South Coast Air Quality Management District, Form 400-E-14 (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-14
Open Process Tank
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
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):
Section B - Equipment Description
Process Line
Name of Process Line For This Permit application: Total Number of Tanks In The Line:
Primary Process(es)
Performed in this
Process Line
(Check all that apply)
Hard Chrome Plating Nickel Plating Other
Decorative Chrome Plating Copper Plating Other
Chromic Acid Anodizing Zinc Plating Other
Sulfuric Acid Anodizing Surface Preparation/Cleaning Other
Cadmium Plating Stripping Other
Component Plating Mode:
Single Part Immersion Barrel Plating
Rack Plating Other
Operating Schedule
Normal:
hours/day days/week weeks/yr
Maximum:
hours/day days/week weeks/yr
Section C - Process Line Sequence
List tanks in the order in which they appear in the actual process line (e.g. Tank 1 of 12, Tank 2 of 12, etc). Complete all information for each tank in this process line
using Section E on the next page. One Tank Per Page.
Start (First Tank)
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
South Coast Air Quality Management District, Form 400-E-14 (2014.07)
South Coast Air Quality Management District
Form 400-E-14
Open Process Tank
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
TANK OF
a. Type of Internal Tank Control Methods
(Check all that apply):
Foam Blanket
Polyballs
Fume Suppressant
Specify Chemical Name
Maximum Surface Tension of Bath
dynes/cm
(Plating Baths Only)
Tank cover
None of the Above
b. Type of air pollution control equipment (external controls) to which
this tank is vented (Check all that apply):
Packed Bed Scrubber
Mesh Pad Only
Mesh Pad with HEPA Filter
HEPA Filter Only
Other
Tank air flow rate to air pollution
control equipment checked above:
CFM
This tank is not vented to air pollution control equipment
Chemical Name
List ONE of the following measurements for each chemical
Weight %
*
or Volume/Volume Ratio
**
or Weight/Volume Ratio
***
Section E - Tank Profile
Complete all information for each tank in this process line. List tanks in the order in which they appear in the actual process line. One Tank Per Page. Provide original
Tank ID.
Tank Profile Information
Tank Identification No:
Dimension (inches): Length:
Width: Height: Diameter:
Specific Function of This Tank:
Plating Etching/Milling Chem Film/Coating/ Conversion Other
Anodizing Passivation Stripping Other
Cleaning Picking Rinse Other
Tank Rectifier (Electrolysis)
Information
Maximum Rating:
Volts (D.C.) Amperes (D.C.)
Total Annual Ampere-Hours of Activity in this Tank =
Ampere hours per year
No Rectifier Associated With This Tank
Chemicals Used in Tank:
Note: If Brand Name or
Proprietary Chemical, please
include a current copy of the
MSDS.
Tank Heating/Cooling
Information
Natural Gas Heater:
Btu/hr (Max. Burner Rating)
Indicate zero Btu/hr if heat source is hot water pipe or steam pipe.
Electric heating Element:
KW (Max. Heater Rating)
No External Heat Source applied To This Tank
Max. Operating Temperature of This Tank:
˚F
Indicate Tank Cooling Method: Water Cooler Refrigeration Other:
Tank Agitation/Mixing
Information
Air Sparging:
CFM Solution Mixing/Recirculation (Eductors): GPM
Mechanical Mixer Below Surface of Bath Above Surface of Bath
Tank Not Agitated or Mixed Other
Tank Emission Control
Methods
* (Weight of Chemical/Weight of Bath) x 100 *** Weight Ounces of Chemical Per Liquid Gallon of Bath
** Fuild Ounces of Chemical Per Liquid Gallon of Bath
Complete Additional Tank Forms As Necessary
2