**Initial Notification Report** (DRAFT)

*This is a **sample** notification form that you can use to comply with
40 CFR 63.1515(a). See*
<http://www.epa.gov/ttn/atw/alum2nd/alum2pg.html> *for more information
about the rule and* <http://www.epa.gov/ttn/atw/alum2nd/fr23mr00.txt>
*for a copy of the rule.*

[Applicable Rule:]{.underline} 40 CFR Part 63 Subpart RRR - National
Emission Standards for Hazardous Air Pollutants for Secondary Aluminum
Production. Initial notification is being made in accordance with
§63.1515(a).

1.  **Print or type** the following information for each plant that
    produces secondary aluminum (§63.9(b)(2)(i)-(ii)):

    Owner/Operator\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Street
    Address\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Mailing
    Address\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Website
    (optional)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Plant
    Name\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Plant
    Contact/Title\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Plant Contact Phone Number
    (optional)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Plant Street
    Address\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Plant Mailing
    Address\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Plant Fax Number
    (optional)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Plant Email Address
    (optional)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Plant 4-digit Standard Industrial Classification (SIC) Code(s)
    (optional), for help see

    <http://www.osha.gov/oshstats/sicser.html>
    \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    Plant UTM coordinates (optional), for help see
    <http://terraserver.homeadvisor.msn.com/> \_\_\_\_\_\_\_

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

2.  **Check** your existing/new source status:

-   Existing source \[affected source(s) constructed on or before
    February 11, 1999; must comply with Secondary Aluminum NESHAP by
    March 23, 2003\]

-   New source \[affected source(s) constructed or reconstructed after
    February 11, 1999; must comply with Secondary Aluminum NESHAP by
    March 23, 2000 or upon initial startup, whichever is later\]

1.  **Indicate** your anticipated compliance date
    (§63.9(b)(2)(iii)):**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

2.  **Briefly describe** the nature, size, design, and method of
    operation of plant, including operating design capacity
    (§63.9(b)(2)(iv))\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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

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

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

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

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1.  **Indicate** the number of each type of affected source/emission
    unit that exists at your plant and the hazardous air pollutants
    (HAP) emitted from each point (§63.9(b)(2)(iv); see definitions in
    §63.1503):\*

    **Affected Source/Emission Unit**

    \_\_\_\_\_ Aluminum scrap shredder

    \_\_\_\_\_ Thermal chip dryer

    \_\_\_\_\_ Scrap dryer/delacquering kiln/decoating kiln

    \_\_\_\_\_ Sweat furnace

    \_\_\_\_\_ Dross-only furnace

    \_\_\_\_\_ Rotary dross cooler

    \_\_\_\_\_ Group 2 furnace ("clean furnace")

    \_\_\_\_\_ Secondary Aluminum Processing Unit (consisting one or
    more group 1 furnaces and in-line fluxers)

    Regulated Pollutant\*\*

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

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

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

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

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

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

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

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

    \*See applicability flowcharts to determine whether or not your
    facility is subject to Subpart RRR. The following are not subject to
    the Secondary Aluminum NESHAP: (1) facilities and equipment used
    only for research and development; and (2) manufacturers of aluminum
    die castings, aluminum foundries, and aluminum extruders that melt
    no material other than clean charge and materials generated within
    the facility, and do not operate a thermal chip dryer, sweat
    furnace, or scrap dryer/delacquering kiln/decoating kiln.

    \*\*Regulated Pollutants include PM, THC, Dioxin/furan, HCl

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1.  **Check** your major/area source status (§63.9(b)(2)(v)):

-   Major Source \[potential facility-wide hazardous air pollutant (HAP)
    emissions exceed 10 tons/year for a single HAP or 25 tons/year for a
    combination of HAP's\]

-   Area Source \[potential facility-wide HAP emissions total less than
    10 tons/year for a single HAP or 25 tons/year for all HAP's\]

    **Check** the emission estimation method used to determine
    major/area source status:

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-   Previous source test data

-   Manufacturer's test data

-   Industry emission factors

-   Other method
    (specify)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_