Emission Control System Application Data Form

1. Please provide the following contact information:

Name
Title
Organization
Street address
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail

2. Describe Application & Emission Source:

3. Major Contaminants To Be Controlled:

4. Applicable Air Pollution Regulations with State Or Country Included:

5. Performance Requirements

% Collection  gr/sdcf   Corrected To  mg/m³ 

#/hr  ppm (volume)  Opacity  Other 

6. Design Specifications

a. Max. Inlet Gas Flow From Source - ACFM  ^oF  Am3/hr  ^oC 

To Air Pollution Control Equipment - SDCFM  ^oF  Nm3/hr  ^oC 

To Air Pollution Control Equipment - SCFM  ^oF  Nm3/hr  ^oC 

b. Minimum Gas Flow  Minimum Gas Flow Temp. 

Minimum Gas Flow Temp(Select from List):  Degrees F Degrees C

c. Normal Gas Flow   Normal Gas Flow Temp.  

Normal Gas Flow Temp(Select from List):  Degrees F Degrees C

d. Particulate Loading At Inlet (Select from List):  #/hour gr/sdcf mg/m3

Peak  Average  Minimum 

e. Gas Pressure At Inlet(Select from List):  Inches H20 psia psig mm H20

Maximum  Average  Minimum 

f. Plant Altitude, Feet Above Sea Level  Plant Altitude, Barometric Pressure 

Gas Composition	% By Volume	% By Weight	#/HR	PPMV
H2O
CO2
CO
O2
N2
SO2
SO3
HCl
NO
AR
HF
NH3
Particulate
Other
Other

7. Particle Size Distribution:

Particle Specific Gravity:  

Availability Of Water - GPM  ^oF  PSIG  

Power Available In Plant - Volts  HZ   Ø  

Compressed Air Available - PSIG   SCFM  Dry? 

8. Form Prepared By: (If different From Question # 1)

Name
Title
Contact Organization
Street address
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail

9. Response To Be Sent To: (If different From Question # 1)

Name
Title
Organization
Street address
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail