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Perchloroethylene Dry Cleaner Notification

  1. Only for unvented, dry-to-dry system equipped using perchloroethylene with emission control equipment that meets all requirements in 40 CFR 63, Subpart M

  2. Agency Use Only

  3. Date

  4. Registration No.

  5. Notification No.

  6. Facility Information

  7. Is the dry cleaner located in a building with a residence?

  8. Business Hours

  9. OR

  10. Equipment Information

  11. Type of Dry-to-Dry Machine (check one)

  12. Attach any additional information about your machine that you'd like us to consider

  13. * The refrigerated condenser must be designed to operate so temperature on the outlet side of the refrigerated condenser is 45 °F or less, as measured before the end of the cool down or drying cycle while the gas/vapor stream is flowing through the refrigerated condenser

    ** The carbon adsorber must be desorbed in accordance with manufacturer’s instructions

  14. Certification

  15. I, the undersigned, do hereby certify that the information contained in this notification is, to the best of my knowledge, accurate and complete.

  16. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  17. You must pay a $200 filing fee to complete this application. Please select an option for payment below.

  18. Leave This Blank:

  19. This field is not part of the form submission.