United States Stove Company KP5522, Manual, Page: 329 / 342

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APPLICATION FOR A CERTIFICATE OF COMPLIANCE PURSUANT TO 40 CFR
PART 60 SUBPARTS AAA AND QQQQ
2015 STANDARDS OF PERFORMANCE FOR NEW RESIDENTIAL WOOD HEATERS, NEW
RESIDENTIAL HYDRONIC HEATERS AND FORCED-AIR FURNACES
GENERAL INFORMATION
Manufacturer ’s Name: United States Stove Company
Heater Type
(Circle One): Adjustable Burn Rate
Wood Heater
Pellet
Stove
Single Burn
Rate Heater
Hydronic Heater Forced Air
Furnace
Other:
Hydronic Heater
Type (Circle
One):
Traditional Full Storage Partial Storage Indoor/Outdoor Other: N/A
Forced-Air
Furnace Type
(Circle One):
Small (less than 65,000 BTU/hr heat
output)
Large (greater than 65,000 BTU/hr
heat output)
Other: N/A
Fuel Tested:
Crib Pellet Cordwood Wood Chips Other:
Test Method(s): EPA ALT-146, ASTM E2515 Catalyst: Yes / No
Model Name and Design Number (The model name and design number must clearly distinguish one model from
another. The name and design number cannot include the EPA symbol or logo or name or derivatives such as
“EPA ): KP5522, KP5522-P, KP5522-L, KP5522-W, US5522, US5522-P, US5522-L,US5522-W, AP5622, AP5622-P,
AP5622-L, AP5622-W, VG5722, VG5722-P, VG5722-L, VG5722-W, SP1100, SP1100-W
Physical Address (Street number and Address, not P.O.
Box): 227 Industrial Park Road
Mailing Address: 227 Industrial Park Road
City: South Pittsburg State: TN ZIP Code: 37380
Phone: (423) 837-2100 Email:
john.voorhees@usstove.com Website: www.usstove.com
EPA Submission Date of 30 day Notice: January 10, 2022
MANUFACTURER’S AUTHORIZED REPRESENTATIVE INFORMATION
Name: John Voorhees
Position/Title: Vice President of Compliance
Address: 227 Industrial Park Road
City: South Pittsburg State: TN ZIP Code: 37380
Phone: (503) 887-4566 E-mail:
john.voorhees@usstove.com
Website: www.usstove.com
Remarks: