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Emission Source Modification Form Department/Division: C-AD Building Number: 1006 Permit Identification No. (if applicable): Brief Description of Modifications to Equipment/Operation: STAR Experiment
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How to fill out emission source modification form

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How to Fill Out Emission Source Modification Form:

01
Start by obtaining the emission source modification form from the relevant regulatory agency or department responsible for air quality control in your area. This form is typically available online or can be obtained in person.
02
In the form, provide your personal and contact information, such as your full name, address, phone number, and email. This information is necessary for the regulatory agency to reach out to you if needed.
03
Indicate the specific emission source that requires modification. This could be a piece of equipment, a production process, or any other source that emits pollutants. Provide detailed information about the source, including its make, model, capacity, and any relevant technical specifications.
04
Describe the proposed modifications you intend to make to the emission source. Specify the exact changes you plan to implement, including any upgrades, improvements, or replacements. Include details about the expected impact of these modifications on emissions, such as anticipated reductions or changes in pollutant levels.
05
If applicable, include any supporting documents or evidence that demonstrate the feasibility, effectiveness, and compliance of the proposed modifications. This may include engineering reports, test results, calculations, or any other relevant information that supports your case.
06
Provide a timeline for implementing the proposed modifications. Indicate the start date and the expected completion date, as well as any milestones or phases involved in the modification process.
07
Sign and date the form to certify the accuracy and completeness of the provided information. By signing, you acknowledge that you understand the implications and potential consequences of submitting false or misleading information.

Who Needs Emission Source Modification Form:

01
Facilities or businesses that operate emission sources that produce pollutants are typically required to fill out an emission source modification form. This can include manufacturing plants, power plants, refineries, or any other industrial facility that emits regulated substances into the air.
02
Additionally, individuals or organizations planning to modify existing emission sources or install new ones may also need to fill out this form. This ensures that the modifications or new installations comply with air quality regulations and potential environmental impacts are assessed and mitigated.
03
Compliance with emission source modification regulations is essential to maintain air quality standards and protect public health and the environment. Therefore, it is crucial for those who fall within the scope of these regulations to accurately and thoroughly fill out the emission source modification form.
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The emission source modification form is a document used to report any changes or modifications made to an existing emission source at a facility.
Facility owners or operators are required to file the emission source modification form if any changes or modifications are made to an existing emission source.
The form typically requires information on the facility, the emission source being modified, the nature of the modification, and any potential impact on emissions.
The purpose of the form is to ensure that any changes or modifications to emission sources are properly reported and accounted for to maintain compliance with regulations.
Information such as facility details, modification details, emission source details, and potential emission impact must be reported on the form.
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