South Coast Air Quality Management District, Form 400-E-10 (2014.07)
Mail To:
SCAQMD
P.O. Box 4944
Diamond Bar, CA 91765-0944
Tel: (909) 396-3385
www.aqmd.gov
South Coast Air Quality Management District
Form 400-E-10
Degreaser
This form must be accompanied by a completed Application for a Permit to Construct/Operate - Forms 400-A, Form 400-CEQA, and
Form 400-PS.
Page 1 of 1
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.
Section A - Operator Information
Facility Name (Business Name of Operator That Appears On Permit): Valid AQMD Facility ID (Available On Permit Or Invoice Issued By AQMD):
Address where the equipment will be operated (for equipment which will be moved to various location in AQMD’s jurisdiction, please list the initial location site):
Fixed Location Various Locations
Section B - Equipment Description
Degreaser Machine
Manufacturer: Model: Capacity:
gallons
Type
Open Top Vapor Degreaser Conveyorized (in-line) Vapor Degreaser Airless System
Batch-Loaded Cold Cleaner Conveyorized (in-line) Cold Cleaner Airtight System
Materials Cleaned
List the materials cleaned in the degreaser:
Add-On Control
Vented to an External Carbon Adsorption System A separated permit is needed for this control system.
Other:
Degreaser Equipped With:
(Select All That Apply)
All Listed Refrigerated Freeboard Chiller Lip Exhaust
Automated Parts Handling System A Circumferential Trough Freeboard Ratio Of At Least 1.0
Circumferential Primary Condensing Coils Water Trough Superheated Vapor Zone
Safety Switches
Vapor Level Control Sump Heat Shut-off Process Control
Condenser Water Flow for Water-Cooled Degreaser Float for low liquid level indicator
Note: Please attach manufacturer specification of the system.
Section C - Process Description
Type of Solvent
Please attach a copy of the
Material Safety Data Sheet
(MSDS) for the solvent.
National Emission Standard for Hazardous Air Pollutant (NESHAP) Solvent: (Select All That Apply)
Perchloroethylene Methylene Chloride Trichloroethylene 1-1-1 Trichloroethane
Carbon Tetrachloride Chloroform
VOC containing solvent with a VOC content of 50 g/l Name:
VOC containing solvent with a VOC content of 25 g/l Name:
Other:
Solvent Usage
Gallons of solvent consumed per month:
Operating Schedule
Normal:
hours/day days/week weeks/yr
Maximum:
hours/day days/week weeks/yr
(Solvent consumed = Solvent purchase + Initial Inventory - Final Inventory -
Waste credit)
Section E - Authorization/Signature
I hereby certify that all information contained herein and information submitted with this application is true and correct.
Preparer
Info
Signature: Date:
Title: Company Name:
Name:
Phone #: Fax #:
Email:
Contact
Info
Name:
Title: Company Name:
Phone #: Fax #:
Email:
