Fillable Form 400-PS.: Gaseous Emission Control Form Adsorber (Carbon, (SCAQMD)

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Form 400-PS.: Gaseous Emission Control Form Adsorber (Carbon, (SCAQMD)

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South Coast Air Quality Management District, Form 400-E-2b (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-2b
Gaseous Emission Control Form
Adsorber (Carbon, Others)
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 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 No.:
Type
Fixed Regenerative Beds Traveling Bed Adsorbers/Rotary Concentrators
Disposable/Rechargeable Canisters Fluidized Adsorbers
Number of beds:
Capacity of each bed: pounds of adsorbent
Arrangement, if 2 or more beds: In Series In Parallel
Adsorbent Material
Granulated Activated Carbon Synthetic Adsorbent Trade name:
Zeolite, Molecular Sieve Others:
Adsorbent Capacity:
(pound of vapor/pound of adsorbent)
Depth of Adsorbent in Bed:
ft. in.
Adsorbent Vessel
Dimensions
Diameter:
ft in. Width: ft in.
Height:
ft in. Or Length: ft in.
Height:
ft in.
Section C - Gas Stream Characteristics
Brief Description Of
Process
Please supply an assembly drawing, dimensioned to scale, to show clearly the operation of the adsorber including all equipment vented.
Describe equipment vented to this adsorber and procedure in disposing of spent adsorbent.
Gas Stream
Inlet Flow Rate:
SCFM Temperature: ˚F Pressure: psia
Does gas stream contain Rule 1401 toxic air contaminants? No Yes If Yes, list below:
Are Ketones or Aldehydes present? No Yes
Relative humidity:
%
Cycle time for adsorption:
hours
Lower explosive limit of mixture:
ppmv or % volume
South Coast Air Quality Management District, Form 400-E-2b (2014.07)
South Coast Air Quality Management District
Form 400-E-2b
Gaseous Emission Control Form
Adsorber (Carbon, Others)
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.
Section C - Gas Stream Characteristics (cont.)
Regeneration
Is the adsorbent material regenerated on-site? Yes No
On-site Regeneration by:
Steam Air Inert gas Process gas Other
Cycle time for regeneration:
hours
Describe regeneration procedure and how emissions are controlled during regeneration. If Ketones or Aldehydes are present in the inlet
stream, what is the procedure to prevent adsorbent bed fires (Attach description, if necessary).
Instrumentation
Describe instrumentation for measuring temperature, pressure drop, VOC monitoring, audible alarms, 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:
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Form 400-PS.: Gaseous Emission Control Form Adsorber (Carbon, (SCAQMD)

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Completed 12 August 2020

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