MODULE 4: R.A.

8749 (Air Pollution)

Summary of APSE/APCF

Process Equipment. Location # of hours of operation for the quarter

N/A N/A N/A

Fuel Burning Equipment Location Fuel Used (indicate % if Quantity Consumed for the# of hours of operations for
mixed composition) quarter the quarter
N/A N/A N/A N/A N/A

Pollution Control Facility Location # of hours of operation for the quarter

N/A N/A N/A

Record Cost of Treatment

Month 1 Month 2 Month 3

Cost of Person employed, (# of N/A N/A N/A
employess)
Total Consumption of Water N/A N/A N/A
(cubic meters)
Total Cost of Chemicals used N/A N/A N/A
(e.g., activated carbon, KMnO4)
Total Consumption of Electricity N/A N/A N/A
(KwH)
Administrative and Overhead N/A N/A N/A
Costs
Cost of operating in-house N/A N/A N/A
laboratory
Improvement or modification, if N/A N/A N/A
any. (description)
Cost of improvement of N/A N/A N/A
modification

Detailed Report of Air Emission Characteristics

FBE No. DATE Flow Rate CO NOx Particulates N/A N/A N/A
(Ncm/day) (mg/Ncm) (mg/Ncm) (mg/Ncm)
N/A 2000-01-01 N/A N/A N/A N/A N/A N/A N/A

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