### ENCLOSURE 1

**FORM A - GENERAL INFORMATION Parent Company Information**  Parent Company Street Address- Line 1 Street Address- Line 2 City State Zip code Mailing Address (if different)- Line 1 Mailing Address (if different)- Line 2 City State Zip code Number of Employees in Parent Company **(circle one)** Dun and Bradstreet number **Facility Information**

**Please Number the Facilities**  **Facility ________ Facility ________**  **Facility _________** Facility ID Facility Name Address 1 Address 2 City County State Zip code Mailing Address (if different)- Line 1 Mailing Address (if different)- Line 2 City State Zip code Number of employees at facility **(circle one) 0-99 100-249 250-499 >500**  **0-99 100-249 250-499 >500 0-99 100-249 250-499 >500**  Wh at is your size classification for HAP emissions? **(circle one) Major Source Area Source (True)**  **Not Sure Area Source (Synthetic) Major Source Area Source (True)**  **Not Sure Area Source (Synthetic) Major Source Area Source (True)**  **Not Sure Area Source (Synthetic)** Hours of operation for this facility (hr/yr) Facility's primary NAICS or SIC code Total Number of Periodic Kilns at this Facility Total Number of Tunnel Kilns at this Facility Contact Person for this ICR Contact Phone Number **( ) _____________**

**__________________ ( ) _____________** 

**__________________ ( ) _____________** 

**__________________** Contact Email Address **INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**Please reprint the form to include additional facilities 0-99 100-249 250-499 >500** 

**FORM A - Page 1 of 1 INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**  **FORM B - KILN INFORMATION**

Facility ID Kiln ID(s) **(a)** Reporting year (if not 2007) Type of Kiln**(b)** If periodic, number of identical kilns on this line Year

Built Stack Diamete r (ft) Major Product Types Fired in this Kiln (see instructions for list of products) Annual Operatin g Hours for Kiln Does this kiln

have an Air Pollution Control Device (APCD)? **Yes or No**  Full

Design Capacity (tph) Permitted

Capacity (tph) if applicable Actual

Capacity Utilizatio n (%)

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N (a) Use the ID from your permit or assign using TK-1, 2, etc. for tunnel and PK-1, 2, etc. for periodic. Use same ID throughout this form.**  **(b) Enter one of these: Tunnel, Tunnel-low profile roller, Tunnel-inactive, Periodic-shuttle, Periodic-beehive** FACILITY and KILN IDs GENERAL INFORMATION KILN SIZE **(c)**



### FORM B - Page 1 of 3**(c) Kiln size capacities should be in units of tons per hour (tph) of fired product**



### FORM B - Page 1 of 3**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM B - KILN INFORMATION (Continued)**

Facility ID Kiln ID(s) Primary Fuel **(d)** Secondary Fuel **(d)** Percent Use of Secondary Fuel (% of operating time) Back-up Fuel**(d)** Reason(s) back-up would be used (e.g., NG cu rtailment) Total time back-up fuel was used during year (hr)

**(d) Fuel Types**  **: (Select one of the following) Natural Gas, Sawdust, Coal, Fuel Oil, Landfill / Biogas, Propane, Other, None** FUEL USAGE FACILITY and KILN IDs



### FORM B - Page 2 of 3**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM B - KILN INFORMATION (Continued)**
ADDITIONAL INFORMATION ON PERIODIC KILNS

Facility ID Kiln ID(s) Do you vent this kiln to a sawdust dryer? **Yes or No** Sawdust Dryer ID

(Assign) Total Number

of kilns vented to this Dryer Average percent

of operating time this kiln vents to dryer Average percent

of flow sent to dryer Kiln batch

capacity (tons) Average

batch cycle time (hr) Average

number of batch cycles per year Average time required

to load unfired shapes into kiln (hr) Average time required

to unload fired shapes from kiln (hr)

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N** FACILITY and KILN IDs FOR SAW DUST FIRED KILNS ONLY



### FORM B - Page 3 of 3**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM C - APCD INFORMATION**

Facility ID Kiln ID(s)**(a)** Control ID**(b)** Type**(c)** Reason Control was Installed**(d)** Number of kilns vented to this control device Year

control device was installed

**(a) Use the ID from your permit or assign using TK-1, 2, etc. for tunnel and PK-1, 2, etc. for periodic. Use same ID throughout this form. (b) Assign based on ID used in Title V or using CD-1, 2, etc.**  **(c) Select One: Dry Limestone Adsorber (DLA), Dry Injection / Fabric Filter (DIFF), Dry Lime Scrubber (DLS), Wet Scrubber, Fabric Filter / Baghouse Only, Lime System (unsure if DIFF or DLS), Spray Dryer / Electrostatic Precipitator, Other.**  **(d) Select One: Comply with MACT, become Synthetic Minor, SO2 Control, Particulate / Opacity Control, Other.** FACILITY AND KILN IDs GENERAL INFORMATION



### FORM C - Page 1 of 5**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM C - APCD INFORMATION (Continued)**

FACILITY AND KILN IDs Facility ID Kiln ID(s)**(a)** Reagent Type Reagent feedrate (value) Units/

time Total fan

hp Total hp for other motors Water usage

(gpd) Added cooling

air, acfm Other utility requirements Units/time DESIGN AND OPERATING PARAMETERS



### FORM C - Page 2 of 5**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM C - APCD INFORMATION (Continued)** FACILITY AND KILN IDs

Facility ID Kiln ID(s)**(a)** Number of bags Bags- Length

(ft) Bags- W idth

(ft) Bags- Diam.

(ft) Bag- material of

construction Avg.

Life of bags (yrs) Cleaning method Air-to-cloth ratio **(d)** Cost of full

set of bags Avg.

compressed air requirements, acfm

**(d) The air-to-cloth ratio is the ratio of the design exhaust flow (acfm) to the total surface area of the bags (ft 2** **).** BAGHOUSE/FABRIC FILTER (Stand-alone or as Part of DLS/DIFF system)



### FORM C - Page 3 of 5**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM C - APCD INFORMATION (Continued)** FACILITY AND KILN IDs

Facility ID Kiln ID(s)**(a)** Is reagent recirculated or one-pass?**(Enter one)**  If

recirculated, average ratio of recirculated to fresh reagent Number

of cascade s Do you use reconditionin g drum/peeler ? **Yes or No** Wh at is the

rate at which limestone is removed from the system as waste? If complying with

the MACT, do you monitor pressure drop or use an alternative? **(e)** If complying with the

MACT, how do you verify sufficient limestone in hopper? **(f)** Explain Other or Alternative

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N**

**Y / N (e) If complying with the MACT, select one: Pressure Drop or Use an Alternative.**  DIFF or DLS DLA



### FORM C - Page 4 of 5**(f) Select One: Daily Climb to Hopper, Remote Visual Inspection, Fill / Discharge Records, Other.**



### FORM C - Page 4 of 5**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM C - APCD INFORMATION (Continued)**
FACILITY AND KILN IDs WET SCRUBBER OTHER CONTROL (please identify parameters and units monitored to verify control is functioning properly)

Facility ID Kiln ID(s)**(a)** Type of scrubber (e.g., venturi) Liquid flow

rate (gpm) Pressure drop

across scrubber (inches of water) Design or

Monitoring Parameter Units /

Time Design or

Monitoring Parameter Units / Time Design or Monitoring Parameter Units /

Time



### FORM C - Page 5 of 5**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM D - TEST DATA**

GENERAL INFORMATION TEST INFORMATION

FAC ID Control ID Kiln/ Stack ID Test Date Report Date Type of Test - **Circle One** HF HCl PM HAP Metals Other Uncontrolled (or inlet to control)

Controlled Both Uncontrolled (or inlet to control)

Controlled Both Uncontrolled (or inlet to control)

Controlled Both Uncontrolled (or inlet to control)

Controlled Both Uncontrolled (or inlet to control)

Controlled Both Uncontrolled (or inlet to control)

Controlled Both Uncontrolled (or inlet to control)

Controlled Both Uncontrolled (or inlet to control)

Controlled Both Uncontrolled (or inlet to control)

Controlled Both Uncontrolled (or inlet to control)

Controlled Both POLLUTANTS TESTED (Please put **X**in box to indicate pollutant was tested)



### FORM D - Page 1 of 2**Note :**  Please provide copies of full test reports to minimize the need for future information requests. Field notes and raw reading sections can be omitted. However, please include all

other sections of the reports, including sample calculations, laboratory data, run-by-run emission data, and a description of any deviations from test methods or other anomalies that occurred with the process or control device operations during the test. Please also provide information on the following for each test: production rate in units of fired product (tph); APCD parameters monitored and monitored values; and any anecdotal information you believe would potentially be helpful to us.



### FORM D - Page 1 of 2**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM D - TEST DATA (Continued)**

FAC ID Control ID Kiln/ Stack ID Reasons for Test APCD Parameters Monitored During Test Production

rate of fired product during test (tph) Notes GENERAL INFORMATION ADDITIONAL INFORMATION



### FORM D - Page 2 of 2**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM E - MONITORING AND OTHER COSTS Facility ID**  **Unit Costs for January 2008 Parameter**  **Cost** Electricity cost, $/kwh Reagent: Reagent Cost, $/ton Waste Reagent disposal cost, $/ton Water treatment costs, $/gal

Activity Required by Activity Estimated Hours Frequency Staff Level - **Select One:** Operator, Maintenance, Engineer,

Manager Develop a start-up, shutdown, and malfunction plan Develop plan and educate staff Develop and implement an operating, maintenance, and monitoring plan Develop plan and educate staff Bag replacement Replace single bag Bag replacement Replace all bags Maintain free-flowing lime (Describe action in next box and then add estimated hours, frequency, and staff level)
Meet requirement to "maintain adequate amount of limestone in hopper." (Describe action taken in next box, then add estimated hours, frequency, and staff level). If different approaches are taken at different plants, please add rows and provide information on each approach
Control Device: Compliance demonstration activity (describe and estimate hours, frequency, and staff level)
Compliance demonstration activity (describe and estimate hours, frequency, and staff level) Compliance demonstration activity (describe and estimate hours, frequency, and staff level) **Standard Activities- Baghouse/DIFF/DLS**

**Standard Activities- DLA (limestone)**

**Standard Activities- Wet Scrubber or Other Control**



### FORM E - Page 1 of 2Activity Required by Activity Estimated Hours Frequency Staff Level - **Select One:** Operator, Maintenance, Engineer,

Manager Please also provide separately an itemized list of site/preparation costs not included in the estimate (e.g., costs for drilling ports in stack, costs for installing permanent access to sampling ports, etc.)



### FORM E - Page 1 of 2**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM E - MONITORING AND OTHER COSTS (Continued) Facility ID** 

Activity Required by Activity Estimated Hours Frequency Staff Level - **Select One:** Operator, Maintenance, Engineer,

Manager Daily Maintenance (list activity(ies) in next column) We ekly Maintenance (list activity(ies) in next column) Monthly Maintenance (list activity(ies) in next column) Semi-Annual Maintenance (list activity(ies) in next column) Yearly Maintenance (list activity(ies) in next column) Other Frequency Maintenance (specify frequency and list activity(ies) in next column)

Stack Test Costs for the Previous 3 Years

Stack Test Year Test Methods (please list all test methods conducted during stack test) **Uncontrolled** (include uncontrolled stack or APCD inlet) **? Controlled?**  **Both? Select One**  Cost ($) Notes (Include Any site/preparation costs not included in estimate)

Please also provide separately an itemized list of site/preparation costs not included in the estimate (e.g., costs for drilling ports in stack, costs for installing permanent access to sampling ports, etc.) **Standard Activities- All Controls**



### FORM E - Page 2 of 2**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM F - ECONOMICS IMPACT INFORMATION**
Product Selling Price Labor Rates as of January 2008

Facility ID Product Type Average Selling Price per Ton ($) Reporting Year for

Selling Price (if not 2007) Operator wage rate, $/hr Maintenance wage rate, $/hr Engineer wage rate, $/hr Managerial/Supervisory

wage rate, $/hr



### FORM F - Page 1 of 1**INFORMATION COLLECTION REQUEST FOR THE BRICK AND STRUCTURAL CLAY PRODUCTS MANUFACTURING INDUSTRY**

**FORM G - ADDITIONAL QUESTIONS Response** 


# 1. Please provide a copy of the cost estimate for your selected control device and explain any differences between the estimated and final installed costs. Costs should include costs for ancillary equipment, such as reconditioning drums, water treatment systems, etc


# 2. Do you currently do any work or operating practices (i.e., other than the use of an air pollution control device) that would have an impact on HF, HCl, or PM emissions from your kilns? If yes, please explain.



# 3. Do you have any data available on the fluorine or chlorine contents of your raw materials? If yes, please explain the types of information you have, the test method used to determine these contents, the frequency in which you test your raw materials, and any other information you feel is relevant to this discussion.


# 4. If you answered YES to #3, please include copies of your raw material testing for either: the past two months OR the past 10 tests, whichever is more. Please indicate which you are submitted in the response section to this question.



# 5. If you operate periodic kilns, please provide a time-temperature profile for each typical batch cycle. The profiles should show the duration of each temperature phase of the cycle from the time the kiln is fired to the time when the fired shapes can be removed from the kiln. (See instructions for example profile.) Also provide the additional information requested on Form B.



# 6. If you operate periodic kilns, do you have any information regarding technological and/or economic limitations to testing those kilns?



# 7. Please provide a copy of a process flow diagram for your facility, if available. **Question**



### FORM G - Page 1 of 1