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 Electronic Version of PMN Form 7710-25

    The EPA has developed an electronic version of the PMN form. The current version is version 2. As EPA makes significant changes to the e-PMN Form, version numbers will be updated signifying that changes have been incorporated into the form; please ensure that you are using the most recent version.

   Submitters are invited to download this form and fill it out on their computers. At this time, we are only accepting paper copies made using this form. You will need to send us 3 copies of the full PMN and , if it contains any confidential information, a fourth copy from which all confidential information has been removed. The e-PMN Form was developed with an intent that the Agency will receive PMNs in an electronic format. In the near future, we intend to develop the procedures to accept compact disks containg the e-PMN Form.
For trouble-shooting assistance in filling out and using the form,contact the CDX Help Desk by e-mail at epacdx@csc.com and by phone at 888-890-1995. Agency contacts to discuss Form development are Anna Coutlakis on 202-564-9207 and Dave Schutz on 202-564-9262.

  Central Data Exchange - PMN Files

  Filename Size     Date   Type
  Blank_Page.pdf   1.91 KB     12/12/2002 11:30:14 AM     PDF File  
  Confidential _Blank_Page.pdf   3.37 KB     10/11/2002 9:38:02 AM     PDF File  
  Continuation_Page.pdf   1.2 MB     10/11/2002 9:38:20 AM     PDF File  
  Electronic_PMN_Form_version2.pdf   4 MB     12/3/2003 12:17:28 PM     PDF File  
  Electronic_PMN_Users_Guide.doc   0.08 MB     1/8/2003 9:37:32 AM     DOC File  
  Electronic_PMN_Users_Guide.pdf   0.26 MB     1/8/2003 9:29:14 AM     PDF File  
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Last updated on December 11, 2003.
URL: http://www.epa.gov/epahome/usenotice.htm