AQ_F_1800011_20140714_CMPL_NOCS

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United States
A =o= ENVIRONMENTAL PROTECTION AGENCY
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Washington, DC 20460
Compliance and Emissions Data Reporting Interface (CEDRI) Report
Notification required under 40 CFR 63. 11225(a)(4)
Office of Air and Radiation (OAR)
http://www.epa.gov/ttn/chief/ert/index.html
FACILITY INFORMATION
Date and Time of Report 2014-07-14 16:41:20 EDT
Facility Name BASSETT FURNITURE INDUSTRIES
Facility Address
1111 EAST 20TH STREET EXTENSION
NEWTON, CATAWBA, NC 28658
Mailing Address
I/
Longitude of Facility Latitude of Facility
-81.20423 35.68512
FRS Code 110000764922
State Facility ID Number
THIS FORM WAS GENERATED BY THE CEDRI APPLICATION
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REQUIRED INFORMATION AND CERTIFICATION
1. The methods that were used to determine compliance:
Tune-up and energy assessment report
2. The methods that will be used for determining continuing compliance, including a description of reporting
requirements and test methods:
Periodic tune-ups
3. Has the source complied with the relevant standard or other Yes
requirements?
4. "This facility complies with the requirements in §63.11214 to conduct
an initial tune-up of the boiler." Yes
5. "This facility has had an energy assessment performed according to Yes
§63.11214(c)."
5.a. Has a past or amended energy assessment been performed on or Yes
after January 1, 2008 and by March 212014 to meet the energy
assessment requirements in 63.11214(c)?
5.b. Does your facility operate under an energy program compatible
with ISO 50001 that includes the affected units to meet the No
energy assessment requirements of 63.11214(c)?
6. "This facility complies with the requirements in §63.11224(f)."
Not Applicable
7. "No secondary materials that are solid waste were combusted in any
affected unit." Yes
8. Date of the test showing conformance with the emission standards
and operating limits of this subpart(if applicable).
THIS FORM WAS GENERATED BY THE CEDRI APPLICATION
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ADDITIONAL INFORMATION
Please enter any additional information
Initial tune-up on March 8, 2012
Please attach any additional information
THIS FORM WAS GENERATED BY THE CEDRI APPLICATION
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SIGNATURE PAGE
Signature of Company Official or Authorized Agent
Lynwood Scott
Mr
2766296240
THIS FORM WAS GENERATED BY THE CEDRI APPLICATION
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