Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the facility name at the top of the form, ensuring that the name accurately reflects the establishment being reported.
3. In the section for contact information, provide the signature of the person completing the form, their phone number, and the date on which the form is filled out.
4. For each Volatile Organic Compound (VOC) or regulated substance, list the name and corresponding CAS number in the designated fields. Ensure accuracy by referring to the Material Safety Data Sheet (MSDS) if necessary.
5. Describe the type of operation for each substance, specifying the processes involved such as degreasing, wipe cleaning, or others relevant to the facility.
6. Report the beginning inventory amount as of January 1, 2014, specifying the units (preferably in pounds). This information indicates how much of the substance was present at the start of the reporting year.
7. Enter the amount purchased throughout the year, again indicating the units used. This figure should reflect total purchases made in the year 2014.
8. Provide the ending inventory amount as of December 31, 2014, including units. This indicates how much of the substance remained at the end of the reporting period.
9. For the amount manifested, detail the amount of the regulated substance manifested as hazardous waste and the percentage that this substance represents of the total hazardous waste.
10. Indicate the amount retained in the product, representing how much of the substance was incorporated into finished products.
11. Report any amounts discharged to a publicly owned treatment plant, naming the specific plant if applicable.
12. Specify any other mass balance adjustments, clearly labeling whether these amounts should be added or subtracted.
13. Calculate and report the amount of the substance released to air, including both fugitive and stack emissions, attaching any necessary documentation for your calculations.
14. Provide descriptions of the air pollution control or recovery equipment used, specifying types such as incinerators or scrubbers.
15. List the approval numbers related to your equipment and report the capture efficiency, destruction efficiency, and overall efficiency of the pollution control measures.
16. Finally, review all entries for accuracy, save your changes, and choose the option to download, print, or share the completed form.

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