Title Page

  • Facility

  • Date

  • Prepared by

Air Emissions Equipment Questionnaire

    Equipment Identification
  • Process description

  • Equipment description

  • Equipment type

  • Tank contents

  • Tank shell capacity

  • Does tank have emissions control system?

  • Describe tank emissions control system

  • Fuel combusted

  • Identify 'Other' fuel combusted

  • Maximum firing rate (in million BTU/hr)

  • Is the equipment a generator?

  • What is the rated horsepower of the generator?

  • What is the combustion rate of the equipment?

  • Equipment manufacturer

  • Equipment model number

  • Are emissions stacked to exterior?

  • Does the equipment have an emissions control system?

  • Describe the emissions control system

  • Describe how emissions are generated

  • Equipment manufacturer

  • Equipment model number

  • Does the equipment have emissions control system?

  • Describe the emissions control system

  • Building location

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  • Team Lead signature

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