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OAQ PROCESS INFORMATION APPLICATION PI-17: Blasting Operations
State Form 52558 (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:

· · ·

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

www.idem.IN.gov/permits/air/apps/instructions/pi17instructions.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: Blasting Process Information Part A identifies the blasting 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. Type of Unit (Check all that apply): One Mechanical Open 2. Installation Date:
(actual or anticipated)

More than one (specify number) : Pneumatic Totally Enclosed Other (specify):

5. Blasting Area:

6. 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. Cyclone ­ Attach CE-03. Other (specify): ­ Attach CE-10.

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

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

This space is intentionally left blank.

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Indiana Department Of Environmental Management Office Of Air Quality State Form 52558 (R / 1-07)

Process Information ­ Blasting FORM PI-17 Page 2 of 2

PART B: Blast Media Information Part B describes in detail the blast media. In the following table, list all corresponding information for the blast media. 9. Blast Media 10. Media Density
(lb/ft )
3

Pneumatic Blasting 11. Nozzle Internal Diameter
(inches) (psig)

Mechanical Blasting 12. Nozzle Pressure 13. Blast Rate
(lb/hr)

PART C: Emission Factors Part C 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

Other Other Other Other Other

PART D: Federal Rule Applicability Part D identifies any federal rules that apply to the process. 14. 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

(Specify):

15. 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
(Specify): (Specify):

Yes

No

16. 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.