CALIFORNIA AIR RESOURCES BOARD



### SIP COMPLETENESS CHECKLIST (Electronic Format)

*** TO BE COMPLETED BY DISTRICT AND RETURNED TO ARB ***

All rules submitted to the EPA as State Implementat ion Plan (SIP) revisions must be supported by certa in information and documentation for the rule packages to be deeme d complete for review by the EPA. Rules will not b e evaluated for approvability by the EPA unless the submittal packa ges are complete. To assist you in determining tha t all necessary materials are included in rules packages sent to th e ARB for submittal to the EPA, please fill out the following form and include it with the rule package you send ARB. See the ARB's Guidelines on the Implementation of the 40 CFR 51, Appendix V , for a more detailed explanation than is provided here. Adopted rules and rule amendments should be checked against U.S. EPA's Guidance Document for Co rrecting Common VOC & Other Rule Deficiencies (Little Blue Book, August 21, 2001) to ensure that they contain no elements which will result in disapproval by EPA

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District SJVUAPCD Rule No. Rule 4653 Date Amended: September 16, 2010.

Rule Title Rule 4653 (Adhesives and Sealants)

ADMINISTRATIVE MATERIALS

Note: All documents should be in electronic format . Items that have signatures, initials, or stamps may be scanned.

Not

Attached Attached N/A ( X ) ( ) ( ) COMPLETE COPY OF THE RULE: Provide an unmarked copy of the entire rule as adopted or amended by your District Board.

( X ) ( ) ( ) UNDERLINE AND STRIKEOUT COPY OF THE RULE : If an amended rule,

provide a complete copy of the rule indicating in u nderline and strikeout format

all language which has been added, deleted, or chan ged since the rule was

last adopted or amended.

( ) () ( X ) COMPLETE COPY OF THE REFERENCED RULE(S): For any rule which includes language specifically referencing another rule, a copy of that other rule must also be submitted, unless it has already been submitted to EPA as part of a previous SIP submittal.

( X ) ( ) ( ) PUBLIC NOTICE EVIDENCE: Include a copy of the local newspaper clipping certification(s), stating the date of publication, which must be at least 30 days before the hearing. As an alternative, include a c opy of the actual published notice of the public hearing as it appeared in the local newspaper(s). In this case, however, enough of the newspaper page must be included to show the date of publication. The notice must specifically identify by title and number each rule adopted or amended.

( X ) ( ) ( ) RESOLUTION/MINUTE ORDER: Provide the Board Clerk certified resolution

or minute order. This document must include certif ication that the hearing was held in accordance with the information in the publ ic notice. It must also list the rules that were adopted or amended, the date of the public hearing, and a statement of compliance with California Health and Safety Code Sections 40725-40728 (Administrative Procedures Act).

( X ) ( ) ( ) PUBLIC COMMENTS AND RESPONSES: Submit copies of written public comments made during the notice period and at the p ublic hearing. Also submit any written responses prepared by the Distri ct staff or presented to the District Board at the public hearing. A summary of the public comments and responses is adequate. If there were no comments m ade during the notice period or at the hearing, please indicate N/A to th e left.CALIFORNIA AIR RESOURCES BOARD



### SIP COMPLETENESS CHECKLIST (Electronic Format)

TECHNICAL MATERIALS

Note: All documents and forms should be in electro nic format.

Not

Attached Attached N/A ( X ) ( ) ( ) RULE EVALUATION FORM: See instructions for completing the Rule Evaluation Form and the accompanying sample form.

( ) ( ) ( X ) NON-EPA TEST METHODS: Attach all test methods that are referenced in your rule that do not appear in 40 CFR 51, 60, 61, 63, or have not been previously submitted to EPA. EPA methods used in o ther media such as SW846 for solid waste are not automatically approve d for air pollution applications. Submittal of test methods that are n ot EPA-approved should include the information and follow the procedure de scribed in Region 9’s “Test

Method Review & Evaluation Process.”

( ) ( ) ( X ) MODELING SUPPORT: Provide if appropriate. In general, modeling sup port is not required for VOC and NOx rules to determine the ir impacts on ozone levels. Modeling is required where a rule is a rel axation that affects large sources (> 100 TPY) in an attainment area for SO2, directly e mitted PM10, CO, or NOx (for NO2 purposes). In cases where EPA is concerned with the impact on air quality of rule revisions which relax limits or cause a shift in emission patterns in a nonattainment area, a refere nce back to the approved SIP will be sufficient provided the approved SIP ac counts for the relaxation and provided the approved SIP used the current EPA modeling guidelines. If current EPA modeling guidelines were not used, then new modeling may be required.

( ) ( ) ( X ) ECONOMIC AND TECHNICAL JUSTIFICATION FOR DEVIATIONS FROM

EPA POLICIES : The District staff report or other information i ncluded with the submittal should discuss all potential relaxations or deviations from RACT, RACM, BACT, BACM, enforceability, attainment, RFP, or other relevant EPA requirements. This includes, for example, demonstr ating that exemptions or emission limits less stringent than the presumptive RACT (e.g., a CTG) meet EPA’s 5 percent policy, and demonstrating that all source categories exempted from a RACM/BACM rule are de minimus accor ding to EPA’s RACM/BACM policy.

( X ) ( ) ( ) ADDITIONAL MATERIALS : Provide District staff reports and any other supporting information concerning development of th e rule or rule changes. This information should explain the basis for all l imits and thresholds

contained in the rule.