For each Dry Cleaning Machine, please provide the ...



SECTION B |DC- B1 | |

|Dry Cleaner EMISSION SOURCES | |

EQUIPMENT INFORMATION

For each Dry Cleaning Machine, please provide the following equipment information.

| | | | | | |

| |Machine 1 |Machine 2 |Machine 3 |Machine 4 |Machine 5 |

| | | | | | |

|ID Number | | | | | |

| | | | | | |

|Make | | | | | |

| | | | | | |

|Model | | | | | |

| | | | | | |

|Serial No. | | | | | |

|Manufacturers’ Rated Dryer Capacity | | | | | |

|(lbs or Kg per load, dry basis) | | | | | |

|Type: Dry to Dry or | | | | | |

|Transfer | | | | | |

| | | | | | |

|Date of Installation | | | | | |

|Solvent Recovery Dryer*? (Yes or No) | | | | | |

|Petroleum Solvent Filter? (Yes or No)| | | | | |

|Is the Petroleum Solvent Filter a | | | | | |

|Cartridge Filter**? (Yes or No) | | | | | |

|Control Devices? | | | | | |

|(Yes or No) | | | | | |

| | | | | | |

|Control Device ID | | | | | |

|Control Device Description | | | | | |

|For each machine, list all that are | | | | | |

|appropriate: | | | | | |

|Washer | | | | | |

|Still | | | | | |

|Solvent Filter | | | | | |

|Settling Tank | | | | | |

|Condenser | | | | | |

|Refrigerated Condenser | | | | | |

|Carbon Adsorber | | | | | |

|Room Enclosure | | | | | |

|Other - describe | | | | | |

*A Solvent Recovery Dryer means a class of dry cleaning dryers that employs a condenser to condense and recover solvent vapors evaporated in a closed-loop stream of heated air.

**A Cartridge filter means a discrete filter unit containing both filter paper and activated carbon that traps and removes contaminants from petroleum solvent.

SOLVENT INFORMATION

Please provide the following information regarding solvent use.

|Product Name |Type / Chemical Name (PERC, Petroleum, |Manufacturer |Density |Annual Quantity Used|

| |etc.) | |(lb/gal) |(gal/yr) |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

Please attach a Material Safety Data Sheet (MSDS) for each product used.

PRODUCTION INFORMATION

Actual clothes (or other items) cleaned per year (lb/yr): __________________

Potential clothes (or other items) that could be cleaned per year (capacity in lbs/yr): _______

Actual Facility Operation _________hrs/day, _________days/week, ______weeks/year

COMBUSTION INFORMATION

For each combustion source (boiler, steam generator, dryer, etc.), please list the following:

| | | | | | |

|Combustion Source Description | | | | | |

| | | | | | |

|Combustion Source ID | | | | | |

|Type of fuel | | | | | |

|(natural gas, fuel oil, electricity, | | | | | |

|etc.) | | | | | |

|Maximum Rated Heat Input | | | | | |

| | | | | | |

|Manufacturer | | | | | |

| | | | | | |

|Model No. | | | | | |

| | | | | | |

|Serial No. | | | | | |

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