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Diesel Engines*

Facility:

Application #:

Limit:

Amount Amount Amount

Consumed Consumed Rolling Total * Consumed

2010 2011 (Calculation) 2012

0

January 0

February 0

March 0

April 0

May 0

June 0

July 0

August 0

September 0

October 0

November 0

December 0



* if at any time the rolling total exceeds the pre-approved limit, report the exceedance within 30-days to:



State of Alaska Department of Environmental Conservation

610 University Avenue

Fairbanks, AK 99709-3643

attn: Compliance Technician

airreports@dec.state.ak.us (email)

(907) 451-2139

(907) 451-2187 (fax)



* 18 AAC 50.230(c) Limits on the allowable emissions of, or potential to emit, nitrogen oxides from

diesel engines established by restricting the amount of fuel burned in the engine(s).



* Rolling Total = Current month's fuel usage + the previous 11-months' fuel usage.

For example, January 2000's rolling total would equal the January 2000 fuel usage plus the previous eleven months' fuel usag

(from February 1999 through December 1999)



Based on information and belief formed after reasonable inquiry, I certify that the statements and information in and attached





Signature of Stationary Source

Owner/Operator

Amount

Rolling Total * Consumed Rolling Total *

(Calculation) 2013 (Calculation)

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0



within 30-days to:









en oxides from







us the previous eleven months' fuel usage





ements and information in and attached to this document are true, accurate, and complete.





Date

EXAMPLE Facility

Equipment ID #

Application # «Application_Number»

Limit: 150 gallons in any 12 month period

Amount Amount

Consumed Consumed

Rolling Total

1998 1999

(Calculation) *

136

January 10 10 136

February 12 12 136

March 10 14 140

April 11 15 144

May 11 15 148

June 12 13 149

July 15 15 149

August 15 12 146

September 15 11 142

October 5 2 139

November 10 10 139

December 10 10 139





* if any any time the rolling total exceeds the pre-approved limit, report the exceedance within 3

State of Alaska Department of Environmental Conservation

610 University Avenue

Fairbanks, AK 99709-3643

attn: Rusty Gesin

rgesin@envircon.state.ak.us (email)

(907) 451-2139

(907) 451-2187 (fax)







* Rolling Total = Current month's fuel usage + the previous 11-month's fuel usage. For example, January 2000's rolling tot

January 2000, plus the mothly fuel usage for the months December 1999 through February 19

Number»

nth period

Amount

Consumed

Rolling Total

2000

(Calculation) *

10 139

129

117

103

88

73

60

45

33

22

20

10

0





port the exceedance within 30-days to:

tal Conservation







mail)









ple, January 2000's rolling total would equal the fuel usage for

mber 1999 through February 1999.



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