Document aB3MXov2MgR878y3b821xpyZN

MATIO A.. EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS COMPLIANCE STATUS INFORMATION Form Approved OMB No. 1SH-R0I31 i. sooFicrj^ePoiiT INSTRUCTIONS (> nets nr <>pci il<'r\tif sources <>l hazardous pollutants subject to till' National Emission Standards for Hazardous Air Pollutants ara iiijuuad io sul'MiO iina inioimaiion contained in Section 1 to tint appropriate U. S. l-.nvitonmcntal Protection Agency Regional Olficc prior to `H! Ja>> allcr lln ciici live date ol any standards or amendments winch require the submission ol such mlormation. A licMri-' ol regional oi l ices is provided in 61.04, PLEASE NOTE: Do not write in shaded areas. A SOURCF INfQRWATlQN 1. IDENTIFICATION/LOCATION - Indicate the name and address of each source. 2. CONTACT * Indicare the name and telephone number of the owner or operator or other responsible official whom EPA may contact concerning this report. DUP 1-1# lUJj 19 20 lZlAi 7, 3i li 6i 9| 47 NUMBER i Jl--t-.l 21 L_l 0 P E. .P t e_.ll ll 1-1 i i i i i l I I l I NAME 43 1310141 44 6 AREA COOt 3 SOURCE DESCRIPTION Briefly state the nature of the source le.g., "Chlor*alkali Plant" or "Machine Shop"). DUP 1*1# t_5J_2U I s to lSl.Q 1l-M q nt ti I V| ii n M 3| e is ii in i |P |1 ja in|t| i i i i DESCRIPTION , I L-l-1 I I I I I I I IIII _L LJ 1 CONTINUED 79 0 ALTERNATIVE MAILING ADDRESS - Indicate an alternative mailing address if correspondence is to be directed to a location different than Thai specified above 'dup i-ie I 4J 31 1# 20 i.Pi Q |B_p pc i i 8| Q_Q 4 i i_ii i i li I ll i i j 21 NUMBER STREET OR BOX NUMBER 45 dup i*i a te 20 i Si q C h la r fl. e is it io in i i t 21 CITV 3S |W iV i 37 38 |215 13101 3| 40 ZIP 44 f P^PLIANCE STATUS - The emissions from this source Clean EX cannot meet the emission limitations contained in the National Emission Standards prior to 90 days after the effective date of any standards or amendments which require Jhe submission of such information. 41 Signatuirref of QOvw\ ner, Operator or Other Responsible Official umVv " cm,ss`",ls from <1"' source will exceed those limits scl by the National Emission Standards for Hazardous Air Pollutants, the source Pii'i-rt!" 'T"n a'lJ sub,l`c' < Federal enforcement actions unless tiramcd a waiver of compliance by the Administrator of the U.S. l-.ttvtronmemal ion A;vjk) , 1 lie miurnuihon needed for such waivers is listed m Section 11 of this form. lf,A f oon 7600 1 (9-75) PAGE 1 F# UCC 102921