NESHAP for Miscellaneous Organic Chemical Manufacturing (40 CFR Part 63, subpart FFFF)

NESHAP for Miscellaneous Organic Chemical Manufacturing (40 CFR part 63, subpart FFFF) (Final Rule)

Compliance Report Template MON_v2.xlsm

NESHAP for Miscellaneous Organic Chemical Manufacturing (40 CFR Part 63, subpart FFFF)

OMB: 2060-0533

Document [xlsx]
Download: xlsx | pdf

Overview

Welcome
Company_Information
Report Info
General_Compliance
Non_CMS_Deviation
CMS_Identification
CMS_Deviation
CMS_Downtime
CMS_Summary
Flares
Bypasses
Regenerative_Carbon_Bed
Adsorbers
Maintenance_Vents
Pressure_Relief_Devices
Heat_Exchanger_Leaks
EtO_Pressure_Vessels
CVS_Leaks
Tanks
PUG
Wastewater_Inspections
LDAR_initial_1
LDAR_initial_2
LDAR_general
LDAR_summary


Sheet 1: Welcome

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing
§63.2520(e) Compliance Report Spreadsheet Template
Instructions for Spreadsheet Template

Purpose:
This spreadsheet template was designed by the U.S. EPA to facilitate compliance reporting for facilities subject under the 40 CFR part 63, subpart FFFF National Emission Standard for Hazardous Air Pollutants for Miscellaneous Organic Chemical Manufacturing.

Electronic reporting:
Electronic submission of Compliance Reports through the EPA's Compliance and Emissions Data Reporting Interface (CEDRI) is required under §63.2520(e). CEDRI is accessed through the EPA's Central Data Exchange (https://cdx.epa.gov).
Do not submit confidential business information (CBI) to EPA via CEDRI. If you are required to submit a report in CEDRI, 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
NOTE: The CEDRI spreadsheet template upload feature allows you to submit data in a single report for a single facility or multiple facilities using this EPA provided Excel workbook. Data for each facility 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 facility. The Company Record No. will be used to match the information on each tab to the appropriate facility.
For each facility record found in the "Company Information" worksheet, you may reference a single file attachment that includes additional information. 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.
IMPORTANT: The final CEDRI upload file must be 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 "Facility Information" tab).
Template Navigation and Tabs to Complete:
Gray Tabs: The gray tabs (Company_Information, Report Info, General_Compliance, and Non_CMS_Deviation) contain general information. If you choose to complete the "Report Info" tab, worksheets that are not relevant to your report will be hidden from view.

Green Tabs: Green tabs (CMS_Identification,CMS_Downtime, CMS_Deviation, and CMS_Summary) contain information on continuous monitoring systems. Some cells are linked to previous tabs or are calculations dependent upon data entry.

Yellow Tabs: Yellow tabs (LDAR_initial_1, LDAR_initial_2, LDAR_general, and LDAR_summary) contain information on leak detection and repair programs.

Blue Tabs: blue tabs (Regenerative_Carbon_Bed, CVS_Leaks, Bypasses, Flares, Tanks, Maintenance_Vents, Pressure_Relief_Devices, Heat_Exhcanger_Leaks, Adsorbers, EtO_Pressure_Vessels, PUG, and Wastewater_Inspections) contain information on specific pieces of equipment.

In each worksheet, example rows are colored light red (rows 14 through 23), and the XML tags (row 13) are colored green. These rows are locked; no data entry is made in these rows.

Sheet 2: Company_Information

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing












§63.2520(e) Compliance Report Spreadsheet Template


























* Required Field













SITE INFORMATION REPORTING PERIOD ADDITIONAL INFORMATION
Company Record No. *
(Field value will automatically generate if a value is not entered.)
Company Name *
(§63.2520(e)(1))
Address *
(§63.2520(e)(1))
Address 2 City *
(§63.2520(e)(1))
County *
(§63.2520(e)(1))
State Abbreviation *
(§63.2520(e)(1))
Zip Code *
(§63.2520(e)(1))
Responsible Agency Facility ID (§63.2520(e)(2))
(State Facility Identifier)
Beginning Date of Reporting Period *
(§63.2520(e)(3), §63.999(c)(1))
Ending Date of
Reporting Period *
(§63.2520(e)(3), §63.999(c)(1))
Total Source Operating Time *
(hours)
(§63.999(c)(1))
Please enter any additional information. Enter associated file name reference.
XML Tag:












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.: 01/01/2017 e.g.: 6/30/2017

e.g.: addlinfo.zip













































































































































Sheet 3: Report Info

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing
§63.2520(e) Compliance Report Spreadsheet Template


Based on your answers to the following questions, relevant tabs will appear in this workbook.


Will you be reporting for the following:
continuous monitoring system deviations or downtime?
deviations not involving continuous monitoring systems?
LDAR?
flare deviations?
closed vent system leaks?
bypass events?
pressure relief device releases/leaks?
regenerative carbon bed deviations?
maintenance vent events?
heat exchanger leaks?
adsorber deviations?
tank inspections?
process unit group changes?
deviations from wastewater inspections?
ethylene oxide pressure vessels?

Sheet 4: General_Compliance

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing












§63.2520(e) Compliance Report Spreadsheet Template


























* Required Field





















If you are implementing alternative recordkeeping provisions §63.998(b)(5)
Company Record No. *
(Select from Dropdown)
Were there deviations from the emission limitations, operating limits, or work practice standards during the reporting period? *
(§63.2520(e)(5)(i))
(Select from Dropdown)
Number of heat exchange systems at the plant subject to monitoring requirements in §63.2490(d) *
(§63.2520(e)(16)(i))
Number of heat exchange systems at the plant site found to be leaking *
(§63.2520(e)(16)(ii))
If there are any new operating scenarios since the submittal of the Notification of Compliance Status or a previous compliance report, provide the name of the attachment containing the information specified in §63.2525(b) other analyses* (§63.2520(e)(7)) If there are any process changes or changes to information that have occurred since the submittal of the Notification of Compliance Status or a previous compliance report, please provide attachment name. *
(§63.2520(e)(10))
If you have Group 2 batch process vents that exceed an applicable HAP usage or emissions threshold, please provide attachment name for the records required by §63.2520(e)(5)(iv). *
(§63.2520(e)(5)(iv))
If you have information required to be reported by §63.152(c)(4), please provide the attachment name for the required information. *
(§63.152(c)(4))
If you are not required to obtain a title V permit, have you replaced an existing control or recovery device with a different control or recovery device? *
(§63.999(c)(7))
Have you elected to retain only the daily average value pursuant to 63.998(b)(5)(i)? *
(§63.998(b)(5)(ii)(A) and §63.999(c)(6)(i))
(Select from Dropdown)
Has a period of 6 consecutive months passed without an excursion, such that pursuant to 63.998(b)(5)(ii) you no longer are required to record the daily average value? (§63.998(b)(5)(ii)(A) and §63.999(c)(6)(i))
(Select from Dropdown)
Parameter *
(§63.999(c)(6)(iv))
Unit of Equipment *
(§63.999(c)(6)(iv))
Was there an excursion during the reporting period?
(§63.999(c)(6)(iv))
(Select from Dropdown)
XML Tag:












e.g.: 1 e.g.: There were deviations. e.g.: 1 e.g.: 0 e.g.: scenarios.pdf e.g.: changes.pdf e.g.: group2.pdf e.g.: new.pdf e.g.: No

















































































































































Sheet 5: Non_CMS_Deviation

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing











§63.2520(e) Compliance Report Spreadsheet Template
























* Required Field











Company Record No. *
(Select from dropdown)
Affected sources or equipment *
(§63.2520(e)(5)(ii)(D))
Total Source Operating Time *
(in hours)
(§63.2520(e)(5)(ii)(A))
Starting Date of Deviation *
(§63.2520(e)(5)(ii)(D))
Starting Time of
Deviation *
(§63.2520(e)(5)(ii)(D))
Duration of
Deviation *
(in hours)
(§63.2520(e)(5)(ii)(D))
Emission Limit, Operating Limit, or Work Practice Deviated From *
(§63.2520(e)(5)(ii))
Cause of Deviation *
(§63.2520(e)(5)(ii)(D))
Correction Action Taken *
(§63.2520(e)(5)(ii)(D))
Regulated Pollutant Emitted Over Emission Limitation *
(§63.2520(e)(5)(ii)(D))
Estimate of Emissions Over Emission Limitation of Pollutant *
(in pounds)
(§63.2520(e)(5)(ii)(D))
Method Used to Estimate Emissions *
(§63.2520(e)(5)(ii)(D))
Name of file containing operating logs of processes with batch vents from batch operations for the day(s) during which the deviation occurred *
(§63.2520(e)(5)(ii)(C))
XML Tag:











e.g.: 1 e.g.: Line 1 e.g.: 4000 e.g.: 2/12/2017 e.g.: 1:05 pm e.g.: 16 e.g.: e.g.: e.g.: e.g.: benzene e.g.: 10 e.g.: Engineering calculations e.g.: batch.pdf

Sheet 6: CMS_Identification

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing







§63.2520(e) Compliance Report Spreadsheet Template
















* Required Field















CEMS Only
Company Record No. *
(Select from dropdown)
Brief Description of Process Unit *
§63.2520(e)(5)(iii)(H)
Total Source
Operating Time *
(in hours)
(§63.2520(e)(5)(iii)(D), §63.999(c)(1))
CMS Manufacturer *
§63.2520(e)(5)(iii)(I)
CMS Model Number *
(§63.2520(e)(5)(iii)(I))
Pollutant or Parameter Monitored *
(§63.2520(e)(5)(iii)(I))
Date of Last CMS
Certification or Audit *
(§63.2520(e)(5)(iii)(J))
HAP Known to Be in the Emissions Stream *
(§63.2520(e)(5)(iii)(G))
Were there periods during which the CEMS were out of control during the reporting period? *
(§63.2520(e)(6))
XML Tag:







e.g.: 1 e.g. Tank 300B e.g.: 3240 e.g.: Manufacturer e.g.: 2020AB e.g.: temperature e.g.: 2/1/20 e.g.: benzene e.g.: n/a





















































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 7: CMS_Deviation

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing















§63.2520(e) Compliance Report Spreadsheet Template
































* Required Field














Storage Vessels and Low Throughput Racks
Company Record No. *
(Select from dropdown)
Affected CMS *
(§63.2520(e)(5)(iii), §63.2520(e)(17)(i), §63.998(d)(5), §63.999(c)(1), §63.999(c)(6)(i)(A), §63.146(e))
(Select from dropdown)
Affected Sources or Equipment *
(§63.2520(e)(5)(iii)(M), §63.999(c)(5)(i), §63.146(e))
Starting Date of Deviation *
((§63.2520(e)(5)(iii)(M), §63.2520(e)(17)(i), §63.998(d)(5), §63.999(c)(1), §63.999(c)(6)(i)(A), §63.146(e))
Starting Time of
Deviation *
((§63.2520(e)(5)(iii)(M), §63.2520(e)(17)(i), §63.998(d)(5), §63.999(c)(1), §63.999(c)(6)(i)(A), §63.146(e))
Ending Time of Deviation *
(§63.2520(e)(17)(i), §63.998(d)(5), §63.999(c)(1), §63.999(c)(6)(i)(A), §63.146(e))
Duration of
Deviation *
(in hours)
((§63.2520(e)(5)(iii)(M), §63.998(d)(5), §63.999(c)(1), §63.999(c)(6)(i)(A), §63.146(e))
Operating Day or Operating Block Average Value of Monitored Parameter *
(§63.2520(e)(5)(iii)(L), §63.998(d)(5), §63.999(c)(1), §63.999(c)(6)(i)(A), §63.146(e))
Unit of Measure for Monitored Parameter *
(§63.2520(e)(5)(iii)(L), §63.998(d)(5), §63.999(c)(1), §63.999(c)(6)(i)(A), §63.146(e))
Cause of Deviation *
(§63.2520(e)(5)(iii)(M), §63.998(d)(5), §63.999(c)(5)(ii))
Type of Deviation *
(§63.2520(e)(5)(iii)(N))
(Select from dropdown)
Correction Action Taken *
(§63.2520(e)(5)(iii)(M))
Regulated Pollutant Emitted Over Emission Limitation *
((§63.2520(e)(5)(iii)(M))
Estimate of Emissions *
(in pounds)
(§63.2520(e)(5)(iii)(M))
Method Used to Estimate Emissions *
(§63.2520(e)(5)(iii)(M))
If you are required to report operating logs for processes with batch vents from batch operations, please provide attachment name.
(§63.2520(e)(5)(iii)(K))
Identification of Control Device *
(§63.999(c)(5))
XML Tag:















e.g.: 1 e.g.: 1 Tank 300B Manufacturer 2020AB e.g.: Tank 300B e.g.: 3/15/20 e.g.: 2:15 pm e.g.: 7:15 pm e.g.: 5 e.g.: 1000 e.g.: Fahrenheit e.g.: loose wire e.g.: Other known causes e.g.: Wire was tightened. e.g.: benzene e.g.: 10 e.g.: Engineering calculations e.g.: batch.pdf e.g.: incinerator










Other Unknown Causes






Sheet 8: CMS_Downtime

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing







§63.2520(e) Compliance Report Spreadsheet Template
















* Required Field













Process Vents and Transfer Racks (except low throughput transfer racks) Out of Control CEMS
Company Record No. *
(Select from dropdown)
Affected CMS *
(§63.2520(e)(5)(iii))
(Select from dropdown)
CMS Inoperative or
Out of Control? *
(§63.2520(e)(5)(iii), §63.146(e))
(Select from dropdown)
Starting Date *
(§63.2520(e)(5)(iii)(A) or (B), §63.999(c)(6)(i), §63.146(e))
Starting Time *
(§63.2520(e)(5)(iii)(A) or (B), §63.999(c)(6)(i), §63.146(e))
Duration *
(in hours)
(§63.2520(e)(5)(iii)(A) or (B), §63.999(c)(6)(i))
Daily Average Value of Monitored Parameter *
(§63.999(c)(6)(i))
Unit of Measure for Monitored Parameter *
(§63.999(c)(6)(i))
Corrective Action Taken *
(§63.2520(e)(5)(iii)(B))
XML Tag:







e.g.: 1 e.g.: 1 Tank 300B Manufacturer 2020AB e.g.: Inoperative e.g.: 3/15/20 e.g.: 2:15 pm e.g.: 2 e.g.: 150 e.g.: Fahrenheit e.g.: recalibrated CEMS

Sheet 9: CMS_Summary

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing








§63.2520(e) Compliance Report Spreadsheet Template


















* Required Field








Company Record No. *
(Select from dropdown)
Affected CMS *
(§63.2520(e)(5)(iii))
(Select from dropdown)
Total Duration of CMS Downtime *
(in hours)
(§63.2520(e)(5)(iii)(F))
(Calculated value)
Total Duration of CMS Downtime as a Percent of Total Source Operating Time *
(§63.2520(e)(5)(iii)(F))
(Calculated value)
Total Duration of All Deviations *
(in hours)
(§63.2520(e)(5)(iii)(D))
(Calculated value)
Total Duration of Deviations as a Percent of Total Source Operating Time *
(§63.2520(e)(5)(iii)(D))
(Calculated value)
Total Duration of Deviations for Control Equipment Problems *
(in hours)
(§63.2520(e)(5)(iii)(N))
(Calculated value)
Total Duration of Deviations for Process Problems *
(in hours)
(§63.2520(e)(5)(iii)(N))
(Calculated value)
Total Duration of Deviations for Other Known Causes *
(in hours)
(§63.2520(e)(5)(iii)(N))
(Calculated value)
Total Duration of Deviations for Other Unknown Causes *
(in hours)
(§63.2520(e)(5)(iii)(N))
(Calculated value)
XML Tag:








e.g.: 1 e.g.: 1 Tank 300B Manufacturer 2020AB e.g.: 100 e.g.: 1.2% e.g.: 100 e.g.: 1.2% e.g.: 25 e.g.: 25 e.g.: 25 e.g.: 25



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Sheet 10: Flares

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing














§63.2520(e) Compliance Report Spreadsheet Template






























* Required Field




Visible Emissions Exceeded or Emergency Flaring If flare tip velocity, combustion zone, and/or dilution operating limits not met when smokeless capacity not exceeded Emergency Flaring Only
Company Record No. *
(Select from dropdown)
Affected Flare *
(§63.2520(e)(11), §63.999(c)(3))
Type of Event *
(§63.2520(e)(11), §63.999(c)(3))
(Select from dropdown)
Date *
(§63.2520(e)(11), §63.999(c)(3))
Start Time *
(§63.2520(e)(11), §63.999(c)(3))
End time *
(§63.2520(e)(11), §63.999(c)(3))
Estimate of Cumulative Number of Minutes for Which Emissions Were Visible *
(§63.2520(e)(11)(ii), §63.2520(e)(11)(iv)(B))
Which operating limit was not met? *
(§63.2520(e)(11)(iii))
(Select from dropdown)
Value of Operating Parameter*
(§63.2520(e)(11)(iii))
Units of Measure for Operating Parameter *
(§63.2520(e)(11)(iii))
Duration Flare Tip Velocity Exceeded *
(§63.2520(e)(11)(iv)(C))
Units for Duration *
(§63.2520(e)(11)(iv)(C))
(Select from dropdown)
Maximum Flare Tip Velocity *
(ft/sec)
(§63.2520(e)(11)(iv)(C))
Results of Root Cause/Corrective Action Analysis *
(§63.2520(e)(11)(iv)(D))
Corrective Actions Implemented *
(§63.2520(e)(11)(iv)(D))
Implementation Schedule for Planned Corrective Actions *
(§63.2520(e)(11)(iv))
XML Tag:














e.g.: 1 e.g.: Flare 300ST e.g.: No pilot flame present e.g.: 6/1/20 e.g.: 9:20 am e.g.: 9:35 am e.g.: 20 e.g.: vtip e.g.: 450 e.g.: ft/s e.g.: 45 e.g.: minutes e.g.: 600



































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 11: Bypasses

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing







§63.2520(e) Compliance Report Spreadsheet Template
















* Required Field













For Bypass Events Only
Company Record No. *
(Select from dropdown)
Process Unit *
(§63.2520(e)(12), §63.118(f), §63.148(j))
Type of Event *
(§63.2520(e)(12), §63.118(f), §63.148(j))
Start Date *
(§63.2520(e)(12), §63.118(f), §63.148(j))
Start Time *
(§63.2520(e)(12), §63.118(f), §63.148(j))
Duration *
(in hours)
(§63.2520(e)(12), §63.118(f), §63.148(j))
Estimate of Gas Volume that Bypasses Control Device *
(in scf)
(§63.2520(e)(12))
Concentration of Organic HAP in Gas *
(in ppmv)
(§63.2520(e)(12))
Mass Emissions of Organic HAP that Bypass Control Device *
(in pounds)
(§63.2520(e)(12))
XML Tag:







e.g.: 1
e.g.: Bypass event e.g.: 5/2/20 e.g.: 10:00 am e.g.: 3 e.g.: 500 e.g.: 1000 e.g.: 30

Sheet 12: Regenerative_Carbon_Bed

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing




§63.2520(e) Compliance Report Spreadsheet Template










* Required Field




Company Record No. *
(Select from dropdown)
Carbon Bed Identification *
(§63.999(c)(6)(ii))
Date *
(§63.999(c)(6)(ii))
Time *
(§63.999(c)(6)(ii))
Parameter Outside of Range *
(§63.999(c)(6)(ii))
(Select from dropdown)
Additional Information
(§63.999(c)(6)(ii))
XML Tag:




e.g.: 1 e.g.: e.g.: 3/1/20 1:00 pm e.g.: carbon-bed temperature

Sheet 13: Adsorbers

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing

§63.2520(e) Compliance Report Spreadsheet Template




* Required Field

Company Record No. *
(Select from dropdown)
Adsorber Identification * Instance when breakthrough is detected between the first and second adsorber and the adsorber is not replaced according to § 63.2450(e)(7)(iii)(A) *
(§63.2520(e)(13))
XML Tag:

e.g.: 1 e.g.: e.g.:

Sheet 14: Maintenance_Vents

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing









§63.2520(e) Compliance Report Spreadsheet Template




















* Required Field









Company Record No. *
(Select from dropdown)
Maintenance Vent Identification *
(§63.2520(e)(14)(i))
Equipment Served by Maintenance Event *
(§63.2520(e)(14)(i))
Date Maintenance Vent Opened to Atmosphere *
(§63.2520(e)(14)(ii))
Time Maintenance Vent Opened to Atmosphere *
(§63.2520(e)(14)(ii))
Which condition did you meet? *
(§63.2520(e)(14)(iii))
(Select from dropdown)
Parameter Value at Start of Atmospheric Venting *
(§63.2520(e)(14)(iii))
Units of Measure for Parameter *
(§63.2520(e)(14)(iii))
(Autofills)
For Vessel Pressure Option, Lower Explosive Limit of Vapors at the Time Active Purging Initiated While the Lower Explosive Limit was 10 % or Greater *
(in percent)
(§63.2520(e)(14)(iii))
Estimate of Organic HAP Released During Entire Event *
(in pounds)
(§63.2520(e)(14)(iv))
If it was not possible to meet the LEL, vessel pressure, or mass of VOC requirements and venting was conducted under §63.2455(d)(1)(iv), provide an explanation as to why utilization of this alternative was required. *
(§63.2520(e)(14))
XML Tag:









e.g.: 1

e.g.: 5/2/20 e.g.: 10:00 am e.g.: Lower Explosive Limit e.g.: e.g.: % e.g.: e.g.: 50 e.g.:





























































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 15: Pressure_Relief_Devices

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing










§63.2520(e) Compliance Report Spreadsheet Template






















* Required Field












Subject to §63.2480(e)(2)(i) Subject to §63.2480(e)(2)(ii) Pressure Relief Devices Subject to §63.2480(e)(2)(iii) Only
Company Record No. *
(Select from dropdown)
Identification of Pressure Relief Device *
(§63.2520(e)(15))

Date of instrument reading of 500 ppmv or greater *
(§63.2520(e)(15)(i))

Date Instrument Monitoring Conducted *
(§63.2520(e)(15)(ii))
Start Date of Pressure Release to Atmosphere *
(§63.2520(e)(15)(iii))
Start Time of Pressure Release to Atmosphere *
(§63.2520(e)(15)(iii))
Duration of Pressure Release to Atmosphere *
(§63.2520(e)(15)(iii))
HAP Released *
(§63.2520(e)(15)(ii))
Estimate of Quantity of HAP Released
(in pounds) *
(§63.2520(e)(15)(iii))
Results of Root Cause/Corrective Action Analysis *
(§63.2520(e)(15)(iii))
Corrective Actions Implemented *
(§63.2520(e)(15)(iii))
Implementation Schedule for Planned Corrective Actions *
(§63.2520(e)(15)(iii))
XML Tag:










e.g.: 1 e.g.: e.g.: 5/2/20 e.g.: 5/2/20 e.g.: 5/2/20 e.g.: 10:00 am e.g.: 1 hour e.g.: benzene, toluene e.g.: 50 e.g.: e.g.: e.g.:

Sheet 16: Heat_Exchanger_Leaks

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing










§63.2520(e) Compliance Report Spreadsheet Template






















* Required Field















Repaired During Reporting Period Delayed Repairs
Company Record No. *
(Select from dropdown)
Monitoring Location *
(§63.2520(e)(16)(iii-v))
Measured Total Strippable Hydrocarbon Concentration *
(in ppmv as methane)
(§63.2520(e)(16)(iii))
Date Leak First Identified *
(§63.2520(e)(16)(iii))
Date Source of Leak Identified (if applicable) *
(§63.2520(e)(16)(iii))
Re-Monitoring Date *
(§63.2520(e)(16)(iv))
Measured Total Strippable Hydrocarbon Concentration During Re-Monitoring *
(in ppmv as methane)
(§63.2520(e)(16)(iv))
Date Delay of Repair Began *
(§63.2520(e)(16)(v))
Date Repair Expected to be Completed (if not complete during reporting period) *
(§63.2520(e)(16)(v))
Re-Monitoring Date *
(§63.2520(e)(16)(v))
Measured Total Strippable Hydrocarbon Concentration During Re-Monitoring *
(in ppmv as methane)
(§63.2520(e)(16)(v))
Estimate of Potential Strippable Hydrocarbon Emissions Over the Reporting Period Associated with the Delay of Repair *
(in pounds)
(§63.2520(e)(16)(v))
XML Tag:










e.g.: 1 e.g.: e.g.: 1000 e.g.: 5/2/20 e.g.: 5/3/20 e.g.: 5/10/20 e.g.: 10 e.g.: 6/2/20 e.g.: 9/1/20 e.g.: 9/1/20 e.g.: 10 e.g.: 200

Sheet 17: EtO_Pressure_Vessels

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing






§63.2520(e) Compliance Report Spreadsheet Template














* Required Field






Company Record No. *
(Select from dropdown)
Pressure Vessel Identification *
(§63.2520(e)(17)(ii))
Instrument Reading During Performance Test *
(in ppmv)
(§63.2520(e)(17)(ii))
Date Defect Detected *
(§63.2520(e)(17)(ii))
Date of Next Performance Test With Instrument Reading Below 500 ppmv *
(§63.2520(e)(17)(ii))
Start Date Pressure Vessel is Empty *
(§63.2520(e)(17)(ii))
End Date Pressure Vessel is Empty *
(§63.2520(e)(17)(ii))
Estimated Emissions From Defect *
(§63.2520(e)(17)(ii))
XML Tag:






e.g.: 1 e.g.: Tank 300PV-BR e.g.: 2000 e.g.: 5/2/20 e.g.: 5/3/20 e.g.: 5/4/20 e.g.: 5/10/20 e.g.: 100 pounds

Sheet 18: CVS_Leaks

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing






§63.2520(e) Compliance Report Spreadsheet Template














* Required Field






Company Record No. *
(Select from dropdown)
Closed Vent System Identification *
(§63.2520(e)(9), §63.999(c)(2)(i))
Date Leak Detected *
(§63.2520(e)(9), §63.999(c)(2)(i))
Date of First Attempt at Repair *
(§63.2520(e)(9), §63.999(c)(2)(i))
Date of Successful Repair *
(§63.2520(e)(9), §63.999(c)(2)(i))
Maximum Instrument Reading After Repair or After Determined Nonrepairable *
(ppm)
(§63.2520(e)(9), §63.999(c)(2)(i))
Repair Delayed? *
(§63.2520(e)(9), §63.999(c)(2)(i))
(Select from dropdown)
Reason for Delay of Repair *
(§63.2520(e)(9), §63.999(c)(2)(i))
XML Tag:






e.g.: 1
e.g.: 4/10/20 e.g.: 4/11/20 e.g.: 4/13/20 e.g.: 50 e.g.: no

Sheet 19: Tanks

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing


















§63.2520(e) Compliance Report Spreadsheet Template






































* Required Field























Floating Roof Inspection Failure Control System Does Not Meet Applicable Specifications of §63.983(a), §63.985(a), §63.987(a), §63.122(e)(1), or §63.122(e)(2) Due to Routine Maintenance Planned Routine Maintenance for Next Period Where Control System Is Not Expected to Meet Required Control Efficiency
Company Record No. *
(Select from dropdown)
Storage Tank Identification *
(§63.2520(e)(9),
§63.1066(b)(2), §63.122(d)-(e))
Notified the Administrator of a planned or unplanned inspection pursuant to §63.1066(b)(1)? *
(§63.2520(e)(9), §63.1066(b)(1))
(Select from Dropdown)
If you use an alternative control device pursuant to §63.1066(b)(3), list the file name containing the required documentation. *
(§63.2520(e)(9), §63.1066(b)(3))
If you use an extension for a floating roof inspection, list the file name containing the required documentation. *
(§63.2520(e)(9), §63.1066(b)(4), §63.122(d)(iii), §63.122(e)(2))
Date of Inspection *
(§63.2520(e)(9),
§63.1066(b)(2), §63.122(d)(1)(ii), §63.122(d)(2)(ii), §63.122(e)(1)(i), §63.122(e)(3))
Description of Inspection Failure *
(§63.2520(e)(9),
§63.1066(b)(2), §63.122(d)(1)(ii), §63.122(d)(2)(ii), §63.122(e)(1)(iii), §63.122(e)(3))
Description of Repair *
(§63.2520(e)(9),
§63.1066(b)(2), §63.122(d)(1)(ii), §63.122(d)(2)(ii), §63.122(e)(1)(iv), §63.122(e)(3))
Date of Repair *
(§63.2520(e)(9),
§63.1066(b)(2), §63.122(d)(1)(ii), §63.122(d)(2)(ii), §63.122(e)(1)(iv), §63.122(e)(3))
Date Removed From Service (if applicable) *
(§63.2520(e)(9),
§63.1066(b)(2), §63.122(d)(1)(ii), §63.122(e)(1)(iv))
For External Floating Roofs, list the name of the attached file with seal gap measurements. *
(§63.2520(e)(9),
§63.1066(b)(2), §63.122(e)(1)(ii))
Date Requirements Not Met at Beginning of Planned Maintenance *
(§63.999(c)(4)(i))
First Time of Day Requirements Not Met at Beginning of Planned Maintenance *
(§63.999(c)(4)(i))
Date Requirements Met at Conclusion of Planned Maintenance *
(§63.999(c)(4)(i))
First Time of Day Requirements Met at Conclusion of Planned Maintenance *
(§63.999(c)(4)(i))
Description of Type of Maintenance Performed *
(§63.999(c)(4)(i), §63.122(g)(1)(ii))
Total Number of Hours Control System Didn't Meet Requirements
(for this period and previous period) *
(§63.999(c)(4)(ii), §63.122(g)(1)(ii))
Type of Maintenance *
(§63.999(c)(4)(iii), §63.122(g)(1)(i))
Planned Frequency of Maintenance*
(§63.999(c)(4)(iii), §63.122(g)(1)(i))
Expected Length of Maintenance Period*
(§63.999(c)(4)(iii), §63.122(g)(1)(i))
XML Tag:


















e.g.: 1 e.g.: Tank AB
e.g.: alternative control device request.pdf e.g.: extension.pdf e.g.: 5/1/20 e.g.: e.g.: e.g.: 5/10/20 e.g.: 5/10/20 e.g.: gaps.pdf e.g.: 5/10/20 e.g.: 1:20 pm e.g.: 5/11/20 e.g.: 1:20 pm
e.g.: 24























































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 20: PUG

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing



§63.2520(e) Compliance Report Spreadsheet Template








* Required Field



Company Record No. *
(Select from dropdown)
Process Unit Group Identification *
(§63.2520(e)(8))
Description of Process Unit Added to PUG After Creation Date *
(§63.2520(e)(8))
Rationale for Including the Process Unit in the PUG *
(§63.2520(e)(8))
If there has been a primary product redetermination, list the file name containing the calculation *
(§63.2520(e)(8))
XML Tag:



e.g.: 1 e.g.: e.g.: e.g.: e.g.: product.pdf

Sheet 21: Wastewater_Inspections

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing





§63.2520(e) Compliance Report Spreadsheet Template












* Required Field





Company Record No. *
(Select from dropdown)
Waste Management Unit Identification *
(§63.146(c))
Date of Inspection *
(§63.146(c))
Description of Failure *
(§63.146(c))
Description of the Nature of Repair *
(§63.146(c))
Date Repair Made *
(§63.146(c))
File Name Containing Documentation Required by §63.146(d) Not Included in CMS_Deviation or Non_CMS_Deviation tabs *
(§63.146(d))
XML Tag:





e.g.: 1 e.g.: e.g.: 5/1/20 e.g.: e.g.: e.g.: 5/2/20 e.g.: SubpartG.pdf

Sheet 22: LDAR_initial_1

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing



§63.2520(e) Compliance Report Spreadsheet Template








* Required Field



Company Record No. *
(Select from dropdown)
Process Unit ID *
(§63.1039(a)(1)(i), §63.182(c)(1)(i), §65.120(a)(1)(i))
Equipment Type *
(§63.1039(a)(1)(ii), §63.182(c)(1)(ii), §65.120(a)(1)(ii))
Number of Subject Components Not in Vacuum Service *
(§63.1039(a)(1)(ii), §63.182(c)(1)(ii), §65.120(a)(1)(ii))
Method of Compliance With the Standard *
(§63.1039(a)(1)(iii), §63.182(c)(1)(iii), §65.120(a)(1)(iii))
XML Tag:



e.g.: 1 e.g.: North Tank Farm e.g.: Valves e.g.: 100 e.g.: Monthly lead detection and repair

Sheet 23: LDAR_initial_2

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing





§63.2520(e) Compliance Report Spreadsheet Template












* Required Field







If electing to use pressure testing of batch product-process equipment to demonstrate compliance If complying with the AMEL for enclosed-vented units Part 63 Subparts H and UU Only
Company Record No. *
(Select from dropdown)
Process Unit ID *
(§63.1039(a), §63.182(c), §65.120(a))
Batch Products or Product Codes Subject to 40 CFR Part 63 Subpart FFFF *
(§63.1039(a)(2)(i), §63.182(c)(2)(i), §65.120(a)(2)(i))
Planned Schedule for Pressure Testing *
(§63.1039(a)(2)(ii), §63.182(c)(2)(ii), §65.120(a)(2)(ii))
Description of System Used to Create Negative Pressure in the Enclosure *
(§63.1039(a)(3)(ii), §63.182(c)(3)(ii), §65.120(a)(3)(ii))
Control Device *
(§63.1039(a)(3)(ii), §63.182(c)(3)(ii), §65.120(a)(3)(ii))
Planned Schedule for Requirements in §63.1025 and §63.1026 or §63.163 and §63.168 *
(§63.1039(a)(1)(iv), §63.182(c)(1)(iv))
XML Tag:





e.g.: 1 e.g.: North Tank Farm e.g.: e.g.: e.g.: e.g.: e.g.:

Sheet 24: LDAR_general

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing











§63.2520(e) Compliance Report Spreadsheet Template
























* Required Field
















Alternative Means of Emissions Limitation for Batch Processes Part 63 Subpart UU or Part 65 Subpart F Part 63 Subpart H
Company Record No. *
(Select from dropdown)
Process Unit ID *
(§63.1039(b), §63.182(d)(2), §65.120(b))
Was a monthly monitoring program for valves initiated? *
(§63.1039(b)(5), §63.182(d)(2)(xv), §65.120(b)(5))
(Select from dropdown)
Was a quarterly improvement program for valves or pumps initiated? *
(§63.1039(b)(5), §63.182(d)(2)(xv), §65.120(b)(6))
(Select from dropdown)
If applicable, provide the file name containing the monitoring information required by §63.1039(b)(4), §63.182(d)(2)(xiv), or §65.120(b)(4). *
( §63.1039(b)(4), §63.182(d)(2)(xiv), §65.120(b)(4))
Batch Product Process Equipment Train ID *
(§63.1039(b)(7), §63.182(d)(3)(i), §65.120(b)(8))
Number of Pressure Tests Conducted *
(§63.1039(b)(7), §63.182(d)(3)(ii), §65.120(b)(8))
Number of Pressure Tests Where the Equipment Train Failed the Pressure Test *
(§63.1039(b)(7), §63.182(d)(3)(iii), §65.120(b)(8))
Explanation on Any Delayed Repairs *
(§63.1039(b)(7), §63.182(d)(3)(iv), §65.120(b)(8))
Are valves subgrouped under §63.1025(b)(4) or §65.106(b)(4)? If yes, provide file name of attachment with information required by §63.1025(b)(4)(iv) or §65.106(b)(4)(iv). *
(§63.1039(b)(3), §65.120(b)(3))
If you are changing connector monitoring, list new compliance alternative. *
(§63.182(d)(2)(xvi))
If applicable, provide the compliance option that has been selected under §63.172(n). *
(§63.182(d)(2)(xvii))
Please provide the file name containing the monitoring results to determine compliance with §63.172(f). *
(§63.182(d)(3)(v))
XML Tag:











e.g.: 1 e.g.: North Tank Farm e.g.: no e.g.: no e.g.: monitoring.pdf e.g.: e.g.: 1 e.g.: 0 e.g.: e.g.: no e.g.: Dual mechanical seals e.g.: e.g.:

Sheet 25: LDAR_summary

40 CFR Part 63, Subpart FFFF National Emission Standards for Hazardous Air Pollutants: Miscellaneous Organic Chemical Manufacturing











§63.2520(e) Compliance Report Spreadsheet Template
























* Required Field

















Valves, Pumps, and Connectors Only Valves and Part 63 Subpart H and UU Connectors Only

Part 63 Subpart H Only
Company Record No. *
(Select from dropdown)
Process Unit ID *
(§63.1039(b), §63.182(d)(2), §65.120(b)(1))
Monitoring Period Identification *
(§63.1039(b), §63.182(d)(2), §65.120(b)(1))
Equipment Type*
(§63.1039(b)(1), §63.182(d)(2), §65.120(b)(1))
Number of Leaks Were Detected *
(§63.1039(b)(1), §63.182(d)(2), §65.120(b)(1))
Number Not Repaired as Required *
(§63.1039(b)(1), §63.182(d)(2), §65.120(b)(1))
Number Monitored *
(§63.1039(b)(1), §63.182(d)(2), §65.120(b)(1))
Percent Leakers *
(§63.1039(b)(1), §63.182(d)(2), §65.120(b)(1))
Number Determined to be Nonrepairable *
(§63.1039(b)(1), §63.182(d)(2), §65.120(b)(1))
Has delay of repair occurred?*
(§63.1039(b)(2), §63.182(d)(2)(xiii), §65.120(b)(2))
Number of Instances of Delay of Repair *
(§63.1039(b)(2), §63.182(d)(2)(xiii), §65.120(b)(2))
Explanation for Any Delay of Repairs *
(§63.182(d)(2)(xiii))
Why Process Unit Shutdown Was Technically Infeasible *
(§63.182(d)(2)(xiii))
XML Tag:











e.g.: 1 e.g.: North Tank Farm e.g.: January 2020 e.g.: valves e.g.: 1 e.g.: 1 e.g.: 100 e.g.: 1% e.g.: 1 e.g.: yes e.g.: 1 e.g.: e.g.:
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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