Floating Roof Tank Form 200-7 Oil and Gas Equipment

Santa Barbara County Air Pollution Control District 260 N. San Antonio Road, Suite A

Santa Barbara, CA 93110-1315

I. Floating Roof Tank Information Operator ID (component ID)

Manufacturer

Model

Serial Number

Tank Type

Tank Capacity

Max Daily Throughput

Max Annual Throughput

If Tank Type is "other", explain

II. Potenital to Emit (PTE) Daily PTE

Annual PTE

lbs/day

tons/yr

Construction Type

Petroleum Type

If "Petroleum Type is "other" explain

Submit this supplemental equipment form attached to the Oil and Gas Production Facility Form-200 to permit Floating Roof Tanks. Submit one application per floating roof tank. Include manufacturer specifications as an attachment to this form.

APCD - 200-07 (01/31/2020) For APCD use only. FID # App. #

Device Name

Facility Name

IV. Device Description V. Location Note

III. Tank and Roof Details Primary Seal

Secondary Seal

Roof Type

Deck Type

Diameter ft