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Mfr Arcs ARCS2rev

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________________________________
Date Attach any documentation to this form. Page 1 of 1
H:\pub_data\TitleV\dataform\mfrform\T5-form\arcs2rev.doc
Permit Services Division
Bay Area Air Quality Management District
375 Beale Street, Suite 600, San Francisco, CA 94105 • (415) 749-4990
Major Facility Review
Applicable Requirements &
Compliance Summary
FACILITY NAME:
FACILITY #:
Source #(s): Source Name(s)
APPLICABLE REQUIREMENTS
In numerical order, list all equipment with any applicable requirements. Include any work practice standards or throughput limits pursuant to NSR or District Regulations. Indicate
the date during the permit term that the applicable requirement(s) will be effective. If more lines are required, please use additional forms. If information does not fit in the space
allotted, attach documentation and reference it on this form. Use the "FE" column to state whether the requirement is federally enforceable. Type or print legibly.
APPLICABLE
REGULATIONS
FE
TEST METHODS
(if any)
MONITORING
PROTOCOL
REPORTING
PROTOCOL
RECORDKEEPING
PROTOCOL
COMPLIANCE
(Y, N)
FUTURE
EFFECTIVE
DATE
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Completed 19 April 2020

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