South Coast Air Quality Management District, Form 400-E-3 (2014.07)
South Coast Air Quality Management District
Form 400-E-3
Scrubber
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 B - Equipment Description (cont.)
Pre-Treatment
Describe any pre-treatment and gas stream conditioning processes (e.g. gas cooling, gas reheating, gas humidification). Also describe
equipment vented to this scrubber.
Is a mist eliminator present to the inlet to the scrubber? Yes No
If Yes, Type:
Model #:
Pressure Drop:
in. of water
Section C - Waste Gas Stream Characteristics
Waste Gas Stream
Gas Flow Rate (maximum):
ACFM Gas Flow Rate (expected): ACFM Inlet Pressure: psia
Temperature Inlet:
˚F Temperature Outlet: ˚F
Operating Parameters
Pressure Drop Across Scrubber:
in. of water Aerodynamic Particle Diameter: microns
Instrumentation
Describe instrumentation data for measuring flow, pressure drop, audible alarms, and other operating parameters (attach description, if
necessary):
Operating Schedule
Normal:
hours/day days/week weeks/yr
Maximum:
hours/day days/week weeks/yr
Brief Description of
Process
Please supply an assembly drawing, dimensioned to scale, to show clearly the operation of the control system, including all equipment
vented.
Post Treatment
Present at the outlet to the scrubber? Yes No
If Yes, indicate type: Mist Eliminator High Efficiency Particulate Arrestors (HEPA)
Other
Model #:
Pressure Drop: in. of water
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:
