supplemental application information san diego apcd use only fee schedule appl. no.: 46a id no.: filtration membrane m

supplemental application information
San Diego APCD Use Only
fee schedule
Appl. No.:
46A
ID No.:
FILTRATION MEMBRANE MANUFACTURING
=================================
• Use a separate supplemental form for each process line.
• Provide a drawing showing the positioning of exhaust collection and
ventilation equipment, and emission control devices.
• Attach a current Material Safety Data Sheet (MSDS) for each material
used.
• Please print or type the information requested below.
Company Name:  
Equipment Address:  
A. Equipment Description
Process Line designation:  
Casting Equipment Mfr:   Model:   S/N:  
Coater Mfr:   Model:   S/N:  
Mixing Tank Mfr:   Model:   S/N:  
Mixing Tank Capacity:   gallons
B. PROCESS DESCRIPTION
Description of Membrane Cast:   Casting Thickness:   inches
Membrane Casting Speed   ft/min Membrane Width:   inches
Footage of Membrane Cast Each Day:   ft Operating Temperature:  
°F or   °F
C. OPERATING SCHEDULE
Average:   Hrs/Day   Days/Wk   Wks/Yr
Maximum:   Hrs/Day   Days/Wk   Wks/Yr
D. TANK SOLUTION INFORMATION
Casting Solution Usage: Average:   gals/day Maximum:   gals/day
Average Usage of Casting Solution:   gals/month   gals/yr
VOC content of Casting Solution:   lbs/gal or   gms/l
Casting Solution Composition:
Material
Manufacturer
I.D. No.
% wt. in Feedstock
% wt. VOC content
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
VOC Emission Factor of Casting Solution:   lbs/gal (Attach
documentation)
Are cast membranes further treated by materials containing VOC’s? Yes
No
If yes, please describe the treatment procedures and complete the
following table:
Material
Manufacturer
I.D. No.
% wt. VOC content
Gal/Day Usage
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
E. EMISSION CONTROL DESCRIPTION
Type of control equipment:  
Mfr:   Model:   S/N:  
Control efficiency:   Exhaust flow rate:   CFM Temperature:   °F
Describe how process equipment is vented:  
 
 
 
Estimated capture efficiency:  
Name of Preparer:   Title:  
Phone No.: (   )   Date:  
NOTE TO APPLICANT:
Before acting on an application for Authority to Construct or Permit
to Operate, the District may require further information, plans, or
specifications. Forms with insufficient information may be returned to
the applicant for completion, which will cause a delay in application
processing and may increase processing fees. The applicant should
correspond with equipment and material manufacturers to obtain the
information requested on this supplemental form.
2 of 2 (46A)

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