temporary internal combustion engine replacement
TRANSCRIPT
Temporary Internal Combustion Engine Replacement Notification ENF - 94 Santa Barbara County Air Pollution Control District
260 N. San Antonio Road, Suite A Santa Barbara, CA 93110-1315
Company Name
FID Number
Contact Name
Permit Number
Pursuant to the operating permit under which this engine is permitted, notice is hereby given regarding the temporary replacement of the IC engine noted below.
Is this engine being replaced due to "Routine" repair and maintenance? Yes No
Phone Number
Model Name
Engine Location
Date Out of Service
Manufacturer
Emission Controls No Yes
Serial No.
PM10PMSOxCO
EPA Tier
Device ID
Replacement Reason
ROC
Emission Factor Units
NOxEmission Factors:
Engine BHP
I hereby certify pursuant to H&SC Section 42303.5, that the temporary replacement engine has the same or lower manufacturer, or orifice plate, rated horsepower, and the same or lower potential to emit of each pollutant as the permitted engine that is being temporarily replaced and that the above information and any infomation submitted with this form is true and correct.
Completed By
ENF - 94 (9/2011)
Signature
Date/Time Field
Company
Permitted Engine Data
Temporary Replacement Engine Data
Model Name
Engine Location
Date Put in Service
Manufacturer
Emission Controls No Yes
Emission Factors:
Serial No.
SOx PM PM10
EPA Tier
COROCNOx
Emission Factor Units
Engine BHP
Diesel
Natural GasEmergency/StandbyPrime Firewater Pump
Stationary
Portable
MAIL or FAX THIS FORM TO THE APCD (fax: 961-8801)