Form 5900-485 ?63.1110(e) Periodic Compliance Report

NESHAP for Cyanide Chemicals Manufacturing (40 CFR 60, subpart YY) (Proposed Rule)

Draft Form_5900-485_ICR 2678.01_Subpart_YY_Cyanide_Draft_Periodic_Report_Template_Proposal.xlsm

NESHAP for Cyanide Chemicals Manufacturing (40 CFR 60, subpart YY)

OMB: 2060-0739

Document [xlsx]
Download: xlsx | pdf

Overview

Welcome
Company_Information
Affected_Sources
Applicable_Standard_Detail
Applicable_Standard_Summary
Closed_Vent_Leaks
Closed_Vent_Valves
Closed_Vent_Bypass
Flare Req
Storage Vessel
Storage Vessel Planned Maintena
Other Control Device Req
Carbon_Bed
Daily_Average
Notifications
LDAR_initial_TT
LDAR_TT_Summary
LDAR_TT_Shutdowns
LDAR_Initial_UU
LDAR_UU_General
LDAR_UU_Summary
Revisions


Sheet 1: Welcome

Form 5900-485 63.1110(e) Semiannual Compliance Report (Spreadsheet Template)
63.1110(e)
Draft
12/2/2020
OMB No.: 2060-0489 Form 5900-485 For further Paperwork Reduction Act information see:
https://www.epa.gov/electronic-reporting-air-emissions/paperwork-reduction-act-pra-cedri-and-ert
40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: Generic Maximum Achievable Control Technology Standards (Cyanide) - §63.1110(e) Periodic Compliance Report Spreadsheet Template
Instructions for Spreadsheet Template

Purpose:
This spreadsheet template was designed by the U.S. EPA to facilitate Semiannual Compliance reporting for facilities subject under the 40 CFR part 63, subpart YY National Emission Standard for Hazardous Air Pollutants for Source Categories: Generic Maximum Achievable Control Technology Standards (GMACT) (Cyanide).
Electronic reporting:
Electronic submission of Semiannual Compliance Reports through the EPA's Compliance and Emissions Data Reporting Interface (CEDRI) is required under §63.1110(a)(10). CEDRI is accessed through the EPA's Central Data Exchange (https://cdx.epa.gov).
The CEDRI spreadsheet template upload feature allows you to submit data in a single report for a single company or multiple companies, as well as multiple sites, using this EPA provided Excel workbook. Data for each company must be entered into the worksheet labeled "Company Information" in this Excel workbook. Each row in the "Company Information" worksheet includes the data for a single company. The Company Record No. will be used to match the information on each worksheet to the appropriate company.

For each facility record found in the "Company_Information" worksheet, you may reference a single file attachment that includes additional information.
IMPORTANT: The spreadsheet must be uploaded into CEDRI as a single ZIP file, which must include this Excel workbook and any related attachments that were referenced in the workbook (i.e., additional information file found in the "Company_Information" worksheet).

Note: If you are uploading file attachments for your report, the uploaded files may be in any format (e.g., zip, docx, PDF). If you would like to include an Excel file(s) as an attachment, you must first zip the Excel file(s) into a separate ZIP file to the master ZIP file that will be uploaded into CEDRI.
Once all data have been entered in the worksheet, combine this Excel workbook and all attachment files (including any ZIP file containing separate Excel file(s), if applicable) into a single ZIP file for upload to CEDRI.

Please ensure your report includes all of the required data elements found in the listed citations below for this spreadsheet upload submission.
Do not submit information you claim as confidential business information (CBI) to EPA via CEDRI. EPA will make all the information submitted through this form via CEDRI available to the public without further notice to you. Anything submitted using CEDRI cannot later be claimed to be CBI. Furthermore, under CAA section 114(c) emissions data is not entitled to confidential treatment and requires EPA to make emissions data available to the public. Thus, emissions data will not be protected as CBI and will be made publicly available.
Although we do not expect persons to assert a claim of CBI, if persons wish to assert a CBI claim, you must submit the report via CEDRI with the CBI omitted and mail a complete report, including any information claimed to be CBI, to EPA on a compact disc, flash drive, or other commonly used electronic storage media via U.S. postal service. You must mark the outside of the digital storage media as CBI and then identify electronically within the digital storage media the specific information that is claimed as CBI. Mail the media to the address in the referencing federal regulation. If no address is specified, mail the media to:

U.S. EPA/OAQPS/CORE CBI Office Attention: Group Leader,
Measurement Policy Group MD C404-02
4930 Old Page Rd
Durham, North Carolina 27703
Template Navigation and Tabs to Complete:
Gray Tabs: The gray tabs (complete in the following order; Company_Information and Affected_Sources) contain mostly general information that is likely to be unchanged from report to report with the exception of dates and operating hours and are used in completing later tabs. After completing the gray tabs, the workbook may be saved as a site specific template for use in subsequent reports to limit subsequent data entry.

Green Tabs: Green tabs are completed as necessary for the facility. Complete the following: Applicable_Standard_Detail, Applicable_Standard_Summary, Closed_Vent_Leaks, Closed_Vent_Valves, Closed_Vent_Bypass, Flare Req, Storrage Vessel, Storage Vessel Planned Maintena, Other Control Device Req, Carbon_Bed,Daily_Average, Notifications, LDAR_initial_TT, LDAR_TT_Summary, LDAR_TT_Shutdowns, LDAR_Initial_UU, LDAR_UU_General, and LDAR_UU_Summary. Some cells are linked to previous tabs or are calculations dependent upon data entry. The Summary tab, Applicable_Standard_Summary, is autocompleted based upon entries in the Applicable_Standard_Detail tab.

Within the tabs, example rows are colored light red (from row 14 up to potentially row 23), and the XML tags (row 13) are colored green. These rows are locked; no data entry is made in these rows. Cells shaded light pink are locked and contain calculations that may not be changed. Data entry begins on row 24.

Sheet 2: Company_Information

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)














§63.1110(e) Periodic Compliance Report Spreadsheet Template















SITE INFORMATION





Company Record No.
(Field value will automatically generate if a value is not entered.)
Company Name
(§63.1110(f)(3))
Address
(§63.1110(f)(3))
Address 2 City
(§63.1110(f)(3))
County State Abbreviation
(§63.1110(f)(3))
Zip Code
(§63.1110(f)(3))
Owner/Operator Name, Address and Telephone Number
(§63.1110(f)(1))
Inquiries Contact Name, Address and Telephone Number
(If different from owner/operator)
(§63.1110(f)(1))
Responsible Agency Facility ID
(State Facility Identifier)
Beginning Date of Reporting Period
(§63.999(c)(1))
Ending Date of
Reporting Period
(§63.999(c)(1))
Please enter any additional information. Enter associated file name reference. If there was a process change made during this reporting period that resulted in additional applicable requirements, enter either the details of the change or the file name of the attached file containing the details
(§63.1104(m)(2)(i))
RecordId CompanyName AddressLine1 AddressLine2 CityName CountyName StateName ZipCode

StateFacId PeriodStartDate PeriodEndDate AddInfo AddFile
e.g.: 1 e.g.: ABC Company e.g.: 123 Main Street e.g.: Suite 100 e.g.: Brooklyn e.g.: Kings e.g.: NY e.g.: 11221

e.g.: 9145555555 e.g.: 01/01/2020 e.g.: 6/30/2020
e.g.: addlinfo.zip e.g.: Process_Change.zip











1/1/2020 6/30/2020



















































































































































Sheet 3: Affected_Sources

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)


§63.1110(e) Periodic Compliance Report Spreadsheet Template


Company Record No.
(Select from dropdown)
Brief Description of Affected Source
(§63.1110(f)(4))
Applicable Subpart(s)
(§63.1110(f)(4))
Total Operating Hours During the Reporting Period
(§63.999(c)(1))
RecordId AffectedSource_AS
TotalOperatingHours_AS
e.g.: 1 e.g. Line 1 e.g.: YY and SS e.g.: 4221.0





















































































































































































































































































































Sheet 4: Applicable_Standard_Detail

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)









§63.1110(e) Periodic Compliance Report Spreadsheet Template









Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.1111(c)(2) and (c)(5))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Applicable Standard Not Met
(§63.1111(c)(2), §63.999(c)(2)(ii) and (c)(5), and
§63.146(b)(7))
(Select from dropdown)
Starting Date of Failure
(§63.1111(c)(2),
§63.999(c)(2)(ii), and
§63.146(b)(7))
Starting Time of
Failure
(§63.1111(c)(2),
§63.999(c)(2)(ii), and
§63.146(b)(7))
Duration of Failure
(hours)
(§63.1111(c)(2),
§63.999(c)(2)(ii), and
§63.146(b)(7))
For Storage Vessels, Cause for Measured Parameter Outside of Range
(§63.1111(c)(5))
Method Used to Estimate Emissions
(63.1111(c)(2))
(Select from dropdown)
Estimate of Emissions
of Total HAP
(§63.1111(c)(2))
Units of Emissions Estimate
of Total HAP
(§63.1111(c)(2))
(Select from dropdown)
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail







e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: ESP Voltage e.g.: 2/12/2020 e.g.: 13:05 e.g.: 16.08
e.g.: Engineering calculations e.g.: 0.1 e.g.: tons
































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 5: Applicable_Standard_Summary

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)


§63.1110(e) Periodic Compliance Report Spreadsheet Template


Company Record No.
(Autocompleted)
Affected Source
(§63.1110(c)(2)
(Autocompleted)
Applicable Standard Not Met
(§63.1111(c)(2))
(Autocompleted)
Number of Failures to Meet the Applicable Standard
(§63.1111(c)(2))
(Autocompleted)
RecordId


e.g.: 1 e.g.: Line 1 e.g.: Particulate Matter e.g.: 1





















































































































































































































































































































Sheet 6: Closed_Vent_Leaks

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)







§63.1110(e) Periodic Compliance Report Spreadsheet Template







Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.999(c)(2))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Date Leak Detected
(§63.999(c)(2)(i))
Date Leak Repair First Attempted
(§63.999(c)(2)(i))
Date Leak Successfully Repaired
(§63.999(c)(2)(i))
Maximum Instrument Reading
(§63.999(c)(2)(i))
Was Repair Delayed
(Not repaired within 15 days)
(§63.999(c)(2)(i))
(Autocompleted)
Reason for Delay if Repair Was Delayed
(§63.999(c)(2)(i))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail





e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: 2/12/2020 e.g.: 2/12/2020 e.g.: 2/12/2020 e.g.: 16.08 e.g.: Repair Delayed e.g.: Part back ordered






































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 7: Closed_Vent_Valves

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)






§63.1110(e) Periodic Compliance Report Spreadsheet Template






Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.999(c)(2))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Maintenance Activity Performed
(§63.999(c)(2)(iii))
(Select from dropdown)
Date Maintenance Started
(§63.999(c)(2)(iii))
Time Maintenance Started
(§63.999(c)(2)(iii))
Date Maintenance Ended
(§63.999(c)(2)(iii))
Time Maintenance Ended
(§63.999(c)(2)(iii))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail




e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: Maintenance in car-sealed valves e.g.: 2/12/2020 e.g.: 13:00 e.g.: 2/12/2020 e.g.: 15:00









































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 8: Closed_Vent_Bypass

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)





§63.1110(e) Periodic Compliance Report Spreadsheet Template





Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.999(c)(2))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Date Bypass Started
(§63.999(c)(2)(ii))
Time Bypass Started
(§63.999(c)(2)(ii))
Date Bypass Ended
(§63.999(c)(2)(ii))
Time Bypass Ended
(§63.999(c)(2)(ii))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail



e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: 2/12/2020 e.g.: 13:00 e.g.: 2/12/2020 e.g.: 15:00












































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 9: Flare Req

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)






§63.1110(e) Periodic Compliance Report Spreadsheet Template






Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.999(c)(3))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Date Absence of Pilot or Flare Flame Started
(§63.999(c)(3))
Time Absence of Pilot or Flare Flame Started
(§63.999(c)(3))
Date Absence of Pilot or Flare Flame Ended
(§63.999(c)(3))
Time Absence of Pilot or Flare Flame Ended
(§63.999(c)(3))
Duration Absence of Pilot or Flare Flame Ended
(§63.998(a)(1)(iii))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail




e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: 2/12/2020 e.g.: 13:00 e.g.: 2/12/2020 e.g.: 15:00 e.g.: 2.00









































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 10: Storage Vessel

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)







§63.1110(e) Periodic Compliance Report Spreadsheet Template







Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.999(c)(2))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Description of Maintenance Performed (§63.999(c)(4)(i))
First Date §§63.983(a), 63.985(a) or 63.987(a) Requirements Not Met at the Beginning of Planned Maintenance
(§63.999(c)(4)(i))
First Time §§63.983(a), 63.985(a) or 63.987(a) Requirements Not Met at the Beginning of Planned Maintenance
(§63.999(c)(4)(i))
First Date §§63.983(a), 63.985(a) or 63.987(a) Requirements Met at the Beginning of Planned Maintenance
(§63.999(c)(4)(i))
First Time §§63.983(a), 63.985(a) or 63.987(a) Requirements Met at the Beginning of Planned Maintenance
(§63.999(c)(4)(i))
Total Time During This and Previous Reporting Period §§63.983(a), 63.985(a) or 63.987(a) Requirements Not Met Due to Planned Routine Maintenance (Hours)
(§63.999(c)(4)(ii))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail





e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: Maintenance in car-sealed valves e.g.: 2/12/2020 e.g.: 13:00 e.g.: 2/12/2020 e.g.: 15:00 e.g.: 26.00






































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 11: Storage Vessel Planned Maintena

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)




§63.1110(e) Periodic Compliance Report Spreadsheet Template




Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.999(c)(2))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Type of Planned Routine Maintenance During Next Reporting Period
(§63.999(c)(4)(iii))
Planned Frequency of Maintenance
(§63.999(c)(4)(iii))
Expected Length of Maintenance Period (Include Units)
(§63.999(c)(4)(iii))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail


e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: Maintenance in car-sealed valves e.g.: Weekly e.g.: 6 hours














































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 12: Other Control Device Req

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)



§63.1110(e) Periodic Compliance Report Spreadsheet Template



Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.999(c)(3))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Identification of Control Device with Measured Parameters Outside of Established Range
(§ 63.999(c)(5)(i))
Cause for Measured Parameters to be Outside of Established Range
(§ 63.999(c)(5)(ii))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail

e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: Thermal Oxidizer e.g.: Loss of gas flow


















































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 13: Carbon_Bed

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)






§63.1110(e) Periodic Compliance Report Spreadsheet Template






Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.1111(c)(2) and (c)(5))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Carbon Bed Identification
(§63.999(c)(6)(ii))
Parameter Outside of Range (§63.999(c)(6)(ii))
(Select from dropdown)
Date
(§63.999(c)(6)(ii))
Time
(§63.999(c)(6)(ii))
Additional Information
(§63.999(c)(6)(ii))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail




e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: Carbon Bed 2 e.g.: carbon bed temperature e.g.: 2/12/2020 e.g.: 13:05 e.g.:









































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 14: Daily_Average

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)






§63.1110(e) Periodic Compliance Report Spreadsheet Template






Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.999(c)(6))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Parameter With Average Value Exceedance or Insufficient Data Availability
(§63.152(c)(2)(iii) or §63.999(c)(6)(i))
Date of Daily Average Value Exceedance or Insufficient Data Availability
(§63.152(c)(2)(iii) or §63.999(c)(6)(i))
Daily Average
(§63.152(c)(2)(iii) or §63.999(c)(6)(i))
Units of Daily Average
(§63.152(c)(2)(iii) or §63.999(c)(6)(i))
If Excursion Caused by Lack of Data Availability the Duration of Periods Without Data
(§63.152(c)(2)(iii) or
§63.999(c)(6)(i))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail




e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1
e.g.: 2/12/2020 e.g.: 1200 e.g.: Degree F e.g.: 2.25









































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 15: Notifications

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories:
GMACT Standards (Cyanide)
§63.1110(e) Periodic Compliance Report Spreadsheet Template
Company Record No.
(Autocompleted)
Is the statement "This facility has chosen to use the alternative recordkeeping provisions of §63.998(b)(5)" applicable?
(§63.999(c)(6)(iv))
(Select from Dropdown)
RecordId
e.g.: 1





















Sheet 16: LDAR_initial_TT

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)




§63.1110(e) Periodic Compliance Report Spreadsheet Template




Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.1018(a)(1)(i))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Number of Subject Valves
(other than those designated NDE)
(§63.1018(a)(1)(ii))
Number of Subject Pumps (other than those designated NDE or complying via CVS)
(§63.1018(a)(1)(iii))
Number of Subject Compressors (other than those designated NDE or complying via CVS)
(§63.1018(a)(1)(iv))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail


e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: 500 e.g.: 100 e.g.: 100







































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 17: LDAR_TT_Summary

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)










§63.1110(e) Periodic Compliance Report Spreadsheet Template










Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.1018(a)(1)(i))
(Autocompleted from Column D)
Company Record Number and Affected Source
(Select from dropdown)
Month
(§63.1018(a)(2)(ii))
(Select from dropdown)
Number of Valves for Which Leaks Were Detected
(§63.1018(a)(2)(ii)(A))
Number of Valves for Which Leaks Were Not Repaired
(§63.1018(a)(2)(ii)(B))
Number of Pumps for Which Leaks Were Detected
(§63.1018(a)(2)(ii)(C))
Number of Pumps for Which Leaks Were Not Repaired
(§63.1018(a)(2)(ii)(D))
Number of Compressors for Which Leaks Were Detected
(§63.1018(a)(2)(ii)(E))
Number of Compressors for Which Leaks Were Not Repaired
(§63.1018(a)(2)(ii)(F))
Explanation for Delay of Repair
(§63.1018(a)(2)(ii)(G))
Why Repair Was Infeasible Without a Process Shutdown
(§63.1018(a)(2)(ii)(G))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail








e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: January e.g.: 10 e.g.: 1 e.g.: 10 e.g.: 1 e.g.: 10 e.g.: 1 e.g.: e.g.:













































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 18: LDAR_TT_Shutdowns

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)



§63.1110(e) Periodic Compliance Report Spreadsheet Template



Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.1039(a))
(Autocompleted from Column D)
Company Record Number and Affected Source
(§63.1039(a))
(Select from dropdown)
Date of Start of Process Unit Shutdown
(§63.1018(a)(2)(iii))
Date of End of Process Unit Shutdown
(§63.1018(a)(2)(iii))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail

e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: 2/1/20 e.g.: 2/2/20






















































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 19: LDAR_Initial_UU

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)








§63.1110(e) Periodic Compliance Report Spreadsheet Template








Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.1039(a))
(Autocompleted from Column D)
Company Record Number and Affected Source
(§63.1039(a))
(Select from dropdown)
Number of Subject Valves Other Than Those in Vacuum Service
(§63.1039(a)(1)(ii))
Number of Subject Pumps Other Than Those in Vacuum Service
(§63.1039(a)(1)(ii))
Number of Subject Sampling Connections Other Than Those in Vacuum Service
(§63.1039(a)(1)(ii))
Method of Compliance With the Standard
(§63.1039(a)(1)(iii))
Planned Schedule for Requirements in §63.1025 and §63.1026
(§63.1039(a)(1)(iv))
If Complying With the AMEL for Enclosed-Vented Units, Description of System Used to Create Negative Pressure in the Enclosure
(§63.1039(a)(3)(ii))
If Complying With the AMEL for Enclosed-Vented Units, Control Device
(§63.1039(a)(3)(ii))
RecordId ProcessUnitDesc_LimitDetail RecordSource_LimitDetail






e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: 100 e.g.: 100 e.g.: 100 e.g.: Monthly lead detection and 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Sheet 20: LDAR_UU_General

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)




§63.1110(e) Periodic Compliance Report Spreadsheet Template




Company Record No.
(Autocompleted from Column D)
Brief Description of Affected Source
(§63.1039(b))
(Autocompleted from Column D)
Company Record Number and Affected Source
(§63.1039(b))
(Select from dropdown)
Was a monthly monitoring program for valves initiated?
(§63.1039(b)(5))
(Select from dropdown)
Was a quality improvement program for pumps initiated?
(§63.1039(b)(5))
(Select from dropdown)
Are valves subgrouped under §63.1025(b)(4)? If yes, provide file name of attachment with information required by §63.1025(b)(4)(iv).
(§63.1039(b)(3))
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e.g.: 1 e.g.: Line 1 e.g.: 1 Line 1 e.g.: No e.g.: No e.g.: 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Sheet 21: LDAR_UU_Summary

40 CFR Part 63, Subpart YY National Emission Standards for Hazardous Air Pollutants for Source Categories: GMACT Standards (Cyanide)








§63.1110(e) Periodic Compliance Report Spreadsheet Template








Company Record No.
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Brief Description of Affected Source
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(Autocompleted from Column D)
Company Record Number and Affected Source
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Monitoring Period Identification
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Equipment Type
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Number of Components Monitored
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Number of Components for Which Leaks Were Detected
(§63.1039(b)(1))
Percent Leakers
(§63.1039(b)(1))
Number of Leaking Components Not Repaired as Required
(§63.1039(b)(1))
Number of Components Determined to be Nonrepairable
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Sheet 22: Revisions

Revision Number Date Revisions
Draft 12/2/2020 Draft version docketed with proposal
























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File Created0000-00-00

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