**Notification of Compliance Status**

**National Emission Standards for Hazardous Air Pollutants:**

**Area Source Standards for Nine Metal Fabrication and Finishing Source
Categories**

**40 CFR 63 subpart XXXXXX**

**Section 1. Facility Information**

Date of Notification of Compliance Status:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Compliance date: Existing source: July 25, 2011 New source:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Date of startup)

Source category and NAICS code(s):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Company name
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Facility name (if different):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Facility (physical location)
address:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Owner name/title:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Owner/company
address:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Owner telephone number
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Owner email address (if available):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Is the Operator the same person as the Owner? Yes No

If the Operator information is different from the Owner, please provide
the following:

^a^ This is an example of the type of information that must be submitted
to fulfill the Notification of Compliance Status requirement of 40 CFR
63, subpart XXXXXX. You may submit the information in another form or
format, or you may use this form.

Operator name/title:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Operator telephone number:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Operator email address (if available):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Section 2. Identification of Affected Operations**

**(1) The following are the operations at this facility subject^b^ to
subpart XXXXXX**

**(check all that apply):**

  ------------- ------------------------------------------------ ------------------
  **Dry                                                          
  Abrasive                                                       
  Blasting**                                                     

                \(1\) Totally enclosed and unvented blast        
                chambers                                         

                \(2\) Vented enclosures with a filtration        
                control device                                   

                \(3\) Objects over 8 feet in any dimension       
                without a filtration control device              

  **Dry                                                          
  Machining**                                                    

  **Dry                                                          
  Grinding or                                                    
  Dry Polishing                                                  
  with                                                           
  Stationary                                                     
  Machines**                                                     

  **Spray                                                        
  Painting**                                                     

                \(1\) In a spray booth                           

                \(2\) Without a spray booth (for Fabricated      
                Structural Metal facilities or any objects over  
                15 feet)                                         

  **Welding**                                                    

                \(1\) Use less than 2,000 pounds of              
                MFHAP-containing^b^ welding rod or wire annually 

                \(2\) Use 2,000 pounds or more of                
                MFHAP-containing^b^ welding rod or welding wire  
                annually                                         
  ------------- ------------------------------------------------ ------------------

**(2) The following table lists each dry abrasive blasting operation at
this facility subject to subpart XXXXXX, noted previously in item (1) in
Section 2):**

+------------------------------+---------------+----------------------+
| **Abrasive Blasting**        | **HAP**       | **Compliance         |
|                              |               | Method**             |
| **Process Description / ID   | **Emitted or  |                      |
| No.**                        | Used^b^**     | **(Check all that    |
|                              |               | apply)**             |
|                              | **(Cd, Cr,    |                      |
|                              | Pb, Mn, Ni)** |                      |
+------------------------------+---------------+----------------------+
|                              |               | Totally enclosed,    |
|                              |               | unvented             |
|                              |               |                      |
|                              |               | Vented, with control |
|                              |               | device;              |
|                              |               |                      |
|                              |               | describe             |
|                              |               | \_                   |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Objects over 8 ft    |
|                              |               | (with no control)    |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Totally enclosed,    |
|                              |               | unvented             |
|                              |               |                      |
|                              |               | Vented, with control |
|                              |               | device;              |
|                              |               |                      |
|                              |               | describe             |
|                              |               | \_                   |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Objects over 8 ft    |
|                              |               | (with no control)    |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Totally enclosed,    |
|                              |               | unvented             |
|                              |               |                      |
|                              |               | Vented, with control |
|                              |               | device;              |
|                              |               |                      |
|                              |               | describe             |
|                              |               | \_                   |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Objects over 8 ft    |
|                              |               | (with no control)    |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Totally enclosed,    |
|                              |               | unvented             |
|                              |               |                      |
|                              |               | Vented, with control |
|                              |               | device;              |
|                              |               |                      |
|                              |               | describe             |
|                              |               | \_                   |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Objects over 8 ft    |
|                              |               | (with no control)    |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Totally enclosed,    |
|                              |               | unvented             |
|                              |               |                      |
|                              |               | Vented, with control |
|                              |               | device;              |
|                              |               |                      |
|                              |               | describe             |
|                              |               | \_                   |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Objects over 8 ft    |
|                              |               | (with no control)    |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Totally enclosed,    |
|                              |               | unvented             |
|                              |               |                      |
|                              |               | Vented, with control |
|                              |               | device;              |
|                              |               |                      |
|                              |               | describe             |
|                              |               | \_                   |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Objects over 8 ft    |
|                              |               | (with no control)    |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Totally enclosed,    |
|                              |               | unvented             |
|                              |               |                      |
|                              |               | Vented, with control |
|                              |               | device;              |
|                              |               |                      |
|                              |               | describe             |
|                              |               | \_                   |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Objects over 8 ft    |
|                              |               | (with no control)    |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Totally enclosed,    |
|                              |               | unvented             |
|                              |               |                      |
|                              |               | Vented, with control |
|                              |               | device;              |
|                              |               |                      |
|                              |               | describe             |
|                              |               | \_                   |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Objects over 8 ft    |
|                              |               | (with no control)    |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Totally enclosed,    |
|                              |               | unvented             |
|                              |               |                      |
|                              |               | Vented, with control |
|                              |               | device;              |
|                              |               |                      |
|                              |               | describe             |
|                              |               | \_                   |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Objects over 8 ft    |
|                              |               | (with no control)    |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Totally enclosed,    |
|                              |               | unvented             |
|                              |               |                      |
|                              |               | Vented, with control |
|                              |               | device;              |
|                              |               |                      |
|                              |               | describe             |
|                              |               | \_                   |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Objects over 8 ft    |
|                              |               | (with no control)    |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+

**(3) The following table lists each dry machining, dry grinding, or dry
polishing operation subject to subpart XXXXXX, noted previously in item
(1) in Section 2:**

+------------------------------+---------------+----------------------+
| **Dry Machining, Dry         | **HAP**       | **Compliance         |
| Grinding,**                  |               | Method**             |
|                              | **Emitted or  |                      |
| **or Dry Polishing**         | Used^b^**     | **(Check all that    |
|                              |               | apply)**             |
| **Process Description / ID   | **(Cd, Cr,    |                      |
| No.**                        | Pb, Mn, Ni)** |                      |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+
|                              |               | Control device;      |
|                              |               |                      |
|                              |               | describe\_\_\_       |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               | \_\_\_\_\_\_\_\_\_\_ |
|                              |               |                      |
|                              |               | Management practices |
+------------------------------+---------------+----------------------+

**(4) The following table lists each spray painting operation subject to
subpart XXXXXX, noted previously in item (1) in Section 2:**

+-----------------------+---------------+-----------------------------+
| **Spray Painting**    | **HAP**       | **Compliance Methods        |
|                       |               | Employed**                  |
| **Process Description | **Emitted or  |                             |
| / ID No.**            | Used^b^**     | **(Check all that apply)**  |
|                       |               |                             |
|                       | **(Cd, Cr,    |                             |
|                       | Pb, Mn, Ni)** |                             |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+
|                       |               | Spray booth, PM filter,     |
|                       |               | HVLP spray guns             |
|                       |               |                             |
|                       |               | HVLP spray guns, only       |
|                       |               |                             |
|                       |               | Management practices        |
+-----------------------+---------------+-----------------------------+

**(5) The following table lists each welding operation subject to
subpart XXXXXX, noted previously in item (1) in Section 2:**

+--------------------------+------------------+-----------------------+
| **Welding Process        | **HAP**          | **Compliance Methods  |
| Description**            |                  | Employed**            |
|                          | **Emitted or     |                       |
| **/ ID No.**             | Used^b^**        | **(Check all that     |
|                          |                  | apply)**              |
|                          | **(Cd, Cr, Pb,   |                       |
|                          | Mn, Ni)**        |                       |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+
|                          |                  | Management practices  |
|                          |                  |                       |
|                          |                  | Fume capture device;  |
|                          |                  |                       |
|                          |                  | describe              |
|                          |                  | \_\_\_\_\_\_\_\_\_\_\ |
|                          |                  | _\_\_\_\_\_\_\_\_\_\_ |
+--------------------------+------------------+-----------------------+

**(6) The following applicable management practices are used at this
facility, as practicable (check all that apply):**

**[Dry Abrasive Blasting]{.underline}**

Minimize dust generation during emptying of abrasive blasting enclosure
to reduce MFHAP emissions, as practicable.

Operate all equipment associated with dry abrasive blasting operations
according to the manufacturer\'s instructions.

Minimize excess dust in the surrounding area to reduce MFHAP emissions,
as practicable.

Enclose dusty abrasive storage areas and holding bins, seal chutes and
conveyors that transport abrasive materials.

Minimize excess dust in the surrounding area to reduce MFHAP emissions,
as practicable

Do not re-use dry abrasive blasting media unless contaminants (i.e., any
material other than the base metal, such as paint residue) have been
removed by filtration or screening, and the abrasive material conforms
to its original size.

When practicable, switch from high particulate matter (PM)-emitting
blast media (e.g., sand) to low PM-emitting blast media (e.g., crushed
glass, specular hematite, steel shot, aluminum oxide).

**[Dry Machining, Dry Grinding, Dry Polishing]{.underline}**

Minimize excess dust in the surrounding area to reduce MFHAP emissions,
as practicable

Operate equipment according to manufacturer\'s instructions.

**[Spray Painting]{.underline}**

Proper cleaning and storage of spray guns, if applicable.

Training for employees using HVLP spray equipment, with certification as
having completed classroom or hands-on training in the proper selection,
mixing, and application of coatings, with refresher training repeated at
least once every 5 years.

**[Welding]{.underline}**

Operate equipment according to manufacturer\'s instructions.

Use welding processes with reduced fume generation capabilities, if
practicable. (e.g., gas metal arc welding (GMAW)---also called metal
inert gas welding (MIG))

Use welding process variations (e.g., pulsed current GMAW), which can
reduce fume generation rates, if practicable.

Use welding filler metals, shielding gases, carrier gases, or other
process materials which are capable of reduced welding fume generation,
if practicable.

Optimize welding process variables (e.g., electrode diameter, voltage,
amperage, welding angle, shield gas flow rate, travel speed) to reduce
the amount of welding fume generated, if practicable.

Use a welding fume capture and control system, operated according to the
manufacturer's specifications, if practicable.

**Section 3. Certification of Compliance Status**

Yes, the facility referenced below **[IS]{.underline}** operating in
compliance with all of the relevant standards

and other requirements of 40 CFR Part 63 subpart XXXXXX, National
Emission Standards

for Hazardous Air Pollutants: Area Source Standards for Nine Metal
Fabrication and Finishing

Source Categories

No, the facility referenced below is **[NOT]{.underline}** operating in
compliance with the relevant standards

And/or other requirements of 40 CFR Part 63 subpart XXXXXX, National
Emission Standards

for Hazardous Air Pollutants: Area Source Standards for Nine Metal
Fabrication and Finishing

Source Categories

Reason for noncompliance:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

I hereby certify that the information presented herein is correct to the
best of my knowledge.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Signature) (Date)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
(\_\_\_\_)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Name/title) (Telephone No.)

**Section 4. Submittal**

**Submit the Notification of Compliance Status to one of the following
offices, as appropriate:**

a\. If your State has been delegated the authority for this regulation
under section 112(l) of the Clean Air Act[^1], submit the notification
to your State agency found at the following link:

<http://www.epa.gov/ttn/atw/area/table_state_contacts.doc>

If your state/local contact is not listed at the above link, use this
link:

<http://www.4cleanair.org/contactUsaLevel.asp>

b\. If your EPA Region has assumed the authority for this rule, submit
the notification to your Regional Office of the EPA, from list below:

EPA Region I (Connecticut, Maine, Massachusetts, New Hampshire, Rhode
Island, Vermont)

Director, Air, Pesticides and Toxics Division

One Congress Street, Suite 1100 (SEA), Boston, MA 02114, Attn: Air
Compliance Clerk

EPA Region II (New Jersey, New York, Puerto Rico, Virgin Islands),

Director, Division of Enforcement and Compliance Assistance

290 Broadway, New York, NY 10007-1866

EPA Region III (Delaware, District of Columbia, Maryland, Pennsylvania,
Virginia, West Virginia)

Director, Air Protection Division, 1650 Arch Street, Philadelphia, PA
19103

EPA Region IV (Alabama, Florida, Georgia, Kentucky, Mississippi, North
Carolina, South Carolina, Tennessee)

Director, Air, Pesticides and Toxics Management Division

Atlanta Federal Center, 61 Forsyth Street, Atlanta, GA 30303--3104

EPA Region V (Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin)

Director, Air and Radiation Division, 77 West Jackson Blvd., Chicago, IL
60604--3507

EPA Region VI (Arkansas, Louisiana, New Mexico, Oklahoma, Texas)

Director, Air, Pesticides and Toxics, 1445 Ross Avenue, Dallas, TX
75202--2733

EPA Region VII (Iowa, Kansas, Missouri, Nebraska)

Director, Air and Waste Management Division, U.S. Environmental
Protection Agency

901 N. 5th Street, Kansas City, KS 66101

EPA Region VIII (Colorado, Montana, North Dakota, South Dakota, Utah,
Wyoming)

Director, Air and Toxics Technical Enforcement Program, Office of
Enforcement, Compliance and Environmental Justice, 1595 Wynkoop Street,
Denver, CO 80202-1129

EPA Region IX (Arizona, California, Hawaii, Nevada, American Samoa,
Guam)

Director, Air and Toxics Division, 75 Hawthorne Street, San Francisco,
CA 94105

EPA Region X (Alaska, Idaho, Oregon, Washington)

Director, Office of Air, Waste and Toxics, 1200 6th Ave., Suite 900,
AWT-107, Seattle, WA 98101

[^1]: To determine whether your State has been delegated the authority
    for this regulation under section 112(l) of the Clean Air Act,
    contact your EPA Regional Office, listed above.