FORM A Page 1 

## Grain Elevator Survey

FORM A – General Information

A-1 Facility Name:

A-2 (a) Facility Street Address:

(b) Suite or P.O (s pecify): (c) City:

(d) State: (e) Zip Code: (f) County:

A-3 (a) Facility Manager: (b) Phone:

A-4 (a) Technical contact (for info rmation on this survey):

(b) Title: (c ) Telephone Number:

(d) Email Address:

A-5 Number of full-time employees at this location (total for all shifts):

A-6 Number of seasonal employees at this location (total for all shifts):

A-7 (a) Parent Company/ Co-Op:

(b) Is this a co-op? (check one) Yes No

(c) Parent Company/ Co-Op Main Office Street Address:

(d) Suite or P.O. (specify) : (e) City:

(f) State: (g) Zip Code:

A-8 Number of full-time employees within all business units of the Parent Company:

(please check one): < 100 101- 249 250- 499 > 500

A-9 Number of seasonal employees within a ll business units of the Parent Company

(please check one): < 100 101- 249 250- 499 > 500 FACILITY ID:

FACID :

(First 4 letters of company name plus first

4 letters of city name. If not unique

identifier, add number at end of ID)

### FORM B - Storage Information

(B-1) FACID:

FORM B Page 1 B-2 In what year was this facility first constructed?

B-3 Total number of storage units: (a) "permanent" storage

(b) "t emporary" storage

(c) "emergency" storage

[Note : In completing the remainder of the survey, y ou will be able to group information for similar

storage units. See B-4 for example.]

B-4 Please provide an overview flow diagram (or blo ck flow diagram) of the grain elevator(s) at

your facility. Please include pe rmanent (P), temporary (T), and emergency (E) storage units,

associated receiving (R) and shipping (S ) units, and grain dryers (D).

o Permanent Storage ID: use your current designation or assign a nu merical value. If assigning

an ID, please use “P-1, P-2, etc” format. You may group multiple storage units into one

permanent storage ID; if not readily apparent, please provide ex planations on the back of this

sheet or indicate in your elevator diagram.

o Temporary Storage ID: use your current designation or assign a nu merical value. If assigning

a new ID, please use “T-1, T-2” format.

o Emergency Storage ID: use your current designation or assign a nu merical value. If assigning

a new ID, please use “E-1, E-2” format.

o Receiving Units ID: use your current designation or assign a numerical value. If assigning an

ID, please use “R-1, R-2” format.

o Shipping Units ID: use your current designati on or assign a numerical value. If assigning an

ID, please use “S-1, S-2” format.

o Grain Dryer ID: use your current designation or assign a numerica l value. If assigning an ID,

please use “D-1, D-2” format.

o Capacity: please provide capacity in bushels. Do not use a pack factor

.FORM BPage2Please check one: This page includes CBI□This page does NOT include CBI□[If no box is checked, EPA will assume that the page does NOT contain CBI]FORM B – Storage Information(B-1) FACID:B-5.Please complete the following table for storage information. An example is provided.2005 2006 2007Storage Type(P, T, E)StorageIDYear FirstUsedStorageCapacity(Bushels)2GrainStored1Through-put(actual bushels)2Weeks peryear utilizedThrough-put(actual bushels)2Weeks per yearutilizedThrough-put(actual bushels)2Weeks peryear utilizedCorn100,0002P - exampleP-11970300,000Wheat400,00050300,00050300,00050P - exampleP-21985400,000Corn400,00052400,00050400,00048T - exampleT-12004450,000Corn200,00022250,00020150,000241 Use grain designations: corn, wheat, sorghum, rice, rye, oats, barley, soybeans, or specify a different grain.2 Storage capacity and throughput refer to the aggregated storage capacity and throughput of the units included in the storageID from B-4. Fortemporary and emergency storage units, storage capacity and throughput may be estimated based on operator’s knowledge if actualdata is notavailable. For permanent storage units, throughput may be estimated based on operator’s knowledge if actual data is not available.FORM CPage1Please check one: This page includes CBI□This page does NOT include CBI□[If no box is checked, EPA will assume that the page does NOT contain CBI]FORM C – Receiving and Shipping Information(C-1) FACID:C-2Please complete the following table for receiving and shipping operationsat each storage unit (orgroup of units). Use theStorage, Shipping, and Receiving ID’s provided in B-4.An example is provided.What is the Maximum LoadingRate?Receiving/ShippingIDStorage IDassociated withreceiving/shipping unitHow is Grain Received Into orShipped (Loaded) Out ofStorage?aValue UnitsAre there any addon controls for thereceiving/shipping unit (Y/N)Any qualitativeemissionsmonitoringconducted?b(Y/N)R-1P1Fixed Conveyor BeltS-1P1Fixed Conveyor BeltR-1T1Portable AugeraLoading and unloading methods include:portable augerfixed receiving pit with leg to aeration towerenmass drag conveyor unloaderportable inclined beltfixed conveyor off main complexpneumatic unloadergravity fill spoutportable conveyor with trucksor specify a different methodfront-end loadermarine legfixed drag conveyortrack hoe/clamshell unloaderfixed conveyor beltcontinuous barge unloaderbQualitative methods include opacity measurements as well as monitoring instruments (e.g. CEMS), and monitoringof parameters toindicate whether the air pollutioncontrol device is operating properly.

### FORM D – “Temporary” Storage

(D-1) FACID: (D-2) Temporary Storage ID:

FORM D Page 1 (Please copy this sheet and comp lete a separate sheet for each

temporary storage at your facility)

D-3 Please provide a diagram of each storage unit and indicate which pieces of equipment (e.g.,

walls, cover, floor, conveyance system, generator, housing for electrical, etc) remain in place

year round and which are removed during specific time s of the year. If th is system is identical

(or nearly identical) to another temporary system at the same facility, only one diagram is

needed. Please include all applicable ID numbers on the diagram and explain any differences

below.

D-4 What are the materials of construction for this storage unit?

(a) Walls:

(b) Cover/tarp:

(c) Floor:

D-5 (a) Has the cover/tarp ever been replaced? (check one) Y N

(b) If yes, month(s)/year(s) cover/ tarp was used before being replaced:

### FORM D – “Temporary” Storage

(D-1) FACID: (D-2) Temporary Storage ID:

FORM D Page 2 D-6 Describe the routine maintenance (including repai r and replacement) that is conducted on the

temporary storage units, including frequency of these activities. If you typically replace a

component of a unit (e.g., repl acement of a tarp/cover in sections, as opposed to entire

replacement), indicate frequency and typical perc ent of the entire unit that is replaced.

Walls:

Floors:

Cover/Tarp:

Aeration:

Other equipment associated with st orage (e.g., conveying equipment)

D-7 Describe methods used to reduce particulate emissions during receiving and shipping,

aeration (or other similar processes), and general storage. Indicate frequencies of any actions.

(Please complete Form I for any add-on pollution control device).

### FORM E – “Emergency” Storage

(E-1) FACID: (E -2) Emergency Storage ID:

FORM E  Page 1 E- 3 Explain any approaches taken to minimize particulate emissions from the emergency storage

pile. Indicate frequencies of any actions.

### FORM F – Grain Dryers

(F-1) FACID:

FORM F  Page 1 F-  Please complete the following tabl e for grain dryers used at your facility. Use the Dryer,

Storage, Shipping, and Receiv ing ID’s provided in B-3. An example is provided.

How much fuel was used

Grain Dryer ID Storage/Receiving/Ship

ping units associated

with Dryer Fuel Used 1 2005 2006 2007

D-1 P-1, P-2, R-1, S-1 FO2 10,000 10,000 8,000

D-2 T-1 FO2 1,000 1,000 1,000

1 Select fuel from list below. If other, please specify.

FO2 - #2 Fuel Oil (gallons)

FO6 - #6 Fuel Oil (gallons)

NG – Natural Gas (MM cubic feet)

Bio – Biofuel (gallons)

O – Other, please specify type of fuel and unit of measure

F-  For each column dryer at your facility that does not include a perforated column plate in its

design, please: (1) describe the design of that dryer, including whether it uses woven wire

screening; (2) indicate the grain(s) for which t he dryer is used; and (3) provide the year of

original installation.

### FORM G –Permitted Sources

(G-1) FACID:

FORM G Page 1 G-2 Please indicate the total number of each component listed below that you have at this facility

and the number for which your operating permit specifies an applicable control requirement.

Component Total Number at Site Number for which your permit

specifies a control requirement?

Truck receiving station

Truck shipping station

Barge and ship receiving station

Barge and ship shipping station

Railcar receiving station

Railcar shipping station

Grain dryer

G-3 Is any grain handling equipment subjected to a control requi rement in your permit?

(check one) Y N

As defined in NSPS, Subpart DD, grain handling operations includ e, as an assemblage of equi pment, bucket elevators or

legs (excluding legs used to unload barges or ships), sc ale hoppers and surge bins (garners), turn heads, scalpers,

cleaners, trippers, and the headhouse and other such structures.

For purposes of Form G, the term “control requirement” refers onl y to particulate matter (PM)

emission limits specified for the particular “component” in question and expressed in terms of

emissions per unit of time or production ( e.g., lb of PM/hr; grains/dscf), opacity ( e.g., 20%), or a

design or work practice ( e.g., use of enclosure), and not to rest rictions on operational parameters

such as hours, feedstock or throughput.

### FORM H – Work Practices

(H-1) FACID:

FORM H Page 1 H-2 Describe the design or work practices you follow to reduce emissions (e.g, choke flow, louvered grates,

mineral oil, etc.). Please describe the frequency the activity is used (e.g, during each loading operation,

all the time, etc) and the estimated time spent on the activity per usage (e.g, 20 minutes per loading

event). For “barge and ship receiving station,” pleas e provide copies of any equivalency determinations

under 40 CFR 60.302(d) and any permit conditions resulting from such determinations.

Truck receiving station

Truck shipping station

Barge and ship receiving station

Barge and ship shipping station

Railcar receiving station

Railcar shipping station

Grain dryer

Grain handling operations a

a As defined in NSPS, Subpart DD, grain handl ing operations include, as an assemblage of equipment, bucket elevators or

legs (excluding legs used to unload barges or ships), sc ale hoppers and surge bins (garners), turn heads, scalpers,

cleaners, trippers, and the headhouse and other such structures.FORM I – Add-on Pollution Control Device(I-1) FACID:FORM IPage 1If data are not available or unknown, please enter NDI-2Please complete the following table for any air pollution control devices at your facility. Please provide ID and include on processdiagram. For each unit, please provide the most recent performance data you have.An example is provided.Air Pollution ControlDevice IDType of Control [e.g., fabricfilter/baghouse; cyclone;other (specify)]Points controlledby this control(Use ID’s fromForms B, C, andD)Type of Data Available [e.g.,performance test, manufacturer’sspecs or guarantee, engineeringcalculations, other (specify)]DesignEfficiencyUnits (include whetherefficiencies are for PM,PM10PM2.5, opacity)APCD-1 exampleCycloneR-1, R-2Manufacturer’s specifications40%PMAPCD-2 exampleFabric FilterS-1Manufacturer’s specifications90%PM and PM10Make additional copies, as necessary

### FORM I – Add-on Pollution Control Device

(I-1) FACID:

FORM I   Page 2 I-3. Provide a copy of the most re cent performance test for each air pollution control device

If no performance tests are available, complete questions I-4 through I-7.

I-4. Please complete for each c ontrol device listed in I-2.

Inlet Flow Pressure Drop Inlet Temperature

APCD ID Max Units Min Max Units Min Max o C/ o F

I-5 For each cyclone, please co mplete the following table

APCD ID Particle Density Units

### FORM I – Add-on Pollution Control Device

(I-1) FACID:

FORM I  Page 3 I-6 . For each fabric filter/baghouse, pl ease provide the following information.

APCD ID Number of bags Total Surface Area Units

I-7 For each control not listed in I-5 and I-6, please describe the te chnology and the parameters that

are relevant for operation of the control

### FORM I – Add-on Pollution Control Device

(I-1) FACID:

FORM I  Page 3 I-6 . For each fabric filter/baghouse, pl ease provide the following information.

APCD ID Number of bags Total Surface Area Units

I-7 For each control not listed in I-5 and I-6, please describe the te chnology and the parameters that

are relevant for operation of the control