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Section 301 Investigation: China's Acts, Policies, and Practices Related to Technology 

Transfer, Intellectual Property, and Innovation - Form to Request Exclusion of Product

When submitting a product exclusion request using this form, enter the specified 

information in the following fields and explain the basis and rationale for your statements. 

By completing this form, you certify that the information provided is complete and 

correct to the best of your knowledge. 

1. Indicate whether the comment contains business confidential information (BCI), is a public

document, or is a public version of a BCI document.

3.

2. Please provide a complete and detailed description of the product of concern:

4.

5. Requestor's relationship to the product:

CONTINUED BELOW

*

10-digit HTSUS item number* for product you wish to address in this product exclusion request:

Use numerical characters only with no special characters (example: 1023456789). For help in finding 

the HTSUS item number associated with your product, see https://hts.usitc.gov/

1

7.

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Please indicate whether any additional attachment contains business confidential

information (BCI), is a public document, or is a public version of a BCI document.

VERSION 1

Requestor Information

Requestor Name (Last, First):
END 2

8. Is this product, or a comparable product, available from sources in the United States?:

VERSION 1

11. Please provide information in support your request, taking account of the instructions

provided in Section B of the Federal Register notice (note: text entered below can extend

beyond the apparent size of this box).

9. Is this product, or a comparable product, available from sources in third countries?:

10. Please provide the value and quantity (with units) of the Chinese-origin product of concern

that you purchased for each calendar year specified. Limit this figure to the products

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estimates if precise figures are unavailable.

2016 Value:

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2015 Quantity:

2017 Quantity:
 

1 

Part Number Dimension in Inches Lbs. Product Description 

Length Width Height Weight 

TPK-ZR 13 X 74 AT 

16 11 5/8 13 1/2 555.0 hot runner mold 

TPK 18 X 93 AT 

19 1/4 13 5/8 13 1/2 882.0 hot runner mold 

UB-A 58X12/1 

18 1/2 17 1/2 21 1/2 1,874.0 hot runner mold 
 

2 

UB-A 58X25/1 18 1/2 17 1/2 21 1/2 1,874.0 hot runner mold 

UB-A 58X40/1 

20 17 1/2 21 1/2 1,974.0 hot runner mold 

PBO-114A2 

15 1/2 15 1/2 17 1/2 815.0 hot runner mold 
 

3 

PBO-113A1 13 1/2 10 1/2 11 1/2 286.0 hot runner mold 

PBO-132A1 

17 1/2 15 1/2 19 1/2 1,367.0 hot runner mold 

PBO-151B1 

15 1/2 14 1/2 13 3/4 771.0 hot runner mold 

 
 

4 

PBO-121A1 

17 3/4 15 1/2 21 1/2 1,543.0 hot runner mold 

PBO-317A1 

15 9 3/4 15 1/2 396.0 hot runner mold 

PBO-324A1 

13 9 3/4 15 1/2 396.0 hot runner mold 
 

5 

PBO-340A1 

15 3/4 9 3/4 15 1/2 396.0 hot runner mold 

IB 17.8X 17.8 X 6.5 B 

15 3/4 13 1/2 15 3/4 882.0 hot runner mold 

IB 25.7 X 25.7 X 8.2 B 

18 16 20 1,212.0 hot runner mold 
 

6 

KMT 2A base #1 21 15 1/2 27 1/2 1,984.0 hot runner mold 

KMT 2A base #2

21 15 1/2 27 1/2 1,984.0 hot runner mold 
 

7 

KMT 2 lid 16 3/4 15 3/4 15 1/2 1,014.0 hot runner mold 

KMT 4A base 

19 13 1/2 15 1/2 793.0 hot runner mold 

KMT 4 lid 

12 1/2 11 1/2 15 1/2 507.0 hot runner mold 
 

8 

TPK 8x52 A 17 1/2 13 3/4 17 1/2 882.0 hot runner mold 

TPK-ZR 8x 18 1/4" 

17 11 3/4 17 1/2 992.0 hot runner mold 

TPKFO 8-3 _ 175 I 

16 13 17 700.0 hot runner mold 

 
 

9 

CB-E 75x55x13/1 

 

17 1/2 15 1/2 19 1/2 1,173.0 hot runner mold 

CB-E 95x70x14/1 

17 1/2 17 1/2 21 1/2 1,455.0 hot runner mold 

TPK 8x18 1/8" 

13 1/4 7 3/4 11 3/4 351.0 hot runner mold