FORM A-1

COMPANY INFORMATION

I. Parent Company / Legal Corporate Owner Information

1. Legal Parent Company / Legal Corporate Name Example Resins

2. Mailing Address 123 Example Resins Rd

3. City Anytown

4. State North Carolina 

5. Zip Code 28590

6. County Any County

501-750

7. Size of Company (approximate number of employees 

including all subsidiaries, branches, and related 

establishments owned):

Page 1 of 1

DRAFT PVC Section 114 Survey Part 1

06/23/2009
FORM P

PROCESS VENT EMISSIONS TESTING DATA

Instructions

1. Copy this worksheet as necessary for pollutants/compounds sampled on different dates.

2. For multiple control devices, users may copy this worksheet within this workbook.

Control Equipment ID:

Indicate whether the inlet to the control device is from the PVC process only ("dedicated") or from the PVC 

process and another process unit (non-PVC) ("combined"):

Parameter

Test Date (mm/dd/yy)

Required Operating Parameters During Test

Total Heat Input (MMBtu/hr)

Fuel 1

Feed Rate

HHV

Fuel 2

Feed Rate

HHV

Fuel 3

Feed Rate

HHV

Flow Rate

Temperature

Moisture

O2

CO2

Number of PVC resin grades being produced during sampling

Number of PVC resin grades being produced (as percentage of all resin grades produced by facility)

Testing Data

Compound

Benzene

Chloroethane

Chloroform

Chloroprene

1,1-Dichloroethane

1,2-Dichloroethane

n-Hexane

Methylene chloride

Toluene

1,1,1-Trichloroethane

1,1,2-Trichloroethane
Vinylidene chloride

Acetophenone

Bis(2-ethylhexyl) phthalate (DEHP)

1,4-Dichlorobenzene

2,4-Dinitrophenol

Hexachlorobutadiene

Hydroquinone

Naphthalene

Phenol

1,2,4-Trichlorobenzene

Acetaldehyde

1,3-Butadiene

Chlorobenzene

Chloromethane

Cumene

Ethylbenzene

Ethylene glycol

Formaldehyde

Methanol

1,1,2,2-Tetrachloroethane

2,2,4-Trimethylpentane

Vinyl acetate

Vinyl bromide

Xylenes (isomers and mixtures)

Vinyl chloride

Methane (CH4)
C-2

Combined

CAS Number Run #1 Run #2 Run #3 Units

Enter the CAS number for 

each pollutant/compound. 

Do not include dashes.

Select appropriate unit from list.

4/1/2014 4/1/2014 4/1/2014

19.6 17.1 15.9 MMBTU/hr

Natural Gas Natural Gas Natural Gas

19.6 17.1 15.9 MMBTU/hr

337 337 337 BTU/scf

MMBTU/hr

BTU/scf

MMBTU/hr

BTU/scf

8790.1 8867.3 8930.8 dscfm

451 447 457 deg F

15.1 14.9 14.5 %

6.7 5.9 7.05 %

8.7 8.9 8.7 %

1 1 1

20 20 20 %

CAS Number

71432 0.02 0.02 0.02 ppmvd @ 3% O2

75003 0.005 0.005 0.005 ppmvd @ 3% O2

67663 0.05502 0.00429 0.55921 ppmvd @ 3% O2

126998 0.47091 0.84152 0.48407 ppmvd @ 3% O2

75343 0.34632 0.22430 0.63035 ppmvd @ 3% O2

107062 0.23618 0.10824 0.31487 ppmvd @ 3% O2

110543 0.61394 0.00318 0.04897 ppmvd @ 3% O2

75092 0.28723 0.77804 0.74157 ppmvd @ 3% O2

108883 0.08046 0.05573 0.30012 ppmvd @ 3% O2

71556 0.16892 0.95882 0.95167 ppmvd @ 3% O2

79005 0.32749 0.35141 0.42412 ppmvd @ 3% O2

Enter numerical value only.

Enter numerical value only.
75354 0.31693 0.34155 0.02419 ppmvd @ 3% O2

98862 0.46181 0.89753 0.21937 ppmvd @ 3% O2

117817 0.73100 0.84955 0.84679 ppmvd @ 3% O2

106467 0.76541 0.38040 0.60674 ppmvd @ 3% O2

51285 0.02045 0.12233 0.15984 ppmvd @ 3% O2

87683 0.44470 0.85413 0.92067 ppmvd @ 3% O2

123319 0.03777 0.56408 0.40106 ppmvd @ 3% O2

91203 0.78022 0.00196 0.80266 ppmvd @ 3% O2

108952 0.26708 0.18864 0.19807 ppmvd @ 3% O2

120821 0.40474 0.39410 0.81911 ppmvd @ 3% O2

75070 0.95814 0.35858 0.46405 ppmvd @ 3% O2

106990 0.09809 0.74534 0.87695 ppmvd @ 3% O2

108907 0.09093 0.29692 0.92321 ppmvd @ 3% O2

74873 0.56775 0.35855 0.13606 ppmvd @ 3% O2

98828 0.67384 0.28638 0.23619 ppmvd @ 3% O2

100414 0.23047 0.93697 0.09574 ppmvd @ 3% O2

107211 0.65432 0.42177 0.24037 ppmvd @ 3% O2

50000 0.89907 0.94252 0.35415 ppmvd @ 3% O2

67561 0.16015 0.99542 0.78944 ppmvd @ 3% O2

79345 0.18766 0.64299 0.27044 ppmvd @ 3% O2

540841 0.94718 0.64250 0.78853 ppmvd @ 3% O2

108054 0.59784 0.89953 0.09221 ppmvd @ 3% O2

593602 0.36167 0.72758 0.28526 ppmvd @ 3% O2

1330207 0.98577 0.41794 0.58376 ppmvd @ 3% O2

75014 0.03283 0.84356 0.75999 ppbvd @ 3% O2

74828 1.22400 0.99840 1.11340 ppmvd @ 3% O2
Run # 1 Detection Run # 2 Detection Run # 3 Detection

Identify the status of measured 

values relative to the detection 

levels

Identify the status of measured 

values relative to the detection 

levels

Identify the status of measured 

values relative to the detection 

levels

BDL BDL DLL

BDL BDL BDL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL
ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL

ADL ADL ADL
Analysis Method Used Note(s)

Where applicable, select the analysis method 

used.

For all pollutants/compounds, provide any other information 

supporting information you think is necessary about this test 

report. 

SW-846 Method 8260B Reporting average concentration; runs #1 and #2 are BDL.

SW-846 Method 8260B All 3 runs are BDL.

SW-846 Method 8260B

SW-846 Method 8260B

SW-846 Method 8260B

SW-846 Method 8260B

SW-846 Method 8260B

SW-846 Method 8260B

SW-846 Method 8260B

SW-846 Method 8260B

SW-846 Method 8260B
SW-846 Method 8260B

SW-846 Method 8270D

SW-846 Method 8270D

SW-846 Method 8270D

SW-846 Method 8270D

SW-846 Method 8270D

SW-846 Method 8270D

SW-846 Method 8270D

SW-846 Method 8270D

SW-846 Method 8270D

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18

US EPA Method 18
FORM Q

TOTAL HYDROCARBON 30-DAY MONITORING

Instructions

1. For multiple control devices, users may copy this worksheet within this workbook.

2. Add additional rows as necessary to provide 30 days of monitoring data.

Control Equipment ID:

Date and Time THC Reading CH4 Reading O2 level in exhaust gas

MM/DD/YYYY HH:MM (ppmvd as propane @ 3% O2) (ppmvd @ 3% O2) (% by volume, dry)

04/01/2014 15:00 27.4 1.56 8

04/01/2014 15:15 30.2 1.24 10

04/01/2014 15:30 40.5 1.33 5

04/01/2014 15:45 20.6 1.78 6

04/01/2014 16:00 20.3 1.15 8

04/01/2014 16:15 28.9 1.14 9

04/01/2014 16:30 35.1 1.67 10

04/01/2014 16:45 30.2 1.63 8

04/01/2014 17:00 32.7 1.64 6

04/01/2014 17:15 25.4 1.27 5

04/01/2014 17:30 29.4 1.23 10

Indicate whether the inlet to the control device is from the PVC process only ("dedicated") or from the 

PVC process and another process unit (non-PVC) ("combined"):














C-2

Combined

Moisture in exhaust 

gas

PVC Type PVC Grade Control Device 

Temperature

(% by volume) (e.g., suspension, 

dispersion/emulsion, bulk, etc.) (e.g., GP, HMW, LMW, etc.) (degF)

17 Suspension HMW 469

18 Suspension HMW 473

12 Suspension HMW 461

16 Suspension HMW 494

13 Suspension HMW 455

10 Suspension HMW 480

11 Suspension HMW 452

13 Suspension HMW 450

20 Suspension HMW 459

13 Suspension HMW 470

17 Suspension HMW 488














Control Device 

Operations Indicator

THC Monitoring 

Operations Indicator 

(note periods of start-up, 

Shutdown, malfunctions, or 

normal operation) 

(note periods of abnormal 

operations) 

Normal Normal

Normal Normal

Normal Normal

Normal Normal

Normal Normal

Normal Normal

Normal Normal

Normal Normal

Normal Normal

Normal Normal

Normal Normal