South Coast Air Quality Management District, Form 400-E-9b (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-9b
External Combustion
Oven
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.
Electric
Total KW Rating:
LPG Natural Gas
Total BTU Rating:
BTU/hr
Number of Burners:
BTU Rating of Each Burner: BTU/hr
Manufacturer:
Model:
Low NOx Type? No Yes If Yes,
ppm @ %O
2
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
Equipment
Manufacturer: Model: Serial No.:
Outside Dimensions Length: ft. in. Width: ft. in. Height: ft. in.
Type Cure Bake Bakery Drying Tenter Frame Other:
Heating Method Direct Fired Indirect Fired Ultraviolet Steam Heated Other:
Blower(s)
Exhaust Quantity:
HP: CFM: for each unit
Circulation Quantity:
HP: CFM: for each unit
Combustion Air Blower Quantity:
HP: CFM: for each unit
Design Rating for Fuel
Section C - Process Description
Brief Description of
Process
Material Processed:
For bakery oven, please provide: Yeast Percentage:
% Fermentation Time: hours
For tenter frame, please provide type(s) of fabrics:
Operation
Batch Continuous
Vented to Air Pollution Control (APC) : Yes No
If Yes, a separate permit is required for the APC. If already permitted, P/O
or A/N
Operating Temperature
Normal Temperature:
˚F Maximum Temperature: ˚F
Instrumentation Attach description of instrumentation for measuring temperature and other operating parameters.
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:
*Provide support document
