Tank

EMISSION
YEAR
20 _ _
HARP / CEIDARS
LIQUID STORAGE TANKS
INSTRUCTIONS
DATA INPUT BY COMPANY

or FACILITY
DATA FROM ANOTHER WORKSHEET
FORM
TANK
Instr
CALCULATION / RESULTS
A. This form is to be completed by Owner/Operators of tanks that store liquid organic

material. The data is the inputs required for the USEPA entitled "TANKS 4.09b". The
web address for this software is as follows:
http://www.epa.gov/ttn/chief/software/tanks/index.html#order
B. Start with the spreadsheet entitled "Comp_Fac_Cer". Next complete a spreadsheet that
corresponds to each type of liquid storage tank at this facility. The type of storage
tanks are as follows:
Horz_Fix
Ver_Fix
Int_Flo
Ext_Flo
Doom_Flo
=
=
=
=
=
Horizontal - Fixed Roof

Vertical - Fixed Roof
Internal Floating Roof
External Floating Roof
Doomed External Floating Roof
C. Only place data in Aqua colored fields.

D. The color code for the colored fields is as follows:
DATA INPUT BY COMPANY or FACILITY
E. A few of the many websites where Geodetic data can be obtained are as follows:
http://terraserver.microsoft.com
http://www.topozone.com
http://www.mapsonus.com
http://earth.google.com (Free Version)
F. FOOTNOTES
1. Facility's names and/or number for each tank.
2. 'Shell Color and Shades' are as follow:
Page 1 of 9
EMISSION
YEAR
20 _ _
or FACILITY
HARP / CEIDARS
INSTRUCTIONS
FORM
TANK
Instr
White
Aluminum / Specular
Aluminum / Diffuse
Gray / Light
Gray / Medium
Red / Primer
3. 'Shell Conditions' are as follows:
Good
Poor
4. For gasoline and crude oil state the Reid Vapor Pressure (RVP).
5. If monthly throughput is uniform enter yes and skip monthly throughput.
If monthly throughput is not uniform enter 'no' and enter monthly throughput
in gallons per month.
6. For the 'Effective Column Diameter' enter one of the following statements:
9" by 7" Built-up Column
8" Diameter Pipe
Unknown
7. 'Internal Shell Conditions' are as follows:
Light Rust
Density Rust
Gunite Lining
8. 'Primary Seal' types are as follows:
Mechanical Shoe
Liquid-Mounted
Vapor-Mounted
9. 'Seal' types are as follows:
User defined
10. 'Deck Types' are as follow:
Bolted
Welded
11. 'Deck Fitting Categories' are as follows:
Page 2 of 9
EMISSION
YEAR
20 _ _
or FACILITY
HARP / CEIDARS
INSTRUCTIONS
FORM
TANK
Instr
Typical
Detail
12. 'Roof Types' are as follow:
Pontoon
Double Deck
13. 'Roof Fitting Categories' are as follows:
Typical
Detail
14. 'Tank Construction' types are as follow:
Bolted
Welded
15. For assistance call Richard Wales at (760) 245-1661 extension 1803 or
an Intern at extension 1810, or
Email to:
rwales@mdaqmd/ca.gov.
16. Send the completed Form entitled "Tanks4" (TANK) to:
Mojave Desert AQMD
Emission Inventory Group
14306 Park Avenue
Victorville, CA 92392-2310
Page 3 of 9
EMISSION
YEAR
20 _ _
HARP / CEIDARS
COMPANY, FACILITY and CERTIFICATION
DATA INPUT BY COMPANY or

FACILITY
FORM
TANK
CF&C
Company Name:
Company Number (Owner/Operator):
Mailing Address:
City:
State:
ZIP+4:
Contact Person:
Telephone Number:
FAX Number:
Email:
Ext:
Facility Name:
Facility Number (Location):
Location - Address:
City:
Geodetic:
ZIP+4:
Longitude:
UTM East:
Distance to each Type of Receptor
Operating Schedule
Hours per Day
Days per Week
Weeks per Year
Hours per Day
Latitude:
UTM North:
Type of Receptor
Actual Hours per Day
Distance
Feet
Residence
Off-Site Workplace
School (K - 12)
Medical Facility
Meter
0.0
0.0
0.0
0.0
CERTIFICATION
I, (Name of Official)
, a responsible
official of (Name of Company)
, hereby certify that, based upon
information and belief formed after reasonable inquiry, the attached information, consisting of
the emission inventory data is true, accurate and complete. Executed this (Day)
day of
(Month)
, (Year)
at (County and State)
.
(Signature)
(Name - print or type)
(Title - print or type)
EMISSION
YEAR
20 _ _
HARP / CEIDARS
HORIZONTAL - FIXED ROOF

FACILITY
FORM
TANK
HOR-FIX
Company Name: 0
Company Number (Owner/Operator): 0
Facility Name: 0
Facility Number (Location): 0
Tank Name 1
Tank Number 1
Permit Number
Dimensions & Design
Shell Length (feet)
Shell Diameter (feet)
Working Volume (gal)
Turnover per year
Throughput (gal / year)
Tank Heated (yes / no)
Underground (yes / no)
Shell Characteristics
Shell Color / Shade 2
Shell Condition 3
Breather Vent Settings
Vacuum (psig)
Pressure (psig)
Tank Content
Single/Multi Compound
Chemical Name(s) 4
Throughput
Annual (gal/year)
Monthly (gal/month)
Uniform (yes / no) 5
January
February
March
April
May
June
July
August
September
October
November
December
EMISSION
YEAR
20 _ _
HARP / CEIDARS
VERTICAL - FIXED ROOF

FACILITY
FORM
TANK
VER-FIX
Company Name: 0
Facility Name: 0
Tank Name 1
Tank Number 1
Permit Number
Dimensions & Design
Shell Height (feet)
Shell Diameter (feet)
Max. Liquid Height (ft)
Ave. Liquid Height (ft)
Working Volume (gal)
Turnover per year
Tank Heated (yes / no)
Shell Characteristics
Shell Condition 3
Roof Characteristics
Shell Condition 3
Type (cone / dome)
Height (ft)
Breather Vent Settings
Vacuum (psig)
Pressure (psig)
Tank Content
Chemical Name(s) 4
Throughput
Annual (gal/year)
Monthly (gal/month)
January
February
March
April
May
June
July
August
September
October
November
December
EMISSION
YEAR
20 _ _
HARP / CEIDARS
INTERNAL FLOATING ROOF

FACILITY
FORM
TANK
INT-FLO
Company Name: 0
Facility Name: 0
Tank Name 1
Tank Number 1
Permit Number
Dimensions & Design
Tank Diameter (feet)
Tank Volume (gal)
Turnover per year
Self Supporting Roof (yes
/ no)
Number of Columns
Eff. Column Diameter 6
Int. Shell Condition 7
Ext. Shell Color / Shade 2
Ext. Shell Condition 3
Roof Color / Shade 2
Roof Shell Condition 3
Rim Seal System
Primary Seal 8
Secondary Seal 9
Deck Characteristics
Deck Type 10
Deck Fitting Category 11
Tank Content
Chemical Name(s) 4
Throughput
Annual (gal/year)
Monthly (gal/month)
January
February
March
April
May
June
July
August
October
November
December
EMISSION
YEAR
20 _ _
HARP / CEIDARS
EXTERNAL FLOATING ROOF

FACILITY
FORM
TANK
EXT-FLO
Company Name: 0
Facility Name: 0
Tank Name 1
Tank Number 1
Permit Number
Dimensions & Design
Tank Volume (gal)
Turnover per year
Roof Type 12
Roof Fitting Category 13
Tank Construction
Tank Construction 14
Rim Seal System
Primary Seal 9
Secondary Seal 9
Tank Content
Chemical Name(s) 4
Throughput
Annual (gal/year)
Monthly (gal/month)
January
February
March
April
May
June
July
August
October
November
December
EMISSION
YEAR
20 _ _
HARP / CEIDARS
DOOMED EXTERNAL FLOATING

FACILITY
FORM
TANK
DOOMED
Company Name: 0
Facility Name: 0
Tank Name 1
Tank Number 1
Permit Number
Dimensions & Design
Tank Volume (gal)
Turnover per year
Roof Type 12
Roof Fitting Category 13
Tank Construction
Tank Construction 14
Rim Seal System
Primary Seal 9
Secondary Seal 9
Tank Content
Chemical Name(s) 4
Throughput
Annual (gal/year)
Monthly (gal/month)
January
February
March
April
May
June
July
August
October
November
December

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EMISSION

DATA INPUT BY COMPANY

DATA FROM ANOTHER WORKSHEET

A. This form is to be completed by Owner/Operators of tanks that store liquid organic

Horizontal - Fixed Roof

C. Only place data in Aqua colored fields.

DATA INPUT BY COMPANY or

DATA FROM ANOTHER WORKSHEET

Distance to each Type of Receptor

Actual Hours per Day

(Name - print or type)

(Title - print or type)

DATA INPUT BY COMPANY or

DATA FROM ANOTHER WORKSHEET

DATA INPUT BY COMPANY or

DATA FROM ANOTHER WORKSHEET

DATA INPUT BY COMPANY or

DATA FROM ANOTHER WORKSHEET

DATA INPUT BY COMPANY or

DATA FROM ANOTHER WORKSHEET

DATA INPUT BY COMPANY or

DATA FROM ANOTHER WORKSHEET

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