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ECY 070-714 December 2022 <br />☐Bio-based CNG <br />☐Fossil LNG <br />☐Bio-based LNG <br />☐LPG <br />☐Bio-based LPG <br />☐Electricity <br />☐Hydrogen <br />Please check one of the boxes below, describe the nature of credit/deficit generation you are designating in the <br />space provided below, and list the quarter and year designation begins: <br />☐All credits/deficits are designated to the aggregating organization. <br />☐A portion of credits/deficits are designated to the aggregating organization. <br />Nature of credit/deficit generation and/or portion of credits designated to the aggregating organization: <br />Quarter/Year Designation Begins: _______________________ <br />Designating Organization Signature <br />☐By checking this box and signing below, I designate the aggregating organization to report on our behalf and <br />understand that the submission of such reports may lead to the generation of credits or deficits that will be <br />deposited in their WFRS-CBTS account. I also understand that this designation does not relieve our obligation to <br />provide accurate information to the aggregating organization which relies upon factual, operational and technical <br />data and information from the designating organization, and that we maintain our responsibility to ensure that the <br />information provided to the designated aggregating organization on our behalf remain accurate. I further understand <br />that if the aggregating organization is found in violation of Chapter 173-424 WAC, Ecology may also hold the <br />designating organization responsible for those violations. <br />Name: _______________________________ Title: _______________________________ <br />Telephone: ________________________ Email: ________________________ Fax: ________________________ <br />Signature: _______________________________ Date: ____________ Cassie Franklin