SAN LUIS OBISPO COUNTY AIR POLLUTION CONTROL DISTRICT
3433 Roberto Court, San Luis Obispo, CA 93401 - (805) 781-5912 - FAX: (805) 781-1002
FUEL COMBUSTION PROCESSES
INSTRUCTIONS: Complete one form for each combustion unit, unless they are identical. Complete both sides.
Organization name:
No. of units included in this application:________
Manufacturer: _______________________________ Model:__________________ Serial No._______________
Burner manufacturer:_______________ Model:___________ rated heat input: _______mmBtu/hr
EQUIPMENT TYPE: (Enclose a copy of the manufacturer's brochure and any emissions testing results.)
 boiler:
 process heater  kiln  flare  dryer
 after-burner  furnace
 oven material heated:_______________________
 other:_____________________ Do combustion gases contact material heated?  yes  no
oxidizers/Incinerators: (Include a detailed process flow diagram for all incinerators.)
 Thermal oxidizer:  catalytic oxidizer: if electrically heated: kW, Oxidizer flow rate:____ scfm
 hazardous waste  gas/vapors
operating temp:_________F residence time:________sec
 patholog. waste  liquid waste *material heated: _____________________________________________
 other: _______________________ material feed rate:_____________ lb/hr, ______________ lb/yr
*(Include an MSDS or chemical analysis.)
rated heat input: ___________________________mmBtu/hr
PROCESS OR CONTROL EQUIPMENT:
 FGR
 non-selective catalyst  selective catalyst  O2 control  "low NOx" burners
 other :_________________ Mfg: _____________________Model:___________Serial No.__________
Control efficiency of air pollution control devices: ________%
(Include any test results.)
PRIMARY USE:
 waste disposal
       process heat
 electricity generation  abatement device  space heat
 other:____________________
TYPE OF FUEL:
HEAT CONTENT:
 natural gas
_____________ Btu/cf
 diesel
_____________ Btu/gal
 propane
_____________ Btu/cf
 gasoline
_____________ Btu/gal
 other: _______ _____________ Btu/__
ESTIMATED
( 3% O2 for boilers)
EMISSIONS*:
SULFUR:
n/a
______ wt %
n/a
n/a
______ ____
ANNUAL FUEL USE: OPERATING HRS:
_______________ therms___________ hr/yr
_______________ mgal ___________ hr/yr
_______________ mgal ___________ hr/yr
_______________ mgal ___________ hr/yr
_______________ ____ ___________ hr/yr
NOx:_________ppmv
CO:_________ppmv
PM10:_________lb/hr
SO2:______ __ppmv
VOCs:_________ppmv
*Cite reference, attach emissions calculations:________________________________________________________________
(APCD use only)
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APPLICATION
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Provide the following information, as applicable:
EXHAUST STACK:  yes  no stack diameter:____________inches
flow capacity:
cfm
stack height above ground:
feet
exhaust temperature:_____F
draft fan or blower rating (hp): _____________
rain cap or other stack restricter  yes  no
stack tip direction:
 up  down  horizontal
REMEDIATION PROJECT:
Duration: ________days
 yes  no If no, provide additional comments below.
_________weeks
_________years
Est. amount of material to be remediated: ____________  tons  cubic yards  other:___________
Type of contamination: (Include a copy of the chemical analysis.)
 diesel/oil  gasoline  other:_____
________________________________
Est. amount to be recovered or destroyed: ______________________lbs
Material process rate (other than standard fuels):______________units/day ______________units/project
Stockpiles, excavation, and handling of fugitives (include calculations): PM10: _________lbs/day
VOCs: _________lbs/day
COMMENTS: (Provide any additional information that would be useful to the District in estimating emissions from
your process or equipment. Failure to provide complete information may result in delays in permit processing or in the
assignment of your application as "incomplete".)
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