Fillable Smop-es Title V SMOP Form

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Smop-es Title V SMOP Form

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Engineering Division
Bay Area Air Quality Management District
375 Beale Street, Ste# 600, San Francisco, CA 94105
415-771-6000
Synthetic Minor Operating Permit
Form SMOP-ES
Page of
BUSINESS NAME:
PLANT #:
PERMITTED SOURCES and MAXIMUM EMISSIONS
List all permitted sources in numeric order. Include proposed maximum monthly and annual emissions for each source or group of sources. Give
emissions in tons per month and in tons per year. (NOTE: the maximum monthly emissions, when multiplied times twelve, do not need to equal
the maximum annual emissions.) Use one line for each pollutant. Monthly and annual emission calculations for each source to be covered by the
synthetic minor permit must accompany this form. If the basis of the emission calculation(s) for a source differs from that used for the District's
annual update, include Data Form X. If more space is required, use additional forms. Please type of print legibly.
SOURCE #
ABATED BY
DEVICE #
POLLUTANTS(S)
(one line for each)
MONTHLY EMISSIONS
(abated, tons/month)
ANNUAL EMISSIONS
(abated, tons/year)
ABATEMENT DEVICES
List all abatement devices in numeric order. Give equipment description including manufacturer and model number if applicable. If device is
abated by a subsequent abatement device, please specify. If more space is required, use additional forms. Please type or print legibly.
ABATEMENT DEVICE #
ABATEMENT DEVICE DESCRIPTION
ABATED BY DEVICE # (IF APPLICABLE)
Attach all necessary emissions calculations.
Signature of Responsible Official
Print Name of Responsible Official
Title of Responsible Official and Company Name
Date:
F:\Title V Forms 2010\smop-es.doc 5/18/2016
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Smop-es Title V SMOP Form

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Completed 19 April 2020

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