№ files_lp_3_process_7_036964
Administrative permit application form used to report and identify fugitive emission sources at an air quality–regulated facility under the operating permit program.
Program: Air Quality Permit Program
Document Type: Permit Application Form
Form Number: GI-05D
Related Forms: GI-05F Emission Source Association; GI-05C Liquid Storage Tanks; GI-05B Emission Unit Description; GI-05A Pollution Control Equipment Information; GI-04 Stack/Vent Information
Subject: Fugitive Emission Source Reporting
Scope: Air emissions outside buildings not passing through a stack, chimney, vent, or equivalent opening
Fields Required: AQ Facility ID No.; Agency Interest ID No. (if known); Facility Name; Fugitive Source ID No.; Source Type; Description; Year Installed; Pollutant(s) Emitted; Status; Removal Date (if inactive); Control Equipment ID No. (if applicable)
Applicable Sources: Cooling Towers; Paved Roads; Equipment Leaks; Piles; Landfills; Process Emissions; Material Handling/Transfer/Storage; Unpaved Roads; Vehicle Emissions; Other Fugitive Sources
Identification System: Sequential FUGI numbering beginning with 001
Submission Requirement: Mandatory fields and attachments required for application completeness
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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