CLIN 0001 CERT OF COMPLIANCE.pdf

DOCUMENT NUMBER 0336ZN01

VOC Certificate of Conformance Properties of the Coating “As Supplied” by the Manufacturer/Supplier

(Provide this document for EACH BATCH with EACH delivery of material)

FROM: __________________________________________________________________________

(Coating Supplier - PRINT)

TO: Norfolk Naval Shipyard, Environmental Division VIA: NAVSEA Service Contracts, Nuclear Contracting Branch, Norfolk Naval Shipyard

Local Supplier: _______________________________________________________________________ (Company Name - PRINT) (Point of contact - PRINT) (Phone number)

Manufacturer: ________________________________________________________________________ (Company Name - PRINT) (Point of contact - PRINT) (Phone number)

Coating Identification: __________________________________________________________________ (Name of coating as it appears on product container label - PRINT)

Batch Number as it appears on product container label: _______________________________________

Contract/Requisition Number_________________________________________________________

VOC Content of This Batch: ____________ grams/liter

In a letter dated January 7, 1998, the EPA Office of Enforcement and Compliance identified two acceptable methods for certifying the Batch VOC content of coatings subject to the requirements of the National Emission Standard for Hazardous Air Pollutants (NESHAP) for Shipbuilding and Ship Repair (Surface Coating) Operations. In accordance with that guidance the supplier of this coating is required to certify the VOC content of this batch of this coating, utilizing one of the allowable methods noted below.

Check one below

____The batch VOC content provided above is based on sound and consistent quality control procedures in batch formulation and manufacturing processes which prevent significant batch to batch variation in product VOC content. The formulation VOC value presented above has a consistent and quantitatively known relationship to the Method 24 result that would be obtained by testing a sample from any quality control approved production batch of this coating. Based on quality control procedures during and after the manufacturing processes used, the manufacturer/supplier certifies that any batch of this product, if tested by analytical test Method 24 of Appendix A of 40 CFR Part 60, will not exceed the VOC content as stated above when used in accordance with manufacturer instructions.

_____The batch VOC content provided above was determined by individually testing this batch of product using analytical test Method 24 of Appendix A of 40 CFR Part 60.

Printed Name: ________________________________________________ (Authorized Supplier/Manufacturer Representative)

Signature: ___________________________________________________ Date:_______________ (Authorized Supplier/Manufacturer Representative)