Free pi14ALTform.xls - Indiana


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Pages: 5
Date: February 23, 2006
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State: Indiana
Category: Government
Word Count: 767 Words, 5,091 Characters
Page Size: Letter (8 1/2" x 11")
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http://www.state.in.us/icpr/webfile/formsdiv/52555.pdf

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OAQ PROCESS INFORMATION APPLICATION PI-14ALT: Volatile Organic Liquid Compound Storage
State Form 52555 (2-06)

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

INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT

NOTES:

· The purpose of this form is to obtain detailed information about all tanks larger than 250 gallons that are used to store volatile organic liquid compounds. Duplicate this form as necessary. · · · This form simplifies the collection of tank data when there are several tanks at the facility. Use this version of PI-14 when the number of unique tanks at your facility exceed 5. Detailed instructions for this form are available online at www.IN.gov/idem/air/permits/apps/instructions/pi14instructions.html.

· 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 any one to inspect and photocopy.

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Page 1 of 5

Indiana Department Of Environmental Management Office Of Air Quality State Form 52555 (2-06)

Process Information ­ Volatile Organic Liquid Compound Storage Alternate FORM PI-14 Page 2 of 5

PART A: Tank Identification Part A identifies and describes the tank. Duplicate this form as necessary to include all applicable tanks. 1. Tank / 2. Installation / 3. Tank 4. Tank 5. Is the tank 6. Tank 7. Tank 8. Materials 9. True Vapor Unit ID: Modification Location: Type Above Orientation: Color: Stored: Pressure: Date: Ground? (include MSDS) (PVA)

10. Vapor Molecular Weight: (Mv)

11. Annual Throughput:

12. Venting Method:

13. Filling Method:

pounds per square inch (psi at 20°C )

gallons (b/lbmole ) gallons per year (gal/yr )

Indiana Department Of Environmental Management Office Of Air Quality State Form 52555 (2-06)

Process Information ­ Volatile Organic Liquid Compound Storage Alternate FORM PI-14 Page 3 of 5

PART B: Emission Controls and Limitations Part B identifies control technology, control techniques or other process limitations that impact air emissions. 1. Tank / 14. Control Technology: Identify all control 15. Control Techniques: Identify 16. Process Limitations / Additional Information: technologies used for this process, and attach all control techniques used for this Identify any acceptable process limitations. Attach Unit ID: completed CE-01 (unless "none"). process. additional information if necessary.

Indiana Department Of Environmental Management Office Of Air Quality State Form 52555 (2-06)

Process Information ­ Volatile Organic Liquid Compound Storage Alternate FORM PI-14 Page 4 of 5

PART C: Information Specific to Tank Type Part C identifies the physical properties of the tank. 1. Tank / 17. Tank 18. 19. Tank 20. Maximum 21. External Floating Roof: Complete only if applicable. Unit ID: Diameter: Tank Volume / Liquid Height: Height: Capacity: b. d. c. Tank e. (D) (Hs) (V) (Hlx) a. Average Liquid Density Roof Construction: Primary Secondary (WI): Type: Rim Seal: Rim Seal: feet (ft ) feet (ft ) gallons (gal ) feet (ft) pounds per gallon (lb/gal ) 22. Internal Floating Roof: Complete only if applicable. 23. Variable Vapor Space: Complete only if applicable.

a. Average b. Liquid Density Roof (WI): Type pounds per gallon (lb/gal )

e. Deck f. c. Self- d. Number of g. Is there a supported columns supporting Construction: Primary Secondary Rim fixed roof the fixed roof Rim Seal: Seal?

a. Volume of liquid pumped into the system (V1): gallons per year (gal/yr )

b. Volume expansion capacity of system (V2): gallons (gal )

c. Number of Transfers Into the System (N2) per year (/yr )

Indiana Department Of Environmental Management Office Of Air Quality State Form 52555 (2-06)

Process Information ­ Volatile Organic Liquid Compound Storage Alternate FORM PI-14 Page 5 of 5

Part D: Emission Factors Part D identifies all emission factors used to calculate air 1. Tank / 24. Air Pollutant: 25. Emission 26. Source of Unit ID: Factor Emission Factor HAP / VOC / OTHER Specify (if HAP or Other)
value units (if not using AP-42, include calculations)

PART E: Federal Rule Applicability Part E identifies any federal rules that apply to the process. Attach a completed FED-01 for each rule that applies. 27. Is a New Source Performance Standard 28. Is a National Emission Standard for Hazardous Air 29. Non-Applicability Determination: Provide an explanation if (NSPS) applicable to this source? Pollutants (NESHAP) applicable to this source? Attach a the process unit appears subject to a rule (based on the rule title or completed FED-01 for each rule that applies. the source category), but the rule will not apply.