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Insuchcases,enteryourallowanceaccountidentificationnumberinthespaceprovidedatthetopoftheform.Affected   unitswillautomaticallyreceiveaunitaccountintheATS,andshouldusetheCertificateofRepresentationformtomake   anychangestounitaccountinformation. PC  (X@##(Typeorcompletetheforminblackink.Ifyouneed   morespace,photocopythepertinentpage.Whenyou t havecompletedtheform,indicatethepageorderand </ totalnumberofpages(e.g.,1of4,2of4,etc.)inthe  spacesprovidedintheupperrighthandcornerofeach  page. m` Remember,under40CFR73.33youmustnotifyall  personswhohaveanownershipinterestwithrespectto  theallowancesheldinanaccountofallAcidRain YL Programsubmissions.EPAwillacceptsubsequent  submissionsfromtheAuthorizedAccount  Representative(AAR)or,ifoneisdesignated,fromthe } AlternateAAR. E8  Ifyouneedassistance,calltheAcidRainHotlineat " 2025649620. vi#  STEP2 0 0 Theownersmaychooseanalternatetoactin % lieuoftheAuthorizedAccount & Representative.cV'00  STEP3 0 0 EPAwillusetheaddressyouenterherefor ) allofficialcorrespondenceconcerningthis  * account.P!C+00  STEP4 0 0 Identifyallpartieswithanownershipinterest " - intheallowancesheldinthisaccount.Allof #u!. thesepartiesmustbesubjecttoabinding =$0"/ agreementauthorizingtherepresentationof $"0 theaccountbytheauthorizedaccount %#1 representative,and,ifapplicable,thealternate n&a$2 authorizedaccountrepresentative,identified )'%3 inSteps1and2.Ifyou(theauthorized '%4 accountrepresentative)aretheonlyperson (&5 withanownershipinterestintheallowances Z)M'6 heldintheaccount,listyournamehere.*(700  STEP6 0 0 Boththeauthorizedaccountrepresentative +~)9 andthealternate(ifany)mustsignanddate G,:*: thecertifications.Ifyouarerevisingaccount -*; information,onlyonesignatureisneeded.-+<00  0.@  SubmissionInstructions   @ Submitthisformtothefollowingaddress: bUB d|uAzd0  09#9#d zd|uAU.S.ENVIRONMENTALPROTECTIONAGENCYD9#9# 0  09#9#ACIDRAINPROGRAM(6204J)naE9#9# 0  09#9#ATTN:ALLOWANCETRACKINGSYSTEM#d|uAzd #F9#9# d zd|uAbyregular/certifiedmail:0 8 0r89#89#orovernightmail:'Hr9#r9# 1200PennsylvaniaAve.,NW1310LStreet,NW I Washington,DC20460Washington,DC20005 SFJ Ѐ(202)3439150#d|uAzd # K  PaperworkBurdenEstimate   M dLQlJzd|uAThepublicreportingandrecordkeepingburdenforthiscollectionofinformationis (O estimatedtoaverage16hoursperresponse.Burdenmeansthetotaltime,effort,or P financialresourcesexpendedbypersonstogenerate,maintain,retain,ordiscloseor Q provideinformationtoorforaFederalagency.Thisincludesthetimeneededto R reviewinstructions;develop,acquire,install,andutilizetechnologyandsystemsfor S thepurposesofcollecting,validating,andverifyinginformation,processingand }T maintaininginformation,anddisclosingandprovidinginformation;adjustthe U existingwaystocomplywithanypreviouslyapplicableinstructionsand ~qV requirements;trainpersonneltobeabletorespondtoacollectionofinformation; W searchdatasources;completeandreviewthecollectionofinformation;andtransmit reX orotherwisedisclosetheinformation.Anagencymaynotconductorsponsor,and Y apersonisnotrequiredtorespondto,acollectionofinformationunlessitdisplays fYZ acurrentlyvalidOMBcontrolnumber. [ SendcommentsontheAgencysneedforthisinformation,theaccuracyofthe ] providedburdenestimates,andanysuggestedmethodsforminimizingrespondent N A^ burden,includingthroughtheuseofautomatedcollectiontechniquestotheDirector,  _ CollectionStrategiesDivision,U.S.EnvironmentalProtectionAgency(2822T),1200 B!5` PennsylvaniaAve.,NW,Washington,D.C.20460.IncludetheOMBcontrol !a numberinanycorrespondence. Donotsendthecompletedformtothisaddress.#d|uAzJdLQl#  6") b <<< <e&  1?X@<L<L1k9KQA=z h` ``@ Pr@E<V`2r`tV dD dD <D <D  <D <D dD dD '<   d zd|uA UnitedStates  <   EnvironmentalProtectionAgency &!&!nd%#d|uAzd #OMBNo.20600258    d zd|uAAcidRainProgram d%d%d%#d|uAzd #Ԉ |@  ?3&' @dE% ??    d,zd|uAAllowanceAccountInformation#d|uAzd,߸#dxwzd|uA##yd%#d|uAzwdx #d zd|uAPage1#d|uAzd k #dZWZzd|uAԈ { }GeneralAccountsOnlyd%d%d% #d|uAzZdZW #Ԉ } .?Formoreinformation,seeinstructionsandreferto40CFR73.31. H Thissubmissionis:0 ! 0[!d%!d%dA\zd|uA$]#d|uAzdA\!#ԀNew(toopenanewgeneralaccount)!!td%[d%[d%Paged,zd|uA$]#d|uAzd,߲"#Ԁofd,zd|uA$]#d|uAzd,&##Ԉ  dA\zd|uA$ Ԁ]#d|uAzdA\## ԀRevised(toreviseinformationonanexistinggeneralaccount)  ?.      (?@<D <D ( *MN ddd Xdd Xdd X<%<%,d ,d +  -# w w -    ?d zd|uAIfyouareopeninganewallowanceaccount,completeallstepsinthisform.Ifyouareanauthorizedaccountrepresentative   (AAR)foranotheraccountintheallowancetrackingsystem(ATS),pleasewriteinyourAARID#.Ifthisisarevised  [  submission,enteryourATSaccount#andAARID#andcompleteonlythosestepscoveringtheinformationyouwishto   change.YoumustcompleteStep6toauthorizethechangeofinformation.Onlytheauthorizedaccountrepresentativeor  [  alternateauthorizedaccountrepresentativecanauthorizethechange.#d|uAzd &#dLQlJzd|uA   #d|uAzJdLQl(#?-#! [  d  -*rOP ddd d MN<%<%r,d ,6 t , t( +  1'+ +  t1 %333 c  %AllowanceTrackingSystemAccount# ?3333,!c 333 ?AuthorizedAccountRepresentativeID#<20c  t  3333 <z??z*QR ddd 6 t 6 t( OP<%<%,d ,6 t , t( +  <+E!E t<d zd|uAY ?STEP1  Y"  Enterrequestedinformationfor # theauthorizedaccount i$ representative #d|uAzd ,# <333)-% <Name LB/& t  333 tL .333 a%& .Firm(Optional) LB/' t  333 tL (333 A' (PhoneNumber ?3333,!y(333 ?FaxNumber<20y) t   3333 <*ST ddd 6 t 6 t( QR<%<%,d ,6 t , t( +  <+M,M t<d zd|uAa STEP2(Optional)  a-  Enterrequestedinformationfor %. thealternateauthorized q/ accountrepresentative #d|uAzd v0# <333)50 <Name LB/1 t  333 tL .333 i-1 .Firm(Optional) LB/2 t  333 tL (333 I 2 (PhoneNumber ?3333,!3333 ?FaxNumber<204 t   3333 <*UV ddd 6 t 6 t( ST<%<%,d ,t( +  1'U7U t1d zd|uAi  STEP3  i8  Enterthemailingaddress - 9 fortheaccount #d|uAzd >4# '3333  y: 'Address<20 ; t  3333 <*rWX ddd t( UV<%<%r,d ,t +  <+&]$>&]$ t<d zd|uA&q$ '$ STEP4  &q$?  Enterthenamesofall 5'$@ parties(personsorcompanies) '%A subjecttothebindingagreement E( &B authorizingyourrepresentation (&C ofthe U)'D account #d|uAzd U6# 8333%)'E  8Name I?, '$F t  333 tI *333 y(=&F *Name I?,(&G t  333 tI *333 Y*(G *Name I?,*(H t  333 tI *3333 9,)H *Name <20,q*I t   3333 <k k  k  *rYZ ddd t WX<%<%r,d ,*t , d +  1'<< |$1 03333| 0 9 9 ATSAccount#(frompage1) A0!|3333 A@|O1AllowanceAccountPage2 @ Paged,zd|uA$]#d|uAzd,;#Ԁofd,zd|uA$]#d|uAzd,b<# KA.33%% |$  lK 'L ' "L "" l   "d zd|uA*[\ ddd *t * d YZ<%<%,d , d ,t( +  8'%% 8 O1STEP5(Optional)  M  Respondtothequestions   bymarkingallappropriate ]  boxes(EPAwillusethis !  informationforprogram m  evaluationpurposesonly) #d|uAzd =# 3)1  22  3Istheauthorizedaccountrepresentativeemployedbyanallowancebrokeragefirm? 0&M d   0 % ? %dA\zd|uA$g]#d|uAzdA\@#gԀNo 9/ g d   9 % Y %dA\zd|uA$]#d|uAzdA\A#ԀYes(ifyes,pleasemarkallboxesthatapply) 9/  d   9 % s 7 %[ O _g o"$'w)+'.02/5797<>@?CEGX"v:0 # dA\zd|uA$ Rj .]#d|uAzdA\;C#j . RԀThisaccountwillbeusedtotransferallowancesbetweenclients C9*j .# %# % d   hC %   %<0 # dA\zd|uA$;  ]#d|uAzdA\qD# ; ԀThisaccountwillbeusedtoholdalllowancesforinvestmentpurposes C9* # %# % d h  C , S   ,<0 # dA\zd|uA$ { ]#d|uAzdA\E# { ԀThisaccountwillbeused { # #  Ѐforotherpurposes(please_specify)_Ԁ 8.# l ? 8 :0 {  d  ht:  K    *3333 K   * E;,  t h 3333 E % w  %Whattypesofbusinessarerepresentedbytheowner(s)ofallowancesinthisaccount?(Markallboxesthatapply) 9/   d   9 % o  %dA\zd|uA$3  ]#d|uAzdA\H# 3 ԀUtility 9/   d   9 %  %<QQdA\zd|uA$uQ]#d|uAzdA\I#QuԀNonUtilityGeneratorsofElectricity 9/ Q d   9 % k/ %< dA\zd|uA$/ ]#d|uAzdA\J# /ԀFuelSupplier 9/   d   9 %  %x[ O / V_g o"$'w)+'.02/5797<>@?CEG OX Xx0 ______Coal0 % %______Oil G=*Y%% d   htG ! C !0 ______Gas0  ______Other :3333'{ : E;,{ t h 3333 E % o %ždA\zd|uA$3]#d|uAzdA\M#3ԀPollutionControlEquipment 9/   d   9 %   %dA\zd|uA$Kc']#d|uAzdA\N#c'KԀPublicInterestGroup =3 c'! d   ht= ! S! !0 ______Consumer0  ______Other :3333'" : E;,# t h 3333 E % # %0 ______Environmental G=*$ % % d   htG , $ ,$ždA\zd|uA$i]#d|uAzdA\%Q#iԀOther A3333.#i&. A E;,G' t h 3333 E  w;'  ! w;' !-#!( d   - *]^ ddd  d t( [\<%<%,4d ,?d +  (+(+ (d zd|uA$STEP6 S) Readthecertificationsandsign /* anddate.(Onlyonesignature + isneedediftheformisbeing o 3, usedtoreviseaccount !- information) #d|uAzd S#  !s. Ud zd|uAIcertifythatIwasselectedunderthetermsofanagreementthatisbindingonallpersonswhohaveanownershipinterestwith S/ respecttoallowancesheldintheAllowanceTrackingSystemaccount.IcertifythatIhaveallnecessaryauthoritytocarryout  0 mydutiesandresponsibilitiesonbehalfofthepersonswithanownershipinterestandthattheyshallbefullyboundbymy M1 actions,inactions,orsubmissionsunder40CFRPart73.Iamauthorizedtomakethissubmissiononbehalfofthepersons  2 withanownershipinterestforwhomthissubmissionismade.  G3 0UU0IcertifyunderpenaltyoflawthatIhavepersonallyexamined,andamfamiliarwith,thestatementsandinformationsubmitted !n6 inthisdocumentandallitsattachments.Basedonmyinquiryofthoseindividualswithprimaryresponsibilityforobtaining '"7 theinformation,Icertifythatthestatementsandinformationaretothebestofmyknowledgeandbelieftrue,accurate,and "h 8 complete.Iamawarethattherearesignificantpenaltiesforsubmittingfalsestatementsandinformationoromittingmaterial !# 9 information,includingthepossibilityoffineorimprisonmentforviolations. #b!: ($!; d (*r_` dd4d 4?d ?]^<%<%r,d ,Xt ,t( +  <+ %"; %" t< 433%%C#<%ϲ#" 4#d|uAzd hU#dLQlJzd|uASignature(AuthorizedAccountRepresentative)#d|uAzJdLQl}\# ?333,!%C#=33 ?dLQlJzd|uADate#d|uAzJdLQl+]# I?,%C#> t  333 tI (333 &$> (dLQlJzd|uASignature(AlternateAuthorizedAccountRepresentative,ifany)#d|uAzJdLQl]# ?3333,!_'#%?333 ?dLQlJzd|uADate#d|uAzJdLQl^#<20_'#%@ t   3333 < .U*ab ddd Xt Xt( _`<%<%,Cd ,d +  -#(&@(& '-d zd|uASubmission /)&A Information  )k'B #d|uAzd +`#$S)'/)&d zd|uAMailtothefollowingaddress: S)'C  ~[ O  _g o"$'w)+'.02/5797<>@?CEG OX/ V_X~.0 0 L% L% U.S.EnvironmentalProtectionAgency5*'EL%L% 0 0 L% L%AcidRainProgram(6204J)*(FL%L% 0 0 L% L%Attention:AllowanceTrackingSystemS+)GL%L% byregular/certifiedmail:0  0L%L%0CL%L%0CL%CL%orovernightmail:q,5*IL%L% 1200PennsylvaniaAvenue,NW0  0CL%L%1310LStreet,NW-*JCL%CL% Washington,D.C.204600  0L%L%0CL%L%0CL%CL%Washington,DC20005-S+KL%L% 0 0 L% L%0L%L%0CL%L%0CL%CL%(202)34391507-+.+LL%L% d ' 7#d|uAzd `##|uAzzd|uA#