Additional Information on the ATCM and the Regulatory Language Can Be Found At

In 2004, the Air Resources Board adopted an airborne toxic control measure (ATCM) for stationary diesel-fueled CI engines. In addition to establishing operating and emission standards for stationary diesel-fueled CI engines operating in California, the ATCM includes annual reporting requirements for companies selling stationary diesel-fueled CI engines for use in California that have a rated brake horsepower of less than or equal to 50. Section 93115.10 (b) of the ATCM requires information, such as the make, model, horsepower, and number of engines sold in the previous calendar year to be submitted to the ARB by January 31st of each year (see language of section 93115.10(b) below).

Additional information on the ATCM and the regulatory language can be found at http://www.arb.ca.gov/diesel/statport.htm.

This form has been prepared to facilitate reporting the information required by the ATCM.

Section 93115.10(b): Reporting Requirements for Sellers of Stationary Diesel-Fueled Cl Engines Having a Rated Brake Horsepower Less Than or Equal to 50 (< 50 bhp).

(1) Except as provided in section 93115.3, no later than January 31, 2006 and by January 31st of each year thereafter, all sellers of stationary diesel fueled Cl engines sold for use in California that have a rated brake horsepower less than or equal to 50 shall provide the following information for the previous calendar year to the Executive Officer of the Air Resources Board:

(A) Contact Information

1. Sellers Company Name (if applicable);

2. Contact name, phone number, e-mail address;

(B) Engine Sales Information (for each engine sold for use in California in the previous calendar year)

1. Make,

2. Model,

3. Model year (if known),

4. Rated brake horsepower,

5. Number of engines sold,

6. Certification executive order number (if applicable),

7. Engine family number (if known),

8. Emission control strategy (if applicable).

Instructions

Please fill in your contact information on the top of the previous page and in the blank provided on the reporting form. If you would like for us to keep the information you provide confidential, please indicate so by checking the box next to “Yes.”

In filling out the reporting form, please limit your responses to sales of diesel-fueled engines less than 50 bhp sold in the previous calendar year. Please indicate in the space provided on the form, the year for which you are reporting engines sales.

In the reporting form, fill in the requested information for each engine sold in the previous year. Engines with the same family number, make, and model etc. can be grouped together. Definitions of applicable terms are provided in the stationary ATCM, which may be found at http://www.arb.ca.gov/diesel/ag/documents/finalreg101807.pdf

For reporting on engines with emission control devices installed, please use the following abbreviations:

DPF = Diesel Particulate Filter DOC = Diesel Oxidation Catalyst

ITR = Ignition Timing Retard Other – please specify

Please make copies of the original form if additional pages are needed for completion.

Please fax completed form to (916) 327- 6251, or mail it to the address on the back of this form. If completing electronically, please e-mail to .

If you have any questions please contact Ron Hand at (916) 327-6683 or at .

Reporting Form for Sellers of Diesel-Fueled Compression-Ignition Engines ≤ 50 BHP

Sellers Company Name: Confidential Data: Yes No

Sales Reporting Year:

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