Title Page
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Facility
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Date
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Prepared by
Air Emissions Equipment Questionnaire
- Equipment Identification
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Process description
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Equipment description
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Equipment type
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Tank contents
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Tank shell capacity
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Does tank have emissions control system?
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Describe tank emissions control system
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Fuel combusted
- Natural Gas
- Diesel
- Gasoline
- Propane
- Propylene
- Other
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Identify 'Other' fuel combusted
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Maximum firing rate (in million BTU/hr)
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Is the equipment a generator?
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What is the rated horsepower of the generator?
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What is the combustion rate of the equipment?
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Equipment manufacturer
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Equipment model number
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Are emissions stacked to exterior?
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Does the equipment have an emissions control system?
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Describe the emissions control system
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Describe how emissions are generated
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Equipment manufacturer
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Equipment model number
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Does the equipment have emissions control system?
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Describe the emissions control system
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Building location
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Team Lead signature