United States Environmental Protection Agency Washington, DC 20460
Section 4 Submission This is an original submission: This is an amendment: CERTIFICATION I hereby certify to the best of my knowledge and belief that (1) all information entered on this form is complete and accurate; and (2) any confidentiality claims are true and correct as to that information for which they have been asserted. Any knowing and willful misinterpretation is subject to criminal penalty pursuant to 18 USC 1001. Signature: Official Title: Lawyer Contact Person: W C. Norman Email Address: caffey.norman@squirepb.com Date Signed: 02/09/2015 PART 1 Contact Information Submission Information Submission Type:

ECA Form Alias: HAP Task Force Federal Register Notice: 68 FR 33125 Chemical Name: 1,2-Ethylene Dichloride, (a/k/a Ethylene Dichloride) Date Submitted: 02/09/2015 Submitter Information Company Name:

HAP Task Force Address: PO Box 331 Millwood, VA, 22646 United States Contact Person: W C. Norman
Phone Number: 2024575270 Email Address: caffey.norman@squirepb.com Technical Contact Information CBI

Yes: No: Company Name: HAP Task Force Address: PO Box 331 Millwood, VA, 22646 United States Contact Person: Mr W C. NormanSEC4 Submission Page 2

Phone Number: 2024575270 Email Address: caffey.norman@squirepb.com PART 2 Study Plans & Conduct of Testing Principal Test Sponsor CBI

Yes: No: Contact Person: Mr Peter E. Voytek Address: P.O. Box 331 1680 Bishop Meade Highway Millwood, VA, 22646 United States Phone Number: 5402773288

Email Address: PVoytekRSI@aol.com Sponsor Organizations CBI

Yes: No: Contact Person: Mr Peter E. Voytek Address: P.O. Box 331 1680 Bishop Meade Highway Millwood, VA, 22646 United States Phone Number: 5402773288

Email Address: PVoytekRSI@aol.com Testing Facilities Testing Facility:

WIL Research Address: 1407 George Road Ashland, OH, 44805 United States Phone Number: 4192898700 CBI Yes: No: Contact Person: Dr Pragati S. Coder Address: 1407 George Road Ashland, OH, 44805 United States Contact Role: ADMINISTRATIVE OFFICIAL
Phone Number: 4192898700 Email Address: Pragati.Sawhney.Coder@wilresearch .com Study Professionals CBI

Yes: No:SEC4 Submission Page 3

Company Name: WIL Research Laboratories Address: 1407 George Road Ashland, OH, 44805 United States Contact Role: STUDY DIRECTOR
Phone Number: 4192898700 Email Address: melissa.beck@wilresearch.com Experience: Assistant Director, Neurosciences PART 3 Additional Information Additional Information File Name:

Dec HAP Testing Consent.pdf Document Type: Amendment to the Study Plan Attachment Date:

02/09/2015

File Name: Oct HAP Testing Consent.pdf Document Type: Amendment to the Study Plan Attachment Date:

02/09/2015

Paperwork Reduction Act:The Government Paperwork Elimination Act (GPEA) (44 U.S.C. 3501) provides that, when practicable, Federal organizations use electronic forms, electronic filings, and electronic signatures to conduct official business with the public. EPA's Cross-Media Electronic Reporting Regulation (CROMERR) (40 CFR part 3), published in the Federal Register on October 13, 2005 (70 FR 59848) (FRL-7977-1)(Ref. 2), provides that any requirement in title 40 of the Code of Federal Regulations (CFR) to submit a report directly to EPA can be satisfied with an electronic submission that meets certain conditions once the Agency published a notice in the Federal Register announcing that EPA is prepared to receive certain documents in electronic form. For more information about CROMERR, go tohttp://www.epa.gov/cromerr/

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