Fillable FORM 400E13a: Emergency Internal Combustion Engine Section A: (SCAQMD)

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FORM 400E13a: Emergency Internal Combustion Engine Section A: (SCAQMD)

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© South Coast Air Quality Management District, Form 400-E-13a (2014.07) Page 1 of 5
South Coast Air Quality Management District
FORM 400–E–13a
Emergency Internal Combustion Engine
This form must be accompanied by a completed Application for a Permit to Construct/Operate -Form 400A
Permit to be issued to (Business name of operator to appear on permit):
Street location where the equipment will be operated ( for equipment which will be moved to various location in SCAQMD's jurisdiction,
please list the initial location site):
Section A: Equipment Information
Internal Combustion
Engine
Manufacturer:
Model No.:
Serial No.:
EPA Family No.:
Date of Manufacture:
__________________(mm/dd/yyyy)
For an ICE manufactured
after 7/18/94, please provide
manufacturer’s specification.
Manufacturer Maximum Rating:
___________ BHP @ ___________ RPM
Date of Installation:
__________________(mm/dd/yyyy)
ICE Emergency
Function
Electrical Generator
Fire Pump
Flood Control
Pump Driver
Compressor
Water Pump Other
Type
Fixed site Portable
How Is This Type of Equipment
Used? (Check All That Apply)
Within Facility
Off- Site
Rental
Fuel
Diesel Oil
LPG
Natural Gas
Other:
Cycle Type
Two Cycle Four Cycle
Combustion Type
Lean Burn Rich Burn
Engine Size ______________________liters
No. of Cylinders
Four Six Eight Ten Twelve Sixteen Other ______________________
Aspiration Type
Naturally Aspirated Turbocharged
Turbocharged/Aftercooled
Air Pollution
Control
Check all that apply:
Selective Catalytic Reduction (SCR)*
Selective Non-catalytic Reduction (SNCR)*
Non-selective Catalytic Reduction (NSCR)
Diesel Particulate Filter (DPF)
Manufacturer: ____________________________
Catalytic Converter
Air/Fuel Ratio Controller
No Controls
Other (specify)_____________________________________________
Model No. _____________________________________________
If already permitted, indicate Permit No. __________________ Device No. ____________________ (RECLAIM and/or Title V Permits)
* Separate application is required.
Additional Information for Diesel Particulate Filter (DPF)
Filter Efficiency: ____________ %
CARB Certified?
Yes No
If Yes, provide a copy of the CARB Verification Certificate, or provide the Verification No. _______________________
Installing a backpressure relief system?
Yes
No
Mail Application To:
SCAQMD
P.O. Box 4944
Diamond Bar, CA 91765
Tel: (909) 396-3385
www.aqmd.gov
© South Coast Air Quality Management District, Form 400-E-13a (2014.07) Page 2 of 5
Section B: Operation Information
Fuel Consumption Maximum Load: ____________ gal/hr OR __________cu ft/hr Average Load: ___________ gal/hr OR ________ cu ft/hr
Operating
Schedule
Normal: ______________ hours/day ______________ days/week ______________ weeks/year
Maximum: ______________ hours/day ______________ days/week ______________ weeks/year
Testing &
Maintenance: _________ __ hours/year
Section C: Engine Data
Is the engine EPA certified?
Yes Provide a copy of EPA’s Engine Certification.
Choose one:
Tier I Tier II Tier III Tier IV (Interim) Tier IV
No Provide a copy of the Manufacturer’s Emissions Data.
If manufacturer’s emissions data is not available, provide available emissions data below. Provide supporting documents.
Carbon Monoxide
(grams/bhp-hr)
Hydrocarbons
(grams/bhp-hr)
Oxides of Nitrogen
(grams/bhp-hr)
Hydrocarbons + Oxides of Nitrogen
(grams/bhp-hr)
Particulate Matter
(grams/bhp-hr)
Section D: Sensitive Receptors
A.
Distance from engine stack to the fenceline of the nearest sensitive receptor (ie., long-term health care facilities, rehabilitation centers,
convalescent centers, retirement homes, residences, schools (K-12), playgrounds, child care centers, and athletic facilities):
Type of Facility Name of Facility Distance (feet)
Section E: Applicant Certification Statement
I hereby certify that all information contained herein and submitted with this application is true and correct.
SIGNATURE OF PREPARER:
TITLE OF PREPARER:
CONTACT PERSON FOR INFORMATION ON THIS EQUIPMENT :
CONTACT PERSON'S TELEPHONE NUMBER
DATE SIGNED:
THIS IS A PUBLIC DOCUMENT
Pursuant to the California Public Records Act, your permit application and any supplemental documentation are public records and may be disclosed to a third party. If
you wish to claim certain limited information as exempt from disclosure because it qualifies as a trade secret, as defined in the District’s Guidelines for Implementing the
California Public Records Act, you must make such claim at the time of submittal to the District.
Check here if you claim that this form or its attachments contain confidential trade secret information.
Clear
Print
© South Coast Air Quality Management District, Form 400-E-13a (2014.07) Page 3 of 5
RULE EVALUATION
The internal combustion engine may be subject to the following rules:
SCAQMD Rules and Regulations
Rule 212 Standards for Approving Permits and Issuing Public Notice
Rule 401 Visible Emissions
Rule 402 Nuisance
Rule 404 Particulate Matter – Concentration
Rule 431.1 Sulfur Content of Gaseous Fuels
Rule 431.2 Sulfur Content of Liquid Fuels
Liquid fuels – sulfur content of 500 ppm by weight or less.
Diesel fuel – sulfur content of 0.015% by weight or less.
Reg XIII New Source Review
Rule 1401 New Source Review of Toxic Air Contaminants
Rule 1401.1 Requirements for New and Relocated Facilities Near Schools
Rule 1470 Requirements for Stationary Diesel-Fueled Internal Combustion and Other
Compression Ignition Engines
Rule 1472 Requirements for Facilities with Multiple Stationary Emergency Standby Diesel-
Fueled Internal Combustion Engines
Rule 1714 Prevention of Significant Deterioration for Greenhouse Gases
Code of Federal Regulations
40 CFR 60 Subpart III Standards of Performance for Stationary Compression Ignition Internal
Combustion Engines
40 CFR 60 Subpart JJJJ Standards of Performance for New Stationary Sources
40 CFR 63 Subpart ZZZZ National Emission Standards for Hazardous Air Pollutants for Stationary
Reciprocating Internal Combustion Engines (RICE)
© South Coast Air Quality Management District, Form 400-E-13a (2014.07) Page 4 of 5
SAMPLE CONDITIONS FOR EMERGENCY INTERNAL COMBUSTION ENGINES (GENERATORS)
1. OPERATION OF THIS EQUIPMENT SHALL BE CONDUCTED IN COMPLIANCE WITH ALL DATA AND
SPECIFICATIONS SUBMITTED WITH THE APPLICATION UNDER WHICH THIS PERMIT IS ISSUED.
2. THIS EQUIPMENT SHALL BE PROPERLY MAINTAINED AND KEPT IN GOOD OPERATING
CONDITIONS AT ALL TIMES.
3. THE OPERATOR SHALL COMPLY WITH ALL APPLICABLE REQUIREMENTS OF SCAQMD RULE
431.2, SCAQMD RULE 1470, 40CFR PART 60 SUBPART IIII AND 40 CFR PART 63 SUBPART ZZZZ, OR
THE OPERATOR SHALL NOT USE ANY DIESEL FUEL UNLESS THE FUEL IS LOW SULFUR DIESEL
FOR WHICH THE SULFUR CONTENT SHALL NOT EXCEED 15 PPM BY WEIGHT AS SUPPLIED BY
THE SUPPLIER.
4. THIS ENGINE SHALL NOT OPERATE MORE THAN 200 HOURS IN ANY ONE YEAR, WHICH
INCLUDES NO MORE THAN 50 HOURS IN ANY ONE YEAR FOR MAINTENANCE AND TESTING.
5. THE OPERATION OF ENGINE BEYOND 50 HOURS PER YEAR ALLOTTED FOR ENGINE
MAINTENANCE AND TESTING SHALL BE ALLOWED ONLY IN THE EVENT OF A LOSS OF GRID
POWER OR UP TO 30 MINUTES PRIOR TO A ROTATING OUTAGE, PROVIDED THAT THE
ELECTRICAL GRID OPERATOR OR ELECTRIC UTILITY HAS ORDERED ROTATING OUTAGES IN
THE CONTROL AREA WHERE THE ENGINE IS LOCATED OR HAS INDICATED THAT IT EXPECTS TO
ISSUE SUCH AN ORDER AT A CERTAIN TIME, AND THE ENGINE IS LOCATED IN A UTILITY
SERVICE BLOCK THAT IS SUBJECT TO THE ROTATING OUTAGE. ENGINE OPERATION SHALL BE
TERMINATED IMMEDIATELY AFTER THE UTILITY DISTRIBUTION COMPANY ADVISES THAT A
ROTATING OUTAGE IS NO LONGER IMMINENT OR IN EFFECT.
6. AN OPERATIONAL NON-RESETTABLE TOTALIZING TIME METER SHALL BE INSTALLED AND
MAINTAINED TO INDICATE THE ENGINE ELAPSED OPERATING TIME.
7. ON OR BEFORE JANUARY 15
TH
OF EACH YEAR THE OPERATOR SHALL RECORD IN THE ENGINE
OPERATING LOG:
A. THE TOTAL HOURS OF ENGINE OPERATION FOR THE PREVIOUS CALENDAR YEAR, AND
B. THE TOTAL HOURS OF ENGINE OPERATION FOR MAINTENANCE AND TESTING FOR THE
PREVIOUS CALENDAR YEAR.
ENGINE OPERATION LOG(S) SHALL BE RETAINED ON SITE FOR A MINIMUM OF FIVE CALENDAR
YEARS AND SHALL BE MADE AVAILABLE TO THE EXECUTIVE OFFICER OR REPRESENTATIVE
UPON REQUEST.
8. THE OPERATOR SHALL KEEP A LOG OF ENGINE OPERATIONS DOCUMENTING THE TOTAL TIME
THE ENGINE IS OPERATED EACH MONTH AND THE SPECIFIC REASON FOR OPERATION AS:
A. EMERGENCY USE
A. MAINTENANCE AND TESTING
C. OTHER (BE SPECIFIC)
IN ADDITION, FOR EACH TIME THE ENGINE ISMANUALLY STARTED, THE LOG SHALL INCLUDE:
THE DATE OF ENGINE OPERATION, THE START AND STOP TIME OF THE ENGINE, THE SPECIFIC
REASON FOR OPERATION, AND THE TOTALIZING HOUR METER READING (IN HOURS AND
TENTHS OF HOURS) AT THE BEGINNING AND THE END OF THE OPERATION.
9. THIS ENGINE SHALL NOT BE USED AS PART OF A DEMAND RESPONSE PROGRAM USING
INTERRUPTIBLE SERVICE CONTRACT IN WHICH A FACILITY RECEIVES A PAYMENT OR
REDUCED RATES IN RETURN FOR REDUCING ITS ELECTRIC LOAD ON THE GRID WHEN
REQUESTED TO DO SO BY THE UTILITY OR THE GRID OPERATOR.
© South Coast Air Quality Management District, Form 400-E-13a (2014.07) Page 5 of 5
10. THIS ENGINE SHALL NOT BE OPERATED MORE THAN 200 HOURS IN ANY ONE YEAR, WHICH
INCLUDES NO MORE THAN 50 HOURS IN ANY ONE YEAR FOR MAINTENANCE AND TESTING TO
COMPLY WITH REQUIREMENTS OF THE NATIONAL FIRE PROTECTION ASSOCIATION (NFPA).
ANYTHING IN EXCESS OF 50 HOURS SHALL BE ALLOWED ONLY IN THE EVENT OF AN
EMERGENCY FIRE FIGHTING OPERATION.
For Fire pumps:
11. THIS ENGINE SHALL NOT BE OPERATED MORE THAN 200 HOURS IN ANY ONE YEAR, WHICH
INCLUDES NO MORE THAN 50 HOURS IN ANY ONE YEAR FOR MAINTENANCE AND TESTING TO
COMPLY WITH REQUIREMENTS OF THE NATIONAL FIRE PROTECTION ASSOCIATION (NFPA).
ANYTHING IN EXCESS OF 50 HOURS SHALL BE ALLOWED ONLY IN THE EVENT OF AN
EMERGENCY FIRE FIGHTING OPERATION.
For Various Locations Equipment:
12. UPON THE FIFTH DAY AFTER PLACEMENT OF THIS EQUIPMENT INTO OPERATION AT A NEW
SITE, THE DISTRICT SHALL BE NOTIFIED VIA TELEPHONE AT 877-810-6995 OF THE EXACT
NATURE OF THE PROJECT AS FOLLOWS:
A. THE PERMIT NUMBER OF THE PORTABLE EQUIPMENT.
B. THE NAME AND TELEPHONE NUMBER OF A CONTACT PERSON.
C. THE LOCATION WHERE THE PORTABLE EQUIPMENT WILL BE OPERATED.
D. THE ESTIMATED TIME THE PORTABLE EQUIPMENT WILL BE LOCATED AT THE SITE.
E. DESCRIPTION OF THE PROJECT.
F. IF LESS THAN 1/4 MILE, THE DISTANCE TO THE NEAREST SENSITIVE RECEPTOR. SENSITIVE
RECEPTORS ARE DEFINED AS LONG-TERM HEALTH CARE FACILITIES, REHABILITATION
CENTERS, CONVALESCENT CENTERS, RETIREMENT HOMES, RESIDENCES, SCHOOLS,
PLAYGROUNDS, CHILD CARE CENTERS, AND ATHLETIC FACILITIES.
13. THIS ENGINE AND ITS REPLACEMENT UNIT INTENDED TO PERFORM THE SAME OR SIMILAR
FUNCTION, SHALL NOT RESIDE AT ANY ONE LOCATION FOR MORE THAN 12 CONSECUTIVE
MONTHS. THE PERIOD DURING WHICH THE ENGINE AND ITS REPLACEMENT IS MAINTAINED AT
A STORAGE FACILITY SHALL BE EXCLUDED FROM RESIDENCY TIME DETERMINATION.
14. THIS ENGINE SHALL NOT BE REMOVED FROM ONE LOCATION FOR A PERIOD OF TIME, AND
THEN IT OR ITS EQUIVALENT ENGINE RETURNED TO THE SAME LOCATION, IN ORDER TO
CIRCUMVENT THE PORTABLE ENGINE RESIDENCE TIME REQUIREMENTS.
15. IN ADDITION TO MAINTENANCE AND TESTING OF THIS ENGINE, THIS ENGINE SHALL ONLY BE
USED FOR EITHER PROVIDING ELECTRICAL POWER TO PORTABLE OPERATIONS OR
EMERGENCY POWER TO STATIONARY SOURCES. PORTABLE OPERATIONS ARE THOSE WHERE
IT CAN BE DEMONSTRATED THAT BECAUSE OF THE NATURE OF THE OPERATION, IT IS
NECESSARY TO PERIODICALLY MOVE THE EQUIPMENT FROM ONE LOCATION TO ANOTHER.
EMERGENCIES AT STATIONARY SOURCES ARE THOSE THAT RESULT IN AN INTERRUPTION OF
SERVICE OF THE PRIMARY POWER SUPPLY OR DURING STAGE II OR III ELECTRICAL
EMERGENCIES DECLARED BY THE CALIFORNIA INDEPENDENT SYSTEM OPERATOR.
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FORM 400E13a: Emergency Internal Combustion Engine Section A: (SCAQMD)

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Completed 12 August 2020

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