Gila River Indian Community 

De~artment of Environmental 

35 Pima Street 

P.O. Box 97 

Sacaton, Arizona 85247 

. Phone: (520) 562-2234 Fax: (520) 562-2245 

Quality 

APPLICATION FOR NON-TITLE V AIR QUALITY PERMIT 

Use this form to apply for a Non-Title V air quality permit for an entire facility. Do not use it to amend 

prior applications, add additional pieces of equipment to an existing permitted facility, or transfer a current 

air quality permit from one person to another. Also do not use this application form to apply for a Title V 

Air Quality Permit. Separate application packages are available for these purposes. Complete the 

application by typing or printing legibly. The submitted application and documents become the property of 

the Gila River Indian Community, Department of Environmental Quality and will not be returned. All 

submitted documents will be available to the public unless a notice of confidentiality has been submitted 

by the applicant and accepted by the Department. If confidentialrty is claimed, a fully completed 

application with confidential information clearly identified along with a separate copy of the application for 

public review without the confidential information and a written justification for the confidentiality claimed 

must be submitted. The applicant must submit with the application any applicable fees (see Part II, 

Section 11 of the GRlC Air Qualrty Management Program Plan). 

Attach manufacturers' drawings and specifications whenever available. If necessary, attach additional 

sheets to the application to provide all required information. Please submit the application by completing 

the attached orhinal forms. 

The GRlC Air Quality Management Program Plan is available at the above listed address. You may also 

contact the GRIC Department of Environmental Quality by telephone at (520) 562-2234 to obtain a hard 

copy or electronic copy of the GRlC Air Quality Management Plan. 

All applicable ordinances are available at the above address. Contact the Department at (520) 562-2234 

for additional information. 

Page 1 
GILA RIVER INDIAN COMMUNITY 

DEPARTMENT OF ENVIRONMENTAL QUALITY 

35 Pima Street 

P.O. Box 97 

Sacaton, Arizona 85247 

(520) 562-2234. FAX (520) 562-2245 

FOR OFFICIAL USE ONLY 

DATE RECEIVED 

LOG NUMBER 

APPLICATION FOR NON-TITLE V AIR QUALITY PERMIT 

(As required by Tile 17, Chapter 9, Part II of the GRlC Air Quality Management Program Plan ) 

READ INSTRUCTIONS FIRST. ALL APPLICANTS MUST COMPLETE ITEMS 1 THROUGH 16 AND EACH APPLICABLE SECTION A THROUGH Z. 

H I. BUSINESS 1 

NAME: 

2. IS THlS A 

PORTABLE q YES (IF YES, PROWDE THE CURRENT SITE INFORMATION IN ITEMS 2a. 3. AND 3a) 

SOURCE ? 0 NO (COMPLETE ITEMS 2a, 3, AND 3a) 

2a. ADDRESS OF 

PERSON AT SITE: I AT SITE: 

4. TYPE OF 

OWNERSHIP: O~orporation u~artnershi~ [7sole Owner n~overnment mother - Spedfy: 

5. NAMEAND 

I 

SITE: 

CIM: STATE: AZ ZIP CODE: 

3. CONTACT I 3a. TELEPHONE 

. 

CIM: STATE: CODE: 

Am: 

8. SIC (STANDARD INDUSTRLAL CLASSIFICATION) 9. IS THIS A RENEWAL APPLICATION? 

CODEW: YES q NO 

I CORRESPONDENCE NAME: 

INCLUDING INVOICE 

AND PERMIT TO: ADDRESS: 

ZIP 

II , , I IF YES. ENTER THE MISTING AIR PERMIT 1 

6. OWNERSHIP 

CONTACT 

, 

I NUMBER FOR THIS SITE: 

10. IF THlS APPLICATION IS SUBMllTED AS A RENEWAL APPLICATION. HAS THE OWNERSHIP OF 

THlS FACILITY CHANGED SINCE THE PERMIT WAS LAST ISSUED OR TRANSFERRED? YES NO q 

11. BRIEF DESCRIPTION 

6a. TELEPHONE: 

6b. FAX: 

) OF BUSlNESSlPROCESS 

AT SITE: I 

7. SEND ALL COMPANY 

14. THE AUTHORIZED CONTACT PERSON REGARDING THlS APPLICATION IS: 

12. OPERATlNG HOURS DAYS WEEKS 

SCHEDULE: PER DAY PER WEEK PER YEAR 

NAME TELEPHONE: 

13. PROJECTED START-UP 

DATE (NEW FACILITIES): 

TITLE FAX: 

COMPANY E-MAIL: 

15.1 CERTIFY THAT I AM FAMILIAR WITH THE OPERATIONS AND EQUIPMENT REPRESENTED ON THlS APPLICATION AND 

ATTACHMENTS AND THE INFORMATION PROWDED HEREIN IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 
GILA RIVER INDIAN COMMLlNlN 

DEPARTMENT OF ENVIRONMENTAL QUALITY 

35 Pima Street 

P.O. Box 97 

Sacaton, Arizona 85247 

(520) 562-2234, FAX (520) 562-2245 

_FOR OFFICIAL USE ONLY 

DATE RECEIVED 

LOG NUMBER 

. SIGNATURE OF OWNER OR 

RESPONSIBLE OFFICIAL OF BUSINESS DATE: 

TYPE OR PRINT NAME AND llJLE 
16. SITE DIAGRAM: DRAW OR ATTACH A SITE LAYOUT SHOWING DISTANCES TO PROPERTY LINES, EQUIPMENT, CONTROLS, 

DUCTS. STACKS AND EMISSION POINTS. ALSO SHOW STORAGE AREAS FOR FUELS, RAW MATERIALS, CHEMICALS, FINISHED 

PRODUCTS, WASTE MATERIALS, ETC. 
17. OPERATION & MAINTENANCE (O&M) PLAN(S): 0&M Plans are required for any process that vents emissions through a control 

device and includes both add-on control type equipment or processes whose controls are integrated into the design of the process equipment. 

Indicate if your facility has such control devices (the list below is not an inclusive list of control devices). 

EQUIPMENT - NO YES HOW MANY? 

BAGHOUSE 

DUST COLLECTOR I FILTER 

INCINERATION SYSTEM (E.G., CATALYTIC OR THERMAL 

OXIDIZER, AFTER BURNER, BOILER, PROCESS HEATER, 

FLARE) - SPECIW 

SCRUBBER 

ADSORPTION UNIT (E.G., RESIN, CARBON FILTER, 

OTHER) -SPECIFY: 

ABSORPTION UNIT 

OTHER -SPECIFY: 

If you checked YES to any of these boxes, attach a separate OBM Plan for each control device. The OW Plan should describe key system 

operating parameters and appropriate operating ranges for these parameters. For new equipment or processes, provide an educated estimate of 

the ranges of any parameters to be monitored. These ranges should be supported with manufacturer's test data or other manufacturer's data from 

engineering calculations andlor experience with the equipment In additiin. O&M Plans should be prepared in accordance with the GRlC 

Department of Environmental Qualii, Air Qualii Program - Operation and Maintenance (OW Plan Guidelines. A copy of these guidelines is 

enclosed or can be obtained by contacting the GRlC DEQ at (520) 562-2234. Multiple control devices can be combined in a single 08M Plan 

providing they are identical in type, capacity, and use. A separate O&M Plan is required for each device that is unique in type, capacity, or use. 

18. PROCESS FLOW DIAGRAM: Attach a Row diagram which indicates howprocesses/adivi are conducted at the facili. Begim with raw 

materials and show each step in the production process. Also indicate emissions ogntrol devices and all emissin points. An example process 

flow diagram is provided below. 

EXAMPLE PROCESS FLOW DIAGRAM 

Raw material 

storage 

VOC emissions 

to atmosphere 

Dust 

Baghouse 

VOC 

emissions 

A 

Combustion Steam vOC 122 

emissions to 

atmosphere 

Block 

Boiler 

, 

Molding 

Steam 

Expander 

b 

Final Product 

Storage a 

F 

emissions to 

VOC emissions atmosphere 

D~yerlScreener 

Aging 

VOC 
SECTION A. FUEL BURNING EQUIPMENT 

Complete this section if you bum natural gas, propane, butane, fuel oils, diesel, kerosene, gasoline, fuel oil blended with used oil, 

coal, charcoal, wood, or any other fossil fuel. Provide complete specifmtions for nonammgrcial and special fuels. Describe 

equipment such as boilers, furnaces, space heaters, water heaters, dryers, pool and spa heaters, kilns, ovens, burners, stoves, 

steam cleaners, hot water pressure washers, etc, with an input rating of 300,000 Btuhr or more. List on separate lines all 

equipment with differing input Btulhour ratings. Do not include vehides, forklifts, lawnmowers, weedeaters and hand-held 

equipment operating on fossil fuels. Items such as asphaff kettles, incinerators, crematories, and emission control devices burning 

fuel are not to be listed in this section but shall be described in Section Y. Internal combustion engines and gas tuhines are to be 

listed in Section B. 

SECTION B. INTERNAL COMBUSTION ENGINES & TURBINES 

This section applies to stationary and portable fuel-fired equipment such as generators, fire pumps, air conditioning compressor 

engines, co-generation units, etc. Indicate in the description if the equipment is only for emergency use. Attach engine emission 

factors or emissions data, and specification sheets from manufacturer. Provide load factor data from manufacturer if applicable. Do 

not include vehicles, forklifts, lawnmowers, weedeaters and hand-held equipment operating on fossil fuels. 
SECTION C. PETROLEUM STORAGE TANKS 

This section applies to storage of gasoline and other fuels which have a true vapor pressure of 1.5 psia (77.6 mm of mercury) or greater under 

actual loading conditions. Pipeline terminals and bulk plants must use Section Y instead of this section. Storage tanks containing liquids with a 

vapor pressure less than 1.5 psia (other than fuels, such as non-petroleum organic liquids, caustic solutions, acids, etc.) must use Section Y. 

2. ESTIMATE TOTAL ANNUAL THROUGHPUT FOR EACH PRODUCT STORED IN THESE TANKS (GALLONSMAR): 

3. RETAIL NON-RETAIL n 

4. EMISSION CONTROLS: STAGE ONE VAPOR RECOVERY: 2-POINT COAXIAL YMM: 

STAGE I1 

NONE 

5. SUBMERGED FlLL n 

BOlTOM FILL 

OTHER SPECIFY: 

6. ARE THERE ANY DEVICES OR PROTRUSIONS IN THE PRODUCT FlLL PIPE, SUCH AS THEFT OR OVERFILL PREVENTION 

DEVICES WHICH IMPAIR OR PREVENT MEASURING THE FlLL SLEEVE RELATIVE TO THE BOlTOM OF THE TANK? OYES ON0 

IF YES, DESCRIBE: 

SECTION D. WATER & SOIL REMEDIATION 

This section applies to any Site where clean-up activities for contaminated soil or water will be conducted. 

1. TYPE OF CONTAMINANT: DIESEL GASOLINE OTHER. SPECIFY 

2. CONTAMINATED MATERIAL: SOIL CUBIC YARDS WATER GALLONS 

3. CONCENTRATION OF EACH CONTAMINANT: (specify unit of measure) 

4. OTHER AGENCIFS NOTIFIED: EPA 

5. BRIEFLY DESCRIBE PROCEDURE: 

6. ESTIMATED VOC EMISSION RATES: BEFORE THE CONTROL DEVICE: LBIDAY; LBIHR 

AFER THE CONTROL DEVICE: LBIDAY; LBIHR 

7. ESTIMATE LENGTH OF TIME FOR COMPLETION OF THIS PROJECT: MONTHS 

8. DESCRIBE TYPE AND EFFICIENCY OF CONTROLS FOR AIR EMISSIONS: 

(Use separate page if necessary) 

9. PROJECTED START-UP AND COMPLETION DATES: 

10. AlTACH FULL DETAILS OF SCOPE OF WORK, TREATMENT PROCEDURES, SPECIFICATIONS, TEST RESULTS, AND PLAN FOR 

CLOSURE. 
SECTION E-1 . SPRAY PAINTING & OTHER SURFACE COAI'ING 

(NON-VEHICLE). 

This section applies to but is not limited to: spray painting, powder wating, dipping, ultrasound wating and roller, brush and wipe applications. In 

response to items 1 and 2, list all materials used in painting or coating operations, induding but not limited to: paints, primers, clear coats, 

catalysts, thinners, reducers, accelerators, retarders, paint strippers, gun cleaners, cleaning solvents, stains, plastic coatings, adhesives and 

surface preparation materials. For each material listed, provide manufacturer's technical data sheet or material safety data sheet (MSDS) and 

number them to correspond to the table below. If more room is necessary, attach additional material andlor equipment lists that include all 

information requested below. Use Section E-2 for vehicle spray painting operations. 

2. LIST ALL POWDER COATING MATERIALS: 

1. LIST ALL I-IQUID MATERIALS: 

3. DESCRIBE SUBSTRATE BEING COATED (such as metal, plastic, etc.): 

DESCRIBE PRODUCT BEING COATED 

(such as computer cabinets, waterbed frames, etc.): 

4. DESCRIBE THE METHOD OF APPLICATION: 

a. Air Atomization d. High Volume Low Pressure (HVLP) 

Operating pressure: (psi) e. Electrostatic 

b. Pressure Atomization (Airless) f. 0 Other (specify): 

c. 0 Combined Air and Airless 

,I. 

MSDS 

5. DESCRIBE FACIUTY(IES) FOR APPLYING COATINGS. AT~ACH MANUFACTURER'S SPECIFICATIONS. 

0 ENCLOSURE OR EXHAUST FAN FILTER SYSTEM 

NAME/TYPE OF MATERIAL 

'PROVIDE WRITEN DOCUMENTATION OF FILTER EFFICIENCY (i.e., manufacturer's data or source test data) 

E 

# 

1 

6. WlLL ALL SPRAYING OPERATIONS BE CONDUCTED INSIDE A BOOTH OR ENCLOSED BUILDING?: 

IF ME ANSWER IS NO, DESCRIBE ME AREA AND EXPLAIN HOW ME OVERSPRAY WlLL BE CONTROLLED: 

7. DESCRIBE ANY RAIN CAP ON THE STACK: 

VOC EMISSIONS 

(Iblyr) , 

BOOTH 

8. ARE ANY COATINGS BAKED, OVEN-CURED OR HEAT-TREATED? WHICH ONES? AT WHAT TEMPERATURE? PROVIDE A 

COMPLETE DESCRlmlON AND SPECIFICATIONS FORME OVENS. IF OVENS ARE FUEL-FIRED, ALSO INCLUDE THEM IN 

SECTION A OF THIS APPLICATION. 

GAUYR 

OR SHIPPED AS 

WASTE NUMBER 

9. DESCRIBE CLEAN-UP OF COATING EQUIPMENT AND HOW CLEAN-UP SOLVENT IS DISPOSED (Complete Section F, if applicable): 

(LxWxH) 

SECTION E-2. SPRAY PAINTING (VEHICLE) 

(Attach & number MSDS) 

INSTALLATION 

USAGE 

(gaVyr) 

CONTENT 

(Iblgal) 

C.F.M. & EFFICIENCY* 
This sedion applies to auto body shops, collision repair shops and to any person or facility within the exterior boundaries of the Gila River Indian 

Community recoating previously paint-finished vehicles or parts of vehicles. This indudes cars, large and small trucks, recreational and off-road 

vehicles of all types including, but not limited to, self-propelled movers of earth andlor materials. 'The refinishing of any machinery or wheeled 

trailer that is designed to be able to move or be towed on a highway is also included. Provide material safety data sheets (MSDS) for each 

material and number them to correspond to the table below. If more room is necessary, attach additional material andlor equipment lists that 

include all information requested below. Use Section E-1 for non-vehicle spray painting and surface coating operations. 

1. I-IST ALL MATERIALS APPLIED: 

"Less water and non-precursors 

-Method@) of waste disposal: 

2. DESCRIBE 'ME MEMOD OF APPLICATION : 

a. Air Atomization d. High Volume Low Pressure (HVLP) 

Operating pressure: (psi) e. ~ledrostatic 

b. Pressure Atm'vration (Airless) f. Other (specify): 

c. Combined Air and Airless 

4. METHOD OF DRYING FOR SPRAYED ITEMS: 

a. Air Dried 

b. Oven Dried or Baked: Electric: KW; or Gas Fired: Btulhr (Complete Section A) 

FILTER SYSTEM 

& EFFICIENCY' 

6. WlLL ALL SPRAYING OPERATIONS BE CONDUCTED INSIDEA BOOTH OR ENCLOSED BUILDING? 

IF THE ANSWER IS NO, DESCRIBE THE AREA AND EXPLAIN HOW THE OVERSPRAY WlLL BE CONTROLLED: 

7. DESCRIBE ANY RAIN CAP ON THE STACK: 
SECTION F. SOLVENT CLEANING 

1. COMPLETE THE TABLE BELOW FOR ALL SOLVENT CLEANING DEVICES USED. AlTACH MANUFACTURER'S EQUIPMENT SPECIFICATIONSILITERATURE WHENEVER AVAILABLE. 

2. ON A SEPARATE AlTACHMENT, PLEASE PROVIDE ANY ADDITIONAL EQUIPMENT INFORMATION, USAGE RATE AND/OR OPERATING PARAMETERS FOR SOLVENT CLEANING DEVICES 

UTILIZING ANY OF THE FOLLOWING HALOGENATED SOLVENTS: ETHYLENE CHLORIDE, PERCHLOROETHYLENE, TRICHLOROETHYLENE, 1,1,1 - TRICHLOROETHANE, CARSON 

TETRACHLORIDE AND/OR CHLOROFORM. 

NOTES: ' SPECIFY THE TYPE OF EQUIPMENT FROM THE FOLLOWING LIST: 

1. COLD CLEANER (NO BOILING) WITH REMOTE RESERVOIR 

2. COLD CLEANER (NO BOILING) WITHOUT REMOTE RESERVOIR 

3. BATCH LOADED VAPOR DEGREASER 

4. CONVEYORIZED VAPOR DEGREASER 

5. CONVEYORIZED NON-VAPOR DEGREASER 

6. OTHER (SPECIFY) 

IF WASTE SOLVENT IS REDISTILLED ON SITE, PROVIDE INFORMATION ON THE STILL, INCLUDING MANUFACTURER'S LITERATURE: 

DATE OF 

INSTALLATION 

TYPE OF 'OLVENT 

C$EANING DEVICE 

(see list below) 

SOLVENT 

SURFACE 

DIMENSIONS 

INTERNAL 

VOLUME 

(gallons) 

FREEBOARD 

HEIGHT 

(inches) 

HOW 

- MANY 

, MANUFACTURER, 

MODEL 

NAME OF SOLVENT 

TO BE USED 

(include MSDS) 

DISPOSAL 

 METHOD^ 

ANNUAL 

USAGE [gallons] (IUANTITY 

DlSP0SAL 

(gallons) 
SECTION G. PLATING, ETCHING & OTHER METAL FINISHING 

PROCESSES 

USE A SEPARATE SHEET FOR EACH PROCESS LINE. IF ADDITIONAL SPACE IS REQUIRED, ATTACH SEPARATE SHEETS 

FOLLOWING THE SAME FORMAT AS BELOW. IF ANY TANK IS HEATED BY A FLAME, BE SURE TO INCLUDE THE BURNER 

INFORMATlON IN SECTION A. EVAPORATION FROM OPEN PONDS OR EVAPORATING TANKS IS NOT PERMITIED FOR 

MATERLALS SUCH AS ACIDS, ALKALIS, VOCS OR MATERIALS CONTAINING VOCS. 

1. PROCESS NARRATIVE DESCRIPTION: 

2. On a separate page, provide a simple process (block flow) diagram with emission points and/or emission areas and control equipment 

identifed. Please include a brief narrative description of this process. Be sure to indicate how waste solutions and rinse waters are 

disposed. If a wastewater evaporator is used, provide detailed information (i.e., make, model, capacily, fuel source, bumer rating, etc.) 

on a separate page. 

4. LIST MATERIALS TO BE USED: The equipment number is to be taken from item 3, column 1. Include a copy of the Material Safety 

5. AIR POLLUTION CONTROL EQUIPMENT: (From item 3 column 9) 

On a separate page, describe the design and operational parameters of the control device. For example, the liquid flow rate, gas flow 

rate, control efkiency for each compound in wight %, pH set point, how the pH is controlled, operating temperature, etc. Is thecapture 

system push-pull, enclosed, or hood? If it is a push-pull, will anything (racks, works in progress,,etc.) blodc push air during operation? 

I I I I I 

'PROVIDE WRITTEN DOCUMENTATION OF CONTROL EFFICIENCY (i.e., manufacturer's data or source test data). Attach the 

manufacturer's specifications and drawings for each air pollution control device listed. Be sure that the locations of all flow devices and 

pressute/temperature gauges are indicated. Attach an operation and maintenance plan for each piece of control equipment listed above. 

1 CONTROL 

EQUIPMENT 

ID 

CONTROL EQUIPMENT DESCRIPTION AND 

CAPACITY 

MAKE e MODEL CONTROL 

EFFICIENCY' 

(Yo) 

CFM or 

FPS 

DATE OF 

INSTALLATION 
SECTION H. DRY CLEANING EQUIPMENT 

USE THIS FORM IF YOU OPERATE DRY CLEANING EQUIPMENT AT YOUR FACILITY. 

1. SOLVENT USED: ESTIMATED USAGE: gallonslyear 

2. DRY-TO-DRY TRANSFER 

3. DATE OF INSTALLATION OF DRY CLEANING EQUIPMENT: 

4. LIST DRY CLEANING-RELATED EQUIPMENT: 

DESCRIBE EQUIPMENT, INCLUDING MAKE 8 MODEL 

i 

5. COOLING TOWER: YES NO IF YES. CAPACITY: GALS; TONS COOLING CAPACITY 

6. EMISSION CONTROLS: REFRIGERATED CONDENSING COILS: BUILT IN SEPARATE CONDENSING UNIT 

CARBON ADSORBER 

OTHER (SPECIFY) 

DATE OF INSTALLATION OF CONTROL EQUIPMENT: 

AlTACH MANUFACTURER'S SPECIFICATIONS. 

6. STEAM BOILERS USED SPECIFICALLY FOR STRIPPING ADSORBER AND/OR PRESSING: (Include all others in Section A.) 
SECTION I. GRAPHIC ARTS 

THIS SECTION APPLIES TO GRAPHIC ARTS OPERATIONS AND ASSOCIATED COATING PROCESSES. INCLUDES BUT IS NOT LIMITED TO 

CIRCUITRY PRINTING, FLEXOGRAPHIC, GRAPHIC ARTS, GRAVURE. LAMINATION, LEmR PRESS LITHOGRAPHIC, AND SCREEN 

PRINTING OPERATIONS. 

I. EQUIPMENT UST ( UST EACH PRESS INDIVIDUALLY): , . 

I I I 1 I I EXHAUSTFLOWRATE 

IMPRESSION PRESS #OF (SPECIFY Cl% OR FPS) 

PRESS MANUFACTURER, EQUIPMENT DATE OF AREA VENT TO 

MODEL INSTALLATION (SQUARE IN) WWTING VENTTO 

NUMBER TYPE' STATIONS A1 R (IDENTIPI) 

I I I I I I I 

(F) Flexographic, (L) Llhographic. (G) Gravure, (LP) Letter Press, (S) Screen, Other (please specify) 

2. MATERLALS I-IST: 

List all materials including, but not limited to, inks, fountain solution, blanket wash, varnishes, roller wash, etch solutions, ti xi?^, developers, 

replenishers, alcohol substitutes, finishers, adhesives, solvents, and cleanup materials. Complete the table below for each material. Pravide 

material safety data sheets (MSDS) for each material and number them to correspond to the table below. 

MATERIAL THROUGHPUT SHIPPED AS WASTE 

3. SUBSTRATE WE: 

POROUS COAlED 

NONPOROUS UNCOATED 

4. DESCRIBE CONTROL DEVICES: 

How are volatile organic compound (VOC) emissions controlled? Provide flow diagrams andlor briefty describe. Include equipment type, 

manufacturer, model, date of installation, rating, efficiency, ID or serial number, and location. Attach vendor data she& and general design details. 

Provide Operation & Maintenance Plans for each control device. 
SECTION J-I. CONCRETE BATCH PLANTS 

THIS SECTION IS INTENDED FOR ALL PROCESSES, EQUIPMENT AND RELATED EMISSION CONTROLS FOR CONCRE~E BATCH 

PLANTS. PROVIDE FLOW DIAGRAMS AND LAYOUTS FOR EACH PROCESS. AN OPERATION AND MAINTENANCE PLAN FOR EACH AIR 

POLLUTION CONTROL EQUIPMENT IS REQUIRED. DESCRIBE HOW THE ANNUAL QUANTITY FIGURES WERE DEVELOPED. IF 

AGGREGATE CRUSHING OCCURS IN CONJUNCTION WITH THIS PROCESS, YOU MUST ALSO COMPLETE SECTION Y. 

Sand delivered to ground storage 

Aggregate delivered to ground storage 

Sand transfer to conveyor (account for multiple transfer points)' 

Aggregate transfer to conveyor (account for multiple transfer points)' 

Sand transfer to elevated storage bin 

Aggregate transfer to elevated storage bin 

Cement transfer to elevated silo 

Cement Supplement (such as flyash) transfer to elevated silo 

I 

Weigh hopper loading (sand and aggregate only) 

I 

Mixer loading - central mix (cement and supplement only) 

I 

Truck loading - truck mix (cement and supplement only) 

Other 

transferred three times to different conveyors, the total throughput of Sand is 300 tons. 

2. RAW MATERIAL UNLOADING: 

How is cement transferred to silo? Bucket Elevator 17 Pneumatic 

Other (Describe) 

How is flyash and other materials transferred to silo? Bucket Elevator Pneumatic 

Other (Describe) 

3. PROCESSING: 

Describe each piece of equipment ufiliiing the table below. Lit weigh hoppen, conveyors, mixers, etc. Assign an equipment number in the 

CONTINUED ON NEXT PAGE 
SECTION J-I. CONCRETE BATCH PLANTS - CONTINUED 

4. MAXIMUM CAPACITY OF CONCRETE BATCH PLANT (tonslhr): 

5. LOADOUT: 

What percent of finished product is mixed: On-site? In transit? 

Other? (Describe) 

CJ 

'Specify the equipment number from Section 3 for the piece of equipment whose emissions are being controlled by the control device. 

Equipment 

Number 

-Provide written documentation of control efficiency (e.g.. manufacturer's data or actual test data). 

Equipment 

Controlled' 

Light Duty (e.g., pickup trucks, cars) 

Medium Duty (e.g., front end loaders, fork lifts) 

7. VEHICLE TRAVEL ON UNPAVED ROADS: 

Indicate the nynber of miles traveled on-site annually on unpaved roads for each dass of vehide specified below. 

8. NUMBER OF AGGREGATE. MIXER, AND/OR BATCH TRUCKS EXITING THE FACILITY ON ANY DAY: 

Type of 

Device 

VEHICLE WE 

9. NUMBER OF ACRES OF SAND AND AGGREGATE STORAGE PILES: 

ID. DOES THIS FACILITY HAVE A STREET SWEEPER? WHEN WAS IT PURCHASED? 

Make, Model, 1L Serial Number 

VEHICLE MILES TRAVELED ANNUALLY 

IS THE SWEEPER CERTIFIED BY THE SOUTH COAST AIR QUALITY MANAGEMENT RULE 1186? 

10 MPH 

Maximum Design 

Air Flow Rate 

(CFM) 

15 MPH I 20 MPH I OTHER SPEED: 

Control 

Efficiency- 

(% Weight) 
SECTION J-2. NON-METALLIC MINERAL MINING AND PROCESSING 

(EXCEPT CONCRETE BATCH PLANTS AND ASPHALT PLANTS) 

THIS SECTION IS INTENDED FOR ALL PROCESSES, EQUIPMENT AND RELATED EMISSION CONrROLS FOR SAND AND GRAVEL 

PLANTS. PROVlDE FLOW DIAGRAMS AND LAYOUTS FOR EACH PROCESS. AN OPERATION AND MAINTENANCE PLAN FOR EACH AIR 

POLLUTION CONTROL EQUIPMENT IS REQUIRED. DESCRIBE HOW THE ANNUAL QUANTIM FIGURES WERE DEVELOPED. 

MATERIAL 

Sand 

Aggregate 

Other 

2. PROCESS NARRATIVE DESCRIPTION: 

3. PRO( 

Desu 

:ESS EQUIPMENT: 

ribe each piece of equipment utilizing the table below. List crushers, screens, weigh hoppers, conveyors, stackers, mixers. etc. Assign 

4. CONTROL DEVICES: 

Flow Rate (CFM) (%Weight) 

an equipment number in the table below and label the attached flow diagram accordingly. Assign a unique number to each piece of control 

equipment in Table 3 below. Be sure to use this number in Section 3 below when describing equipment. Attach additional pages if necessary 

'PROVIDE WRITTEN DOCUMENTATION OF CONTROL EFFICIENCY (e.g., manufacturer's data or actual test data) 

"AlTACH AN OPERATION AND MAINTENANCE PLAN FOR EACH PIECE OF CONTROL EQUIPMENT LISTED ABOVE. 

5. VEHICLE TRAFFIC ON UNPAVED ROADS: 

Equipment 

Number 

Exhaust To Make Model 8 Serial 

Number Air Control How Date of Manufacture . 

Maximum Design 

Throughput 

Capacity (tonshr) 
SECTION K. ASPHALT PRODUCTION 

This section is intended for all processes, equipment and related emission controls for asphalt plants. Provide flow diagrams 

and layouts for each process. An Operation and Maintenance Plan for each air pollution control device is required. Describe 

how the annual quantity figures were developed. If you ownloperate aggregate crushing equipment which operates on-site with 

this batch plant you must also fill out Section Y. 

1. MAXIMUM DESIGN PRODUCTION CAPACITY: TONS PER HOUR TONS PER YEAR 

2. ACTUAL PRODUCTION RATE: TONS PER HOUR 

3. DAILY HOURS OF OPERATION: 

4. TYPE OF PLANT: BATCH MIX CONTINUOUS MIX 

5. DRYER FUEL TYPE 

& HEAT RATING: 0 NATURAL GAS FUEL OIL (Specify grade): DIESEL ON SPEC. USED OIL 

C] OTHER FUEL (Specify): 

HEAT RATING (BTUIHR): 

6. ASPHALT HEATER: ELEC~IC 

(if applicable) - 

U FUEL FIRED: FUEL WE: HEAT RATING (BNMR): 

TEMPERATURE OF HEATED ASPHALT: OF 

7. AGGREGATE MIX % VIRGIN AGGREGATE 

RATIO BY WEIGHT: % RECYCLED AGGREGATE 

% PETROLEUM CONTAMINATED SOIL 

% RUBBER OR RUBBER-LIKE MATERIAL 

8. PERCENT VOCs BY VOLUME WHICH EVAPORATE 

AT 5000F FOR THE FOLLOWING ASPHALT TYPES: EMULSIFIED: % CUTBACK: % 

9. DATE PLANT WAS MANUFACTURED OR RECONSTRUCTED: 

10. DESCRIBE CONTROL DEVICES: 

TYPE OF DEVICE 

I I I 

*PROVIDE WRtlTEN DOCUMENTATION OF CONTROL EFFICIENCY (e.g., manufacturer's data or actual test data) 

"*AlTACH AN OPERATION AND MAINTENANCE PLAN FOR EACH PIECE OF CONTROL EQUIPMENT LISTED ABOVE. 

11. VEHICLE TRAFFIC ON UNPAVED ROADS: Indicate the number of miles traveled on-site annually on unpaved roads for each 

speed and vehicle dass specified below. 

VLI IIVU I 1 TL f HlCLE MILES TRAVELED ANNUALLY (VMT) 

1. 10 MPH 15 MPH I 20 MPH ( OTHER: I ' I 

\ICUIPI C NC)C 

I 

Vt 

Light Duty (e-g.. pickup trucks, cars) 

Medium Duty (e.g., front end loaders, fork lifts) 

Heavy Duty (e.g., haul trucks, cranes) , 
SECTION L. WOOD FURNITURE MANUFACTURING OR WOOD 

WORKING OPERATIONS 

This sedion is intended for all processes, equipment, and related emission controls assockted with the manufacture andlor applin of finishing 

material to furniture or lixtures made of wood or woodderived material. 

1. Woodworking Equipment List all woodworking equipment including, but not limited to, saws, routers, planers, sanders, edgers, etc. Particulate 

(dust) control devices such as cycbnes, baghouse, etc. should be listed in the exhaust column. Attach additional sheets if necessary. 

DESCRIBE EACH PIECE OF EQUIPMENT 

INCLUDE MAKE AND MODEL NUMBER 

I I I I I I II 

I I I I I I 11 

*PROVIDE WRllTEN DOCUMENTATION OF CONTROL EFFICIENCY (e.g., manufacturer's data or actual test data) 

2. How much sawdust is produced annually? cubic yards or tons (specify) 

3. SURFACE PREPARATION AND COATING: List all VOCcontaining materials applied. Provide Material Safety Data Sheets (MSDSs) for each 

TYPE OF MATERIAL MAX VOC AS APPLIED 

(Ibllb or gramlliter) 

Thinners 

Reducers 

other 2 

4. DESCRIBE THE MmOD OF APPLICATION : 

a. Air Atomization d. High Volume Low Pressure (HVLP) 

Operating pressure: (psi) e. Electrostatic 

b. Pressure Atomization (Airless) f. Other (specify): 

c. Combined Air and Airless 

5. VOC content (%) of cleaning solvent used for equipment deanup: 

6. Describe deanup of application equipment and handling and disposal ofVOC: 
SECTION M. ABRASIVE BLASTING 

THIS SECTION IS INTENDED FOR ALL PROCESSES, EQUIPMENT, AND RELATED EMISSION CONTROLS ASSOCIATED WITH ABRASIVE 

BLASTING OPERATIONS. 

TYPE OF BLASTING EQUIPMENT: STATIONARY PORTABLE 

I1 I I I I I I I 11 

NOTE: Examples of abrasive bhstmg methods may indude: wet abrasive blasting, hydroblasting, vacuum blasting. dry bbsting, unconfined Masting, other 

2. How is the abrasive Mast unit powered (elecbic, generator)? 

(If powered by an internal combustion engine, complete Sdon B of this application) 

TYPE OF BLAST MEDlA 

I I 

NOTE: '~ertified by Caliimia Air Resources Board (CARB) pursuant to Section 92530 of Subchapter 6. Ti 17, California Code of Regulations 

4. DESCRIBE SUBSTRATE BEING BLASTED (I.E., METAL, STONE, CONCRETE, ETC.): 

5. DESCRIBE SUBSTRATE BEING REMOVED (I.E.. NON-LEADED PAINT, LEADED PAINT, RUST, ETC.): 

6. IF LEADED PAINT WAS INDICATED IN ITEM 5, INDICATE THE PERCENT CONCENTRATION OF LEAD IN THE PAINT: % 

s 7. DESCRIBE CONTROL DEVICES: 

DEVICE' MAKE, MODEL, 8 SERIAL NUMBER FLOW RATE (CFM) (% BY WEIGHT)* 

P I I I II 

*ATACH AN OPERATION AND MAINTENANCE PLAN FOR EACH PIECE OF CONTROL EQUIPMENT LISTED ABOVE. 

"PROVIDE WRITEN DOCUMENTATION OF CONTROL EFFICIENCY (e.g., manufacturer's data or actual test data) 
SECTION XI. POINT SOURCE EMISSIONS OF HAZARDOUS AIR POLLUTANTS 

COMPLETION OF THlS SECTION IS MANDATORY FOR ALL SITES WHICH WILL HAVE AN ACTUAL EMISSION RATE OF MORE THAN 1000 POUNDS PER YEAR OF A SINGLE HAZARDOUS AIR 

POLLUTANT OR ONE (1) TON OR MORE OF ANY COMBINATION OF HAZARDOUS AIR POLLUTANTS. COMPLETION OF THlS SECTION IS ALSO MANDATORY FOR ALL SITES THAT HAVE 

ACTUAL EMISSIONS OF GREATER THAN 300 POUNDS OR MORE OF ANY SINGLE ULTRAHAZARDOUS AIR POLLUTANT OR ANY COMBINATION OF ULTRAHAZARDOUS AIR POLLUTANTS. 

CAS NUMBER 

General Instructions: 

(1) Identify each hazardous air pollutant (HAP) and ultrahazardous emission source and each HAP andlor ultrahazardous pollutant associated with that emission source for the entire 

plant site. Use as many lines as necessary for each HAPIultrahazardous source. 

(2) Refer to the list of HAPS and on the last page of the application andlor section 112(r)(3) for ULTRAHAZARDOUS pollutants. 

(3) Pounds per hour (Iblhr) is actual emission rate estimated or measured by applicant to be vented through stack. 

(4) Tons per year is actual annual emission rate estimated or measured by applicant to be vented through stack, which takes into account process operating schedule. 

(5) Supply additional information as follows on a separate sheet if appropriate: 

Stack exit configuration other than a roundvertical stack. Show length and width for a rectangular stack. Indicate if discharge is horizontal. 

Show layout of adjacent structures if structure is within 3 times stack height above the ground. 
SECTION X2. NON-POINT AREA EMISSION SOURCES FOR HAZARDOUS AIR POLLUTANTS 

COMPLETION OF THlS SECTION IS MANDATORY FOR ALL SITES WHICH WILL HAVE AN ACTUAL EMISSION RATE OF MORE THAN 1000 POUNDS PER YEAR OF A SINGLE HAZARDOUS AIR 

POLLUTANT OR ONE (1) TON OR MORE OF ANY COMBINATION OF HAZARDOUS AIR POLLUTANTS. COMPLETION OF THlS SECTION IS ALSO MANDATORY FOR ALL SITES THAT HAVE 

ACTUAL EMISSIONS OF GREATER THAN 300 POUNDS OR MORE OF ANY SINGLE ULTRAHAZARDOUS AIR POLLUTANT OR ANY COMBINATION OF ULTRAHAZARDOUS AIR POLLUTANTS. 

General Instructions: 

(1) Identify each hazardous air pollutant (HAP)l(ULTRAHAZARDOUS) emission source and each HAPIULTRAHAZARDOUS pollutant which is not collected by a capture system and 

is released to the atmosphere. Use as many lines as necessary for each HAPIULTRAHAZARDOUS pollutant source. 

(2) Refer to the list of HAPS1 pollutants on the last page of the application andlor section 112(r)(3) for ULTRAHAZARDOUS pollutants. 

(3) Pounds per hour (Iblhr) is actual emission rate estimated or measured by applicant to be released from the emission source. 

(4) Tons per year is actual annual emission rate estimated or measured by applicant to be released from the emission source. This value should take into account process operating schedules. 

(5) Release structure: If the non-point (area) emissions source is located inside a building, provide the dimensions of the building. Otherwise, indicate zero for building dimensions. 

(6) Distance to nearest property line is the closest distance from the release structure to the property line. 
SECTIONY. OTHERSOURCES 

This section is intended for all emissions related activities, equipment and applicable emission controls which are not covered in previous~sections. In 

response to item 2, provide a detailed step-by-step narrative, including how raw materials are handled, stored, processed, mixed, treated, and 

converted to finished products. Provide flow rates, temperatures, pressures, and other appropriate details concerning each process. Whenever 

available. provide manufacturer's data sheets and literature. Provide flow diagrams and layouts fgr each process. Describe in detail how waste 

materials are generated, handled, stored, processed, mked, treated and disposed of. An Operation and Maintenance Plan for each air pollution control 

equipment is required. Lit each material that is partially recovered, salvaged or merwise reclaimed. Provide estimates of the quantities of such 

material recoveries on an annual basis. Describe how the annual quantity figures were developed. USE A SEPARATE SHEET FOR EACH 

PROCESS OR ACTIVITY. 

1. NAME OF PROCESS, EQUIPMENT GROUPING OR ACTIVITY: 

2. NARRATNE DESCRIPTION: 

EQUIPMENT 

I I I I I I 4 

4. MATERlALS LIST: 

List all materials handled, stored, processed, used, mked, treated, or emitted. lndude chemicals, mixtures, resins, cleaning compounds, etc., in 

this list. If a material mains volatile organic compounds (VOC), provide the required details for that material. Identify each material in sufficient 

MATERLAL 

5. DESCRIBE CONTROL DEVICES: 

TYPE OF DEVlCE NAME / ID / CAPACITY 

I I 'I 

'PROVIDE WRI~EN DOCUMENTATION OF CONTROL EFFICIENCY (i.e.. manufacturer's data or source test data). Attach the manufacturer's 

specifications and drawings for each air pollution control d'evick listed. Be sure that the locations of all flow devices and 

pressureAemperature gauges are indicated. Attach an operation and maintenance plan for each piece of control equipment listed above. 

6. OPERATIONAL PARAMETERS: (such as ph of scrubber liquid, temperature of oxidizer, differential pressure for baghouse, etc.) 
SECTION Z. AIR POLLUTANT EMISSIONS 

Completion of this section is mandatory for all sites which will have total projected actual or total actual air pollutant emissions of 

300 pounds per year or more prior to any separate tail-pipe controls. 

PROVlDE A SUMMARY OF THE PROJECTED ACTUAL AIR EMISSIONS ON AN ANNUAL BASIS FOR THE ENTIRE SITE: 

IF A SEPARATE TAIL-PIPE CONTROL IS PROPOSED OR INSTALLED, IDENTIFY THAT COMROL AND PROVIDE 

DETAILS (PROVIDE A SEPARATE TABLE FOR EACH SEPARATE CONTROL) 

IDENTIFY CONTROL 

Attach detailed calculations to support the figures in the above summary tables. Do not include the emissions from 

motor vehicles. Include the emissions from stationary sources, portable sources, test areas, experimental facilities, 

evaporative losses, storage and handling losses, fuel loading and unloading losses, etc. Specifically identify the 

following in detailed calculations: 

1. EMISSIONS FROM EACH POINT SOURCE AND EACH STACK 4. OVERALL EFFICIENCIES 

2. CAPTURE EFFICIENCIES 5. FUGITIVE EMISSIONS 

3. CONTROL EFFICIENCIES 6. NON-POINT (AREA) EMISSIONS 

For particulate (dust) emissions, describe the types of particulates being emitted and the quantities of emissions for each 

type. Identify and quantify each and every type of VOC that is included in the above summary tables. Whenever a material is 

identified by a trade name, also provide its generic name and its chemical abstact service (CAS) number. 
FEDERAL HAZARDOUS AIR POLLUTANTS LIST 

(Federal Clean Air Act, Title I, Section 112@)) 

CAS No. 

75070 

60355 

75058 

98802 

53963 

107028 

79061 

79107 

107131 

107051 

92671 

62533 

90040 

1332214 

71432 

CAS No. 

Chemical name 

Acetaldehyde 

Acetamlde 

Acetonltrile 

Acetophenone 

2-Acetylaminofluorene 

Acrolein 

Acrylamide 

Acrylic acld 

Acrylonltrile 

Allyl chloride 

4Aminoblphenyl 

Anlllne 

o-Anisidine 

Asbestos 

Benzene (Including benzene from 

gasoline) 

Benzldlne 

Benzotrichloride 

Benzyl chloride 

Biphenyl 

Bis(2-ethy1hexyl)phthalate (DEHP) 

Bis(chloromethy1)ether 

Bromoform 

1,3-Butadlene 

Calcium cyanamide 

Captan 

Carbaryl 

Carbon disulfide 

Carbon tetrachloride 

Carbonyl sd~de 

Catechol 

Chloramben 

Chlordane 

Chlorlne 

Chloroacetic acid 

2-Chloroacetophenone 

Chlorobenzene 

Chlorobenzilate 

Chloroform 

Chloromethyl methyl ether 

Chloroprene 

CresolslCresylic acld (isomers and 

mixture) 

o-Cresol 

m-Cresol 

p-Cresol 

Cumene 

2,4-D, salts and esters 

DDE 

Dlazomethane 

Dibenzofurans 

1,2-Dlbromo-3thloropropane 

Dibutylphthalate 

1,4-Dichlorobenzene(p) 

3,3-Dichlorobenzidene 

Dichlomethyt ether 

(Bis(2-chlorcethy1)ether) 

Chemical name 

542756 

62737 

111422 

121 697 

64675 

119904 

601 17 

118937 

79447 

68122 

57147 

131113 

77781 

534521 

51285 

121142 

123Qil 

122667 

106898 

106887 

140885 

100414 

51796 

75003 

108934 

107062 

10721 1 

151 564 

7521 6 

96457 

75343 

50000 

76448 

118741 

87683 

77474 

67721 

822060 

68031 9 

110543 

302012 

7647010 

7864393 

12331 9 

78591 

58899 

108316 

67561 

72435 

74839 

74873 

71556 

78933 

60344 

74864 

108101 

624839 

GAS No. 

80626 

I ,3-Dlchloropropene 

Dichlolvos 

Dlethanolamine 

N,N-Dlethyl aniline (N,N-Dlmethylanlllne) 

Diethyl sulfate 

3,3-Dimethoxybenzidine 

Dimethyl aminoazobenzene 

3,3'-Dlmethyl benzldlne 

Dimethyl carbamoyl chloride 

Dimethyl formamlde 

1,l-Dlmethyl hydrazlne 

Dimethyl phthalate 

Dimethyl sulfate 

4,6-Dlnltm-o-cresol, and salts 

2,4-Dlnitmphenol 

2,4-Dinltrotoluene 

1,4-Dioxane (1,4-Diethyleneoxide) 

1,2-Dlphenylhydrazlne 

Epichlorohydrin (1-Chloro-2,3-epoxypmpan 

1,2-Epoxybutane 

Ethyl acrylate 

Ethyl benzene 

Ethyl earbamate (Urethane) 

Ethyl chloride (Chloroethene) 

Ethylene dlbromlde (Dlbromoethane) 

Ethylene dlchlorlde (1,2-Dlchloroethane) 

Ethylene glycol 

Ethylene imine (Aziridine) 

Ethylene oxlde 

Ethylene thiourea 

Ethylidene dlchloride (1 ,l -Dlchloroethane) 

Formaldehyde 

Heptachlor 

iiexachlombenzene 

HexacMombutadiene 

Hexachlorocydopentadiene 

Hexachlomethane 

Hewmethylene-1,6-diisocyanate 

Hexamethyiphosphoramide 

Hewne 

Hydratlne 

Hydrochloric acid 

Hydrogen fluorlde (Hydrofluoric acid) 

Hydroquinone 

lsophomne 

Undane (all Isomers) 

Malelc anhydride 

Methanol 

Methoxychlor 

Methyl bromide (Bromomethane) 

Methyl chloride {Chloromethane) 

Methyl chloroform (1 ,I ,l-Trlchloroethane) 

Methyl ethyl ketone (2-Butanone) 

Methyl hydrazine 

Methyl iodide (lodomethane) 

Methyl lsobutyl ketone (Hexone) 

Methyl isocyanate 

Chemical name 

Methyl methacMate 

1634044 

101 144 

75092 

101688 

101779 

81203 

98853 

02833 

100027 

79489 

684935 

62759 

59892 

56382 

82688 

87865 

108952 

106503 

e) 75445 

7803512 

77231 40 

85449 

1336363 

1120714 

57578 

123386 

114261 

78875 

75569 

75558 

91225 

10651 4 

100425 

96093 

1746016 

79345 

127184 

7550450 

108883 

95807 

584849 

95534 

8001352 

120821 

79005 

79016 

95954 

88062 

121448 

1582088 

540841 

708054 

593602 

75014 

75354 

1330207 

CAS No. 

95476 

108383 

Methyl tert butyl ether 

4,4-Methylene Ms(2-chloroanlline) 

Methvlene chloride (Dlchloromethane) 

Naphthalene 

Nitrobenzene 

4-Nitmbiphenyl 

4-Nitmphenol 

2-Nitropropane 

N-Nltroso-N-methylurea 

N-Nitrosodimethylamine 

N-Nitroswnorphdlne 

Parathlon 

Pentachloronitrobenzene (Qulntobenzene) 

Pentachlorophenol 

Phenol 

p-Phenylenedlamlne 

Phosgene 

Phosphlne 

Phosphorus 

Phthallc anhydride 

Polychlorinated biphenyls (Aroclon) 

1,3-Pmpane subne 

beta-Proplolactone 

Propionaldehyde 

Propoxur (Baygon) 

Propylene dichlorlde (1,2-Dichlompropane) 

Propylene oxide 

1,2-Propylenlmlne(2-Methyl azlridlne) 

Qulnollne 

Quinone 

Styrene 

Styrene oxide 

2,3,7,8-Tetrachlorodlbenzo-p-dloxin 

I ,1,2,2-Tetrachloroethane 

Tetrachloroethylene (Perchloroethylene) 

Tltanlum tdrachloride 

Toluene 

2,4-Toluene dlamlne 

2,4-Tduene diisocyanate 

~Toluldine 

Toxaphene (chlorinated camphene) 

1,2,4-Trichlorobenzene 

1 ,1,2-Trichlomethane 

Trichlorcethylene 

2,4,5-TrlcMomphenol 

2,4,6-Trlchlorophenol 

Tdethylamine 

Trifluralin 

2,2,4-Trknethylpentane 

Vinyl acetate 

Vinyl bromide 

Vinyl chlorlde 

Vinylldene chloride (i,l-Dlchloroethylene) 

Xylenes (isomers and mixture) 

Chemical name 

o-Xylenes 

m-Xylenes 

p-Xylenes 

Antimony Compounds 

Arsenic Compounds (Inorganic Including 

arsine) 

Beryllium Compounds 

Cadmlum Compounds 

Chromium Compounds 

Cobalt Compounds 

Coke Oven Emisslons 

Cyanlde Compounds[l] 

Glycol ethere[2] 

Lead Compounds 

Manganese Compounds 

Mercury Compounds 

Flne mlneral flben[3] 

Nickel Compounds 

Polycylic Organic Mattefl41 

Radionuclldes (Including radon)[5] 

Selenium Compounds 

For all listings above which contaln the word 

"compounds" and for glycol ethers, unless otherwise 

specified, these listlngs are deflned as including any 

unique chemlcal substance that contelns the named 

chemlcal as part of that chemlcalr Infrastructure. 

[ll X'CN where X = H' or any other group where a 

formal dissociation may occur. For example KCN or 

Ca(CN)z. 

[2] Includes mono- and dl- ethers of ethylene glycol, 

diethylene glycol and triethylene glycol 

R(OCH2CH3,-OR' where: 

R = alkyl C7 or less, or phenyl or alkyl substltuted phenyl 

R' = H, or alkyl C7 or less, or carboxyllc acid ester, 

sulfate, phosphate, nltrate, or sulfonate. 

131 Includes mlneral fiber emlsslons fmm fadlltles 

manufacturing or processing glass, rock or slag fibers or 

other mineral derived fibers of average diameter one (I) 

mlcmmeter or less. 

[4] Includes organ1 compounds wlth more than one (I) 

benzene ring and which have a boillng point greater than 

or equal to 100°C. 

[5] A type of atom which spontaneously undergoes 

radioactive deca