Royal Commission Environmental Regulations-2015

RCER-2015, Volume II, Environmental Permit Program

Appendix A
ENVIRONMENTAL SCREENING QUESTIONNAIRE (ESQ)

Royal Commission Environmental Regulations-2015

RCER-2015, Volume II, Environmental Permit Program

ENVIRONMENTAL SCREENING QUESTIONNAIRE (ESQ)

Facility
Name:
Date:
This questionnaire has been designed to identify the environmental issues related to the proposed industrial facilities. Additional
information or a detailed application may be required. If additional space or lines are required, please add as needed.
1. Facility Information: Provide the following on separate sheets.
a. Brief proposed process / technology description. Please submit a two page summary explaining the process / technology in brief starting from
raw material until final product is obtained including all potential pollution sources and their control measures.

b. Process flow or block flow diagram showing all raw materials and auxiliaries used, water consumption per process, wastewater generation,
emission points as well as solid and hazardous waste generation.

c. Does the promoter have finalized the technology supplier for their project?

Yes

No

d. If yes, provide the name and address of the technology supplier(s).

e. Does the plant use any technology that has not been used elsewhere?
f.

Yes

No

How many similar plants are currently operating in Saudi Arabia or in other parts of the world using the same technology that is being planned in
the industrial city?

g. Does the facility operation involve bulk material handling of raw materials or products which are fine powder in nature?
If yes, provide estimated quantities of such materials.
h. Does the facility operation involve trucking of solid/liquid/waste materials or raw materials or products? If yes, provide estimated number of trucks
that will be employed per day.

A-1

ENVIRONMENTAL SCREENING QUESTIONNAIRE (ESQ)

2. Raw Materials: Complete the following table relating to all raw materials/ feedstock used in the proposed facility.
Process
Delivery Method
Storage Method
Raw Material/
On-Site Storage
Max. Hourly
Consumption
Feedstock
Quantity
(unit)

Annual
Consumption
(unit)

3. Other Materials/ Auxiliaries Used: Complete the following table relating to other materials used in the proposed facility.
Material
Process
Delivery Method
Storage Method
On-Site Storage
Max. Hourly
Quantity
Consumption
(unit)

Annual
Consumption
(unit)

4. Products/ By-Products: Complete the following table relating to all products or materials produced by the proposed facility.
Product/ By-Product
Max. Hourly
Annual Production
Storage/
Production
Process
(unit)
Delivery Method
(unit)

Maximum Storage
Capacity

ENVIRONMENTAL SCREENING QUESTIONNAIRE (ESQ)

5. Hazardous Materials:
(a) Does the facility use or generate any radio active materials? If
yes, provide details of type and quantities of such materials.
(b) Does the facility use or generate highly toxic materials such as methyl isocyanate, phosgene, hydro fluoric acid (HF), mercury compounds,
arsenic compounds, cyanides, etc.?
If yes, list the name of the materials with quantities.
(c) Does the facility use or generate carcinogenic materials such as benzene, carbon tetrachloride, vinyl chloride, hydrazine, PCBs (Polychlorinated
biphenyls), etc?
If yes, list the name of the materials with quantities.
(d) Complete the following table relating to all hazardous materials to be utilized by the facility. Include fuels, oils, paints, coating materials,
solvents, degreasing agents, cleaning materials, acids, alkalis, oxidizing agents, reducing agents, batteries, toxic compounds, refrigerants etc.
Physical Properties Hazardous Material
Hazardous
Process/ Unit
Max. Storage
Delivery/ Storage
Surplus
1
Substance/
Classification
Used
Quantity
Method
Disposal
Constituent
(kg)
Method

According to RCER- 2015, Volume I, Section 4.1 Hazardous Material Classification

ENVIRONMENTAL SCREENING QUESTIONNAIRE (ESQ)

6. Fuels:
(a) Complete the following table relating to processes using fossil fuels (Crude oil, Fuel oil, Natural Gas, LPG, etc.)
Process
Fuel
Alternative Fuels Used? (Y/N)
Fuel Consumption
Type with Composition
If yes, please specify type
(unit)

7. Air Emissions - Point Sources:

(a) Are there any point sources that have potential to emit more than 100 tons/year (before the use of abatement equipment) of any air pollutant
listed in Table 2A of RCER-2015, Volume I?
If yes, list all such sources with estimated emission.
(b)Are there any point sources that have potential to emit more than 10 tons/year (before the use of abatement equipment) of any hazardous air
pollutant listed in Table 2C of RCER-2015, Volume I?
If yes, list all such sources with estimated emission.
(c) Complete the following table relating atmospheric emissions from point sources. Include all point sources such as stacks, vents, extraction
hoods, ducts etc. Pollutants should include any emissions that may contain gases, particulate emissions, volatile organic compounds, acid
gases, toxic gases, fumes, visible emissions and odors.
Pollutant
Emission
Emission Height
Emission
Concentration
Source
Unit
Pollutant
Rate
(m)
Control
2
(unit)
ID
(kg/hr)
Method/ Efficiency

Unit of concentration should be the same as the unit of the point emission source standards in Table 2B of RCER- 2015, Volume I.
3
If no point source emission standard exists for the particular component, the unit should be mg/m .

ENVIRONMENTAL SCREENING QUESTIONNAIRE (ESQ)

8. Fugitive Air Emissions: Complete the following table relating to potential fugitive emissions. Include all potential emissions of volatile organic
compounds, dust sources, toxic gases and odor sources (e.g. water treatment lagoons, etc.).
VOC/ HAP
Control
Controlled
3
Component
Uncontrolled Emission
Efficiency
Emissions
Source
(Name & Number)
(kg/h)
(%)
(kg/h)

As defined in RCER (glossary for VOC and Table 2C of RCER- 2015, Volume I for HAP)

9. Water Consumption: Complete the following table relating to water consumption.

Average
Maximum Consumption
3
Consumption
Process
(m /hr)
3
(m /hr)

Treatment Required?
If yes, please specify
type of treatment

ENVIRONMENTAL SCREENING QUESTIONNAIRE (ESQ)

Effluent/ Wastewater Discharges:
(a) Does the facility operation involve generation of wastewater which cannot be pre-treated at their site to comply with RCER-2015, Volume
I pretreatment standards?

10.

(b) Complete the following table relating to effluent discharges. Include all discharges of industrial wastewater, cooling water, liquid effluents and pretreatment methods, if any.
Pre-Treatment Required?
Discharge
Pollutant Concentration
Source
If yes, please specify
Flow Rate
pH
TDS
TOC
TSS
Temp.
o
(Ave)
mg/l
mg/l
mg/l
( C)
Process
wastewater
effluent
to
IWTP
3
(m /day)
3
Return sea water cooling (m /hr)
3
Cooling tower blow down (m /day)
3
Other effluents (m / day)
3
Sanitary wastewater to SWTP (m /day)

11. Solid / Liquid Waste (Hazardous and Non Hazardous): Complete the following table relating to the production, storage and disposal of all solid,
sludge and liquid wastes.
Amount
Maximum
Generated
Storage
Composition
Treatment, Disposal Methods and
(tons/year)
(tons)
Location
Source

ENVIRONMENTAL SCREENING QUESTIONNAIRE (ESQ)

12. Noise: Complete the following table relating to sources of noise from the facility.
Noise Level Inside
Noise Level at
Source
Premises
Boundary Fence
(dBA)
(dBA)

Control Methods

13. Flare: Complete the following table relating to flares of the facility.
Type
(Elevated, Ground, Emergency, Regulated, Other
Flares)

Number of Flares

14. Incinerator: Complete the following table relating to Incinerator of the facility.
Number of
Type of Incinerator
Incinerators

Height of Flares
(Meter)

Type of Auxiliary
Fuel Used

Steam Assisted/ Air Assisted

Waste to be Burnt
Provide hydrocarbon content and calorific value)

Royal Commission Environmental Regulations-2015

RCER-2015, Volume II, Environmental Permit Program

ENVIRONMENTAL SCREENING QUESTIONNAIRE (ESQ)

15. Loading / Unloading Operations: Complete the following table relating to Loading/Unloading Operation at Marine Terminals/Bulk Loading Terminal
at the facility.
Is there loading/unloading of
Is there loading/unloading of
Is there loading/unloading of
Is there loading/unloading of
material containing Volatile
material containing Volatile
material that emit Dust or
material that emit Dust or
Organic Compounds (VOCs) or
Organic Compounds (VOCs) or
Suspended Particulates at the
Suspended Particulates at the
Hazardous Air Pollutants
Hazardous Air Pollutants
FACILITY?
PORT?
(HAPs) at the FACILITY?
(HAPs) at the PORT?
Yes/No
Yes/No
Yes/No
Yes/No

16. Dredging Operations: Complete the following table relating to Dredging Operation at the facility.
Does the facility construction involve any Dredging operation ? Yes/ No

17. Other Information:

Vehicle maintenance on site
Indoor abrasive blasting
Outdoor abrasive blasting
Underground storage tanks

[
]Yes
[
] No
[
]Yes
[
] No
if yes, material used:
[
]Yes
[
] No
if yes, material used:
[
]Yes
[
] No
if yes, provide type, number, capacity and material
stored.
Aboveground storage tanks
[
]Yes
[
] No
if yes, provide type, number, capacity and material
stored.
Painting on site
[
]Yes
[
] No
Hazardous materials storage area
[
]Yes
[
]
if yes, provide a sketch of the area
No
Additional Information: please use the space below to add any other relevant information that may facilitate the issuance of the permit.