Page 1 of 5 

 

OMB Control No. 2060-0629

Approval expires 11/30/2012 

EPA Form 5900-233

 

General Information: If you are an owner or operator subject to 40 CFR 98 Subparts P 

(Hydrogen Production), X (Petrochemical Production), or Y (Petroleum Refineries) you may 

request to extend the use of best available monitoring methods (BAMM) through December 31, 

2013 for any process equipment or unit that operates continuously and for which it is not 

reasonably feasible to install a required measurement device without a process equipment or unit 

shutdown, or through a hot tap. You may also request a one-time BAMM extension past 

December 31, 2013, not to extend beyond December 31, 2015. To obtain approval, you must 

have received previous approval to use BAMM beyond July 1, 2011. This entailed filing an 

initial notice of intent to EPA by January 1, 2011 and a complete extension request by February 

15, 2011. The extension request must demonstrate to the EPA Administrator's satisfaction that it 

is not practicable to isolate the process equipment or unit and install the measurement equipment 

without a full shutdown or hot tap. 

To submit your extension request to the EPA Administrator for the use of BAMM under Part 98 

Subpart A (40 CFR 98.3(j)), you have the option of using the form that follows this page. You 

must submit your request for an extension under 98.3(j)(3)(ii) within 4 weeks of identifying the 

need to extend the request, but in any event no later than 4 weeks before the date for the planned 

process equipment or unit shutdown that was provided in the previous request. You must submit 

your request for a one-time extension beyond December 31, 2013, under 98.3(j)(7), by June 1, 

2013. 

Effective immediately, any future BAMM requests must be submitted in hard copy to one of the 

following addresses: 

For package delivery (Preferred): Carole Cook, c/o Director, Climate Change Division, 

U.S. Environmental Protection Agency, 1310 L Street, NW, 802e, Washington, DC 

20005. Phone: 202-343-9263 

For U.S. mail: Carole Cook, c/o Director, Climate Change Division, U.S. Environmental 

Protection Agency, 1200 Pennsylvania Avenue, NW, Mail Code: 6207J, Washington, 

DC 20460 

United States Environmental Protection Agency

Washington, DC 20460

Optional Form for Request for Extension of Use of Best Available 

Monitoring Methods

Hydrogen Production (Subpart P), Petrochemical Production 

(Subpart X) and Petroleum Refineries (Subpart Y)

Mandatory Reporting of Greenhouse Gases (40 CFR Part 98)

Office of Atmospheric Programs 
 Page 2 of 5 

 

OMB Control No. 2060-0629

Approval expires 11/30/2012 

EPA Form 5900-233

Upon receipt, the extension request will be recorded in the EPA tracking system, and the 

requester will be notified that EPA is evaluating the request. EPA will evaluate your request to 

confirm that it is consistent with §98.3(j). The agency will then notify you to confirm approval 

or denial of the application. As a general matter, EPA will base its decision on the information 

provided in the timely extension request and does not intend to negotiate on specific issues, or 

necessarily follow-up with the requester regarding missing data. As time allows, however, EPA 

may follow up on extension requests with additional questions. 

The public reporting and recordkeeping burden for this collection of information is estimated to 

average 30 minutes per response (the burden was already included in ICR 200909-2060-007). This is 

an optional application form. 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.
Mandatory Reporting of Greenhouse Gases (40 CFR Part 98) 

Optional Facility Form For Requesting an Extension of Use of Best Available Monitoring Methods 

for Subparts P (Hydrogen Production), X (Petrochemical Production), and Y (Petroleum 

Refineries)

EPA Form 5900-233

General Information

1. Name of Person to Contact about the Request

2. Contact Person Address (include street address, 

city, state, and zip code)

3. Contact Person Phone Number

4. Contact Person Email Address

5. Signature: 

“I am authorized to make this submission on behalf of 

the owners and operators of the facility or supplier, as 

applicable, for which the submission is made. I certify 

under penalty of law that I have personally examined, 

and am familiar with, the statements and information 

submitted in this document and all its attachments. 

Based on my inquiry of those individuals with primary 

responsibility for obtaining the information, I certify 

that the statements and information are to the best of 

my knowledge and belief true, accurate, and complete. 

I am aware that there are significant penalties for 

submitting false statements and information or 

omitting required statements and information, 

including the possibility of fine or imprisonment.” 

Note: The designated representative or alternate 

designated representative must sign (i.e. agree to) this 

certification statement. If you are an agent you are not 

agreeing to the certification statement, but are 

submitting the certification statement on behalf of the 

designated representative or alternate designated 

representative who is agreeing to the certification 

statement. An agent is only authorized to make the 

submission on behalf of the designated representative, 

not to sign (i.e., agree to) the certification statement.

[All submissions must be submitted by the DR, an 

alternative DR or an Agent- see §98.4(e) and §98.4(m). 

Please include the DR, ADR or Agent signature here.]

6. Date Signed

7. Date Submitted

Facility and Emissions Unit Information

8. Facility Name

9. Facility Physical Address (include street address, 

city, state, and zip code)

10. Unit ID or Group ID, Common Pipe ID or 

Common Stack ID (list for each applicable unit)
Mandatory Reporting of Greenhouse Gases (40 CFR Part 98) 

Optional Facility Form For Requesting an Extension of Use of Best Available Monitoring Methods 

for Subparts P (Hydrogen Production), X (Petrochemical Production), and Y (Petroleum 

Refineries)

EPA Form 5900-233

11. Type of Unit (e.g., boiler, process heater)

12. Total Number of Units at Facility Included in this 

Application

Measurement Device and Rule Requirement Information

13. Measurement Device(s) Description (list all)

14. Parameter (e.g., process emissions, process offgas, fuel combusted)

15. Rule Subpart (P, X, Y)

16. Rule Citation for Monitoring Requirement (e.g., 

(e.g., §98.253(b)(1)(ii) or §98.33(a)(2)(ii)) 

Identification of Equipment Location

17. Location where each measurement device will be 

installed. Please indicate if documentation (e.g., a 

diagram) for the unit with monitor or sampling 

location is attached. (Indicate whether you are 

including attachments and include a list of files 

attached.) 

Reason for the Extension Request

18. Reason for the Extension Request (e.g., why the 

needed equipment could not be installed by the

expiration date for the previously granted extension 

under §98.3(j)). 

19. Please provide supporting documentation showing 

that it is not practicable to isolate the process 

equipment or unit and install the measurement 

device without a full shutdown or hot tap and that 

there was no opportunity to install the device by the 

expiration date for the previously granted extension 

under §98.3(j). (Indicate whether you are including 

attachments and include a list of files attached.)

19a. Dates of three (3) most recent shutdowns for 

each relevant process equipment or unit.

1. 

2. 

3. 

19b. If there was a shutdown since the previously 

approved extension explain why the 

measurement device was not obtained and 

installed during that shutdown.

19c. What is the typical frequency of shutdowns 

for each relevant process equipment or unit?
Mandatory Reporting of Greenhouse Gases (40 CFR Part 98) 

Optional Facility Form For Requesting an Extension of Use of Best Available Monitoring Methods 

for Subparts P (Hydrogen Production), X (Petrochemical Production), and Y (Petroleum 

Refineries)

EPA Form 5900-233

20. Date of next planned shutdown for each relevant 

process equipment or unit during which the 

measurement device could be installed.

Proposed Best Available Monitoring Method Information

21. Provide a description of the proposed best 

available monitoring method for estimating GHG 

emissions during the time prior to installation of 

the meter (or measurement device). Include 

information about why the proposed method is 

appropriate (you may attach additional pages).

Additional Information Required for Subsequent Extension Requests (§98.3(j)(3)(ii)) and 

One-Time Extension Requests (§98.3(j)(7))

22. If this application is being filed under 

§98.3(j)(3)(ii), is it being submitted within 4 

weeks of the owner or operator identifying the 

need to extend the request, but in any event no 

later than 4 weeks before the date of the planned 

process equipment or unit shutdown that was 

provided in the previous request? (yes/no)

23. On what date did the owner or operator identify 

the need to submit under §98.3(j)(3)(ii)?

24. Please indicate the planned shutdown date in the 

extension request most recently approved by 

EPA under §98.3(j). 

25. Is this application being filed under 98.3(j)(7) for 

a one time extension past December 31, 2013? 

(yes/no)