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MedXL, 3204 Hale Road, Ardmore, Oklahoma 73401 MedXL requests that the President issue a two-year exemption as quickly as possible, but designate it as taking effect on the compliance deadlines for the standards in the Sterilizer Rule. Specifically: For standards set or revised under CAA Section 112(f) and all corresponding requirements (including monitoring requirements), the exemption should apply as of April 6, 2026 (the compliance deadline for those standards); For standards set or revised under CAA Section 112(d) and all corresponding requirements (including monitoring requirements), the exemption should apply as of April 5, 2027 (the compliance deadlines for those standards). As explained further in the attached letter submitted to EPA on March 17 on behalf of the Ethylene Oxide Sterilization Association (EOSA), the technology necessary to implement the standards is not available because manufacturers cannot guarantee that existing emissions control equipment will enable sources to meet the new standards; there is not a sufficient supply of the necessary technology; and there are not enough experienced installation professional and technical experts to install and test that equipment within the current compliance timeframes. As also explained further in EOSA's March 17 letter, it is in the national security interests of the United States to issue the requested exemption because if some facilities choose to cease operations rather than attempt compliance (which is likely), that will disrupt the supply of sterilized medical devices, raise the cost of those devices, and/or force medical suppliers or providers to source sterilized medical devices from abroad. Please don't hesitate to let me know if any additional information is needed. MedXL appreciates EPA's attention to this important matter and urges EPA to recommend that the President issue the requested exemption as quickly as possible. Thank you! MEDXL Steve Adamicti, QA/RA Manager, Management Represcnta sadamiet7(af!medx1pro.com Office: 580-226-7808 ext.4206 Cell: 405-207-4394 3204 Hale Road Ardmore, OK 73401 Sierra Club FOIA 2025-EPA-04883 ED_018388_00005609-00002 SC_EVERSPLIT0005428 Message From: Sent: To: CC: Subject: AirAction [/O=EXCHANGELABS/OU=EXCHANGE ADMINISTRATIVE GROUP (FYDIBOHF23SPDLT)/CN=RECIPIENTS/CN=FA78B98923384078995E04A73D258D83-AIRACTION] 4/2/2025 11:53:36 AM Mark Crawford [Mark.Crawford@resfuel.com] Jim Panaro [Jim.Panaro@resfuel.com]; Skipp.Kropp@steptoe-johnson.com; Bob Pavlick [Bob.Pavlick@sewardgen.com] CORRECTION: Updated email address for CBI related to the Presidential Exemption In the previous email, an incorrect email address was provided for the submission of electronic Confidential Business Information (CBI). The email address should be: OAQPS_CBI(q.),epa.gov Thank you. From: AirAction Sent: Friday, March 28, 2025 3:24 PM To: Mark Crawford <Mark.Crawford@resfuel.com> Cc: Jim Panaro <Jim.Panaro@resfuel.com>; Skipp.Kropp@steptoe-johnson.com; Bob Pavlick <Bob.Pavlick@sewardgen.com> Subject: RE: Presidential Exemption 89 FR 38508 May 17, 2024 MATS Rule-Seward Generation LLC Thank you for emailing the AirAction mailbox to request a Presidential Exemption under section 112(i)(4) of the Clean Air Act and for engaging with EPA in advancing President Trump's Executive Orders and Powering the Great American Comeback. We have received your email and will be in contact soon. If you have Confidential Business Information (CBI) that you'd like to submit, please submit it in electronic version to the C,BI@epa.gc inbox or in hardcopy to: USEPA, OAQPS CORE CBI Office 4930 Old Page Road Durham, NC 27703 From: Mark Crawford < Sent: Friday, March 28, 2025 3:19 PM To: AirAction < -drAction@epa.gov> Cc: Jim Panaro <Jim.Panaro@resfuel.com>; Skipp.Kropp@steptoe-johnson.com; Bob Pavlick Gr 1- 7 we'len.com> Subject: Presidential Exemption 89 FR 38508 May 17, 2024 MATS Rule-Seward Generation LLC I Caution: This email originated from outside EPA, please exercise additional caution when deciding whether to open attachments or click on provided links. March 28, 2025 Mr. Lee Zeldin, Administrator US Environmental Protection Agency 1200 Pennsylvania Avenue, NW Washington, DC 20460 Sierra Club FOIA 2025-EPA-04883 ED_018388_00005611-00001 SC_EVERSPLIT0005429