NESHAP from Rubber Tire Manufacturing (40 CFR part 63, subpart XXXX) (Base Collection)

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Overview

Welcome
Company_Information
Compliance_Options
Compliance Rpt - Tire Prod
Compliance Rpt - Tire Cord
Compliance Rpt - Puncture Seal
Compliance Rpt - metHAP or PM
Compliance Rpt - 15 Day Avgs
Compliance Rpt - Deviations
Compliance Rpt - Certification
Revisions

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Sheet 1: Welcome

63.6016(k) Notification of Compliance and §63.6017(g) Semiannual Compliance Report (Spreadsheet Template)

63.6016(k) and 63.6017(g)

Final ICR Draft

8/28/2024

OMB Control Number: 2060-0449 Form 5900-659

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 XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing - §63.6016(k) Notification of Compliance Status and §63.6017(g) Semiannual Compliance Report Spreadsheet Template

Welcome and Instructions

Purpose:

This spreadsheet template was designed by the U.S. EPA to facilitate the Notification of Compliance Status and Compliance reporting for facilities subject to 40 CFR part 63, subpart XXXX. The Notification of Compliance Status (NOCS) is a one time notification that is required for new or reconstructed sources by §63.6016(k) no later than 30 calendar days following the end of the initial 12 month compliance period. The compliance report is a report that is required for existing sources by §63.6017(g) and is due every six months, unless the facility qualifies for annual reporting (§63.6017(f)). The EPA's Compliance and Emissions Data Reporting (CEDRI) is accessible through the EPA's Central Data Exchange (https://cdx.epa.gov)

Electronic reporting:

Electronic submission of Compliance reports through CEDRI is required under §63.6017.

A completed spreadsheet template should be uploaded to CEDRI to fulfill the electronic reporting requirements under §63.6016 and §63.6017.

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

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 and include within the master ZIP file that will be uploaded into CEDRI.

Once all data have been entered into the worksheets, combine this completed 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.

Template Navigation and Worksheets to Complete:

Gray worksheets: The gray worksheets labeled Company_Information and Compliance_ Options contain general information that is common to both the Notification of Compliance Status and the Compliance Report and should be completed first. After completing the gray worksheets, the spreadsheet may be saved as a site specific template to use in subsequent reports to limit subsequent data entry. Selecting "No" or "Yes" in the "Is this report a Notification of Compliance Status (NOCS)?" selection (found on the Company_Information worksheet) will hide or make visible the worksheets associated with the NOCS. The information in the gray worksheet varies very little from one reporting period to the next. NOTE: Some dropdowns on a given worksheet are dependent on data from a preceding column, so it may look like the dropdown is empty at first glance.

Orange worksheets: The orange worksheets (NoticeOfComplianceStatus, NOCS_TireProduction, NOCS_TireCordProd, NOCS_PunctureSealantApp, and NOCS_Certification) are required if the submission is a Notification of Compliance Status. These worksheets will be hidden if "No" is selected in column P in the Company Information worksheet as the answer to "Is this report a Notification of Compliance Status (NOCS)?" question. The first three or four columns in each NOCS worksheet will be prefilled based on information entered in the 'Compliance_Options' worksheet.

Green worksheets: In addition to the gray worksheets, complete the green worksheet(s) (Compliance Rpt - Tire Prod, Compliance Rpt - Tire Cord, Compliance Rpt - Puncture Seal, and Compliance Rpt - Deviations), that represents the actual compliance option used for each reporting period. The first three columns in each Compliance Rpt worksheet will be prefilled based on information entered in the 'Compliance_Options' worksheet.

The Compliance Rpt - Certification worksheet must be completed for every compliance report. The NOCS Certification worksheet must be completed for the one time NOCS.

Within the worksheets, examples are provided (or will be provided in Final template) and example rows are colored light red (rows 14 through 23), and the XML tags (row 13, hidden)) are colored green. These rows are locked and cannot be used for data entry.

Certification:
Complete the NOCS_Certification worksheet to complete the NOCS certification statement in accordance with §63.9(h)(2)(i)(G).

Complete the Compliance Rpt - Certification worksheet to complete the certification statements required by §63.6017(c)(5), (6), and (8).

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Sheet 2: Company_Information

40 CFR Part 63, Subpart XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing - §63.6016(k) Notification of Compliance Status and §63.6017(g) Semiannual Compliance Report Spreadsheet Template

Note: If submitting NOCS for any Facility listed in the table below, scroll to column Q and select Yes. New NOCS specfic worksheets will display.

SITE INFORMATION

REPORTING PERIOD

ADDITIONAL INFORMATION

Company Record No. (Field value will automatically generate when Company Name entered in Column C.)

Company Name (§63.6017(c)(1))

Address (§63.6017(c)(1))

Address 2

City (§63.6017(c)(1))

County

State Abbreviation (§63.6017(c)(1))

Zip Code (§63.6017(c)(1))

Responsible Agency Facility ID (State Facility Identifier)

Is this an Existing or New or Reconstructed Effective Source (Select from dropdown)

Date of Report (§63.6017(c)(3))

Beginning Date of Reporting Period (§63.6017(c)(3))

Ending Date of Reporting Period (§63.6017(c)(3))

Please enter any additional information.

Enter associated file name reference.

Is this report a Notification of Compliance Status (NOCS)? (Select from dropdown)

RecordId

CompanyName

AddressLine1

AddressLine2

CityName

CountyName

StateName

ZIPCode

StateFacID

EffectiveSource

ReportDate

PeriodStartDate

PeriodEndDate

AddInfo

AddFile

NocsFlag

e.g.: 1

e.g.: EPA Tire & Rubber Co

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.: New or Reconstructed Source

e.g.: 7/2/2017

e.g.: 1/1/2017

e.g.: 6/30/2017

e.g.: Provide any additional information here.

e.g.: addlinfo.zip

e.g.:Yes

1

CompanyName

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Sheet 3: Compliance_Options

40 CFR Part 63, Subpart XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing -
63.6016(k) Notification of Compliance and §63.6017(g) Semiannual Compliance Report (Spreadsheet Template)
Note: Company Record No. selections appear once Company(s) are added to Company_Information worksheet. Fill out table moving left to right, as dropdowns are dependent on previous selections.
COMPLIANCE OPTIONS
Company Record No. (Select from dropdown)	Rubber Tire Manufacturing Affected Source or Facility as stated in §63.6017(c)(7) if applicable. (§63.9(h))	Rubber Tire Manufacturing Subcategory (Select from dropdown)	Identification of the Compliance Option (Appendices - Table 1, 2, 3, 4, 15 or 16 To Subpart XXXX of Part 63) (Select from dropdown)	Identification of the Compliance Alternative (Appendices - Table 1, 2, 3, 4, 15 or 16 To Subpart XXXX of Part 63) (Select from dropdown)	Select corresponding emissions or operating limit (Appendices - Table 1, 2, 3, 4, 15 or 16 To Subpart XXXX of Part 63) (Select from dropdown)
RecordId	OperationName	Subcategory	ComplianceOptions	ComplianceOptionAlt	EmissionLimit
e.g.: 2	e.g.: EPA Tire & Rubber Co	e.g.: Tire Production	e.g.: Option 1—HAP constituent option	e.g.: Purchase alternative	e.g.: a. Emissions of each HAP in Table 16 to this subpart must not exceed 1,000 grams HAP per megagram (2 pounds per ton) of total cements and solvents used at the tire production affected source, and b. Emissions of each HAP not in Table 16 to this subpart must not exceed 10,000 grams HAP per megagram (20 pounds per ton) of total cements and solvents used at the tire production affected source.

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Sheet 4: Compliance Rpt - Tire Prod

40 CFR Part 63, Subpart XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing -
Note: Columns B through D will be autofilled based on responses provided in the Compliance_Options worksheet.
63.6017(g) Semiannual Compliance Report
Company Record No. (Autofilled)	Rubber Tire Manufacturing Affected Source or Facility as stated in §63.6017(c)(7). (Autofilled)	Rubber Tire Manufacturing Subcategory (Autofilled)	For each tire production affected source, provide the emission limit option in §63.5984 that you have chosen to meet (§63.6017(c)(7)) (Autofilled)	For each tire production affected source, provide the compliance alternative in §63.5985 that you have chosen to meet (§63.6017(c)(7)) (Autofilled)	For each tire production affected source complying with the purchase compliance alternative in §63.5985(a), not listed in NOCS in §63.6016(g), provide updated list of all cements and solvents used, as purchased at affected source (§63.6017(c)(8))	Certify that each cement or solvent, as purchased, used at the affected source during the reporting period met the HAP constituent limits (option 1) in Table 1 to this subpart. (§63.6017(c)(8))
RecordId	OperationName	Subcategory	EmissionLimitOption	ComplianceAlternative	CementsAndSolventsUsed	HAPConstituentLimits
e.g.: 1	e.g.: CuringPress1	e.g.: Tire Production	e.g.: HAP constituent option	e.g.: Purchase alternative	e.g.: cementX	e.g.: Yes

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Sheet 5: Compliance Rpt - Tire Cord

40 CFR Part 63, Subpart XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing -
Note: Columns B through D will be autofilled based on responses provided in the Compliance_Options worksheet.
63.6017(g) Semiannual Compliance Report
Company Record No. (Autofilled)	Name of Rubber Tire Manufacturing Affected Source (§63.9(h)) (Autofilled)	Rubber Tire Manufacturing Subcategory (Autofilled)	For each tire cord production affected source, provide the emission limit option in §63.5986 that you have chosen to meet (§63.6017(c)(9)) (Autofilled)	For each tire cord production affected source, provide the compliance alternative in §63.5987 that you have chosen to meet (§63.6017(c)(9)) (Autofilled)
RecordId	OperationName	Subcategory	EmissionLimitOption	ComplianceAlternative
e.g.: 1	e.g.: Extruder1	e.g.: Tire Cord Production	e.g.: Option 1.a (production-based option)—Existing	e.g.: Monthly average alternative, using an add-on control device

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Sheet 6: Compliance Rpt - Puncture Seal

40 CFR Part 63, Subpart XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing -
Note: Columns B through D will be autofilled based on responses provided in the Compliance_Options worksheet.
63.6017(g) Semiannual Compliance Report
Company Record No. (Autofilled)	Name of Rubber Tire Manufacturing Affected Source (§63.9(h)) (Autofilled)	Rubber Tire Manufacturing Subcategory (Autofilled)	For each puncture sealant application affected source, provide the emission limit option in §63.5988 that you have chosen to meet (§63.6017(c)(10)) (Autofilled)	For each puncture sealant application affected source, provide the compliance alternative in §63.5989 that you have chosen to meet (§63.6017(c)(10)) (Autofilled)
RecordId	OperationName	Subcategory	EmissionLimitOption	ComplianceAlternative
e.g.: 1	e.g.: tire 3	e.g.: Puncture Sealant Application	e.g.: Option 1.a (percent reduction option)—Existing	e.g.: Overall control efficiency alternative

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Sheet 7: Compliance Rpt - metHAP or PM

40 CFR Part 63, Subpart XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing -
Note: Columns B through C will be autofilled based on responses provided in the Compliance_Options worksheet.
63.6017(g) Semiannual Compliance Report
Company Record No. (Autofilled)	Name of Rubber Tire Manufacturing Affected Source (§63.9(h)) (Autofilled)	For each rubber processing affected source, provide the emission limit option in §63.6010(b) that you have chosen to meet - either metal HAP emission limit or PM emission limit (§63.6017(c)(11)) (Autofilled)
RecordId	OperationName	EmissionLimitOption
e.g.: 1	e.g.: tire 3	e.g.: Option 1.a (percent reduction option)—Existing

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Sheet 8: Compliance Rpt - 15 Day Avgs

40 CFR Part 63, Subpart XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing -
Note: Columns B through C will be autofilled based on responses provided in the Compliance_Options worksheet.
63.6017(k) 15 -day Rolling Average Report
Company Record No. (Autofilled)	Name of Rubber Tire Manufacturing Affected Source (§63.9(h)) (Autofilled)	For each rubber processing affected source, provide the THC 15-day rolling average values (g/Mg of Rubber Processed) (§63.6017(k))
RecordId	OperationName	15DayRollingAverage
e.g.: 1	e.g.: tire 3	e.g.: 0.20

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Sheet 9: Compliance Rpt - Deviations

40 CFR Part 63, Subpart XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing -
Note: Start by using dropdown in Column E to select affected source. Columns B through D will be autofilled based on responses provided in the Compliance_Options worksheet.
63.6017(g) Semiannual Compliance Report - Deviations from an emission limitation (emission limit or operating limit)
Company Record No. (Autofilled)	Name of Rubber Tire Manufacturing Affected Source (§63.9(h)) (Autofilled)	Rubber Tire Manufacturing Subcategory (Autofilled)	Company Record No., Name of Rubber Tire Manufacturing Affected Source, and Subcategory (§63.9(h)) (Select from dropdown)	Cement or solvent that deviated from the emission limit (§63.6017(d))	Date of each deviation (§63.6017(d)(1))	Time of each deviation (§63.6017(d)(1))	Duration (hours) of each deviation (§63.6017(d)(1))	Estimate of the Quantity Emitted Over Emission Limit (§63.6017(d)(2))	Description of the Method Used to Estimate the Emissions. (§63.6017(d)(2))	Cause of deviation (§63.6017(d)(2))	Corrective Action(s) Taken (§63.6017(d)(3))
RecordId	OperationName	Subcategory	RecordSourceSubcategory	CoatingName	UseStartDate	UseStartTime	UseDuration	EmissionsQuantity	EstimationMethod	DeviationCause	CorrectiveAction
e.g.: 1	e.g.: CuringPress1	e.g.: Tire Production	e.g.: 1 CuringPress1 Tire Production	e.g.: solventx	e.g.: 2/1/2017	e.g.: 13:05	e.g.: 36.25	e.g.: 2.5	e.g.: Mass balance	e.g.: leak	e.g.: Ordered new materials

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Sheet 10: Compliance Rpt - Certification

40 CFR Part 63, Subpart XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing - §63.6017(g) Semiannual Compliance Report Spreadsheet Template
Complete this form when you have completed the semiannual compliance report.
63.6017(g) Semiannual Compliance Report
Company Record No. (Autofilled)	There were no deviations from any emission limitations (emission limit or operating limit) during the reporting period. (§63.6017(c)(5)) (Select from dropdown)	There were no periods during which the operating parameter monitoring systems or CPMS were out-of-control during the reporting period. (§63.6017(c)(6)) (Select from dropdown)	For each tire production affected source complying with the purchase compliance alternative in §63.5985(a), I certify that each cement and solvent, as purchased, that was used at the affected source during the reporting period met the HAP constituent limits (Option 1) in Table 1 to this subpart. (§63.6017(c)(8)) (Select from dropdown)
RecordId	PeriodDeviationFlag	CPMSAddonComplianceFlag	HAPConstituentFlag
e.g.: 1	e.g.: No	e.g.: Yes	e.g.: Yes
1

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Sheet 11: Revisions

40 CFR Part 63, Subpart XXXX National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing -
§63.6017(g) Semiannual Compliance Report Spreadsheet Template
Revision Number	Date	Revisions
1.00	6/5/2020	Finalized Release Version
1.02	6/16/2020	Unlocked Column F on NOCS_PunctureSealantApp, Columns F-M on Compliance Rpt - Deviations, and entry cells on Compliance Rpt - Certification tabs
1.03	4/9/2024	Updated Welcome tab
Final ICR Draft	8/28/2024	Update regulatory citations throughout to reflect revised regulatory text, updated formatting, removed "*", added "e.g.:" to all blank example rows; Revisions: Header added; Compliance_Options: updated examples, updated dropdown to reflect new compliance options, updated header to reflect Tables 15 and 16; NoticeOfComplianceStatus: updated header to reflect Tables 15 and 16; Add tab Compliance Rpt - metHAP or PM;