Form 222-B Registration for Boilers/Water Heaters and Process Heaters (1-2 Million BTU/HR Heat Input) Complete one form per equipment. Section A - Operator Information 1. Facility Name (Business Name of Operator): 3. Owner's Business Name (If different from Business Name of Operator): Check here if change of operator South Coast Air Quality Management District Mail To: SCAQMD P.O. Box 4944 Diamond Bar, CA 91765-0944 Tel: (909) 396-3385 www.aqmd.gov 2. Valid AQMD Facility ID (Leave blank if a new business): Section B - Equipment Location Address 4. Equipment Location Is: Fixed Location Various Location (For equipment operated at various locations, provide main facility address.) Street Address City Contact Name Phone # E-Mail: Ext. , CA Title Fax # Zip Section C - Business Mailing Address 5. Correspondence Information: Check here if same as equipment location address Address City Contact Name Phone # E-Mail: Ext. , State Zip Title Fax # Section D - Equipment Information 6. Rule 222 (c)(6) BOILER OR STEAM GENERATOR means any combustion equipment that is fired with or is designed to be fired with natural gas, used to produce steam or to heat water, and that is not used exclusively to produce electricity for sale. Boiler or Steam Generator does not include any waste heat recovery boiler that is used to recover sensible heat from the exhaust of a c ombustion turbine or any unfired waste heat recovery boiler that is us ed to recover sensible heat from the exhaust of any combustion equipment. (Amended May 3, 2013) Rule 222 (c)(23) PROCESS HEATER means any combustion equipment fired with or designed to be fired with natural gas and which transfers heat from combustion gases to water or process streams. Process Heater does not include any kiln or oven used for annealing, drying, curing, baking, cooking, calcining, or vitrifying; or any unfired waste heat recovery heater that is used to recover sensible heat from the exhaust of any combustion equipment. (Amended May 3, 2013) The Boiler/Heater is: Serial No: Manufacturer: Model No: Maximum Heat Input Rating: BTU/HR Original Date of Manufacture: Check one of the following: Certified by SCAQMD to meet the emission requirements of Rule 1146.2 Retrofitted with a low NOx burner to comply with the emission requirements of Rule 1146.2. (Describe burner below) Serial No: Model No: Manufacturer: Maximum Heat Input Rating: BTU/HR Original Date of Manufacture: Was manufactured prior to January 1, 2000 and documentation will be maintained to demonstrate the unit uses