South Coast Air Quality Management District, Form 400-E-12 (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-12
Gas Turbine
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 3
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
Turbine
Manufacturer: Model: Serial No.:
Size (based on Higher Heating Value - HHV):
Manufacturer Maximum Input Rating:
MMBTU/hr kWh
Manufacturer Maximum Output Rating:
MMBTU/hr kWh
Function
(Check all that apply)
Electrical Generation Driving Pump/Compressor Emergency Peaking Unit
Steam Generation Exhaust Gas Recovery Other (specify):
Cycle Type
Simply Cycle Regenerative Cycle
Combined Cycle Other (specify):
Combustion Type
Tubular Can-Annular Annular
Fuel
(Turbine)
Natural Gas LPG Digester Gas
*
Landfill Gas
* Propane Refinery Gas* Other*:
* (If Digester Gas, Landfill Gas, Refinery Gas, and/or Other are checked, attach fuel analysis indicating higher heating value and sulfur content).
Heat Recovery Steam
Generator (HRSG)
Steam Turbine Capacity:
MW
Low Pressure Steam Output Capacity:
lb/hr @ ˚F
High Pressure Steam Output Capacity:
lb/hr @ ˚F
Superheated Steam Output Capacity:
lb/hr @ ˚F
Duct Burner
Manufacturer: Model:
Number of burners:
Rating of each burner (HHV):
Type: Low NOx (please attach manufacturer’s specifications)
Other:
Show all heat transfer surface locations with the HRSG and temperature profile
Fuel
(Duct Burner)
Natural Gas LPG Digester Gas
*
Landfill Gas
* Propane Refinery Gas* Other*:
* (If Digester Gas, Landfill Gas, Refinery Gas, and/or Other are checked, attach fuel analysis indicating higher heating value and sulfur content).