Document 9379rv708wX9QGz1y52eo6pLV

GEORGIA-PACIFIC Occupational Safety & Health Labor REQUEST FOR CHECK DATE 07-12-73 700 Midtown Plaza 700 E. Water St. Syracuse, N. Y. 13210 AMOUNT $ 13UO.OO [PURPOSE; (WIU NOT APPEAR ON CHECK STUB . ENTER CHECK STUB MESSAGE BELOW.) Penalty for alleged violation under the Occupational Safety and Health Administration (as per attached) C.S.H.O.-NO P-1568 O.S.H.A - 1 NO 1*8 AREA 6010 REGION MESSAGE CODE (22) LINE 1 LINE 2 (23) LINE 3 USE ONLY WHEN CATALOGUED MESSAGE .IS REQUIRED MESSAGE (TO APPEAR ON CHECK STUB ONLY; MAXIMUM 31 CHARACTERS EACH LINE). LINE 4 ATOH NO VENDER NO. invok:e no. INVOICE DATE GROUP I GROUP 2 GROUP 3(1) 8 lit 6j 9 071273 GROUP 4 8i 3 FAY OATfc RtFfcAfcNCC NO. DISPOSITION OF CHECK AMOUNT 13U0 DO OlSC.%<21 MAIL TO PAYEEi INTERCO MAIL. ii !i HOLD FORi-- O OTHER P.EX). APPROVAL GP S7 TOTAL 13U0 ioo SGP 0006571 REQUESTED BY "^7 ~ 1. NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS COMPLIANCE STATUS INFORMATION FORM APPROVED OMB NO. IS8-ROOM I. SOURCE REPORT EPA USE ONLY INSTRUCTIONS: Owners or operators of source of hazardous pollutants subject to the National Emission Standards for Haz ardous Air Pollutants are required to submit the information contained in Section I to the appropriate U.S. Environmental Protection Agency Regional Office before July 6, 1973. A listing of regional offices is provided in 61.04. 1.1 -1 ) R| 1 1 1 1.1J J. 1 C1 SC 1) i iiI i i l 1 1 l l AOCR 1 RP 1 CITY 2B u NOC BO I A. SOURCE INFORMATION 1. Identification/Location - Indicate the name and address of each source. |C|EP |R|C|I|A| IP I A)C1 1| F| I | C| |C|Q|K| P| A2B COMPANY NAME *48 | | | | | ibl|o|o|h|i|h|c|d|a|x.|e| |r| d| A4B NUMBER BTREET NAME * IA| HrIoH I I I I I I I I I I I BIB CITY BB* UUU mMQ||i| I (TATE BB4 Zl P CODE BBB IeIrIiIeI M I 1 1 1 I J COUNTY 2, Contact - Indicate the name and telephone number of the owner or operator or other responsible official whom EPA may contact concerning this report. 1 JiA | C| K | iRlAluld Hi 1 1 j || 1 | J 1_J I 7|1|6|5|4| 2151 4|311| B84 TELEPHONE BBS 3. Source Description - Briefly state the nature of the source (e.g., "chloralkali Plant," or "Machine Shop"). CI 1J9 lI il Ht| I s|Y|str|E|M| lP'p_.> |Mm I M | | | C4|3 4. Alternative Mailing Address - Indicate an alternative mailing address if correspondence is to be directed to a location different than that specified above. i i i i i I i i 1 M I I I I I I I I I I I I I.IJ C44 NUMBER STREET NAME CBS I I. M I I I I I I I 1 I I I I I `LlT [Mill cm CITY C77 MATT 078 IIP CODE D1 5. Compliance Status - The emissions from this source /X / can /__ / cannot meet the emission limitations contained in the National Emission Standards on or before July 5, 1973. TORE OP OWNER. OPERATOR OR OtJeR RilPONilBLf (SfIhCIAl NOTE: If the emissions from the source^fcill exceed those limits set by the National Emission Standards for Hazardous Air Pollutants, the source will be in violation and subject to Federal enforcement actions unless granted a waiver of compliance by the - inistrator of the U.S. Environmental Protection Agency. The information needed for P-h waivers is listed in Section II of this form. PAGE 1 OF 4 PAGES SGP 0006567 7 PROCESS INFORMATION. Part B should be completed separately for each point of emission for each hazardous pollutant. spa use ONLY L_U I I I I 1 I I 1,1 S14 EP 016 640 SCC 'O S! 1. Process Description - Provide a brief description of each process (e.g., "hydrogen end box" in a mercury chloralkali plant, "grinding machine" in a beryllium machine shop). Use additional sheets if necessary. | MjI |x 111N | Gj |h 1 o|p 1 p|e| r| |& I IbIaIgI IpIaIcIkIeJ r 021 G4S 2. Pollutant Emitted - Indicate the type of hazardous pollutant emitted by the process. Indicate "AB" for asbestos, "BE" for beryllium, or "HG" for mercury. LaJb.J CIO 4520 3. Amount of Pollutant - Indicate the average weight of the hazardous material named in Item 2 which enters the process in pounds per month (based on the previous twelve months of operation). 1 2I01 olol ol old,I 054 oeo 4. Control Devices a. Indicate the type of pollution control devices, if any, used to reduce the emissions from the process (e.g., venturi scrubber, baghouse, wet cyclone) and the estimated percent of the pollutant which the device removes from the process gas stream. Is I aIa! hI nln I rIp I I I I I I I I I IM-IoJ" PRIMARY CONTROL OEVICE TYPE IIIll1III111 l111l MSB SECONDARY CONTROL OEVICC TVPC HBO PERCENT REMOVAL EFFICIENCY -*U_1 LJ"" PSSCSNT ASMOVAL SFPICISNCY b. Asbestos Emission Control Devices Only i. If a baghouse is specified in Item 4a, give the following information: . The air flow permeability in cubic feet per minute per square foot of fabric area. Air flow permeability 2.84 cfm/ft^ . The pressure drop in Inches water gauge across the filter at which "the baghouse is operated. Operating pressure drop JLJL inches w.g. . If the baghouse material contains synthetic fill yarn, check whether this material is / / spun / x/ or not spun. . If the baghouse utilizes a felted fabric, give the average thickness in Inches and the density in ounces per square yard. Thickness inches Density oz/yd^ il. If a wet collection device is specified in Item 4a, give the designed unit contacting energy in inches water gauge. . Unit contacting energy inches w.g. <* PAGE 2 OP 4 PAGES SGP 0006568 7 OMB NO. \ bO-A009B II. WAIVER REQUESTS EPA USE ONLY A. WAIVER OF COMPLIANCE. Owners or operators 11 I| 11 1 1111 11 of sources unable to operate in compliance with the 1R s C tc 13 National Emission Standards for Hazardous Air Pollutants by July 5, 1973 may request a waiver of compliance from the Administrator of the U.S. Environmental Protection Agency for the time period necessary to install appropriate control devices or make modifications to achieve compliance. The Administrator may grant a waiver of compliance with the standard for a period not exceedi ng two years from the effective date of the hazardous pollutant standards, if he finds that such period is neces*. sary for the installation of controls and that steps will be taken during the period of the waiver to assure that the health of persons will be protected from imminent endangerment. The reporting information provided in Section I must accompany this application. Applications should be sent to the appropriate EPA regional office. 1. Processes Involved - Indicate the process or processes emitting hazardous pollutants to which emission controls are to be applied. 2. Controls a. Describe the proposed type of control device to be added or modification to be made to the process to reduce the emissions of hazardous pollutants to an acceptable level.( Use addi tional sheets if necessary.) b. Describe the measures that will be taken during the waiver period to assure that the health of persons will be protected from imminent endangerment. (Use additional sheets if necessary). 3. Increments of Progress - Specify the*dates by which the following incre ments of progress will be met. . Date by which contracts for emission control systems or process modi fications will be awarded; or date by which orders will be issued for the purchase of the component parts to accomplish emission control or -process modification. LLJ LU L-U MONTH DAT YEAR oi . Date of initiation of non-site construction or installation of emis sion control equipment or process change. LULULU 02 Date by which on-site construction or installation of emission control equipment or process modification is to be completed. UJ LULU MONTH day year 03 Date by which final compliance is to be achieved* p LU LU Li MONTH OA V YE Al 04 PAOE 3 OF 4 PAOES SGP 0006569 II. B. WAIVER OF EMISSION TESTS. A waiver of emission testing may be granted to owners or operators of sources of beryllium or mercury pollutants if, in the judgment of the Administrator of the U.S. Environmental Protection Agency the emissions from the source comply .with the appropriate standard or if the owners or operators of the source have requested a waiver of compliance or have been granted a waiver of compliance. This application should accompany the reporting information provided in Section I. 1. Reason - State the reasons for requesting a waiver of emission testing. If the reason stated is that the emissions from the source is within the prescribed limits, documentation of this condition must be attached. Anature of the owner or operator A U.. COVCRNMCNT WtINTIAl OfflCt : 1171-7M-417/101 1-1 b ATE PACE 4 OF 4 PAGES SGP 0006570