5900-715 Annual ODS Emissions Report

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Overview

Instructions
Section 1
Section 2
Section 3
Section 4
Section 5
Reference List
Lists

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Sheet 1: Instructions

	OMB Control Number: xxxx-xxxx
	Expiration Date: xx/xx/xxxx
	U.S. Environmental Protection Agency
	Stratospheric Ozone Protection Program
	ODS Annual Emissions Report (Sec 82.25)
	Version 1.0
	Last Updated: September 2024
	Instructions
	Complete and submit an ODS Annual Emissions Report if your company performs an activity listed under 40 CFR 82.25(a). Please provide information for only one facility per reporting form.
	Complete this form by filling in the data fields that are highlighted in blue. Guidance on how to complete individual data fields are provided in comment bubbles. Use the arrows to navigate between the tabs. Once completed, use the 'prepare submission' button in Section 4 to generate your CSV file.
	Copying and Pasting Data: If data are pasted into this reporting form from another spreadsheet, the formatting of specific cells must be consistent with the requirements of the form in order to be
	accepted into EPA’s ODS Tracking System. Refer to the Reference List to identify the valid naming scheme for specific data fields. Additionally, select "Paste As Values" when pasting data into the form.
	Report Submission: This Excel file, the generated CSV file, and all supporting attachments should be submitted to EPA through the Central Data Exchange (CDX). Refer to EPA's website for additional information on form submission:
	https://www.epa.gov/ods-phaseout/ods-recordkeeping-and-reporting
	This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. XXXX-XXXX). Responses to this collection of information are mandatory (40 CFR 82.25). 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 number and expiration date are displayed in the upper right corner of the form. The public reporting and recordkeeping burden for this collection of information is estimated to be X hours per response. Send comments on the Agency’s need this formation, 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, Regulatory Support Division, U.S. Environmental Protection Agency (2821T), 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.
	EPA Form #xxxx-xxx

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Sheet 2: Section 1

	U.S. Environmental Protection Agency
	ODS Annual Emissions Report
	Date Prepared:	7/17/2025
	Section 1: Report Identification Information
	Complete all fields below for each facility from which ODS were emitted. No fields may be left blank.
	Company Name:
	Submission Type:
	Reporting Year:
	Facility Name:
	Facility Address:

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Sheet 3: Section 2

	U.S. Environmental Protection Agency
	ODS Annual Emissions Report
	Facility Name:
	Reporting Period:
	Section 2: Process Information
	For all facilities: Complete all fields below for each process listed in 82.25(b)(2) and associated process vents. No fields may be left blank. As part of your submission, please also provide the monitoring plan, as specified in 82.25(f)(6), including any revisions since the prior year’s submission, as applicable.
	If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.
		Process Identification 82.25(e)(1)(ii)(A)	Process Description 82.25(e)(1)(ii)(A)	Controlled Substance Used 82.25(e)(1)(iii)	Method(s) Used to Determine the Mass Emissions from Equipment Leaks Associated with the Process 82.25(e)(1)(ii)(D)		Mass of Controlled Substance Emitted (kg) 82.25(e)(1)(iii)	Effective Destruction Efficiency (DEeffective) 82.25(e)(1)(iii)
					Method (1)	Method (2)
	Process (1)
	Process (2)
	Process (3)
		Process Identification	Process Vent Identification 82.25(e)(1)(ii)(B)	Process Vent Description 82.25(e)(1)(ii)(B)	Method(s) Used to Determine the Mass Emissions from Each Process Vent 82.25(e)(1)(ii)(C)
					Method (1)	Method (2)
	Process Vent (1)
	Process Vent (2)
	Process Vent (3)

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Sheet 4: Section 3

U.S. Environmental Protection Agency

ODS Annual Emissions Report

Facility Name:

Reporting Period:

Section 3: Emission Factor and Emission Calculation Factor Approach

For processes whose emissions are determined using the emission factor approach under 82.25(c)(1)(iii) or the emission calculation factor under 82.25(c)(1)(iv): Complete all fields below for each process vent. No fields may be left blank.

If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.

Process Identification

Process Vent Identification

Controlled Substance Used

Process Activity Used to Estimate Emissions 82.25(e)(2)(i)

Quantity of Process Activity Used to Estimate Emissions (tons) 82.25(e)(2)(i)

Emissions Estimate Approach Used from 82.25(c)(1) 82.25(e)(2)(ii)

Emission Factor or Emission Calculation Factor Used 82.25(e)(2)(ii)

Mass of Controlled Substance Emitted (kg) 82.25(e)(2)(iii)

Mass of Controlled Substance Emitted from Equipment Leaks (kg) 82.25(e)(2)(iv)

Process Vent (1)

Process Vent (2)

Process Vent (3)

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Sheet 5: Section 4

U.S. Environmental Protection Agency

ODS Annual Emissions Report

Facility Name:

Reporting Period:

Section 4: Mass Balance Approach

For processes whose emissions are determined using the mass balance approach under 82.25(c)(4): Complete all fields below for each process. No fields may be left blank, insert "N/A" if the field is not applicable. As part of your submission, please provide data (include quantities and their accuracies and precisions) if you calculated relative and absolute errors under 82.25(c)(4)(i)/

If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.

Controlled Substance Used

Relative Error

Absolute Error

Chemical Reaction for Manufacture

Chemical Reaction for Transformation Product

Mass of Product Emitted (kg)

Mass of Byproduct Emitted (kg)

Mass of Reactant Emitted (kg)

Mass of Reactant Fed Into Process (kg)

Mass of Product Produced by Process (kg)

If 82.25(c)(4)(iv) used to estimate total mass of halogen in destroyed or recaptured streams, quantity halogen-containing substance removed from the process (kg)

Demonstrated Destruction Efficiency

If 82.25(c)(4)(xv) used to estimate the total mass of halogen in destroyed or recaptured streams

Mass fraction of emissions consisting of halogen-containing:

Method Used to Estimate Total Mass of Halogen in Destroyed or Recaptured Streams

Product fed into destruction device

Byproduct fed into destruction Device

Reactant Fed Into Destruction Device

Byproduct Recaptured

Mass halogen in stream fed into destruction Device

Mass Halogen Recaptured

Weighted Average Destruction Efficiency of Destruction Device

Reactant

Product

Byproduct

Process (1)

Process (2)

Process (3)

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Sheet 6: Section 5

	U.S. Environmental Protection Agency
	ODS Annual Emissions Report
	Facility Name:
	Reporting Period:
	Section 5: Destruction and Destruction Unit Excess Emissions
	For facilities that destroy controlled substances: Complete all fields below for each destruction unit. No fields may be left blank.
	If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.
		Previously Produced Controlled Substance Destroyed 82.25(e)(5)	Mass of Controlled Substance Emitted (kg) 82.25(e)(5)(i)	Mass of Excess Controlled Substance Emitted due to Destruction Unit Malfunctions (kg) 82.25(e)(3)
	Destruction Unit (1)
	Destruction Unit (2)
	Destruction Unit (3)

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Sheet 7: Reference List

	U.S. Environmental Protection Agency
	ODS Annual Emissions Report
	Reference List
	Copying and Pasting Data: If data are pasted into this reporting form from another spreadsheet, the formatting of specific cells must be consistent with the requirements of the form in order to be accepted into EPA’s ODS tracking system. When copying and pasting data into the form, please ensure consistency with the formatting of the list below.
	Chemical Name List: The table below lists the valid chemical names that may be used when entering data into Section 2, Section 3, and Section 4 of this form.
	Chemical Name
	Class I ODS
	CFC-12	CFC-114	CFC-214	Halon 1211	CH3CCL3
	CFC-13	CFC-115	CFC-215	Halon 1301	HBFCs
	CFC-111	CFC-211	CFC-216	Halon 2402
	CFC-112	CFC-212	CFC-217	CBM
	CFC-113	CFC-213	Halon 1202	CCL4
	Class II ODS
	HCFC-21	HCFC-124a	HCFC-142b	HCFC-231	HCFC-251
	HCFC-22	HCFC-131	HCFC-151	HCFC-232	HCFC-252
	HCFC-31	HCFC-132b	HCFC-221	HCFC-233	HCFC-253
	HCFC-121	HCFC-133a	HCFC-222	HCFC-234	HCFC-261
	HCFC-122	HCFC-141	HCFC-223	HCFC-235	HCFC-262
	HCFC-123	HCFC-141a	HCFC-224	HCFC-241	HCFC-271
	HCFC-123a	HCFC-141b	HCFC-225ca	HCFC-242
	HCFC-123b	HCFC-142	HCFC-225cb	HCFC-243
	HCFC-124	HCFC-142a	HCFC-226	HCFC-244

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Sheet 8: Lists

Chemical Name	Submission Type	Reporting Year	Current Year	Method used to determine mass of emissions	Process activity used to estimate emissions
CFC-12	Original Submission	2024	2025	Process vent-specific emission factor	Tons of product produced
CFC-13	Re-Submittal	2025		Process vent-specific emission calculation factor	Tons of reactant consumed
CFC-111		2026
CFC-112		2027
CFC-113		2028
CFC-114		2029
CFC-115		2030
CFC-211		2031
CFC-212		2032
CFC-213		2033
CFC-214		2034
CFC-215		2035
CFC-216
CFC-217
Halon 1202
Halon 1211
Halon 1301
Halon 2402
CBM
CCL4
CH3CCL3
HBFCs
HCFC-21
HCFC-22
HCFC-31
HCFC-121
HCFC-122
HCFC-123
HCFC-123a
HCFC-123b
HCFC-124
HCFC-124a
HCFC-131
HCFC-132b
HCFC-133a
HCFC-141
HCFC-141a
HCFC-141b
HCFC-142
HCFC-142a
HCFC-142b
HCFC-151
HCFC-221
HCFC-222
HCFC-223
HCFC-224
HCFC-225ca
HCFC-225cb
HCFC-226
HCFC-231
HCFC-232
HCFC-233
HCFC-234
HCFC-235
HCFC-241
HCFC-242
HCFC-243
HCFC-244
HCFC-251
HCFC-252
HCFC-253
HCFC-261
HCFC-262
HCFC-271