South Coast Air Quality Management District, Form 400-E-9f (2014.07)
Page 1 of 2
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-9f
External Combustion
Metal Melting & Heat Treating Furnaces
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.
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
Device Type
Crucible Cupola Furnace Other
Furnace Type
Electric Arc Induction Pot Reverberatory Sweat
Equipment Type
Manufacturer: Model No.: Serial No:
Dimension
Length:
ft. Width: ft. Height: ft.
Capacity
Total melting capacity:
pounds/hour
Type of Material Processed
Aluminum Lead Steel Titanium
Zinc Bronze Other
Burner Information
Burner Manufacturer:
Burner Model No.:
Number Of Burners:
BTU Rating Of Each Burner:
BTU/hr
Low NOx Type? No Yes If Yes, please attach manufacturer’s specifications
Combustion Air Blower: Quantity:
HP: CFM:
Furnace Operation
Annealing Forging Heat Treating Holding Melting
Reducing Other
Fuel Type
LPG Natural Gas Fired Oxygen/Natural Gas
Electric Heating: Total KW Rating:
Operational Features
Demagging
pounds/hour Using
Degassing
pounds/hour Using
Chlorination
pounds/hour
Section C - Process Description
Brief Description of
Process
Please provide a brief description of the process and attach manufacturer’s technical specifications and guarantees. Describe the method
of charging the furnace, include data concerning the number and relative sizes of charge per heat and time elapsed between charges.
South Coast Air Quality Management District, Form 400-E-9f (2014.07)
South Coast Air Quality Management District
Form 400-E-9f
External Combustion
Metal Melting & Heat Treating Furnaces
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 2 of 2
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.
Materials
(e.g. Aluminum, glass, etc.)
Weight or Volume
(%)
process Rate
(pounds/hour)
Section C - Process Description (cont.)
Operation
Batch Continuous Operating Temperature
˚F
Production Data
List all materials processed in this furnace:
Controls
Furnace is vented to: Afterburner Baghouse Selective Catalytic Reduction (SCR) Knock-out Chamber
Instrumentation Data
Describe instrumentation data for measuring temperature and other operating parameters.
Operating Schedule
Normal:
hours/day days/week weeks/yr
Maximum:
hours/day days/week weeks/yr
Section D - 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:
Validate/Print
Reset