Fuel
Manufacturer
Notification
for
Motor
Vehicle
Fuel
Instructions
GENERAL
INFORMATION
A
manufacturer
of
a
motor
vehicle
gasoline
or
motor
vehicle
diesel
fuel
may
not
sell,
offer
for
sale,
or
introduce
into
commerce
such
fuel
unless
it
has
been
registered
by
the
United
States
Environmental
Protection
Agency
(
EPA)
in
accordance
with
the
regulations
at
40
CFR
79.
These
regulations
and
a
list
of
registered
fuels
are
available
at
www.
epa.
gov/
otaq/
additive.
htm
.

A
fuel
manufacturer
is
any
person
who,
for
sale
or
introduction
into
commerce,
produces,
manufactures,
or
imports
a
fuel
or
causes
or
directs
the
alteration
of
the
chemical
composition
of
a
bulk
fuel,
or
the
mixture
of
chemical
compounds
in
a
bulk
fuel,
by
adding
to
it
an
additive,
except:

(
1)
A
party
(
other
than
a
fuel
refiner
or
importer)
who
adds
a
quantity
of
additive(
s)
amounting
to
less
than
1.0
percent
by
volume
of
the
resultant
additive(
s)/
fuel
mixture
is
not
thereby
considered
a
fuel
manufacturer.

(
2)
A
party
(
other
than
a
fuel
refiner
or
importer)
who
adds
an
oxygenate
compound
to
fuel
in
any
otherwise
allowable
amount
is
not
thereby
considered
a
fuel
manufacturer.

An
additive
is
any
substance,
other
than
one
composed
solely
of
carbon
and/
or
hydrogen,
that
is
intentionally
added
to
a
fuel
(
including
any
added
to
a
motor
vehicle's
fuel
system)
and
that
is
not
intentionally
removed
prior
to
sale
or
use
of
the
fuel.

The
registration
process
is
initiated
by
submitting
a
Fuel
Manufacturer
Notification
for
Motor
Vehicle
Fuel,
EPA
Form
3520­
12,
to:

Specific
instructions
for
completing
the
form
follow.
For
additional
information
see
the
regulations
entitled
"
Registration
of
Fuels
and
Fuel
Additives"
at
40
CFR
79,
or
contact
the
office
above.

The
EPA
is
responsible
for
assessing
the
impact
on
public
health
and
welfare
from
exposure
to
motor
vehicle
emissions.
Knowledge
of
fuel
composition,
as
reported
by
each
manufacturer,
is
an
important
aspect
of
this
program.

SPECIFIC
INSTRUCTIONS
Please
type
(
best
results
are
obtained
using
standard
fonts
such
as
Courier
or
Arial)
or
print
the
information
using
a
dark­
colored
ink.
If
using
a
photocopied
version
of
the
form,
please
ensure
the
copy
is
clean
and
has
been
copied
to
100%
of
the
original
page
size.
Via
U.
S.
Postal
Service
U.
S.
Environmental
Protection
Agency
Attn:
Fuel
Registration/
Suite
L
­
103
Mail
Code
­
6406J
1200
Pennsylvania
Avenue,
NW
Washington,
DC
20460­
0001
Telephone:
(
202)
564­
9754
Fax:
(
202)
565­
2153
email:
caldwell.
jim@
epa.
gov,
fernandes.
joseph@
epa.
gov
or
Via
Courier
U.
S.
Environmental
Protection
Agency
Attn:
Fuel
Registration/
Suite
L­
103
Mail
Code
­
6406J
501
Third
Street,
NW
Washington,
DC
20001
Item
1.
Brand
Name(
s):
List
the
brand
name(
s)
under
which
your
company
markets
the
fuel
described
on
this
form.
If
you
market
it
under
more
than
one
name,
all
names
should
be
listed.
The
first
name
listed
will
be
considered
the
primary
name.

Item
2.
Company
Name:
Enter
the
company's
legal
name.

Item
3.
Company
ID
:
If
known,
enter
the
EPA
assigned
four­
digit
ID.
Leave
blank
if
this
is
your
first
manufacturer
notification.

Item
4.
Address
:
Enter
the
address
of
the
company
office
responsible
for
submiting
this
form.

Item
5.
Type
of
fuel
:
Check
the
appropriate
category.
If
you
believe
the
fuel
falls
into
the
"
Other"
category,
contact
the
registration
office
for
assistance.
A
separate
notification
should
be
filed
for
each
fuel
grade.
However,
for
gasoline,
the
three
grades
may
be
combined
if
covered
by
the
properties
in
section
6.
In
that
case,
mark
only
Unleaded
Regular
Gasoline.
Page
1
of
4
Fuel
Manufacturer
Notification
Instructions
(
6­
2003)
Item
6.
Fuel
Properties:
To
the
extent
known,
provide
the
highest,
lowest,
and
average
concentrations,
in
weight
percent,
for
the
listed
characteristics/
properties.
Also,
to
the
extent
known,
provide
methods
of
analysis
for
(
a)
through
(
f).
For
any
item
for
which
measurements
are
not
available,
enter
"
Not
Measured."
If
a
standard
method
of
analysis
is
used,
identify
it
(
e.
g.,
ASTM
D
1319).
If
not,
describe
the
method
used
on
a
separate
sheet.
Please
use
metric
measurements.

Items
7.
Additives
:
Provide
the
full
commercial
identifying
name,
additive
manufacturer's
full
name,
range
of
concentration,
and
purpose­
in­
use
for
each
additive
that
may
be
used
in
the
fuel.
For
purpose­
in­
use,
use
the
appropriate
symbol(
s)
from
the
following
list:

For
range
of
concentration,
give
the
expected
or
estimated
concentration
range.
Concentration
ranges
should
be
expressed
in
milligrams
of
additive
per
liter
of
fuel.
However,
fuel
additives
which
are
oxygenates
may
be
expressed
as
a
percent
volume.
Please
indicate
on
the
form
when
a
percent
volume
is
used.
Certified
detergents
must
be
expressed
as
gallons
of
detergent
additive
package
per
thousand
gallons
of
gasoline
(
gal/
kgal).
Use
the
following
definitions:

Highest
concentration:
The
highest
concentration
at
which
the
additive
will
be
used
in
the
finished
fuel.

Lowest
concentration:
The
lowest
concentration
at
which
the
additive
will
be
used
in
the
finished
fuel.
Note:
If
the
additive
is
used
at
one
refinery
producing
the
registered
fuel
but
not
at
another
producing
the
same
fuel,
the
lowest
concentration
figure
is
zero,
as
some
of
that
fuel
does
not
contain
that
additive.

Average
concentration:
The
average
additive
concentration
in
the
fuel
to
be
registered.
The
average
is
the
total
amount
of
the
additive
proposed
to
be
used
in
the
fuel
during
a
three­
month
period,
divided
by
the
anticipated
total
production
of
that
fuel
during
the
same
period.
Therefore,
the
divisor
(
total
fuel
production)
will
be
the
same
for
all
additives
listed
on
this
form.
(
a)
Anti­
icing
agent/
moisture
absorbent
(
ac)
Additive
component
(
b)
Antiknock
(
gasoline
only)
(
af)
Anti­
flamant
(
c)
Antioxidant
(
an)
Acid
neutralizer
(
d)
Antistall
agent
(
bc)
Blended
component/
blend
stock
(
e)
Antistatic
agent
(
bd)
Biodiesel
(
f)
Cetane
improver
(
diesel
only)
(
ca)
Carrier
(
g)
Combustion
improver/
modifier
(
cc)
Combustion
chamber
cleaner
(
h)
Corrosion
inhibitor
(
cp)
Cloud
point
depressant
(
i)
Deposit
modifier/
control
(
dc)
Detergent
compound
(
j)
Non­
certified
detergent
(
df)
Defoamer
(
k)
Dye
(
di)
Dilutent
(
l)
Gum
solvent
(
ec)
Emission
control
(
m)
Masking
or
odorizing
agent
(
es)
Exhaust
system
cleaner
(
n)
Metal
deactivator
(
fr)
Certified
detergent
(
o)
Pour
point
depressant
(
diesel
only)
(
ia)
Identifying
agent
(
p)
Sediment
inhibitor
(
ic)
Fuel
injector
cleaner
(
q)
Stabilizer
or
dispersant
(
iv)
Intake
valve
cleaner
(
r)
Upper
cylinder
lubricant
(
la)
Lubricity
agent
(
s)
Octane
enhancer
(
gasoline
only)
(
mr)
Marker
(
t)
Flow
improver
(
ox)
Oxygenate
(
u)
Volume
extender
(
pc)
Process
chemical
(
v)
Carburetor
and
choke
cleaner
(
ri)
Rust
inhibitor
(
w)
Algaecide/
bactericide/
fungicide
(
sf)
Starting
fluid
(
x)
Valve
lubricant
(
sw)
Sweetener
(
y)
Demulsifier/
dehazer
(
tr)
Tracer
Item
8.
Detection
:
Self­
explanatory
Item
9.
Mechanisms
of
Action
:
Self­
explanatory
Page
2
of
4
Fuel
Manufacturer
Notification
Instructions
(
6­
2003)
Item
10.
Market
Distribution:
Each
Petroleum
Administration
for
Defense
District
(
PADD)
is
defined
as
follows:

PADD1
PADD2
PADD3
PADD4
PADD5
Connecticut
Illinois
Alabama
Colorado
Alaska
Delaware
Indiana
Arkansas
Idaho
Arizona
District
of
Columbia
Iowa
Louisiana
Montana
California
Florida
Kansas
Missouri
Utah
Hawaii
Georgia
Kentucky
New
Mexico
Wyoming
Nevada
Maine
Michigan
Texas
Oregon
Maryland
Minnesota
Washington
Massachusetts
Mississippi
New
York
Nebraska
New
Hampshire
North
Dakota
New
Jersey
Ohio
North
Carolina
Oklahoma
Pennsylvania
South
Dakota
Rhode
Island
Tennessee
South
Carolina
Wisconsin
Vermont
Virginia
West
Virginia
Item
11.
Conventional
source:
Self­
explanatory.

Item
12.
Small
Business
Provision:
A
baseline
gasoline:

(
1)
contains
no
elements
other
than
carbon,
hydrogen,
oxygen,
nitrogen,
and/
or
sulfur,
(
2)
contains
less
than
1.5
percent
oxygen
by
weight,
(
3)
possesses
the
physical
and
chemical
characteristics
of
unleaded
gasoline,
as
specified
by
American
Society
for
Testing
and
Materials
(
ASTM)
standard
D
4814
­
93a,
in
at
least
one
Seasonal
and
Geographical
Volatility
Class,
and
(
4)
is
derived
only
from
conventional
petroleum,
heavy
oil
deposits,
coal,
tar
sands,
and/
or
oil
sands.

A
nonbaseline
gasoline
meets
the
requirements
for
baseline
gasoline,
with
the
following
exceptions:

(
1)
contains
1.5
percent
or
greater
oxygen
by
weight,
and/
or
(
2)
is
derived
from
sources
other
than
conventional
petroleum,
heavy
oil
deposits,
coal,
tar
sands,
and/
or
oil
sands.

An
atypical
gasoline
does
not
meet
the
requirements
for
a
baseline
gasoline
or
a
nonbaseline
gasoline.
For
example,
it
could
contain
an
additive
which
has
an
element
other
than
carbon,
hydrogen,
oxygen,
nitrogen,
and
sulfur.

A
baseline
diesel
fuel:
(
1)
contains
no
elements
other
than
carbon,
hydrogen,
oxygen,
nitrogen,
and/
or
sulfur,
(
2)
contains
0.05
percent
or
less
sulfur
by
weight,
(
3)
contains
less
than
1.0
percent
oxygen
by
weight,
(
4)
possesses
the
characteristics
of
diesel
fuel
as
specified
by
ASTM
D
975­
93,
and
(
5)
is
derived
only
from
conventional
petroleum,
heavy
oil
deposits,
coal,
tar
sands,
and/
or
oil
sands.

A
nonbaseline
diesel
fuel
meets
the
requirements
for
baseline
diesel
fuel,
with
the
following
exceptions:

(
1)
contains
1.0
percent
or
more
oxygen
by
weight,
and/
or
(
2)
is
derived
from
sources
other
than
conventional
petroleum,
heavy
oil
deposits,
coal,
tar
sands,
and/
or
oil
sands.

An
atypical
diesel
fuel
contains
0.05
percent
or
less
sulfur
by
weight
and
does
not
meet
the
requirements
for
a
baseline
diesel
fuel
or
a
nonbaseline
diesel
fuel.
For
example,
it
could
contain
an
additive
which
has
an
element
other
than
carbon,
hydrogen,
oxygen,
nitrogen,
and
sulfur.

Item
13.
Grouping
:
Self­
explanatory.

Item
14.
Confidentiality:
Check
the
number(
s)
of
those
items
for
which
your
company
asserts
a
claim
of
confidentiality.

Item
15.
Attached
Information:
Check
the
appropriate
box.
List
a
description
for
each
item
attached
to
the
notification.

Item
16.
Certification
:
The
notification
form
must
be
signed
and
dated
by
the
fuel
manufacturer
or
its
authorized
agent.
The
printed
name
of
the
signer
and
the
signer's
telephone
number
should
be
given.
If
the
form
is
signed
by
an
authorized
agent,
the
company
must
provide
a
letter
authorizing
such
agent.
Page
3
of
4
Fuel
Manufacturer
Notification
Instructions
(
6­
2003)
The
public
reporting
burden
for
this
Environmental
Protection
Agency
(
EPA)
collection
of
information
is
estimated
to
average
4
hours
per
response.
This
includes
time
for
reviewing
instructions
and
regulations,
searching
company
records,
gathering
the
needed
data,
and
completing,
reviewing,
copying,
and
transmitting
the
collection
of
information.

Burden
means
the
total
time,
effort,
or
financial
resources
expended
by
persons
to
generate,
maintain,
retain,
disclose,
or
provide
information
to
or
for
a
Federal
agency.
This
includes
the
time
needed
to
review
instructions;
develop,
acquire,
install,
and
utilize
technology
and
systems
for
the
purposes
of
collecting,
validating,
and
verifying
information,
processing
and
maintaining
information,
and
disclosing
and
providing
information;
adjust
the
existing
ways
to
comply
with
any
previously
applicable
instructions
and
requirements;
train
personnel
to
be
able
to
respond
to
a
collection
of
information;
search
data
sources;
complete
and
review
the
collection
of
information;
and
transmit
or
otherwise
disclose
the
information.
An
agency
may
not
conduct
or
sponsor,
and
a
person
is
not
required
to
respond
to,
a
collection
of
information
unless
it
displays
a
currently
valid
OMB
control
number.
The
OMB
control
numbers
for
EPA's
regulations
are
listed
in
40
CFR
Part
9
and
48
CFR
Chapter
15.

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,
OPPE
Regulatory
Information
Division,
U.
S.
Environmental
Protection
Agency
(
2137)
401
M
St.,
S.
W.,
Washington,
DC
20460;
and
to
the
Office
of
Information
and
Regulatory
Affairs,
Office
of
Management
of
Budget,
725
17th
Street,
NW,
Washington,
DC
20503,
Attention,
Desk
Officer
for
EPA.
Include
the
EPA
ICR
number
0309.10
and
OMB
control
number
2060­
0150
in
any
correspondence.

NOTE:
This
office
is
operated
by
a
contractor,
MACI
(
Arlington,
VA)
for
the
EPA,
under
contract
number
68­
W­
01­
050.
Information
submitted
with
this
form
will
be
provided
to
MACI
for
processing
into
a
database
at
the
registration
office.
Page
4
of
4
Fuel
Manufacturer
Notification
Instructions
(
6­
2003)
