Get Sfn-19839 - North Dakota Department Of Health - Ndhealth

This guide provides clear and comprehensive instructions on how to fill out the SFN-19839 form for the North Dakota Department of Health. Completing this form accurately is essential for reporting hazardous air pollutant emissions.

Follow the steps to successfully complete the SFN-19839 form online.

1. Select the ‘Get Form’ button to access the SFN-19839 form online.
2. Enter the name of your organization or firm in the designated field.
3. Provide your permit to operate number. This number is essential for your facility's operations.
4. Indicate the year of emissions being reported. Use the dropdown menu or input the year manually.
5. Fill in the mailing address, ensuring it includes the city, state, and ZIP code.
6. Specify the facility's name and the exact location where operations take place.
7. List the emission unit number as required. This identifies specific sources of emissions.
8. Input the amount of material processed during the reporting year, including details about the materials used.
9. Detail the air pollution control equipment utilized at the facility, as it plays a significant role in emission management.
10. State the hours of operation for the facility to provide context for emissions data.
11. For hazardous air pollutant emissions, list each chemical emitted to air along with its CAS number.
12. Record the emissions quantity for each specified chemical. Include emission factors and ensure units are clear.
13. Complete the declaration statement affirming the accuracy of your report. This section requires your printed name, title, and telephone number.
14. Sign the document in the designated area to confirm the submission.
15. Finally, submit the completed form by saving changes, downloading, or printing the document for mailing to the North Dakota Department of Health, Division of Air Quality.

Take the next step in documenting your emissions by completing your SFN-19839 form online.