."

7a. My product is an MUP and I 

agree to satisfy the MUP 

requirement on the attached form

entitled "Requirements Status and

Registrant's Response."

7b. My product is an EUP and I 

agree to satisfy the EUP 

requirement on the attached form 

entitled "Requirements Status and 

Registrant's Response."

OMB Approval 2070-0174

EPA FORM 6300-4

1. Company Name and Address

4074 - Phenol

Chemical # and Name: 064001

Phenol

GENERIC

ID # GDCI-064001-1587

United States Environmental Protection Agency

Washington, D.C. 20460

DATA CALL-IN RESPONSE

Page of 1 1

8. Certification: I certify that the statements made on this form and all attachments are true, accurate, and complete. I acknowledge that any

knowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law.

Signature and Title of Company's Authorized Representative ______________________________________________________

10. Name of Company

9. Date

11. Phone Number
Initial to indicate certification as to information on this page (full text of certification is on page one) Date

13. Phone Number

10. Certification: I certify that the statements made on this form and all attachments are true, accurate, and complete. I acknowledge that any

knowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law.

12. Name of Company

11. Date

OMB Approval 2070-0174 

EPA FORM 6300-3

United States Environmental Protection Agency 

Washington, D.C. 20460

REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE

INSTRUCTIONS: Please type or print in ink. Please read carefully the attached instructions and supply the information requested on this form. Use additional sheet(s) if necessary.

4. Guideline

Requirement

Number

5. Study Title Progress 

Reports

1 2 3

6. Use

Pattern

7. Test

Substance

8. Time

Frame 

(Months)

9. Registrant

Response

P

R

O

T

O

C

O

L

1. Company Name and Address 2. Case # and Name 3. Date and Type of DCI and Number

Signature and Title of Company's Authorized Representative _________________________________________________________________

Applicator Exposure Data Requirements (Conventional 

Chemical)

Post-Application Exposure Data Requirements (Conventional 

Chemical)

875.1400

875.1700

875.2300

875.2500

Inhalation exposure--indoor

Product Use Information

Indoor surface residue dissipation

Inhalation exposure

4074 - Phenol

Chemical # and Name: 064001

Phenol

GENERIC

ID # GDCI-064001-1587

S,U,T,V,R

S,U,T,V,R

S,U,T,V,R

S,U,T,V,R

TEP

TEP

TEP

TEP

24

12

24

24

Page 1 of 

(1, 5)

(3, 4, 5)

(2, 5)

Y

N

Y

Y

1
United States Environmental Protection Agency 

Washington, D.C. 20460

FOOTNOTES AND KEY DEFINITIONS FOR GUIDELINE REQUIREMENTS

4074 - Phenol

GDCI-064001-1587

1

2

3

4

5

Key: Residue of Concern = Residue of Concern; TEP = Typical End Use Product [TEP]; TGAI = Technical Grade Active Ingredient [TGAI]; TGAI/PAIRA = Technical Grade of the Active Ingredient or Pure Active 

Ingredient, Radio Labelled; TGAI, TEP = Technical Grade of the Active Ingredient or Technical End-Use Product; TGAI/PAI = Technical Grade Active Ingredient, Pure Active Ingredient

Study is needed for the following scenarios: 

1) Trigger pump sprayer, low pressure handwand, mop, and wipe. It may be possible to use proprietary surrogate exposure data if data compensation issues can be addressed.

2) Hand held fogging of clean rooms. If the labels are modified to require automatic foggers in place of hand held foggers, then the study likely would not be needed.

3) HVAC treatment.

Study is needed for the following scenario: inhalation exposure following the use of air deodorizers or HVAC treatments.

Dermal and incidental exposures to phenol are expected for toddlers who sit or play on household floors or carpets after they are disinfected with phenol products.

A waiver may be requested for all applications if a residue screening level default at 100% of the application rate does not trigger risk concerns.

A protocol must be submitted for review and approval prior to testing.

Case # and Name:

DCI Number:

Page: 1 of 1

Footnotes: The following footnotes are referenced in column two (5. Study Title) of the Requirements Status and Registrant's Response form. 

These footnotes apply in addition to any test notes included in 40 CFR Part 158 with respect to the particular data requirement.

Use Categories Key:

R - Agricultural premises and equipment

S - Food handling/storage establishments premises

and equipment

T - Commercial, institutional and industrial premises

and equipment

U - Residential and public access premises

V - Medical premises and equipment
United States Environmental Protection Agency 

Washington, D.C. 20460

LIST OF ALL REGISTRANTS SENT THIS DATA CALL-IN NOTICE

Case # and Name: 4074 - Phenol

Page: 1 of 1

69658

8383

WORLD PHARM-TRUST

CONTEC, INC.

Co. Nr. Company Name Agent For Company

20 CROSBY VILLAGE ROAD

525 LOCUST GROVE

Address City ZIP

EASTHAM

SPARTANBURG

02642 

29303 

OMB Approval 2070-0174

State

MA

SC

 DCI Number: GDCI-064001-1587