Enclosure 2a

Hours Per (e.g., week, month, year) Owner Name: _________________________________ Facility Name: __________________________________________ Process Unit ID: ________________________________________ PART IV. GENERAL FLEXIBLE POLYURETHANE FORAM PRODUCTION INFORMATION

Process unit ID Year unit originally installed Original captial cost of unit(s) Remaining useful life of unit Maximum design capacity (e.g., lbs/day) Please complete the following questions for each Flexible Polyurethane Foam Production process unit. You are not expected to generate new information for this survey. Only supply data that are readily available to you.

Typical unit operation 1. Please provide the following information for each Flexible Polyurethane Foam Production process unit:
a. Provide general information for each process unitEnclosure 2a Owner Name: _________________________________________ Facility Name: ______________________________ Process Unit ID: _____________________________

trains. b. Provide information on upgrades to each flexible polyurethane foam production process unit and associated air pollution control

Description of upgrades made to air pollution control devices associated with the Description of upgrades made to

the process unit Year(s) upgrade was made Process unit ID Year(s) upgrade was madeEnclosure 2a

Process Unit ID Total operating and maintenance costs 2008 2009 2010 c. Using the format on this page, include operating and maintenance cost information for each process unit. Definitions for different types of costs are taken from EPA Air Pollution Control Cost Manual at http://epa.gov/ttn/catc/products.html#cccinfo Owner Name: _____________________ Facility Name: _______________________________________ Process Unit ID: ____________________________________Enclosure 2a

2. Include yearly emissions information in the following table (include source of information).

Emission Point Process Unit ID HAP Pollutant Tons per year 2006 Tons per year 2007 Tons per year 2008 Tons per year 2009 Tons per year 2010 unit. Owner Name: __________________________________________ Facility Name: ____________________________ Process Unit ID: ___________________________

Include storage tanks or any auxiliary equipment on site, per unit ID and label each as type ofXylenes (Mixture of o, m, and p Isomers) Methyl Isobutyl Ketone 2,4-Toluene Diisocyanate Methylene Chloride Toluene Ethyl Benzene Styrene Diethanolamine Benzene Bis(2-Ethylhexyl)Phthalate Glycol Ethers Methanol 4,4'-Methylenediphenyl Diisocyanate p-Dioxane 1,2-Epoxybutane Cumene Vinyl Acetate Triethylamine Chloroform Acetonitrile Phenol Cyanide & Compounds HexaneFormaldehyde p-Xylene Acetaldehyde Acrylonitrile Ethylene GlycolEnclosure 2a

e. Submit a copy of the test reports. f. For pollutants measured with continuous emissions monitoring systems (CEMS), please submit a copy of the most recent Relative Accuracy Test Audit (RATA) for the last 30 day period including those days where manual testing was conducted. Owner Name: __________________________________________ Facility Name: ____________________________ Process Unit ID: ___________________________

3. Provide information on each emission test conducted at each specific process unit. Please copy this page and provide the following information for each test conducted at anytime in the last 5 years.
a. Identify the Process Unit ID: ___________________________________ b. Describe emission release point(s) that were tested: __________________________________________________ c. Date of test: ______________________________________ d. Specify the test method(s) used: ___________________________________________________________________

_________________________________________________________________________________________________Enclosure 2a
Process Unit ID: ___________________________

(e.g., ductwork, piping, foundation/supports, site preparation): __________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

__________________________________________________________________________________ d. Type of control device: _____________________________________________________________
e. Year installed: _____________________________________________________________________
f. Manufacturer: _____________________________________________________________________
g. Model No: ________________________________________________________________________
h. Original installed cost of the control device (capital cost of the control plus installation cost): a. Process Unit ID: _____________________________________________________________________
b. Does the process unit have a control device that reduces air pollution : _____ Yes _____ No Owner Name: ______________________________ Facility Name: ____________________________

4. For each flexible polyurethane foam production process unit, provide the following

i. List the elements that are included in the installed cost estimate in question IV.5.h c. Describe the release point(s) that are being controlled (e.g., equipment or unit operation where the release point is located): __________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________ information regarding air pollution control devices. Please copy this page and provide the following information for each unit:

__________________________________________________________________________________Operating cost information 2008 2009 2010 Control device ID: Total operating costs Electricity costs Wastwater treatment costs Fuel costs Water costs Waste disposal costs Process unit operating labor costs Monitoring, recordkeeping, and reporting
Other (please describe):

________________ Other (please describe):

________________ control device. j. Use the following table to provide the annual cost for operating and maintenance of eachEnclosure 2a

Process unit ID Measures or modification made to minimuze emissions Estimated emission reduction (lb/yr) Owner Name: _______________________________ Facility Name: ________________________ Process Unit ID: _______________________

5. For each process unit identify measures (e.g., annual tune-ups or burners, good comubtion practices, pollution prevention measures, or any other emission control approaches that reduce HAP emissions) or modifications made to the process unit to reduce emissions:Enclosure 2a

Emission reduction technique descriptions Pollutants affected Reduction efficiency

________________________ _______________________ ____________________

________________________ _______________________ ____________________

________________________ _______________________ ____________________

________________________ _______________________ ____________________

________________________ _______________________ ____________________

________________________ _______________________ ____________________

____________________________________________________________________________________ e. At what frequency is parameter monitor quality assurance/control (e.g., calibration) performed?

7. Please submit a copy of any cost information you have for the modification or emission reduction me (other than add-on control devices) listed above. ____________________________________________________________________________________

____________________________________________________________________________________ f. What is annual parameter monitoring cost?

____________________________________________________________________________________ Owner Name: __________________________________________ Facility Name: ____________________

_______________________________________________________________________________________ c. At what frequency is parameter monitoring done? ___________________________________________
d. Describe initial and ongoing parameter monitoring quality assurance/control:

____________________________________________________________________________________ reduce emissions, such as substitutions or product reformulation.
a. Complete fo each emission reduction technique utilized that is not a contro device.

b. What parameters are monitored to ensure operation of the emission reduction technique? 6. Other emission reduction techniques. Include any information about changes made in raw material u Process Unit ID: _______________________

ethod ________

________

________ _________

________

____

________ usage to _____________Enclosure 2a

Emission source(s) causing event Description of event Permit conditions exceeded

(Y/N) Date of Event Duration of each event (hours) Was the event covered by a contingency plan

for controlling

emissions? (Y/N) Estimates of emissions

during event (pounds) Basis for emissions estimate Any monitoring data or control system parameter monitoring collected during event? (Y/N) a. Please indicate number of times over the last 3 years that a shutdown and start-up event has occurred: ________
b. Complete the following table for each shutdown and start-up event occurring over the last three years. Owner Name: __________________________________________ Facility Name: ____________________________ Process Unit ID: ___________________________
8. Please provide the following information for each process unit during start-up and shutdown operation:__________________________________________________________________________________

__________________________________________________________________________________

of the flexible polyuretuane foam production process unit.
k. Are you required to submit periodic and immediate start-up and shutdown reports (either stand-alone or contrained within the periodic excess emissions report) to your permitting aurhority? ____________________________________________________________ _______________________________________________________________________________ i. What were the test conditions at the time of testing ? ________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________ j. Please submit a copy of any test data you have conducted during any start-up or shutdown _______________________________________________________________________________ Enclosure 2a

c. Please list the procedures that are followed or any activities that occur during start-up and shutdown at this process unit to minimize emissions (e.g., turn off unit, monitor pressure):

d. Is the emission profile of the flexible polyurethane foam production unit differenet during start-up and shutdown than during normal operating conditions? _____ Yes _____No

e. If the answer to Part IV 9.d. is yes, please explain, in detail, how and why emissions are different

__________________________________________________________________________________

__________________________________________________________________________________ f. Do you have test data that show emissions durint start-up or shutdown? __ Yes __ No
g. If yes, when and why did you conduct such testing? __________________________________ Owner Name: ___________________________ Facility Name: ____________________________ Process Unit ID: ___________________________

_______________________________________________________________________________

_______________________________________________________________________________ h. Please identify the emissions test method(s) used during start-up or shutdown.

_______________________________________________________________________________

_______________________________________________________________________________Enclosure 2a



### Longitude Latitude Height of release point (feet) Exit of velocity of vent release point (feet/second) Exit temperature of

vent/flue gas (F) Diameter of release point (feet) Owner Name: ___________________________ Facility Name: ____________________________ Process Unit ID: ___________________________

9. Stack Relase Parameters for Emission Points Please provide the following information for all emission release points for use in righ modeling 

### Location of release point (decimal degrees, minimum 5 digits beyond decimal) Emission

Point Process Unit ID

### Height of release point Release Height Longitude Latitude (ft) (ft) Location of release point (decimal degrees, minimum 5 digits beyond decimal) Emission

Point Process Unit ID

Longitude: Measure in decimal degrees of the angular distance on a meridan east or west of the prime meridian Negative (-) data point for N. American. Includle (-) sign. Ex. -123.234561. For point sources this represents the center of the source; for fugitive sources this is the southwest corner if the fugitive angle is zero, or the western Notes on Modeling Data:

Coordinates: For geographic coordinates, provide either latitude and longitude or UTM coordinates with zone. Latitude and longitude should be provided in decimal degrees, with 6 digits to right of decimal point, and an indication of the associated NAD (North American Datum, either NAD27 or NAD83. If left blank, NAD83 will be

Latitude: Measure in decimal degrees of the angular distance on a meridian north or south of the equator. Positive (+) data point for N. America. Include (+) sign. Ex. +78.123456. For point sources this represents the center of the source; for fugitive sources this is the southwest corner if thefugitive angle is zero, or the western most corner if the fugitive angle is greater than zero. Owner Name: ___________________________ Facility Name: ____________________________

10. Non point releases. Please include a listing of fugitive releases, including the following information per release point. Please include "no releases" if this question does not apply. Notes on modeling data definitions are below.most corner if the fugitive angle is greater than zero.
Angle of Rotation: Angle of rotation specifies the rotation of the source from north (in the clockwise direction). The location coordinates (UTM or latitude and longitude) should reflect the southwest corner of the area source. The x-dimension should reflect the length of the source in the easterly direction, or in the southeasterly direction if the source is rotated. The y-dimension should reflect the length in the northerly direction, or the northeasterly direction if the source is rotated.

### Angle of Rotation

x (length, ft) y (width, ft) (degrees) Dimension of SourceEnclosure 2a

_______________________________________________________________________________ n. What control devices are upstream of the scrubber? _________________________________
o. What control devices are downstream of the scrubber? ______________________________ l. Average outlet gas temperature for each scurbber: ________________________________ o F
m. Please describe the source and quality of the water fed to the scrubber (e.g., effluent water with a total solids content of _____): _________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________ k. Mist eliminator: _____ Yes _____ No _______________________________________________________________________________

_______________________________________________________________________________ c. Type of scrubber: _______________________________________________________________
d. Design pollutant-laden gas inlet flow rate: ______acfm
e. Design pollutant-laden gas inlet temperature: ________ o F
f. Scrubbing medium (describe): ____________________________________________________
g. Influent scrubbing medium pH: ___________________________________________________
h. Effluent scurbbing medium pH: ___________________________________________________
i. Scrubber water flow: _________________________________________________ gals/min (?)
j. Scrubber pressure drop (across each scrubber--provide units): _________________________ b. Please list the pollutants that the scrubber is intended to reduce or remove. Owner Name: ___________________________ Facility Name: ____________________________ Process Unit ID: ___________________________

11. Scrubber
a. Does the flexible polyurethane foam production process unit have a scurbber? _____ Yes _____ NoEnclosure 2a
Process Unit ID: ___________________________

Legal Owner Name: Facility Name: Process Unit ID: Process Unit ID for controlled processes: Stack or Vent Height (ft) Stack or Vent Diameter (ft) Manufacturer/Model Original Installation Date Gas flow rate to condenser (acfm) Inlet gas temerature ( o F)
Compound Name Volume Fraction Compound Name Volume Fraction Compound Name Volume Fraction Compound Name Volume Fraction

Describe any plans to replace or upgrade the adsorber Owner Name: ___________________________ Facility Name: ____________________________

12. Carbon Adsorber Please include a copy of this table for each carbon adsorber controlling emissions from flexible polyurethane foam production process unit.

CARBON ADSORBER

Organic compounds in inlet gas stream

Vendor guarantee on adsorber efficient (attach copy) Describe preventative maintenance procedures and frequency

List all monitoring methods used, including parameters and frequencyXylenes (Mixture of o, m, and p Isomers) Methyl Isobutyl Ketone 2,4-Toluene Diisocyanate Methylene Chloride Toluene Ethyl Benzene Styrene Diethanolamine Benzene Bis(2-Ethylhexyl)Phthalate Glycol Ethers Methanol 4,4'-Methylenediphenyl Diisocyanate p-Dioxane 1,2-Epoxybutane Cumene Vinyl Acetate Triethylamine Chloroform Acetonitrile Phenol Cyanide & Compounds Hexane Formaldehyde p-Xylene Acetaldehyde Acrylonitrile Ethylene Glycol