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​Below are example annual reporting, emission inventory and recordkeeping forms that may be used to comply with permit requirements.  These forms are not required to be used. Any recordkeeping form meeting permit requirements may be used.



Automotive Coating REPORT - Automotive Coatings.pdfAutomotive CoatingUse this form to report VOC emissions from coatings and solvents used for automotive coatings.ANNUAL REPORT
Batch Plant REPORT - Batch Plant.pdfBatch PlantUse this form for any material processing operation. (ex. concrete, topsoil, gravel, aggregate, etc.)ANNUAL REPORT
Coatings REPORT - Coatings.pdfCoatingsUse this form to report VOC emissions (ex., paint spray booth, powder coating booths, solvents, etc.)ANNUAL REPORT
Crematory Facilities REPORT - Crematory.pdfCrematory Facilities Use this form to report crematory emissions and materials processed.ANNUAL REPORT
Dry Cleaner REPORT - Dry Cleaner.pdfDry CleanerUse this form to report VOC emissions from all dry cleaning solvents used. ANNUAL REPORT
Engine REPORT -Engine.pdfEngineUse this form to report any permitted engine's run-time hours and fuel usage. (ex. Internal Combustion (IC) engine, standby engines, portable engines, etc.)ANNUAL REPORT
Engine - Multiple REPORT - Engines.pdfEngine - MultipleUse this form when reporting on multiple engines' run-time hours and fuel usage. (ex. Internal Combustion (IC) engine, standby engines, portable engines, etc.)ANNUAL REPORT
Gasoline Dispensing Facilities REPORT - GDF.pdfGasoline Dispensing FacilitiesUse this form to report gallons dispensed at gasoline facilities. ANNUAL REPORT
Generic REPORT - Generic.pdfGenericReport fuel usage for each quarter. Form can be used for equipment that may not have had previous recordkeeping requirements. (ex. Ovens, HVAC units, bulk loading terminals, boilers, etc.)ANNUAL REPORT
Generic Process Form REPORT - Generic Process Form.pdfGeneric Process FormUse this form for equipment used for production or processing materials. (ex. e-waste shredding, brick production, topsoil/gravel/sand processing, abrasive blasting, etc.)ANNUAL REPORT
Graphic Arts Operations REPORT - Graphic Arts Operations.pdfGraphic Arts OperationsUse this form to report all materials used at graphic art facilities (i.e., ink, coating, washes, solvents, acetone, etc.)ANNUAL REPORT
Particulate Control Equipment REPORT - Particulate Control Equipment.pdfParticulate Control EquipmentUse this form to report emissions from controlled equipment types (ex., baghouse, cyclone, scrubber, flare, etc.) ANNUAL REPORT
SVE Annual Certification Report Annual Certification Report.pdfSVE Annual Certification ReportUse this form for annual certification report - soil vapor extraction ANNUAL REPORT
All Facilities - Confidentiality Request Form INVENTORY - Confidentiality Request Form.pdfAll Facilities - Confidentiality Request FormUse this form to request that source's information remain confidential. EMISSION INVENTORY
All Facilities - Other Emission Sources & CTR INVENTORY - Other Emission Sources and CTR.pdfAll Facilities - Other Emission Sources & CTRUse this form to report CTR and all other emission sources.EMISSION INVENTORY
Asphalt Plant INVENTORY - Asphalt Plant.pdfAsphalt PlantUse this form to report emissions from asphalt plant operations. EMISSION INVENTORY
Baking Operation INVENTORY - Baking Operation.pdfBaking OperationUse this form to report emissions from bakery production and operations.EMISSION INVENTORY
Chemical Manufacturing MultiUnits INVENTORY - Chemical MFG Units.pdfChemical Manufacturing MultiUnitsUse this form to report emissions from multiple chemical manufacturing units.EMISSION INVENTORY
Chemical/Other Industrial Process INVENTORY - Chemical and Other Industrial Process.pdfChemical/Other Industrial ProcessUse this form to report emissions from chemical and all other industrial processes. EMISSION INVENTORY
Composting INVENTORY - Composting.pdfCompostingUse this form to report throughput from composting productions.EMISSION INVENTORY
Concrete Batching INVENTORY - Concrete Batching.pdfConcrete BatchingUse this form to report emissions from concrete batching productions and operations. EMISSION INVENTORY
Cooling Tower INVENTORY - Cooling Tower.pdfCooling TowerUse this form to report cooling tower operation hours and PM emissions. EMISSION INVENTORY
Dairy Operation INVENTORY - Dairy Operation.pdfDairy Operation Use this form to report all dairy operations.EMISSION INVENTORY
Engine & Material Process INVENTORY - Engine and Material Processing.pdfEngine & Material ProcessUse this form to report emissions from engines and other materials (ex., propane, gasoline, diesel, waste gas, etc.)EMISSION INVENTORY
Engine Landfill Gas Power Plant INVENTORY - Engine LFG Power Plant.pdfEngine Landfill Gas Power PlantUse this form to report landfill gas emissions from power plant.EMISSION INVENTORY
External Combustion MultiUnits INVENTORY - External Combustion Units.pdfExternal Combustion MultiUnitsUse this form to report emissions and operations from all external combustion units. EMISSION INVENTORY
Fiberglass Manufacturing Process INVENTORY - Fiberglass MFG.pdfFiberglass Manufacturing ProcessUse this form to report fiberglass manufacturing processes (ex., resins, solvents, etc.)EMISSION INVENTORY
Fugitive Valves & Flanges INVENTORY - Fugitive Valves and Flanges.pdfFugitive Valves & FlangesUse this form to report units and emissions from fugitive gasoline valves and flange components. EMISSION INVENTORY
Gas Turbine INVENTORY - Gas Turbine.pdfGas Turbine Use this form to report emissions and fuel usage from gas turbines.EMISSION INVENTORY
Landfill INVENTORY - Landfill.pdfLandfillUse this form to report emissions from landfill operations. EMISSION INVENTORY
Loading Rack INVENTORY - Loading Rack.pdfLoading RackUse this form to report emissions and activity for loading rack operations. EMISSION INVENTORY
Mineral Processing INVENTORY - Mineral Processing.pdfMineral ProcessingUse this form to report emissions and activity from mineral processing productions. EMISSION INVENTORY
Solvent & Liquid Organic Compound INVENTORY - Solvent and Liquid Organic Compound.pdfSolvent & Liquid Organic CompoundUse this form to report emissions from all solvents and liquid organic compounds used. EMISSION INVENTORY
Storage Tank INVENTORY - Storage Tank.pdfStorage TankUse this form to report gallon throughputs and VOC emissions from storage tanks.EMISSION INVENTORY
Tank Truck Offloading INVENTORY - Tank Truck Offloading.pdfTank Truck OffloadingUse this form to report emissions and throughputs for tank truck offloading operations. EMISSION INVENTORY
Facility Contact Information Facility Contact Information.pdfFacility Contact InformationPlease complete when the facility’s contact information has changed to ensure the correct person is notified for any future permit or program updates.INFO UPDATE FORM
Automotive Operations recordkeeping forms Operations recordkeeping formsRecordkeeping Forms
Balance System (VST) recordkeeping form System (VST) recordkeeping formRecordkeeping Forms
Graphic Arts recordkeeping form Arts recordkeeping formRecordkeeping Forms
Healy recordkeeping form recordkeeping formRecordkeeping Forms
ISD alarm event log alarm event logRecordkeeping Forms
Liquid storage recordkeeping storage recordkeepingRecordkeeping Forms
Misc Metal Part recordkeeping form Metal Part recordkeeping formRecordkeeping Forms
Rule 456 Package.pdfRule 456 Recordkeeping Forms
Rule 463 - Wood Coatings Package.pdfRule 463 - Wood CoatingsRecordkeeping forms for wood product coating operations.Recordkeeping Forms
Stationary Diesel Engine Recordkeeping forms Diesel Engine Recordkeeping formsRecordkeeping Forms

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