Form Approved

OMB No. 2060-0239

Approval Expires: August 31, 1998

Public reporting burden for this collection of information is estimated to average 85 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Chief, Information Policy Branch, U. S. Environmental Protection Agency (2136), 401 M Street, S.W., Washington, D.C. 20460, and to Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503. Include the OMB number in any correspondence.

MAXIMUM ACHIEVABLE CONTROL TECHNOLOGY (MACT) STANDARDS

DEVELOPMENT INFORMATION REQUEST

I.	Instructions

This information request is to be completed for operations that comprise the Large Appliances source category at your plant. The source category is defined as Large Appliances.

We are requesting information regarding each compound identified as a hazardous air pollutant (HAP) that is used in or emitted by any operations, including fugitive emission sources, occurring from the Large Appliances source category at your facility. Fill out this information request as completely as possible from existing information. At a minimum, provide (1) information on the presence of HAP emissions and (2) HAP emission estimates based on previously obtained test data or on engineering calculations provided there is a basis for such calculations. No additional monitoring or emission testing is required by your company to respond to this request.

You may exclude the following sources of HAP emissions from your response: None

If you have any questions regarding this request, please contact Dr. Mohamed Serageldin. For your convenience, we have provided in Attachment A additional information on the scope and purpose of this survey. Respondents should read this material before attempting to complete the survey. Attachment B is a copy of an example figure and example tables for the survey. Refer to these examples in completing your response.

Note:	In order to conserve paper, we have not included Attachments A and B. We will send you a copy upon request.

Return this information request and any additional information to:

U.S. Environmental Protection Agency (MD-13)

Attn.: Dr. Mohamed Serageldin

North Carolina Mutual Insurance Building

411 West Chapel Hill Street

Durham, North Carolina 27701

II.	General Information

A.	Name of legal owner of plant:

B.	Name of legal operator of plant, if different from

legal owner:

C.	Address of legal owner/operator (please specify

which):

D.	Size of company:

1.	Approximate number of employees of the business enterprise that owns this plant, including where applicable, the parent company and all subsidiaries, branches, and unrelated establishments owned by the parent company (answer may be given using the following ranges: 0-100; 101-250; 251-500; 501-750; 751-1,000; 1,001-1,500; and >1,500)

2.	Number of plant employees attached to the Large Appliances operation:

E.	Name of plant:

F.	Street address of plant:

G.	Latitude and longitude coordinates of plant (see Appendix A of Attachment A):

H.	Name of contact(s) able to answer technical questions about the completed survey:

I.	Title(s):

J.	Telephone Number: (_____)

III.	Plant Operations

A.	Complete Table 1 for the most recent calendar year (unless the respondent can justify selection of an alternate base year) for all processes at your plant that are covered by the Large Appliances source category. For each type of process (i.e., process line), provide a process flow diagram that includes all sources of air emissions (e.g., stack emissions, process fugitive emissions, and area fugitive emissions [including fugitive dust emissions]). Also include all activities that generate HAP emissions, including the storage, transfer, handling, and processing of the materials, and wastewater and solid waste handling. Indicate all feedstocks, products, and emissions that contain compounds that are listed in Table 2, below. Use the same terminology/codes in identifying unit operations and emissions points in this figure as you will use in completing Table 3, below.

B.	List the products, coproducts, and by-products identified in the process flow diagram and indicate for each how much is produced annually.

IV.	HAP's--Usage and Emissions

A.	Complete Table 2 for each emission point identified in the process flow diagram(s) developed for Part III.A., above. For each HAP listed on the table, indicate the likelihood, using the codes defined in Table 2, that the HAP is emitted from a given emission point within the source category. Identify the appropriate emission points using the same terminology/codes you used in completing the process flow diagram(s) in Part III.A, above.

B.	Using copies of Tables 3A and 3B, complete the table for each process and emission point identified in Part III, with the following exceptions.

1.	For those emission points from units with Resource Conservation and Recovery Act (RCRA) Part B permits, it is not necessary to complete Table 3 for wastewater and solid waste handling operations;

2.	Sources with no air pollution capture or control systems will only complete columns 1-3, 8, and 10 of Table 3-A; and

3.	Provide HAP data only for those HAP's identified with code "A" in Table 2, above.

C.	Complete Table 4 for any air pollution capture or control equipment identified in Table 3, above.

D.	For calculations based on emission factors, material balances, or engineering principles, submit a step-by-step description of the calculations, including assumptions used, and a brief rationale for the validity of the calculation method used. (See guidance documents listed in Attachment A, Section IV). If test reports are listed as the basis for emissions estimates or capture system and control device efficiencies, provide a brief summary of the relevant tests. Include information such as the purpose of the test, when it was conducted, what test methods were used, and information on the process operation during the test. It is not necessary to submit copies of actual test reports at this time although EPA may request additional documentation on a plant-specific basis in the future.

V.	Factors That Affect HAP Emission Reductions

Completion of this Section V is optional. If you choose to respond, clearly distinguish between pollution reduction and source reduction measures. Pollution reduction measures alter the physical, chemical, or biological characteristics or the volume of a HAP through a process or activity which itself is not integral to and necessary to produce a product or provide a service. The use of "add-on" devices to capture and control (recover or destroy) HAP emissions are considered pollution reduction measures. In contrast, source reduction measures reduce the amount of any HAP prior to recycling, treatment, or disposal. Source reduction measures include equipment or technology modifications, process or procedure modifications, reformulation or redesign of products, substitution of raw materials, and improvements in housekeeping, maintenance, training, or inventory control.

A.	For each unit operation for which pollution reduction or source reduction measures have resulted in a decrease in HAP emissions since 1987, provide the following information.

1.	Name of unit operation:

2.	Type of control or description of process change:

B.	If recovery or recycling of feedstocks is used, quantify the effect of the program (e.g., estimated annual purchase of feedstock in the absence of recovery/recycling compared to actual annual purchase):

C.	Are you aware of any alternative processes (feedstock substitutions or eliminations) or control devices that could result in fewer impacts between environmental media (water, air, and land) or reduced total release to all environmental media (e.g., reduced wastewater or solid waste)? Discuss whether these processes could be adapted to the Large Appliances source category and any experience you have with them.

VI.	Miscellaneous

A.	If any control or process change described in Part V was instituted as a result of new source review requirements pursuant to 40 CFR 51.160, Subpart I, Review of New Sources and Modifications, provide the date at which the lowest achievable emission rate (LAER) came into effect:

B.	Describe any factors not addressed in the above questions that might serve to distinguish your facility from others in this source category for purposes of developing a separate source category or subcategory and MACT standards.

b7006-1.1/(3)

TABLE 2. PRESENCE OF HAZARDOUS AIR POLLUTANTS IN EMISSION POINTSa
Process name (as defined on process flow diagram): ______________________________________________
EMISSION POINTS
CHEMICAL NAME
ACETALDEHYDE
ACETAMIDE
ACETONITRILE
ACETOPHENONE
2-ACETYLAMINOFLUORENE
ACROLEIN
ACRYLAMIDE
ACRYLIC ACID
ACRYLONITRILE
ALLYL CHLORIDE
4-AMINOBIPHENYL
ANILINE
o-ANISIDINE
ASBESTOS
BENZENE(INCLUDING BENZENE FROM GASOLINE)
BENZIDINE
BENZOTRICHLORIDE
BENZYL CHLORIDE
BIPHENYL
BIS(2-ETHYLHEXYL)PHTHALATE (DEHP)
BIS(CHLOROMETHYL)ETHER
BROMOFORM
1,3-BUTADIENE
CALCIUM CYANAMIDE
CAPROLACTAM
CAPTAN
CARBARYL
CARBON DISULFIDE
CARBON TETRACHLORIDE
CARBONYL SULFIDE
CATECHOL
CHLORAMBEN
CHLORDANE
CHLORINE
CHLOROACETIC ACID
2-CHLOROACETOPHENONE
CHLOROBENZENE
CHLOROBENZILATE
CHLOROFORM
CHLOROMETHYL METHYL ETHER
CHLOROPRENE
CRESOLS/CRESYLIC ACID (ISOMERS AND MIXTURE)
o-CRESOL
m-CRESOL
p-CRESOL
CUMENE
2,4-D, SALTS AND ESTERS
DDE
DIAZOMETHANE
DIBENZOFURANS
1,2-DIBROMO-3-CHLOROPROPANE
DIBUTYLPHTHALATE
1,4-DICHLOROBENZENE(P)
3,3-DICHLOROBENZIDENE
DICHLOROETHYL ETHER (BIS(2-CHLOROETHYL)ETHER)
1,3-DICHLOROPROPENE
DICHLORVOS
DIETHANOLAMINE
N,N-DIETHYL ANILINE (N,N-DIMETHYLANILINE)
DIETHYL SULFATE
3,3-DIMETHOXYBENZIDINE
DIMETHYL AMINOAZOBENZENE
3,3'-DIMETHYL BENZIDINE
DIMETHYL CARBAMOYL CHLORIDE
DIMETHYL FORMAMIDE
1,1-DIMETHYL HYDRAZINE
DIMETHYL PHTHALATE
DIMETHYL SULFATE
4,6-DINITRO-O-CRESOL, AND SALTS
2,4-DINITROPHENOL
2,4-DINITROTOLUENE
1,4-DIOXANE(1,4-DIETHYLENE OXIDE)
1,2-DIPHENYLHYDRAZINE
EPICHLOROHYDRIN(1-CHLORO-2,3-EPOXYPROPANE)
1,2-EPOXYBUTANE
ETHYL ACRYLATE
ETHYL BENZENE
ETHYL CARBAMATE (URETHANE)
ETHYL CHLORIDE (CHLOROETHANE)
ETHYLENE DIBROMIDE (DIBROMOETHANE)
ETHYLENE DICHLORIDE (1,2-DICHLOROETHANE)
ETHYLENE GLYCOL
ETHYLENE IMINE(AZIRIDINE)
ETHYLENE OXIDE
ETHYLENE THIOUREA
ETHYLIDENE DICHLORIDE (1,1-DICHLOROETHANE)
FORMALDEHYDE
HEPTACHLOR
HEXACHLOROBENZENE
HEXACHLOROBUTADIENE
HEXACHLOROCYCLOPENTADIENE
HEXACHLOROETHANE
HEXAMETHYLENE-1,6-DIISO- CYANATE
HEXAMETHYLPHOSPHORAMIDE
HEXANE
HYDRAZINE
HYDROCHLORIC ACID
HYDROGEN FLUORIDE (HYDROFLUORIC ACID)
HYDROGEN SULFIDE
HYDROQUINONE
ISOPHORONE
LINDANE (ALL ISOMERS)
MALEIC ANHYDRIDE
METHANOL
METHOXYCHLOR
METHYL BROMIDE (BROMOMETHANE)
METHYL CHLORIDE (CHLOROMETHANE)
METHYL CHLOROFORM (1,1,1-TRICHLOROETHANE)
METHYL ETHYL KETONE (2-BUTANONE)
METHYL HYDRAZINE
METHYL IODIDE (IODOMETHANE)
METHYL ISOBUTYL KETONE (HEXONE)
METHYL ISOCYANATE
METHYL METHACRYLATE
METHYL TERT BUTYL ETHER
4,4-METHYLENE BIS(2-CHLOROANILINE)
METHYLENE CHLORIDE (DICHLOROMETHANE)
METHYLENE DIPHENYL DIISOCYANATE (MDI)
4,4'-METHYLENEDIANILINE
NAPHTHALENE
NITROBENZENE
4-NITROBIPHENYL
4-NITROPHENOL
2-NITROPROPANE
N-NITROSO-N-METHYLUREA
N-NITROSODIMETHYLAMINE
N-NITROSOMORPHOLINE
PARATHION
PENTACHLORONITROBENZENE (QUINTOBENZENE)
PENTACHLOROPHENOL
PHENOL
p-PHENYLENEDIAMINE
PHOSGENE
PHOSPHINE
PHOSPHOROUS
PHTHALIC ANHYDRIDE
POLYCHLORINATED BIPHENYLS (AROCHLORS)
1,3-PROPANE SULTONE
BETA-PROPIOLACTONE
PROPIONALDEHYDE
PROPOXUR (BAYGON)
PROPYLENE DICHLORIDE (1,2-DICHLOROPROPANE)
PROPYLENE OXIDE
1,2-PROPYLENIMINE (2-METHYL AZIRIDINE)
QUINOLINE
QUINONE
STYRENE
STYRENE OXIDE
2,3,7,8-TETRACHLORODIBENZO-p-DIOXIN
1,1,2,2-TETRACHLOROETHANE
TETRACHLOROETHYLENE (PERCHLOROETHYLENE)
TITANIUM TETRACHLORIDE
TOLUENE
2,4-TOLUENE DIAMINE
2,4-TOLUENE DIISOCYANATE
o-TOLUIDINE
TOXAPHENE (CHLORINATED CAMPHENE)
1,2,4-TRICHLOROBENZENE
1,1,2-TRICHLOROETHANE
TRICHLOROETHYLENE
2,4,5-TRICHLOROPHENOL
2,4,6-TRICHLOROPHENOL
TRIETHYLAMINE
TRIFLURALIN
2,2,4-TRIMETHYLPENTANE
VINYL ACETATE
VINYL BROMIDE
VINYL CHLORIDE
VINYLIDENE CHLORIDE (1,1-DICHLOROETHYLENE)
XYLENES (ISOMERS AND MIXTURE)
o-XYLENES
m-XYLENES
p-XYLENES
ANTIMONY COMPOUNDS
ARSENIC COMPOUNDS (INORGANIC INCLUDING ARSINE)
BERYLLIUM COMPOUNDS
CADMIUM COMPOUNDS
CHROMIUM COMPOUNDS
COBALT COMPOUNDS
COKE OVEN EMISSIONS
CYANIDE COMPOUNDS
GLYCOL ETHERS
LEAD COMPOUNDS
MANGANESE COMPOUNDS
MERCURY COMPOUNDS
FINE MINERAL FIBERS
NICKEL COMPOUNDS
POLYCYCLIC ORGANIC MATTER
RADIONUCLIDES (INCLUDING RADON)
SELENIUM COMPOUNDS