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OAQ PROCESS INFORMATION APPLICATION PI-01: Miscellaneous Process
State Form 52534 (R / 1-07)

INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT

IDEM ­ Office of Air Quality ­ Permits Branch 100 N. Senate Ave., MC 61-53 Indianapolis, IN 46204-2251 Telephone: (317) 233-0178, or Toll Free: 1-800-451-6027 x30178 (within Indiana) Facsimile Number: (317) 232-6749 www.idem.IN.gov/permits/air/index.html

NOTES:

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The purpose of this form is to obtain detailed information about the process. Complete one form for each process unit (or group of identical process units). This is a required form. Detailed instructions for this form are available online at

www.idem.IN.gov/permits/air/apps/instructions/pi01instructions.doc .
All information submitted to IDEM will be made available to the public unless it is submitted under a claim of confidentiality. Claims of confidentiality must be made at the time the information is submitted to IDEM, and must follow the requirements set out in 326 IAC 17.1-4-1. Failure to follow these requirements exactly will result in your information becoming a public record, available for anyone to inspect and photocopy.

PART A: Process Information Part A identifies the process. If there are multiple process units that are identical in nature, capacity, and use, you may use one form to summarize the data for the identical process units. 1. Unit ID: 3. How many (identical) process units are identified in this form? 4. Process Description: One 2. Installation Date:
(actual or anticipated)

More than one (specify number) :

5. Maximum Production Rate (specify units): 6. Fuel Used: Not Applicable Natural Gas Only Other ­ Attach completed PI-02F form.

7. Add-On Control Technology: Identify all control technologies used for this unit, and attach completed CE-01 (unless "none"). None Baghouse / Fabric Filter ­ Attach CE-02. Electrostatic Precipitator ­ Attach CE-04. Oxidizer / Incinerator ­ Attach CE-06. Condenser ­ Attach CE-08. Other (specify): Cyclone ­ Attach CE-03. Absorption / Wet Collector / Scrubber ­ Attach CE-05. Adsorber ­ Attach CE-07. Reduction ­ Attach CE-09. ­ Attach CE-10.

8. Control Techniques: Identify all control techniques used for this process.

9. Process Limitations / Additional Information: Identify any acceptable process limitations. Attach additional information if necessary.

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Indiana Department Of Environmental Management Office Of Air Quality State Form 52534 (R / 1-07)

Process Information ­ Miscellaneous Process FORM PI-01 Page 2 of 2

PART B: Emission Factors Part B identifies all emission factors used to calculate air emissions from this process. 10. Process Unit (& ID, if applicable) 11. Air Pollutant 12. Emission Factor
value units

13. Source of Emission Factor
(if not using AP-42, include calculations)

AP-42 AP-42 AP-42 AP-42 AP-42 AP-42

Other Other Other Other Other Other

PART C: Processed Materials Part C identifies the materials processed and the raw material usage. 14. Materials Processed 15. Raw Materials Usage Rate (lb/hr)

PART D: Federal Rule Applicability Part D identifies any federal rules that apply to the process. 16. Is a New Source Performance Standard (NSPS) applicable to this source?
Attach a completed FED-01 for each rule that applies.

Yes

No

40 CFR Part 60, Subpart 17. Is a National Emission Standard for Hazardous Air Pollutants (NESHAP) applicable to this source? Attach a completed FED-01 for each rule that applies. 40 CFR Part 61, Subpart 40 CFR Part 63, Subpart 18. Non-Applicability Determination: Provide an explanation if the process unit appears subject to a rule (based on the rule title or the source category), but the rule will not apply. Yes No