Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 1 of 3 PI-10 Instructions 5/2006 PROCESS INFORMATION: Dry Cleaning Operations – INSTRUCTIONS Microsoft Word version of PI-10 Adobe PDF version of PI-10 The purpose of PI-10 (state form 52550) is to obtain detailed information about the dry cleaning processes. Complete one form for each process unit (or group of identical process units). PI-10 is a required form for all air permit applications submitted to IDEM, OAQ. For the purposes of this form, the term “source” refers to the plant as a whole and NOT to the individual emissions units. If you do not provide the enough information to adequately describe the process, the application process may be stopped. If you have any questions, contact the Air Permit Reviewer of the Day (PROD) at (317) 233-0178 or 1-800-451-6027 extension 3-0178 (toll free call within Indiana). Part A: Equipment Information Part A identifies the dry cleaning process. If there are multiple process units that are identical in nature, capacity, and use, you may use one row to summarize the data for the identical units. 1. Type of Dry Cleaning Machine: Provide the type of machine at your facility. 2. Unit ID: Provide the Unit ID of the dry cleaning machine at the source. The identification numbers listed on this form should correspond to the emissions unit identified on the Plant Layout and Process Flow diagrams. 3. Number of Identical Machines: Specify whether this form identifies one process unit, or a number of identical process units. Identical units must be of the same blasting type, process capacity, and installation date. If more than one identical unit, specify the number of units in the space provided. 4. Installation Date: Provide the date on which the process combustion unit was installed. If the exact date is not known, provide the month and year of the installation. 5. Amount Cleaned: Provide the maximum amount of clothes cleaned by this machine in pounds per day (ld/day). 6. Total Number of Machines: Specify the total number of dry cleaning machines at the source. 7. Add-On Control Technology: Identify all control technologies used for this process, if applicable. A Control Equipment (CE) application form will need to be completed for each control device used, and a summary of control equipment should be submitted using form CE-01. 8. Control Techniques: Identify all control techniques used for this process. 9. Process Limitations / Additional Information: Use the space provided to identify any acceptable process limitations or to provide additional information. An example of an acceptable process limitation would be taking a limit on raw material usage. Such a limit would require an additional record keeping and reporting requirements to be enforceable. For some limitations, performance testing may also be required. Any future change to the established limit will require a permit modification. Part B: Solvent Details Part B identifies the information associated with the solvents used for this process. An MSDS sheet must be provided for each solvent used for your process. American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 2 of 3 PI-10 Instructions 5/2006 10. Solvent Name / Type: Provide the name, trade name, CAS number, or other identifier for the solvent used in your process. 11. Density: Provide the density of the solvent, in pounds per gallon (lb/gal). This information can be found on the MSDS information sheet. 12. Storage Vessel ID: Provide a unique identification number for each solvent storage vessel. The identification numbers listed on this form should correspond to the emissions unit identified on the Plant Layout and Process Flow diagrams. 13. Amount Used: Provide the maximum amount of solvent used in units of gallons per rolling twelve month period (gal/12-month). 14. Amount Disposed or Sold: Provide the total amount of solvent that is disposed of, or sold off-site, in units of gallons per year (gal/yr). 15. Amount Stored On Site: Provide the maximum solvent storage capacity at the site in gallons (gal). Part C: Emission Factors Part C identifies the emission factors used to calculate air emissions from this process. 16. Process Unit & ID: Identify the process and include the identification number for the unit, if applicable. 17. Air Pollutant: For each process identified, list each air pollutant emitted to the atmosphere during normal operation. If there are multiple pollutants for an process, use a new row for each pollutant. 18. Emission Factor: Provide the relevant emission factor including the appropriate units (e.g., lb/units, lbs/ton, lbs/gal, lbs/cf, etc.). 19. Source of Emission Factor: Provide the source of the emission factors. Common sources include AP-42, stack test data, engineering analysis. The United States Environmental Protection Agency (U.S. EPA) has developed a Clearinghouse for Inventories & Emission Factors containing AP-42 and other emission factors. Appendix A of AP-42 lists several common conversion factors that may be needed to calculate potential to emit. Part D: Federal Rule Applicability Part D identifies any federal rules that apply to the process. 20. Is a New Source Performance Standard (NSPS) applicable to this source? Specify whether a New Source Performance Standard (NSPS) is applicable to the process unit(s). If a New Source Performance Standard (NSPS) applies, list the rule citation and title in the space provided and submit a FED-01 form to identify the applicable portions of the rule. 21. Is a National Emission Standard for Hazardous Air Pollutants (NESHAP) applicable to this source? Specify whether a National Emission Standard for Hazardous Air Pollutants (NESHAP) is applicable to the process unit(s). If a National Emission Standard for Hazardous Air Pollutants (NESHAP) applies, list the rule citation and title in the space provided and submit a FED-01 form to identify the applicable portions of the rule. The United States Environmental Protection Agency (U.S. EPA) provides lists of NESHAP on the Rules and Implementation section of the Air Toxics Website. 22. Non-Applicability Determination: Provide an explanation of non-applicability if the process unit would appear to be subject to a rule (based on the rule title of affected source category), but the rule will not apply to the process. For example, if the process unit is part of the source category subject to a rule, but the process unit in question is not subject to the rule, state the reason why the unit is not subject. American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 3 of 3 PI-10 Instructions 5/2006 ***SUBMISSION OF CONFIDENTIAL RECORDS*** All information submitted to IDEM will be made available to the public unless it is submitted under a claim of confidentiality. Claim of confidentiality must be made at the time the information is submitted to IDEM, and must follow the requirements set out in 326 IAC 17.1-4-1. Failure to follow these requirements exactly will result in your confidential information becoming a public record, available for public inspection. To ensure that your information remains confidential, refer to the IDEM, OAQ information regarding submittal of confidential business information. For more information on confidentiality for certain types of business information, please review IDEM’s Nonrule Policy Document Air-031-NPD regarding Emission Data. Summary of Websites 1. Microsoft Word version of form PI-10: www.in.gov/icpr/webfile/formsdiv/52550.doc 2. Adobe PDF version of form PI-10: www.in.gov/icpr/webfile/formsdiv/52550.pdf 3. Air Permit Reviewer of the Day (PROD) online form: www.in.gov/idem/permits/air/prodform.html 4. Plant Layout Diagram: www.in.gov/idem/permits/air/apps/instructions/pldexample.pdf 5. Example Process Flow Diagram: www.in.gov/idem/permits/air/apps/instructions/pfdexample.pdf 6. U.S. EPA’s Clearinghouse for Inventories & Emission Factors: www.epa.gov/ttn/chief/index.html 7. Appendix A of AP-42: www.epa.gov/ttn/chief/ap42/appendix/appa.pdf 8. United States Environmental Protection Agency (US EPA): www.epa.gov 9. Rules and Implementation section of U.S. EPA’s Air Toxics Website: www.epa.gov/ttn/atw/eparules.html 10. Article 17.1, Rule 4, Section 1 of the Indiana Administrative Code (326 IAC 17.1-4-1): www.in.gov/legislative/iac/T03260/A00171.PDF 11. IDEM, OAQ’s information regarding submittal of confidential business information: www.in.gov/idem/permits/air/apps/cbi.html 12. IDEM’s Nonrule Policy Document regarding Emission Data (Air-031-NPD): www.in.gov/idem/rules/policies/index.html American LegalNet, Inc. www.FormsWorkflow.com OAQ PROCESS INFORMATION APPLICATION PI-10: Dry Cleaning Operations IDEM – Office of Air Quality – Permits Branch 100 N. Senate Ave., MC 61-53 Indianapolis, IN 46204-2251 Telephone: (317) 233-0178, or Toll Free: 1-800-451-6027 x30178 (within Indiana) Facsimile Number: (317) 232-6749 www.idem.IN.gov/permits/air/index.html State Form 52550 (R / 1-07) INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT • The purpose of this form is to obtain detailed information about dry cleaning operations. Complete one form for each process (or group of identical processes). This is a required form. • NOTES: Detailed instructions for this form are available online at www.idem.IN.gov/permits/air/apps/instructions/pi10instructions.doc . • All information submitted to IDEM will be made available to the public unless it is submitted under a claim of confidentiality. Claims of confidentiality must be made at the time the information is submitted to IDEM, and must follow the requirements set out in 326 IAC 17.1-4-1. Failure to follow these requirements exactly will result in your information becoming a public record, available for anyone to inspect and photocopy. PART A: Equipment Information Part A identifies the dry cleaning process. If there are multiple process units that are identical in nature, capacity, and use, you may use one row to summarize the data for the identical units. Use additional sheets as necessary. 1. Type of Dry Cleaning Machine 2. Unit ID 3. Number of Identical Machines 4. Installation Date 5. Amount Cleaned (lb/day) 6. Total Number of Machines: 7. Add-On Control Technology: Identify all control technologies used for this unit, and attach completed CE-01 (unless “none”). None Oxidizer / Incinerator – Attach CE-06 Other (specify): Adsorber – Attach CE-07 – Attach CE-10 8. Control Techniques: Identify all control techniques used for this process. 9. Process Limitations / Additional Information: Identify any acceptable process limitations. Attach additional information if necessary. Continued on next page Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department Of Environmental Management Office Of Air Quality State Form 52550 (R / 1-07) Process Information – Dry Cleaning Operations FORM PI-10 Page 2 of 2 PART B: Solvent Details Part B identifies information regarding the solvents used in the dry cleaning process. Include a Material Safety Data Sheet (MSDS) for each solvent. Attach one form PI-14, for every storage vessel larger than 250 gallons. 10. Solvent Name / Type 11. Density 12. Storage Vessel IDs (lbs/gal) 13. Amount Used (gal/rolling 12month period) 14. Amount Disposed or Sold (gal/year) 15. Amount stored on site (gal) PART C: Emission Factors Part C identifies all emission factors used to calculate air emissions from this process. 16. Process Unit & ID 17. Air Pollutant 18. Emission Factor (include all units identified above) value units 19. Source of Emission Factor (if not using AP-42, include calculations) AP-42 Other AP-42 Other AP-42 Other AP-42 Other PART D Federal Rule Applicability Part D identifies any federal rules that apply to the process. 20. Is a New Source Performance Standard (NSPS) applicable to this source? If yes, attach a completed FED-01 for each rule that applies. Yes No 40 CFR Part 60, Subpart JJJ Petroleum Dry Cleaning 40 CFR Part 60, Subpart K Storage Vessels for Petroleum Liquids constructed, reconstructed or modified between June 11, 1973 and May 19, 1978 40 CFR Part 60, Subpart Ka Storage Vessels for Petroleum Liquids constructed, reconstructed or modified between May 18, 1978 and July 23, 1984 40 CFR Part 60, Subpart Kb Volatile Organic Liquid Storage Vessels (including Petroleum Liquids Storage Vessels) constructed, reconstructed or modified after July 23, 1984 21. Is a National Emission Standard for Hazardous Air Pollutants (NESHAP) applicable to this source? If yes, attach a completed FED-01 for each rule that applies. 40 CFR Part 63, Subpart M No Dry Cleaning 40 CFR Part 63, Subpart T Yes Degreasing Organic Cleaners 22. Non-Applicability Determination: Provide an explanation if the process unit appears subject to a rule (based on the rule title or the source category), but the rule will not apply. 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