Fillable Form 400-PS.: Selective Catalytic Reduction (SCR) System, Oxidation (SCAQMD)

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Form 400-PS.: Selective Catalytic Reduction (SCR) System, Oxidation (SCAQMD)

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South Coast Air Quality Management District, Form 400-E-5 (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-5
Selective Catalytic Reduction (SCR) System,
Oxidation Catalyst, and Ammonia Catalyst
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
Selective Catalytic Reduction (SCR)
SCR Catalyst
Manufacturer:
Catalyst Active Material:
Model Number:
Type:
Size of Each Layer or Module: L:
ft. in. W: ft. in. H: ft. in.
No. of Layers or Modules:
Total Volume: cu. ft. Total Weight: lbs.
Reducing Agent Urea Anhydrous Ammonia Aqueous Ammonia %
Reducing Agent Storage
Diameter:
ft. in. Height: ft. in. Capactity: gal
Pressure Setting:
psia * A separate permit may be needed for the storage equipment.
Space Velocity
Gas Flow Rate/Catalyst Volume:
per hour
Manufacturer’s Guarantee
NOx:
ppm %O
2
: NOx: gm/bhp-hr Ammonia Slip: ppm @ %O
2
Catalyst Life
years (expected)
Cost
Capital Cost:
Installation Cost: Catalyst Replacement Cost:
Area Velocity
Gas Flow Rate/Wetted Catalyst Surface Area:
ft/hr
Section B - Equipment Description
Injection Rate: lb/hr
Oxidation Catalyst
Oxidation Catalyst
Manufacturer: Catalyst Active Material:
Model Number:
Type:
Size of Each Layer or Module: L:
ft. in. W: ft. in. H: ft. in.
No. of Layers or Modules:
Total Volume: cu. ft. Total Weight: lbs.
Space Velocity
Gas Flow Rate/Catalyst Volume:
per hour
Manufacturer’s Guarantee
VOC:
ppm VOC: gm/bhp-hr %O
2
:
CO:
ppm CO: gm/bhp-hr %O
2
:
Catalyst Life
years (expected)
Cost
Capital Cost:
Installation Cost: Catalyst Replacement Cost:
*
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
South Coast Air Quality Management District, Form 400-E-5 (2014.07)
South Coast Air Quality Management District
Form 400-E-5
Selective Catalytic Reduction (SCR) System,
Oxidation Catalyst, and Ammonia Catalyst
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.
Ammonia Catalyst
Ammonia Catalyst
Manufacturer:
Catalyst Active Material:
Model Number:
Type:
Size of Each Layer or Module: L:
ft. in. W: ft. in. H: ft. in.
No. of Layers or Modules:
Total Volume: cu. ft. Total Weight: lbs.
Space Velocity
Gas Flow Rate/Catalyst Volume:
per hour
Manufacturer’s Guarantee
NH
3
: ppm %O
2
:
Catalyst Life
years (expected)
Cost
Capital Cost:
Installation Cost: Catalyst Replacement Cost:
Section B - Equipment Description (cont.)
Section C - Operation Information
Operating Temperature
Minimum Inlet Temperature:
˚F (from cold start) Maximum Temperature: ˚F
Warm-up Time:
hr. min. (maximum)
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.: Selective Catalytic Reduction (SCR) System, Oxidation (SCAQMD)

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Completed 12 August 2020

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