CALIFORNIA AIR RESOURCES BOARD SIP COMPLETENESS CHECKLIST TO BE COMPLETED
BY DISTRICT AND RETURNED TO ARB All rules submitted
to the EPA as State Implementation Plan (SIP) revisions must be supported
by certain information and documentation for the rule packages
to be deemed complete for review by the EPA. Rules will not be evaluated for approvability

by the EPA unless the submittal packages are complete.
To assist you in determining that all necessary materials are included
in rule packages sent to the ARB for submittal
to the EPA, please fill out the following form and include it with the rule package you send us. See the ARB’s Guidelines
on the Imolementation

of the EPA’s Draft SIP Comoleteness Policy, October 1989, for
a more detailed explanation than is provided here. DISTRICT_______________
RULE NO. Z2 DATE A9J.E11OR AMENDED__________ RULE TITLE ,4/44,k’t ,‘1i,— * ADMINISTRATIVE

MATERIALS (4

(
)

( )

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

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

a complete copy of the rule indicating

in udrlin-c..Z7?flC and strikeout format all language which has been added, deleted, or changed since the rule was last adopted or amended. (4

( )

( )

COMPLETE COPY OF 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 a part of a previous SIP submittal. (‘4

( )

( )

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 copy 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. * Attach

a separate sheet for each rule explaining why any materials are not included and when they will be submitted
to the ARB.-2- ( )

RESOLUTION/MINUTE ORDER: Provide the Board Clerk certified resolution
or minute order. This document must include certification that the hearing was held in accordance with_‘ the information

in the public 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). (v(

( )

( )

PUBLIC COMMENTS AND RESPONSES: Submit copies of written public • comments made during the notice period and at the public hearing. Also submit any written responses prepared by the District 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 made during the notice period or at the hearing, please indicate N/A to the left. TECHNICAL MATERIALS (.—(

( )

( )

RULE EVALUATION FORM: See instructions for completing the RuleV Evaluation Form and the accompanying sample form. (
)

( ) (,

NON-EPA TEST METHOD: Include all test methods referenced

in the rule, but not previously submitted
to EPA. Provide an explanation
of the purpose and principle for the test method and include the following supporting technical data: describe the test details (number of tests to be carried out, their precision, accuracy, and repeatability);

on a technical_ basis, compare the method with the appropriate EPA/ASTM method; explain the technical differences
of the two methods and how they affect monitoring
of the parameters of interest; explain how the test method affects the implementation
and enforcement
of the applicable rule; explain the advantages and any potential shortcomings
of the test method. ( )

( ) MODELING SUPPORT: Provide if appropriate;

in general modeling support is not required for VOC and NOx rules to determine their impacts on ozone levels. Modeling
is required where

a rule is a relaxation that affects large sources (.?l00 TPY) in an attainment area for S02, directly emitted PM1O, CO, or NOx (for N02 purposes).

In cases where EPA is concerned with the impact on air quality of rule revisions which relax limits orcauseashiftinemissionspatternsinanonattainmentarea, a reference back to the approved SIP will be sufficient provided the approved SIP used the current EPA modelingV guidelines.

If current EPA modeling guidelines were not used, then new modeling may be required. C )
C ) (r

ECONOMIC AND TECHNICAL JUSTIFICATION FOR DEVIATIONS FROM EPA POLICIES: -As appropriate, describe special circumstances, i.e., where alternative RACT is used, extended compliance dates are included, etc.
A completed SIP AoprovabilityV Checklist-Enforceability
will fulfill this requirement. (y’(

( )

( )

ADDITIONAL MATERIALS: Provide any other supporting informationV concerning development
of the rule or rule changes, such asstaffreports. RES Revised 3/93

# o 0 CALIFORNIA AIR RESOURCES BOARD 

## • APCD I AQMD RULE EVALUATION FORM

- 

### Page 1 

### I. GENERALINFORMATION District: /4’4 Rule No.: _____________



### Date Aqpted orAmended: -3- 

## iS RuleTitle: Z2& ,c’i,i— 

### a’c’- (A 4 ) Date Submitted to ARB: ./5/’9I— Ifan Amended Rule, Date LastAmended (orAdopted): 

## -/ Is the Rule Intended to be Sentto the U.S. EPA as a SIP Revision? (‘—rYes 

## ( ) No IfNO, do 

### notcomplete remainder

### of

### form. 

### District Contact: 

## ) y,t..-€rCO 

### Phone No.: (ii) 

### Narrative Summary ofNew Rule orRule Changes: 

## (X) New Rule 

## ( ) Amended Rule 1ty77t
Pollutant(s) Regulated bythe Rule (Circle): ROG NOx S02 PM1O CO TAC (name): /r’fz1s 

### II. EFFECT ON EMISSIONS

Complete this sectionONLYforrules that, when implemented, will resultin quantifiable changes in emissions. Attachrelorence(s) foremissionfactor(s) and other

information. Attachcalculation sheetshowing howthe emissions informationprovidedbelowwas determined. 

### Net Effect on Emissions: 

## ( ) Increase ( ) Decrease 

## (4 N/A Emission Reduction Commitment in SIPfor this Source Category: ___________________

tons/year SCCICES Code Affected:

• 

### Ifa SCC Code is Assigneà, SIC Code Affected: ________________

(NOTE: Ifmorethanone SOC orCES code ormore than one combination ofSCC and SIC codes are needed, fill outthe following information on a separate form for each combinationofcodes.) 

### Inventory YearUsedto Calculate Changes in Emissions: 

### ,v/,z Area Affected: ________________________________



### FutureYearControl Profile Estimate (Provide informationon as many years as possible.): 

### Tons/year Baseline Reductions Tons/year Control Percent Control Control 

### Year (Increases) Subjectto Rule Level Control Level Factor _____ ______



### / ______ ______

* 

### 100 = ______



### % 

### 1.00— ______

* 

### 100= ____



### % 

### 1.00— ____ ____ ______



### I ______ _____

* 

### 100 = ______



## % 1.00— _____ ___ ____



### / ____ ____

* 

### 100= ____



### % 1.00— ____

### CALIFORNIA

### AIR RESOURCES BOARD 

## APCD / AQMD RULE EVALUATION FORM

- 

### Page 2 lii. SOURCES

## I ATTAINMENT STATUS

District is: 

# (4’ Attainment 

## ( ) Nonattainment 

## ( ) Split ApproximateTotal Number ofSmall (<100 TPY) Sources Controlled by Rule: 4rPercentIn Nonattainment Area: C % Number ofLarge 

## ( 100 TPY) Sources Controlled: _____________



### Percent in Nonattainment Area: ,L’f- 

### % Name(s) and Location(s) (city and county) of Large 

## ( 100 TPY) Sources Controlled by Rule (Attach additional sheets as necessary.): 

### Z j/éi 

### J;: 

### # Z/j’71-’



### IV. EMISSiON REDUCTION TECHNOLOGY

Does the Rule Include Emission Limits that are Continuous? 

## ( ) Yes ()No IfYes, Those Limits are In Section (s) ___________________________

ofthe rule. Other Methods in the RuleforAchieving Emission Reductions are: 4Z/i’9


### V. 

### OTHER REQUIREMENTS The Rule Contains: Emission Limits in Section(s): __________________

Work Practice Standards in Section(s): _______________________



### Recordkeeping Requirements In Section(s): _____________



### Reporting Requirements in Section(s): _________________

Attach a Completed EPASIP Approvability Checklist

- 

### Enforceability or Provide an EquivalentCompliancelEnforcement



### StrategyStatement. VI. IMPACTON AIR QUALITY PLAN 

# M No Impact 

## ( ) Impacts RFP 

## ( ) Impacts attainment Discussion: 

## ,4 ,i46AW7 

# I_):‘ 

### JPJ’OVThTTf qlJ-ljflCJJTv SIP 

### Package No. _______________-



### Date flec. Late 

### Due

- 

### Cubect Hatler:

- 

# M4’c ‘E-

# t’’- /

- 

### 7’ivirn2iV 

# /14 lspçclflu 

### Provlslon and DecrIp1lon porceabflv1malyaJ8 sjaJn AflIta) CPA Irtineq 

### I 

## I}Jnt rezqxniseaj

- 

### 1. AWl

### Icabiii

### ty 

### 7jE7-4/177D4/ a. Ial 

### sourcee are being Clarity 

### regulated? b. Miat are criterie 

### for Clarity exeqtlon7 

### c. Is 

### calculation brantple calculation or procedure 

### for 

### en*ptIon clear explanation of 

### clearly upeclfled7 

### how to determine exemption fine by line, etc.) d. Is emission 

### inventory Inventory Inclutling 

### hated in the ‘‘ 

### allowable 

### anclactirni besckgroun document eiilsslons In source of the.attainment category should be 

### denicwwtration? 

### Included, for enforce— nit pnrtoses and 

### Independent of any Chnn 

### Air Act 

### recpiire,nents, in the attainment demon 

### stratton If 

### such data is necessary 

### for deter,idn. 

### Ing baselines in reçjula Lions.

### nrorcethIqv AaJj


### e. I. 

### the 

### averaging the(s) used in the ride differ— eviL 1rpm that 

### of the aeblent 

### atmidard?



### f. Nhat are the nnlts of oa.pllance (The Voc 

### per gaflon of 

### solids applied less water,. grains per 

### atandard cubh, foot?) g. is bi*bllng or everag 

### Ing of 

### any type alIoied? If yes, state criteria. 

### Could a U.S. £PA 

### Inspector lndepenently 

### determine If the criteria kere Met? Does PA have to approve each case? State_SubmHtal



## iV/q The 

### isveraqlij t1n. lii the rule must be 

### consistent with 

### protecting the athlent 

### standard in stion. Pormally, it 

### should be 

### eqdal to or shorter than the 

### h*e 

### eusociated with the 

### standard. Longer term averaging Is available oniy• in Ilmiteil Instances provided that the athient 

### standard Is not compromised. Clearly stated In the 

### rule
Eiipllcft 

### description of how averaging, butblIn, or equivalency is to he determtrWd W’c cauIvalenc,’ vmjst be On 

### a ‘solid. 

### applied” basis. Miy method anist be 

### in4eptnOnt)y re producible. Provision must be explicit as to 

### whether rP) case-by— 

### case approval recjiilred. If 

### provision Intended to be 

### “generic’ then CP buthle poHcy 1RIst be met. Au 

### rovab(lILjjiroVabIe or Pot

I. 

# C

### h U there Is a redeslcjna— tion, will tide change the emIssIon limita— tionWI 1! yes, which ones ani how?

2. Cciiplince Dates ft. 

### What is compliance date? b. Iat is the attainment date?

3. SpecifIcity of Conduct a. 1haL teat method Is required? b. nat 

### Is the averagtnq tlee In compliance test rnithod? C. Is 

### a Cçfnpllance calct1atIon or evahiation recjulred? (I.e., dilly weighted average for VOCI. 

### d. If yea to list the formula, period of

- 

### u(il1ftnce• 

### aiid/or 

### FJ.k 1 uircinent Regulation may not automatically allow for self imilifScatinn upon rerlesignatlon ol area to attalnuent. lieu maintenance denxnstra tion rep.ilred In order to drop reciulatton.
Hunt not be later than approved or about to be approved date of attainment unless emission rediictions not necessary for atLaS ii 

### mnent. In 

### some cases It will be neceory for the retjulatlon to 

### pecI[y dates In compli ance schedules that are reguired to be subnltted by source to state. Test method must be explicitly stated. MPeraglng tline all) 

### applical Lop of limit must be el(phIclt.

rormula musi. I).? 

### explicit. 

# 0. En!orcethllltv Iinalvslo !ta1e Submittal 

# c. jpprovabiHty (Appovab)e or .1 ‘I



## “/4-



# v4

### rorabi) liv iina)yula. 4. IncorporatIon by 

### fleference a. lihat 

### Is atite authority 

### for rulemakli7 b. Are 

### methods/rules lncórporaied by reference In the right manner. 5, 

## Recordkeeplng a. Ithat recorclr. are 

### re2lted to determine ccirplfance7 b. In iat form or un1t 

### (Tha/ga), gr/dsc, etc.) u*ist 

### the 

### records be kept? On ihat time 

### basis (hwtanianeous1P, hourly, daily)?

c rxeo 

### the rule affirm atively reoiilre the records be 

### kept? Records to be 

### kept must be 

### consistent with units of compliunce In the per— lormance rciiilremenis, Inc)udji..tbe app)!— 

### cable 

### time period.
There 

### must be a clear ueparatel9 enforceable 

### provision that requires 

### records to he kept. sIhte ubinIIta) 

### £1’1 fteaolremen) A,)proviproyabIe9LL! 

## (e 

# 11e9

/V/,9-

Al/A Ii, 

### Clarity



# 0

### JorcbflItY i4vais

- 

### State b,nItt&

- 

### EPA flççiIreinent ApprovkilHtYtPPrOvtb)e 

### oi 1k) ) xeinptIona a. iJat any exemptions )J//i 

### Ikuit be clearly deilned 

### allowed. and ditIngutshable from what constitutes a b. In the criteria for violation: 

### applIcatIon clear? 7. 

### PaLfunction Provlijloris 

## J%J Mule mUst specify what exceedancea may be excused, how 

### the standard Is to be applied, and 4o makes the determination.