Environmental Technology Verification
                        Air Pollution Control Technology Center

                                  Request for Verification

The Research Triangle Institute (RTI) is EPA's partner in verifying the emissions control performance of
air pollution control technologies.  Only commercially ready technologies may be considered for the
program. Vendors will be charged a fee to cover the cost of testing.

Please provide the following information for each candidate technology nominated for verification testing.
RTI will enter this information into the Center's database.
Name:
Company:

Address:
City:	State:	ZIP:

Email:	Website:	

Phone:	FAX:	
Technology/Product name:
Please describe your technology/product:
Include the principles of operation, any novel or innovating features, pollutants controlled, and emissions
reduction performance. Product literature can be attached, but is not required with the application.

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Request for Verification                                                              Page 2 of 2



This technology can be tested using the following test protocol (http://www.epa.gov/etv/vp.htmltfairpollut).

D  Baghouse Filtration Products

D  Bioreaction System Control Technologies for Volatile Organic Compound Emissions

D  Diesel Engine Retrofit Controls. See note 1  below.

D  Dust Suppression and Soil Stabilization Products

D  Indoor Air ventilation Air Cleaning Products

D  NOX Control Technologies for Stationary Combustion Sources

D  NOX Control Technologies Utilizing Ozone Injection for Stationary Combustion Sources

D  Paint Overspray Arresters

D  None of the above. See note 2 below.

Note 1: Guidance on coordinating verification with the EPA/OTAQ is available at
http://www.epa.gov/etv/center-apc.html.

Note 2: For technologies where there is no existing test protocol, vendors will be expected to pay for
development of a test protocol and/or plan in  addition to the cost of testing. RTI is available to discuss the
cost of test plan development.



Please return this form and any additional information to:

       Mr. Andrew Trenholm
       Research Triangle Institute
       PO Box 12194, Research Triangle Park, NC 27709

       Phone 919-316-3742
       FAX 919 541-6936
       atrenholm@rti.org

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