Emissions Inventory Forms

for Calendar Year 2013

All Title V sources must submit a 2013 Annual Emissions Inventory Report by April 15, 2014 in order to comply with APCD regulations. Additional sources shall comply upon request, as required by Regulation 1.06, Section 4.3. All sources must continue to comply with record-keeping and reporting permit provisions and all other regulatory requirements.

Please read Instructions E01 for general instructions and additional instructions as appropriate.  To save a document to your computer, right-click on the link and choose "Save Target As" or "Save Link As" (depending on your browser software).

Instructions
Title of Document Microsoft Word PDF
General reporting instructions (revised) Instructions E01 (Word) Instructions E01 (PDF)
Instructions for petroleum product bulk terminals Instructions E02 (Word) Instructions E02 (PDF)
Instructions for paint manufacturing operations Instructions E03 (Word) Instructions E03 (PDF)
Terms and acronyms Instructions E04 (Word) Instructions E04 (PDF)
List of non-VOC organic compounds Instructions E05 (Word) Instructions E05 (PDF)
HAP classifications Instructions E06 (Word) Instructions E06 (PDF)

 

Forms
Reporting Option Title of Form Microsoft Excel PDF
1 
Individual forms
Emission Units and Processes Form E10T (Excel) Form E10T (PDF)
Boiler or process fuel usage Form E20 (Excel) Form E20 (PDF)
Particulate matter data Form E40 (Excel) Form E40 (PDF)
Welding (optional) Form E43 (Excel) Form E43 (PDF)
Wet cooling tower Form E44 (Excel) Form E44 (PDF)
Process/Product Usage (optional replacement for E40 and E50) Form E45 (Excel) Form E45 (PDF)
VOC solvent/product usage Form E50 (Excel) Form E50 (PDF)
Stage I gasoline throughput Form E54 (Excel) Form E54 (PDF)
Stage II gasoline throughput Form E55 (Excel) Form E55 (PDF)
Process information and emissions (revised) Form E90 (Excel) Form E90 (PDF)
Emissions release point table Form E91T (Excel) -
Control measure table Form E92T (Excel) -
Plant-wide pollutant emissions summary and certification Form E99 (Excel) Form E99 (PDF)
2 
Processes spreadsheet
Processes (revised) Processes.xls -
Emission Units and Processes Form E10T (Excel) Form E10T (PDF)
Emissions release point table Form E91T (Excel) -
Control measure table Form E92T (Excel) -
Plant-wide pollutant emissions summary and certification Form E99 (Excel) Form E99 (PDF)

 

Related Forms

Description of Document

Word

PDF

Insignificant Activities Summary Insignificant Activities Form 100P (Word 03) Insignificant Activities Form 100 P (PDF)

 

Compliance Certification Forms

Permit Type

Microsoft Word

PDF

Title V Form 9400-O (Word) Form 9400-O (PDF)
FEDOOP Form 9440-O (Word) Form 9440-O (PDF)
NESHAP - 40 CFR 63 part HHHHHH 40 CFR 63 HHHHHH Form (Word) 40 CFR 63 HHHHHH Form (PDF)

 

Useful Documents and Links

If you have trouble opening a file by clicking the link, try this: Download the file (on most browsers, right-click and choose "Save Target As" or "Save Link As") and open it with the appropriate program (Adobe Reader, Microsoft Office Excel or Microsoft Office Word).  For documents in PDF format, depending on the availability of fonts, the equations and special characters may not display properly on the screen or printer.