Application for Technology Verification

This form provides information about the verification process and describes the information and
commitments needed for preparing, conducting, and reporting a verification test of your technology under
the EPA/ETV Advanced Monitoring  Systems (AMS) Center. Please provide the information requested as
fully as possible, attach supporting documentation, and return to Dr. Ann Louise Sumner at the address
indicated below.
       Ann Louise Sumner
       AMS Center Verification Test Coordinator
       Battelle
       505 King Avenue
       Columbus, Ohio 43201-2693
                Phone: 614-424-3973
                Fax: 614-458-3973
                Email: ETV-AMSCenter@,battelle.org
VENDOR
TECHNOLOGY
A. Verification Process

Verification tests performed by the AMS center follow the following process:

    1.  Identifying technologies for verification. Vendors interested in obtaining objective third-party
       performance data on their product, and a competitive advantage in the marketplace, can submit
       their technology for verification. Battelle staff will evaluate the technologies vendors submit for
       verification. Additional information about the technology may be requested from the vendor to
       complete this evaluation. Members of the AMS Center's stakeholder committees—including
       representatives from regulatory agencies, industry, trade associations, and environmental
       groups—will assist Battelle in prioritizing the technologies submitted. Battelle notifies vendors
       when a verification test of their technology is being considered and invites additional vendors to
       participate.
    2.  Path to Verification. Once a technology or group of technologies has been identified for
       verification testing, Battelle will draft a vendor agreement to be signed by the participating
       vendors, which will also be invoiced for the verification fee deposit. Upon receipt of the signed
       vendor agreement and fee, Battelle will develop a draft test/quality assurance plan (TQAP).
       Participating vendors and representative stakeholders will provide advice and suggestions in
       developing the plan. The draft plan will be reviewed by the participating vendor(s), stakeholder
       committee members, U.S. EPA representatives, and additional peer reviewers as necessary. Then
       the plan is revised by Battelle and sent to participating vendors for approval. The verification test
       will be conducted according to the approved TQAP. The full verification fee will be due after the
       completion of the TQAP and before the start of testing.

    3.  Requirements for Vendors. An  AMS Center verification test will require the following
       specific commitments from participating vendors:
           a.   Provide detailed information on your technology, including its operating requirements or
               limitations, description of previous testing programs, and current use of the technology.
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               This information will be used solely to plan verification testing. Material to be treated as
               confidential should be marked as such.
           b.  Commit a person from your organization to be Battelle's point of contact, and to lead
               your participation in the verification test.

           c.  Sign a vendor agreement and pay a fee for verification by the AMS Center. This
               verification fee will cover the cost of the verification test. However, it is possible that the
               cost may be supplemented by EPA and/or collaborator funding and in-kind contributions.
           d.  Commit the technology, and an operator if needed, to a test at a field and/or laboratory
               test site. Suitable sites and the length of the test will be  identified based on the
               requirements  of the technologies to be tested, in collaboration with the participating
               technology vendors.
           e.  Assist in preparing for the verification test,  by providing input to  the test/quality
               assurance plan (TQAP) and approving this plan.

           f  Review the draft verification report and verification statement.

    4.  Verification Test Products.  Participating vendors receive a verification report stating
       quantitatively the performance of the technology (based on third-party, quality assured data under
       realistic test conditions) and a verification statement summarizing results, signed jointly by
       Battelle and EPA senior management. Separate reports and statements are issued for each
       technology tested and each describes the performance of that technology only.  There are no
       intercomparisons or rankings of the verified technologies. A vendor can distribute the verification
       statement to attract prospective users of the technology and refer interested parties to the
       statement and report posted on EPA's ETV website  Oittp ://www.epa. gov/etv).

    5.  Test  Benefits. Feedback  from vendors who have participated in ETV verification tests confirm
       the benefits to their companies. Here are examples:
           a.  Obtain objective, credible, EPA  quality-assured performance data for potential buyers of
               your air, water, or soil monitoring technology.

           b.  Verified technologies are widely publicized in ETV web pages, publications, and trade
               show exhibits.
           c.  Join an expanding "club." As of September 2008, over 400 technologies were ETV-
               verified, over 125 of which were verified by the AMS Center.  More than 65 vendors
               have had multiple technologies verified by ETV.
           d.  Open new international markets, as ETV can collaborate with ETV programs in other
               countries.
           e.  Investors can have added confidence in your technology.
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B. General Information
    1.  Please provide the name, complete mailing address, phone, fax, and email address for the
       following representatives of your organization:
Person authorized to commit the technology for testing (i.e., sign the vendor agreement):
Name	
Title
Address
Phone	 Fax
Email
Person who will serve as the contact point and lead your participation in the verification test:
Name	
Title
Address
Phone	 Fax
Email
Person authorized to pay the verification fee:
Name	
Title
Address
Phone	 Fax
Email
    2.  Please attach a detailed description of your technology, as an aid in planning the
       verification test. Provide instrument manuals, operating instructions, technical
       publications, schematics, drawings, photographs, or any other information you feel is
       pertinent to understanding the operation of your technology.  Material to be treated as
       confidential should be marked as such.
    3.  Please attach information on any previous evaluations of your technology. Provide copies of
       data or evaluation reports, or describe the testing including location, date, testing procedures,
       QA/quality control activities, testing organization, and contact person.
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C. Verification Testing

To make the verification process as effective as possible, we wish to take advantage of the
experience of vendors in evaluating their technologies. The following items are intended to draw out
any standard procedures, key requirements, or useful suggestions for consideration in planning the
verification test. Feel free to provide any other information or materials you think may be  helpful in
planning the verification test.

    1.  Identify any standard test procedures or guidelines (e.g., ASTM, EPA, NIST) that  you think
       should govern the testing of your technology.
    2.  Identify the general type of field environment (e.g., chemical plant, incinerator, industrial
       wastewater treatment plant, environmental water source) that you think would be most
       appropriate for use as a verification testing site. You may identify specific sites if you wish,
       and these will be considered for use in the verification test.
    3.  Attach information describing the limitations or requirements of your technology in terms of
       field testing. What are the requirements for field setup, electrical power, other utilities,
       expendables, space, presence of an operator, maintenance, waste disposal (i.e., quantity and
       type), and dismantling of the setup? Are there any key characteristics required of a test site
       for verification testing of your technology (e.g., location, size, or physical layout of facility,
       nature of emission sources, species emitted)? What training is required for those operating
       the technology?
       Describe the sampling and QA/QC requirements of your technology (e.g., requirements for
       sampling duration or frequency, sample preparation or flow rate, calibration or zeroing of the
       technology, etc.).
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    5.  Typically, technologies will be tested for verification of their accuracy, precision, detection
       limits, linearity, and data completeness, and for evaluation of operational factors such as
       maintenance needed and ease of use. Are there other key performance criteria specific to your
       technology that would be important to evaluate?
    6.  What parameters of your technology must be monitored during testing to ensure the
       technology is functioning properly?
D. Testing Collaborators
Typically, the cost of an ETV verification test is shared by the vendor and other collaborators. To the
extent that collaborators can provide in-kind or funding contributions to an ETV verification test, the
verification fee for vendors can be reduced. Please identify any organizations that might be interested
in contributing to a verification test of your company's technology.
Potential Collaborator	
Point of Contact  	
Address 	
Phone	 Fax	
Email	
Potential Collaborator	
Point of Contact  	
Address
Phone	 Fax
Email
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