Tel: (909) 396-3385
www.aqmd.gov
Mail To:
SCAQMD
P.O. Box 4944
Diamond Bar, CA 91765-0944
South Coast Air Quality Management District, Form 500-H (2014.07)
Page of
South Coast Air Quality Management District
Form 500-H
Title V - Compliance Assurance Monitoring (CAM) Applicability Determination for Initial, Renewal, &
Significant Permit Revision
This form is required as part of an initial, significant permit revision, or renewal Title V application. If your Title V facility has control devices in use, the CAM rule may apply.
Follow the instructions on the reverse side of this form to determine whether your facility is subject to CAM requirements.
1. Facility Name (Business Name of Operator That Appears On Permit): 2. Valid AQMD Facility ID (Available On Permit Or Invoice Issued
By AQMD):
3. Based on the criteria in the instructions (check one and attach additional pages as necessary):
a. The emission units identified below are subject to the CAM rule and a CAM plan is attached for
each affected emissions unit:
b. There are no emission units with control devices at this Title V facility that are subject to the
CAM rule.
Emission Unit
3
(Application, Permit or
Device No.)
Equipment Description
4
Uncontrolled Emissions
Connected to
Control Unit
3
(Application, Permit or
Device No.)
Controlled Emissions
Pollutant
PTE
5
(tons/year)
Pollutant
PTE
5
(tons/year)
Equipment Description
4
Section II - CAM Status Summary for Emission Units
1
For more detailed information regarding the CAM rule applicability, refer to Title 40, Chapter I, Part 64, Section 64.1 of the Code of Federal Regulations (40 CFR Part 64, Section 64.1).
This also can be accessed via the internet at: http://www.access.gpo.gov/nara/cfr/waisidx_99/40cfr64_99.html.
2
Only one CAM plan is required for a control device that is common to more than one emissions unit, or if an emissions unit is controlled by more than one control device similar in design and operation. If the control devices are not similar in
design and operation, one plan is required for each control device.
3
List all new and existing emission units and the connected control devices either by AQMD application, permit or device number. When the emission unit is new and has not yet been assigned an application number, leave this column blank.
4
Provide a brief equipment description of the emission units and control devices by indicating equipment type, make, and model and serial numbers as appropriate.
5
Potential to Emit
Section I - Operator Information
1
2
Validate/Print
Reset
South Coast Air Quality Management District, Form 500-H (2014.07)
With the exception of emission units that are municipally-owned backup utility power units as described by 40 CFR Part 64, Section 64.2(b)(2)
1
, the CAM rule is applicable to each emission unit
(existing and new construction) at a Title V facility that meets ALL of the following criteria
2
:
1. The emission unit is subject to an emission limitation or standard
3
(often found in permit conditions);
2. The emission unit uses a control device to achieve compliance with the emission limitation or standard; and,
3. The emission unit has a potential to emit (PTE)
4
, either pre-control or post-control depending on the type of Title V application
5
, that exceeds or is equivalent to any of Title V major
source thresholds shown in the following table:
Instructions for Determining Applicability to the CAM Rule
Pollutant
South Coast Air Basin
(SOCAB)
Riverside County Portion of Salton Sea Air
Basin (SSAB) and Los Angeles County
Portion of Mojave Desert Air Basin (MDAB)
Riverside County Portion of Mojave Desert Air
Basin
(MDAB)
VOC 10 25 100
NOx 10 25 100
SOx 100 100 100
CO 50 100 100
PM-10 70 70 100
1 HAP
7
10 10 10
2+ HAPs 25 25 25
CAM Potential to Emit (PTE) Emission Threshold
6
For Individual Emission Units at a Title V Facility
(tons per year)
1 The facility must attach the documentation required by 40 CFR Part 64, Section 64.2 (b)(2) to demonstrate that the backup utility power unit only operates during periods of peak demand or emergency situations; and has actual
emissions, averaged over the last three calendar years of operation, less than 50% of the major source emission thresholds.
2 Additional information about the CAM rule can be found on EPA’s website at http://www.epa.gov/ttnemc01/cam.html.
3 Only emission limitations and standards from an “applicable requirement” for emission units with control devices are subject to the CAM rule. Applicable requirements are federally-enforceable requirements that are rules adopted by
AQMD or the State that are approved by EPA into the State Implementation Plan (SIP) (i.e. “SIP-approved rules”). Refer to Form 500-C1 for the latest versions of SIP-approved and non-SIP approved rules.
For emissions units with control devices that are subject to following federally enforceable requirements, the CAM rule does NOT apply: 1) NSPS (40 CFR Part 60); 2) NESHAP (40 CFR Parts 61 and 63); 3) Title VI of the Federal Clean
Air Act (CAA) for Stratospheric Ozone Protection; 4) Title IV of the CAA and SCAQMD Regulation XXXI for Acid Rain facilities; 5) SCAQMD Regulation XX – RECLAIM; 6) Any emission cap that is federally enforceable, quantifiable,
and meets the requirements in 40 CFR Part 70, Section 70.4 (b)(12); and 6) Emission limitation or standards for which a continuous compliance determination method is required.
4 To calculate the pre
-control device and post-control device PTE for emission units at the facility, refer to the Title V Technical Guidance Document Version 4 .0, Appendix A (pages A-12 through A-23). The calculations are used to
determine the CAM applicability according to 40 CFR Part 64, Section 64.5 of the CAM rule.
5 For initial Title V or significant permit revision applications submitted after April 20, 1998, use the post
-control device PTE emissions to determine CAM applicability. For Title V permit renewal applications (submittals will begin in 2002),
the CAM applicability will be based on the pre
-control device PTE.
6 The following table is based on Rule 3001 (Amended November 14, 1997) and Rule 3008 (Amended March 16, 2001). Please be advised that the threshold values are subject to change based on rule amendments.
7 Hazardous Air Pollutant