**FORM A -1** 

**COMPA NY INFORMA**  **TION**

**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 Any town 4. State North Carolina 5. Zip Code 28590 6. County Any County

501-750 7. Size of Com pany

(approximate number of employees including all subsidiaries, branches, and related establishments owned):



### Page 1 of 1 **DRA FT** PVC Section 114 Survey Part 1 06/23/2009**FORM A -2** 

**FA CILITY INFORMA** 

**TION**

**II. Polyvinyl Chloride and Copolymers (PVC) Production Facility Information**

1. Facility

Name Example Resins Sometown Facility Address a. Street 123 Any Road W ay b. City Som etown c. State Louisiana d. Zip Code 70767 e. County Any Parish Facility Coordinates (Decimal Degrees to the 5th decimal place) f. Latitude 35.72154 g. Longitude -79.17732

2. Number of employees attached to the PVC production facility: 175

**III. Technical Contact**

1. Name John Doe 2. Technical Contact Title Environm ental Manager 3. Telephone 1-234-567-8910 4. Facsimile 1-234-567-8910 5. Em ail John.Doe@ExampleResins.com

**IV. Other**

1. Is the facility

a major source of HAP? Yes

2. If No, did the facility

take a limit of its potential HAP em issions to avoid classification as a major source?

3. If the facility

took a limit of its potential HAP

em issions to avoid classification as a major source, provide the date on which the limit was taken (MM/DD/YYYY).

4. Does the facility

manufacture other products in addition to PVC resin? Yes

5. If Yes, list the other products manufactured at the facility

. Ethylene Dichloride, Vinyl Chloride Monom er

6. Are there any

HAP em issions associated with any co-located facilities? Yes



### Page 1 of 1 **DRA FT** PVC Section 114 Survey Part 1 06/23/2009**FORM D-2**

**30 DA Y RESIN SA** **MP LING - STRIPPER OUTLET(S)** 

**Instructions**

2. Do not submit partial data for any day: each day

must include (at a minimum) concentration analysis results for all HAP in Table 10 to Subpart HHHHHHH of 40 CFR Part 63. 3. Complete columns 1 through 30. Enter the sample date, resin type, daily resin production, number of samples composited, number of resin strippers sampled, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each HAP listed. 4. Provide the total daily production from the resin strippers samples for the type of resin. If your final product is sold as a dried resin, report production on a dry basis. If your final product is sold as a wet resin report production on a wet basis. 4. Enter any

other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of 5. For compounds that were not detected, indicate as such in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 6. Enter any

notes or additional information relevant to the sampling or analysis. 7. Refer to Attachment B of Enclosure 1 "Summary of Test Procedures, Methods, and Reporting Requirements For Resin and Process W astewater Sampling and Analysis at Poly vinyl Chloride and Copolyme r (PVC) Facilities" for additional instructions and information.

**CA S No.**  **HA P** 

107211 Ethylene glycol 67561 Methanol 75070 Acetaldehyde 50000 Formaldehyde 51285 2,4-dinitrophenol 98862 Acetophenone 117817 Bis(2-ethylhexyl) phthalate (DEHP) 123319 Hydroquinone 108952 Phenol 79345 1,1,2,2-tetrachloroethane 106990 1,3-butadiene 540841 2,2,4-trimethylpentane 71432 Benzene 108907 Chlorobenzene 67663 Chloroform 126998 Chloroprene 98828 Cumene 75003 Ethyl chloride (Chloroethane) 100414 Ethylbenzene 107062 Ethylene dichloride (1,2-Dichloroethane) 75343 Ethylidene dichloride (1,1-Dichloroethane) 74873 Methyl chloride (Chloromethane) 75092 Methylene chloride 110543 n-Hexane 108883 Toluene 71556 Methyl chloroform (1,1,1-Trichloroethane) 79005 1,1,2-Trichloroethane **If Other, Please Provide a Description of the Resin Type -->**

**Number of Resin Strippers Sampled to Obtain Composite**

**Number of Samples Composited for A nalysis**  **Total Daily Resin Production Rate (lbs of resin per day from sampled resin strippers) Resin Type (suspension, dispersion, bulk, etc.) -->**  1. Complete the table below for each resin type produced by the facility

during the 30 days of sampling. If the facility produced more than one resin type during the 30 days, create multiple copies of this worksheet as necessary and complete one worksheet for each resin type. Do not enter data for multiple resin types on a single worksheet.108054 Vinyl acetate 593602 Vinyl bromide 75014 Vinyl chloride 75354 Vinylidene chloride (1,1-Dichloroethylene) 1330207 Xylenes (isomers and mixtures)2. Do not submit partial data for any day: each day

must include (at a minimum) concentration analysis results for all HAP in Table 10 to Subpart HHHHHHH of 40 CFR Part 63. 3. Complete columns 1 through 30. Enter the sample date, resin type, daily resin production, number of samples composited, number of resin strippers sampled, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each HAP listed. 4. Provide the total daily production from the resin strippers samples for the type of resin. If your final product is sold as a dried resin, report production on a dry basis. If your final product is sold as a wet resin report production on a wet basis. 4. Enter any

other HAP expected to be present (that are not listed in Table 10 to Subpart HHHHHHH of 40 CFRPart 63) in the table below. 5. For compounds that were not detected, indicate as such in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column. 6. Enter any

notes or additional information relevant to the sampling or analysis. 7. Refer to Attachment B of Enclosure 1 "Summary of Test Procedures, Methods, and Reporting Requirements For Resin and Process W astewater Sampling and Analysis at Poly vinyl Chloride and Copolyme r (PVC) Facilities" for additional instructions and information.

**An alysis M**  **ethod Concentration**  **(ppmw) Non-Detect?** 

SW -846-8015C 5 SW -846-8015C 10 SW -846-8315A 0.1 SW -846-8315A 0.5 SW -846-8270D 8 SW -846-8270D 1 SW -846-8270D 2 SW -846-8270D 1 SW -846-8270D 1 SW -846-8260B 0.5 SW -846-8260B 0.5 SW -846-8260B 6 SW -846-8260B 8 SW -846-8260B 0.1 SW -846-8260B 0.05 Non-detect SW -846-8260B 0.07 Non-detect SW -846-8260B 1 SW -846-8260B 0.05 Non-detect SW -846-8260B 1 SW -846-8260B 1 SW -846-8260B 1 SW -846-8260B 0.01 Non-detect SW -846-8260B 0.02 Non-detect SW -846-8260B 0.01 Non-detect SW -846-8260B 0.01 Non-detect SW -846-8260B 0.5 SW -846-8260B 0.5 **If Other, Please Provide a Description of the Resin Type -->**

**Lab Sample ID -->** IAS-001 **Lab Report ID -->** IA-001 **Number of Resin Strippers Sampled to Obtain Composite An**  **alysis Date -->** 02/17/14 **Number of Samples Composited for A nalysis**  **Total Daily Resin Production Rate (lbs of resin per day from sampled resin strippers)** 7000 **Resin Type (suspension, dispersion, bulk, etc.) -->** Suspension **Sample Date -->** 02/15/14 1. Complete the table below for each resin type produced by the facility

during the 30 days of sampling. If the facility produced more than one resin type during the 30 days, create multiple copies of this worksheet as necessary and complete one worksheet for each resin type. DoSW -846-8260B 0.01 Non-detect

SW -846-8260B 0.05 Non-detect EPA Method 107 2 SW -846-8260B 3 SW -846-8260B 12. Do not submit partial data for any day: each day

must include (at a minimum) concentration analysis results for all HAP in Table 10 to Subpart HHHHHHH of 40 CFR Part 63. 3. Complete columns 1 through 30. Enter the sample date, resin type, daily resin production, number of samples composited, number of resin strippers sampled, analysis date, lab report ID, and lab sample ID. Enter the concentration results for each HAP listed. 4. Provide the total daily production from the resin strippers samples for the type of resin. If your final product is sold as a dried resin, report production on a dry basis. If your final product is sold as a wet resin report production on a wet basis.

5. For compounds that were not detected, indicate as such in the "Non-Detect?" column and provide the method detection limit, in ppmw, in the "Concentration (ppmw)" column.

7. Refer to Attachment B of Enclosure 1 "Summary of Test Procedures, Methods, and Reporting Requirements For Resin and Process W astewater Sampling and Analysis at Poly vinyl Chloride and Copolyme r (PVC) Facilities" for additional instructions and information.

**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4 4

IAS-001 IAS-002 IA-001 IA-001 02/17/14 02/18/14 3 3 7000 7000 Suspension Suspension 02/15/14 02/16/14 **1 2**  1. Complete the table below for each resin type produced by the facility

during the 30 days of sampling. If the facility produced more than one resin type during the 30 days, create multiple copies of this worksheet as necessary and complete one worksheet for each resin type. Do0.01 Non-detect 0.05 Non-detect 2 3 17. Refer to Attachment B of Enclosure 1 "Summary of Test Procedures, Methods, and Reporting Requirements For Resin and Process W astewater Sampling and Analysis at Poly vinyl Chloride and Copolyme r (PVC) Facilities" for additional instructions and information.

**Concentration (ppmw)**  **Non-Detect? Note(s)**  **Concentration (ppmw)**  **Non-Detect?**

5 5 10 10 0.1 0.1 0.5 0.5 8 8 1 1 2 2 1 1 1 1 0.5 0.5 0.5 0.5 6 6 8 8 0.1 0.1 0.05 Non-detect 0.05 Non-detect 0.07 Non-detect 0.07 Non-detect 1 1 0.05 Non-detect 0.05 Non-detect 1 1 1 1 1 1 0.01 Non-detect 0.01 Non-detect 0.02 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 0.5 0.5 4

IAS-003 IAS-004 IA-001 IA-002 02/19/14 02/20/14 3 7000 7000 Suspension Suspension 02/17/14 02/18/14 **3** 1. Complete the table below for each resin type produced by the facility

during the 30 days of sampling. If the facility produced more than one resin type during the 30 days, create multiple copies of this worksheet as necessary and complete one worksheet for each resin type. Do0.01 Non-detect 0.01 Non-detect 0.05 Non-detect 0.05 Non-detect 2 2 3 3 1 1**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4 4

IAS-005 IAS-004 IA-002 IA-002 02/21/14 02/20/14 3 3 7000 7000 Suspension Suspension 02/18/14 02/19/14 **4 5** 0.01 Non-detect 0.05 Non-detect 2 3 1**Concentration**

**(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?** 

5 5 10 10 0.1 0.1 0.5 0.5 8 8 1 1 2 2 1 1 1 1 0.5 0.5 0.5 0.5 6 6 8 8 0.1 0.1 0.05 Non-detect 0.05 Non-detect 0.07 Non-detect 0.07 Non-detect 1 1 0.05 Non-detect 0.05 Non-detect 1 1 1 1 1 1 0.01 Non-detect 0.01 Non-detect 0.02 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 0.5 0.5 4

IAS-006 IAS-007 IA-002 IA-003 02/22/14 02/23/14 3 7000 7000 Suspension Suspension 02/20/14 02/21/14 **6**0.01 Non-detect 0.01 Non-detect 0.05 Non-detect 0.05 Non-detect 2 2 3 3 1 1**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4 4

IAS-007 IAS-008 IA-003 IA-003 02/23/14 02/24/14 3 3 7000 7000 Suspension Suspension 02/21/14 02/22/14 **7 8** 0.01 Non-detect 0.05 Non-detect 2 3 1**Concentration**

**(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?** 

5 5 10 10 0.1 0.1 0.5 0.5 8 8 1 1 2 2 1 1 1 1 0.5 0.5 0.5 0.5 6 6 8 8 0.1 0.1 0.05 Non-detect 0.05 Non-detect 0.07 Non-detect 0.07 Non-detect 1 1 0.05 Non-detect 0.05 Non-detect 1 1 1 1 1 1 0.01 Non-detect 0.01 Non-detect 0.02 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 0.5 0.5 4

IAS-009 IAS-010 IA-003 IA-004 02/25/14 02/26/14 3 7000 7000 Suspension Suspension 02/23/14 02/24/14 **9**0.01 Non-detect 0.01 Non-detect 0.05 Non-detect 0.05 Non-detect 2 2 3 3 1 1**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4 4

IAS-011 IAS-010 IA-004 IA-004 02/27/14 02/26/14 3 3 7000 7000 Suspension Suspension 02/24/14 02/25/14 **10 11** 0.01 Non-detect 0.05 Non-detect 2 3 1**Concentration**

**(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?** 

5 5 10 10 0.1 0.1 0.5 0.5 8 8 1 1 2 2 1 1 1 1 0.5 0.5 0.5 0.5 6 6 8 8 0.1 0.1 0.05 Non-detect 0.05 Non-detect 0.07 Non-detect 0.07 Non-detect 1 1 0.05 Non-detect 0.05 Non-detect 1 1 1 1 1 1 0.01 Non-detect 0.01 Non-detect 0.02 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 0.5 0.5 4

IAS-012 IAS-013 IA-004 IA-005 02/28/14 03/01/14 3 7000 7000 Suspension Suspension 02/26/14 02/27/14 **12**0.01 Non-detect 0.01 Non-detect 0.05 Non-detect 0.05 Non-detect 2 2 3 3 1 1**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4 4

IAS-013 IAS-014 IA-005 IA-005 03/01/14 03/02/14 3 3 7000 7000 Suspension Suspension 02/27/14 02/28/14 **13 14** 0.01 Non-detect 0.05 Non-detect 2 3 1**Concentration**

**(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?** 

5 5 10 10 0.1 0.1 0.5 0.5 8 8 1 1 2 2 1 1 1 1 0.5 0.5 0.5 0.5 6 6 8 8 0.1 0.1 0.05 Non-detect 0.05 Non-detect 0.07 Non-detect 0.07 Non-detect 1 1 0.05 Non-detect 0.05 Non-detect 1 1 1 1 1 1 0.01 Non-detect 0.01 Non-detect 0.02 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 0.5 0.5 4

IAS-015 IAS-016 IA-005 IA-006 03/03/14 03/04/14 3 7000 7000 Suspension Suspension 03/01/14 03/02/14 **15**0.01 Non-detect 0.01 Non-detect 0.05 Non-detect 0.05 Non-detect 2 2 3 3 1 1**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4 4

IAS-017 IAS-016 IA-006 IA-006 03/05/14 03/04/14 3 3 7000 7000 Suspension Suspension 03/02/14 03/03/14 **16 17** 0.01 Non-detect 0.05 Non-detect 2 3 1**Concentration**

**(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?** 

5 5 10 10 0.1 0.1 0.5 0.5 8 8 1 1 2 2 1 1 1 1 0.5 0.5 0.5 0.5 6 6 8 8 0.1 0.1 0.05 Non-detect 0.05 Non-detect 0.07 Non-detect 0.07 Non-detect 1 1 0.05 Non-detect 0.05 Non-detect 1 1 1 1 1 1 0.01 Non-detect 0.01 Non-detect 0.02 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 0.5 0.5 4

IAS-018 IAS-019 IA-006 IA-007 03/06/14 03/07/14 3 7000 7000 Suspension Suspension 03/04/14 03/05/14 **18**0.01 Non-detect 0.01 Non-detect 0.05 Non-detect 0.05 Non-detect 2 2 3 3 1 1**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4 4

IAS-019 IAS-020 IA-007 IA-007 03/07/14 03/08/14 3 3 7000 7000 Suspension Suspension 03/05/14 03/06/14 **19 20** 0.01 Non-detect 0.05 Non-detect 2 3 1**Concentration**

**(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?** 

5 5 10 10 0.1 0.1 0.5 0.5 8 8 1 1 2 2 1 1 1 1 0.5 0.5 0.5 0.5 6 6 8 8 0.1 0.1 0.05 Non-detect 0.05 Non-detect 0.07 Non-detect 0.07 Non-detect 1 1 0.05 Non-detect 0.05 Non-detect 1 1 1 1 1 1 0.01 Non-detect 0.01 Non-detect 0.02 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 0.5 0.5 4

IAS-021 IAS-022 IA-007 IA-008 03/09/14 03/10/14 3 7000 7000 Suspension Suspension 03/07/14 03/08/14 **21**0.01 Non-detect 0.01 Non-detect 0.05 Non-detect 0.05 Non-detect 2 2 3 3 1 1**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4 4

IAS-023 IAS-022 IA-008 IA-008 03/11/14 03/10/14 3 3 7000 7000 Suspension Suspension 03/08/14 03/09/14 **22 23** 0.01 Non-detect 0.05 Non-detect 2 3 1**Concentration**

**(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?** 

5 5 10 10 0.1 0.1 0.5 0.5 8 8 1 1 2 2 1 1 1 1 0.5 0.5 0.5 0.5 6 6 8 8 0.1 0.1 0.05 Non-detect 0.05 Non-detect 0.07 Non-detect 0.07 Non-detect 1 1 0.05 Non-detect 0.05 Non-detect 1 1 1 1 1 1 0.01 Non-detect 0.01 Non-detect 0.02 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 0.5 0.5 4

IAS-024 IAS-025 IA-008 IA-009 03/12/14 03/13/14 3 7000 7000 Suspension Suspension 03/10/14 03/11/14 **24**0.01 Non-detect 0.01 Non-detect 0.05 Non-detect 0.05 Non-detect 2 2 3 3 1 1**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4 4

IAS-025 IAS-026 IA-009 IA-009 03/13/14 03/14/14 3 3 7000 7000 Suspension Suspension 03/11/14 03/12/14 **25 26** 0.01 Non-detect 0.05 Non-detect 2 3 1**Concentration**

**(ppmw) Non-Detect?**  **Note(s) Concentration**  **(ppmw) Non-Detect?** 

5 5 10 10 0.1 0.1 0.5 0.5 8 8 1 1 2 2 1 1 1 1 0.5 0.5 0.5 0.5 6 6 8 8 0.1 0.1 0.05 Non-detect 0.05 Non-detect 0.07 Non-detect 0.07 Non-detect 1 1 0.05 Non-detect 0.05 Non-detect 1 1 1 1 1 1 0.01 Non-detect 0.01 Non-detect 0.02 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 0.5 0.5 4

IAS-027 IAS-028 IA-009 IA-010 03/15/14 03/16/14 3 7000 7000 Suspension Suspension 03/13/14 03/14/14 **27**0.01 Non-detect 0.01 Non-detect 0.05 Non-detect 0.05 Non-detect 2 2 3 3 1 1**Note(s) Concentration**  **(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4 4

IAS-029 IAS-028 IA-010 IA-010 03/17/14 03/16/14 3 3 7000 7000 Suspension Suspension 03/14/14 03/15/14 **28 29** 0.01 Non-detect 0.05 Non-detect 2 3 1**Concentration**

**(ppmw) Non-Detect?**  **Note(s)**

5 10 0.1 0.5 8 1 2 1 1 0.5 0.5 6 8 0.1 0.05 Non-detect 0.07 Non-detect 1 0.05 Non-detect 1 1 1 0.01 Non-detect 0.02 Non-detect 0.01 Non-detect 0.01 Non-detect 0.5 0.5 4

IAS-030 IA-010 03/18/14 3 7000 Suspension 03/16/14 **30**0.01 Non-detect 0.05 Non-detect 2 3 1**FORM H EQUIPMENT LEAKS** 

**Instructions**

1. Submit a copy of the leak detection and repair procedures for the PVC production facility and provide responses to the questions below. 2. Refer to "Enclosure 1" for additional instructions and details.

**Table 1. LDAR Program**

Yes

Yes No

No

$10,000

**Table 2. Equipment Counts**

**In Source Category**  **Subtotal of Equipment Associated**

**with Closed Vent System(s)** (Subset of count in source category)

50 13 5 0

20 0 4 0

100 25 10 0

1 0 10 0

75 15 5 0 100 10 10 0 10 2 80 21 In heavy liquid service In gas, vapor, and light liquid service Connectors

In heavy liquid service In gas, vapor, and light liquid service Agitators

In liquid service

In gas and vapor service Pressure Relief Devices

Open ended valves and lines Sampling connection systems Compressors Instrumentation systems Valves

In heavy liquid service

In light liquid service Pumps 40 CFR Part 61, Subpart V Other Federal LDAR Regulation Specify: State LDAR Regulation Specify: Provide the total cost to your facility for conducting the LDAR program at this process unit in 2013:

**Equipment**

In heavy liquid service In gas, vapor, and light liquid service Is there an equipment leak detection and repair (LDAR) program for all equipment at your facility included in the source category? If "No," how are equipment leaks detected and repaired?

If "Yes," is the equipment subject to the requirements of: 40 CFR Part 63, Subpart UU

Page 1 of 1 **DRAFT**PVC Section 114 Survey Part 1 06/23/2009**FORM K-1**

**TA NKS, VESSELS A** **ND PORTA BLE CONTA** **INERS USED FOR FEEDSTOCK STORA GE, PRODUCT STORA** **GE, VENT GA S STORA** **GE, HOLDING, A ND WA**  **STEWA TER** 

**Instructions** 1. Complete this form for 2013 only. 2. Provide copies of estimation worksheets and any other relevant documentation. 3. Complete this form for individual equipment, including equipment that is not assigned an equipment ID (e.g., portable containers). 4. Do not include gas holders on this form. Complete Form K-2 for gas holders. 4. Refer to "Enclosure 1" for additional instructions and details.

**Table 1.**

VCM Storage Bullets

25 50 65

**Table 2.**

**Vapor Pressure Total Emissions**  (in H2O) Minimum Maximum Average **(pounds)** Vinyl chloride 1391 99 100 99.1 0 (select HAP) (select HAP) (select HAP) (select HAP) (select HAP) (select HAP) (select HAP) (select HAP) (select HAP) (select HAP) VCM Storage Bullet - pressure vessel

Feedstock storage

If Other, please specify, being as descriptive as possible: Source Process Equipment ID (if applicable): Equipment Description: If not provided in the equipment description above, describe the tank, vessel, or container and indicate (if applicable) if the tank is a fixed, floating internal, or floating external roof.

Select the purpose of the equipment:

If Yes, How Are The Emissions Controlled? Displaced vapor during filling is routed to VCM recovery system.

**Concentration (ppmvd @ 3% O2)** How is the HAP Concentration Determined? Equipment is VCM storage - all material stored is HAP. Are HAP Emissions Controlled? Yes

**Individual HA P Present**  Source Equipment Type:

Number of turnovers: Equipment volume (m 3 ):

**Notes** Storage Temperature (°F)

Page 1 of 1 **DRAFT**PVC Section 114 Survey Part 2 06/23/2009**FORM L STARTUP, SHUTDOWN, AND MALFUNCTION** 

**Instructions**

1. Complete this form for 2013 only. 2. Submit with your response to this survey, copies of all records of emissions during periods of process startup, shutdown, and malfunctions for 2013 only. 3. Refer to "Enclosure 1" for additional instructions and details.

Yes

Startup Shutdown 32 24

For a malfunction:

Yes Yes

No No

40 CFR Part 61 Subpart F 40 CFR Part 61 Subpart F

Control equipment (thermal oxidizer and scrubber) is brought online before startup begins. Control equipment (thermal oxidizer and scrubber) is kept online until plant is completely shutdown.

Vinyl chloride (pounds) 0.02 0.02 Hydrochloric acid (pounds) 0.05 0.05 Methylene chloride (Dichloromethane) (pounds) 0.01 0.01 (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) (select HAP) (pounds) **Total Emissions During Startup, Shutdown, or Malfunction Event**  Were all of the emissions control devices operating for the entire duration of the startup, shutdown, or malfunction event? Startup, Shutdown or Malfunction?

If startup or shutdown, what was the duration (hours):

Provide a short description of the malfunction and the circumstances:

If No, which control devices were not operating (Control Equipment ID), for how long, and why:

Were permitted emissions limits exceeded?

Provide a description of the procedures used to alert the owner/operator that the malfunction occurred. If the malfunction resulted in a release of emissions, describe any indicators used to signal and/or measure the release. Is there a written startup, shutdown and/or malfunction plan for the process unit?
Provide a description of the systems and equipment in place that function to notify operators that a malfunction **is occurring**

. Pressure monitors on reactors with high, high-high alarms. All PRDs are "backed" by rupture disks - vapor space between is monitored for pressure and alarms when > atmospheric detected. Thermal oxidizer bypass has a flow detector which alarms to operator whenever flow is detected in the bypass.

Applicable standard or regulation:

Describe what actions, if any, were taken to minimize emissions to the atmosphere:

Page 1 of 1 **DRAFT**PVC Section 114 Survey Part 1 06/23/2009