Form MO780-1621 (EIQ Form 2.0) "Emission Unit Information" - Missouri

What Is Form MO780-1621 (EIQ Form 2.0)?

This is a legal form that was released by the Missouri Department of Natural Resources - a government authority operating within Missouri. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on May 1, 2010;
  • The latest edition provided by the Missouri Department of Natural Resources;
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MISSOURI DEPARTMENT OF NATURAL RESOURCES
AIR POLLUTION CONTROL PROGRAM
EMISSIONS INVENTORY QUESTIONNAIRE, OR EIQ
FORM 2.0 EMISSION UNIT INFORMATION
FACILITY NAME
FIPS COUNTY NO.
PLANT NO.
YEAR OF DATA
1. EMISSION UNIT IDENTIFICATION
EMISSION UNIT NO.
EMISSION UNIT DESCRIPTION
2. EMISSION PROCESS DETAIL
SEG. NO.
SOURCE CLASSIFICATION CODE (SCC)
SCC DESCRIPTION
Yes
DO THE EMISSIONS FROM THIS UNIT FLOW THROUGH A STACK OR VENT?
No
IF YES, COMPLETE FORM 2.0S STACK/VENT INFORMATION
ARE THE EMISSIONS FROM THIS UNIT FUGITIVE?
IF FUGITIVE, WHAT PERCENTAGE?
Yes
No
4. ANNUAL FUEL CHARACTERISTICS
3. OPERATING RATE/SCHEDULE
ANNUAL THROUGHPUT
UNITS
DEC-FEB (%)
For coal or fuel oil, list details below
MAR-MAY (%)
Heat Content (BTU/Fuel Unit)
HOURS / DAY
DAYS / WEEK
WEEKS / YR.
TOTAL HOURS / YR.
JUN-AUG (%)
ASH % (INCLUDE IN EF)
SEPT-NOV (%)
SULFUR % (INCLUDE IN EF)
5. EMISSION CALCULATIONS
1.
2.
3.
4.
5.
Annual Throughput
AIR
SOURCE OF
EMISSION
EMISSION
OVERALL
ACTUAL
×
Emission Factor
POLLUTANT
EMISSION
FACTOR
FACTOR (EF)
CONTROL
EMISSIONS
×
(1-Overall Control Eff/100)
FACTOR
CONTROL
EFFICIENCY
(TONS/YR)
÷
2,000
STATUS
(% FORMAT)
=
Actual Emissions (tons)
List Other Worksheets or AP-
Choose from the
Combination of all
If EF includes control
If controlled, include
42/Other Reference
Source of Emission
capture and
Instructions:
Lbs./unit of throughput
mark "C",
Form 2.0C Control
Factor List
destruction
otherwise "U"
Device Listing
at lower right
efficiencies
PM
SOURCE OF EMISSION FACTOR LIST
10
1. CEM
Include documentation
SO
X
2. Stack Test
Include documentation
3. Mass Balance
Include documentation
NO
X
4. AP-42
Include reference
4F. FIRE or webFIRE
VOC
5. Other
Include documentation
EC. Engr Calc
Include documentation
CO
LS. Landfill Spdsht
Include documentation
TK. TANKS Program
Supply TANKS output
LEAD
2.3. VOC Mass Bal
Complete Form 2.3
2.4. Liquid Loading
Complete Form 2.4
HAPs
2.7. Haul Road
Complete Form 2.7
2.8. Storage Pile
Complete Form 2.8
PM
2.5
2.T. HAP Worksheet
Complete Form 2.T
2.9. Stack Test/CEM
Complete Form 2.9
NH
3
2.0L. Landfill
Complete Form 2.0L
MO 780-1621 (05-10)
MISSOURI DEPARTMENT OF NATURAL RESOURCES
AIR POLLUTION CONTROL PROGRAM
EMISSIONS INVENTORY QUESTIONNAIRE, OR EIQ
FORM 2.0 EMISSION UNIT INFORMATION
FACILITY NAME
FIPS COUNTY NO.
PLANT NO.
YEAR OF DATA
1. EMISSION UNIT IDENTIFICATION
EMISSION UNIT NO.
EMISSION UNIT DESCRIPTION
2. EMISSION PROCESS DETAIL
SEG. NO.
SOURCE CLASSIFICATION CODE (SCC)
SCC DESCRIPTION
Yes
DO THE EMISSIONS FROM THIS UNIT FLOW THROUGH A STACK OR VENT?
No
IF YES, COMPLETE FORM 2.0S STACK/VENT INFORMATION
ARE THE EMISSIONS FROM THIS UNIT FUGITIVE?
IF FUGITIVE, WHAT PERCENTAGE?
Yes
No
4. ANNUAL FUEL CHARACTERISTICS
3. OPERATING RATE/SCHEDULE
ANNUAL THROUGHPUT
UNITS
DEC-FEB (%)
For coal or fuel oil, list details below
MAR-MAY (%)
Heat Content (BTU/Fuel Unit)
HOURS / DAY
DAYS / WEEK
WEEKS / YR.
TOTAL HOURS / YR.
JUN-AUG (%)
ASH % (INCLUDE IN EF)
SEPT-NOV (%)
SULFUR % (INCLUDE IN EF)
5. EMISSION CALCULATIONS
1.
2.
3.
4.
5.
Annual Throughput
AIR
SOURCE OF
EMISSION
EMISSION
OVERALL
ACTUAL
×
Emission Factor
POLLUTANT
EMISSION
FACTOR
FACTOR (EF)
CONTROL
EMISSIONS
×
(1-Overall Control Eff/100)
FACTOR
CONTROL
EFFICIENCY
(TONS/YR)
÷
2,000
STATUS
(% FORMAT)
=
Actual Emissions (tons)
List Other Worksheets or AP-
Choose from the
Combination of all
If EF includes control
If controlled, include
42/Other Reference
Source of Emission
capture and
Instructions:
Lbs./unit of throughput
mark "C",
Form 2.0C Control
Factor List
destruction
otherwise "U"
Device Listing
at lower right
efficiencies
PM
SOURCE OF EMISSION FACTOR LIST
10
1. CEM
Include documentation
SO
X
2. Stack Test
Include documentation
3. Mass Balance
Include documentation
NO
X
4. AP-42
Include reference
4F. FIRE or webFIRE
VOC
5. Other
Include documentation
EC. Engr Calc
Include documentation
CO
LS. Landfill Spdsht
Include documentation
TK. TANKS Program
Supply TANKS output
LEAD
2.3. VOC Mass Bal
Complete Form 2.3
2.4. Liquid Loading
Complete Form 2.4
HAPs
2.7. Haul Road
Complete Form 2.7
2.8. Storage Pile
Complete Form 2.8
PM
2.5
2.T. HAP Worksheet
Complete Form 2.T
2.9. Stack Test/CEM
Complete Form 2.9
NH
3
2.0L. Landfill
Complete Form 2.0L
MO 780-1621 (05-10)