Form TCEQ-10360 "Reportable Event/Activity Notification/Reporting Form" - Texas

What Is Form TCEQ-10360?

This is a legal form that was released by the Texas Commission on Environmental Quality - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2014;
  • The latest edition provided by the Texas Commission on Environmental Quality;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form TCEQ-10360 by clicking the link below or browse more documents and templates provided by the Texas Commission on Environmental Quality.

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Download Form TCEQ-10360 "Reportable Event/Activity Notification/Reporting Form" - Texas

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Texas Commission on Environmental Quality
Reportable Event/Activity Notification/Reporting Form
Submittal
Initial
Final
Agency Use
Incident #
Investigation #
Type
Notification
Report
Only
Name of Owner or Operator
RN/ Air Acct #
Physical Location (how to get to location of release; may also
include site name)
Process Unit or Area Common Name
Facility Common Name
Emission Point Common Name
(where air contaminants were generated)
(where emissions were released to air)
Facility Identification Number (FIN)
Emission Point Number (EPN)
This Event/
Emissions
Sch.
Sch.
Sch. Shutdown
Excess Opacity
Activity
Event
Maintenance
Startup
Event
Type
Date / Time Event
Discovered or
(Indicate
Event Duration
@
Scheduled Activity Start
one)
mm
dd
yy
hh
mm
hh
mm
sec
(e.g., 9/12/02 @ 13:21)
(hh:mm:sec)
List of Compound Descriptive Type(s) of Individually
Estimated Total
Units
Authorized
Units
Authorization (rule
Listed or Mixtures of Air Contaminant Compounds
Quantity for Air
Emissions Limit /
or permit #)
Released, Including opacity
(See the notification and
Contaminants for
Opacity Limit
reporting requirements under 30 TAC §§ 101.201 and 101.211
Emissions/ Opacity
Value for Opacity
for detailed information related to how to report compounds and
opacity.
See also 30 TAC §101.1(88)). Use attachments if
necessary to report additional contaminants.
Cause of Emissions Event or Excess Opacity Event, or Reason for Scheduled Activity:
Actions Taken, or Being Taken, to Minimize Emissions and/or Correct the Situation:
Basis Used to Determine Quantities and Any Additional Information Necessary to Evaluate the Event:
Person Making Notification/ Date and Time
Phone
Incident Contact Person
Phone/ E-mail
Jurisdiction(s) Notified
Form TCEQ- 10360 (revised February 2014)
Texas Commission on Environmental Quality
Reportable Event/Activity Notification/Reporting Form
Submittal
Initial
Final
Agency Use
Incident #
Investigation #
Type
Notification
Report
Only
Name of Owner or Operator
RN/ Air Acct #
Physical Location (how to get to location of release; may also
include site name)
Process Unit or Area Common Name
Facility Common Name
Emission Point Common Name
(where air contaminants were generated)
(where emissions were released to air)
Facility Identification Number (FIN)
Emission Point Number (EPN)
This Event/
Emissions
Sch.
Sch.
Sch. Shutdown
Excess Opacity
Activity
Event
Maintenance
Startup
Event
Type
Date / Time Event
Discovered or
(Indicate
Event Duration
@
Scheduled Activity Start
one)
mm
dd
yy
hh
mm
hh
mm
sec
(e.g., 9/12/02 @ 13:21)
(hh:mm:sec)
List of Compound Descriptive Type(s) of Individually
Estimated Total
Units
Authorized
Units
Authorization (rule
Listed or Mixtures of Air Contaminant Compounds
Quantity for Air
Emissions Limit /
or permit #)
Released, Including opacity
(See the notification and
Contaminants for
Opacity Limit
reporting requirements under 30 TAC §§ 101.201 and 101.211
Emissions/ Opacity
Value for Opacity
for detailed information related to how to report compounds and
opacity.
See also 30 TAC §101.1(88)). Use attachments if
necessary to report additional contaminants.
Cause of Emissions Event or Excess Opacity Event, or Reason for Scheduled Activity:
Actions Taken, or Being Taken, to Minimize Emissions and/or Correct the Situation:
Basis Used to Determine Quantities and Any Additional Information Necessary to Evaluate the Event:
Person Making Notification/ Date and Time
Phone
Incident Contact Person
Phone/ E-mail
Jurisdiction(s) Notified
Form TCEQ- 10360 (revised February 2014)
Texas Commission on Environmental Quality
Notifications are required to be submitted to the TCEQ regional office and any appropriate local air pollution control
agency whose jurisdiction includes the site experiencing the event (See 30 TAC §§101.201(a)(1)(B) and
101.211(a)). Final reports are required to be submitted to the appropriate TCEQ regional office.
Regional Offices
No. Region
No. Region
No. Region
1. Amarillo:
7. Midland:
12. Houston:
3918 Canyon Drive
9900 W. IH-20, Ste. 100
5425 Polk, Ste H
Amarillo, Texas 79109-4933
Midland, Texas
Houston, Texas 77023-1452
FAX: 806-358-9545
FAX: 432-561-5512
FAX: 713-767-3520
2. Lubbock:
13. San Antonio:
5012 50th St., Ste. 100
8. San Angelo:
14250 Judson Road
San Antonio, Texas 78233
Lubbock, Texas 79414-3426
622 S. Oakes, Ste K
FAX: 806-796-7107
San Angelo, Texas 76903-7013
FAX: 210-545-4329
FAX: 915-658-5431
14. Corpus Christi:
3. Abilene:
9. Waco:
NRC Bldg., Ste. 1200
1977 Industrial Blvd
6801 Sanger Ave, Ste 2500
6300 Ocean Dr., Unit 5839
Abilene, Texas 79602-7833
Waco, Texas 76710-7826
Corpus Christi, Texas 7841-
FAX: 915-692-5869
FAX: 254-772-9241
5839
FAX: 361-825-3101
4. Fort Worth:
10. Beaumont:
15. Harlingen:
2309 Gravel Drive
3870 Eastex Frwy
1804 W. Jefferson Ave.
Fort Worth, Texas 76118-6951
Beaumont, Texas 77703-1830
Harlingen, Texas 78550-5247
FAX: 817-588-5702
FAX: 409-892-2119
FAX: 956-412-5059
5. Tyler:
11. Austin:
16. Laredo:
2916 Teague
P.O. Box 13087 • Austin, TX 78711-3087
707 E. Calton Rd., Ste. 304
Tyler, Texas 75701-3734
12100 Park 35 Circle • Austin, TX 78753
Laredo, Texas 78041-3887
FAX: 903-595-1562
FAX: 512-339-3795
FAX: 956-791-6716
6. El Paso:
401 E. Franklin Ave, St 560
El Paso, Texas 79901-1212
FAX: 915-834-4940
Local Programs
(Note: the local programs listed below are provided for your convenience only. There may be a local program with jurisdiction of your site not
listed. Please consult with local municipal or county offices to determine your local program contact requirements.)
City of Dallas Public Works Dept. – Air Pollution Control Program
320 E. Jefferson Blvd
Dallas, Texas 75203
FAX: 214/948-4412
El Paso City- Environmental Services Dept.
7968 San Paulo Dr.
El Paso, Texas 79907
FAX: 915/559-6281
Fort Worth - Transportation & Public Works/Environmental Services, Air Program
1000 Throckmorton St.
Fort Worth, Texas 76102
FAX: 817/392-6359
Galveston County Health District Office of Environmental Health Programs - Air & Water Pollution Services
P.O. Box 939
La Marque, Texas 77568
FAX 409/938-2271
Form TCEQ- 10360 (revised February 2014)
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