OMB Control Number: 2060-0482

 Expiration Date: 10/31/14

EPA Form 5900-146, Revised 5/11

 U.S. Environmental Protection Agency

 STRATOSPHERIC OZONE PROTECTION PROGRAM

CLASS I CONTROLLED SUBSTANCE

METHYL BROMIDE

NOTIFICATION OF TRANSFERS

(40 CFR 82.13)

SECTION 1 TRANSFEROR IDENTIFICATION

1.1 Date of Submission 1.2 Original Submittal Re-submittal

1.3 Number of Transactions Reported 1.4 Number of Pages Submitted

1.5 Company Information

Company Name 

Street Address 

City State Zip Code 

1.6 Company Contact Identification

Reporting Company Contact Person Phone Number Fax Number 

E-mail Address 

1.7 Signature of Reporting Company Representative

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached 

documents, and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the 

submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, 

including the possibility of fine and imprisonment.

Name 

Title 

Signature Date 

SEND COMPLETED FORMS TO: For U.S. Postal Service:

Tracking System Program Manager

Stratospheric Protection Division

U.S. EPA (6205J)

1200 Pennsylvania Avenue, NW

Washington, DC 20460

For Private Courier:

Tracking System Program Manager

Stratospheric Protection Division

U.S. EPA (6205J)

1310 L Street, NW; 10th Floor

Washington, DC 20005

A company may assert a claim of confidentiality for information submitted in this form by clearly marking that information as confidential. Such information 

shall be treated in accordance with EPA’s procedures for information claimed as confidential at 40 CFR Part 2, Subpart B, and will only be disclosed by the 

means set forth in the subpart. If no claim of confidentiality accompanies the report when it is received by EPA, it may be made public without further notice 

to the company (40 CFR 2.203).

The public reporting and recordkeeping burden for this collection of information is estimated to average 1.3 hours per response. 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 

through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 

Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this 

address.
 OMB Control Number: 2060-0482

 Expiration Date: 10/31/14

EPA Form 5900-146, Revised 5/11

 U.S. Environmental Protection Agency

 STRATOSPHERIC OZONE PROTECTION PROGRAM

CLASS I CONTROLLED SUBSTANCE

METHYL BROMIDE

NOTIFICATION OF TRANSFERS

(40 CFR 82.13)

SECTION 2 TRANSACTION RECORD

 (Reproduce additional sheets as needed)

TRANSACTION #

2.1 Transferee Identification

Transferee Company Name Transferee Contact Person

Street Address 

City State Zip Code 

Phone Number Fax Number 

Check only one: Pre-Plant CUA Post-Harvest CUA Article 5 Allowances Critical Stock Allowance (CSA)

2.2 Type of Allowances Transferred (check only one) Current Year Allowances Baseline Year Allowances

2.3 Number of Allowances purchased by Transferee (kg) 

2.4 Amount of Offset (kg)

 For Pre-Plant and Post-Harvest CUAs, 0.001 x 

Section 2.3; 

 For Article 5 Allowances, 0.01 x Section 2.3;

 For CSAs no offset is applied, proceed to Section 2.5

2.5 Number of Allowances Subtracted from Transferor’s 

Balance of Chemical Being Transferred (Section 2.3 + 

Section 2.4) (kg)
 OMB Control Number: 2060-0482

 Expiration Date: 10/31/14

EPA Form 5900-146, Revised 5/11

 U.S. Environmental Protection Agency

 STRATOSPHERIC OZONE PROTECTION PROGRAM

CLASS I CONTROLLED SUBSTANCE

METHYL BROMIDE

NOTIFICATION OF TRANSFERS

(40 CFR 82.13)

SECTION 3 UNEXPENDED BALANCE SUMMARY

3.1 Balance of Unexpended Methyl Bromide Allowances Prior to Trades Reported

A B C D

Balance of Unexpended 

Pre-Plant Critical Use 

Allowances 

Balance of Unexpended 

Post-Harvest Critical Use 

Allowances

Balance of Unexpended 

Article 5 Allowances

Balance of Unexpended 

Critical Stock Allowances