Louisville Metro Air Pollution Control District

Louisville Metro Air Pollution Control District

Form AP-200G – Printing Press Operation Page 4 of 4

/ Louisville Metro Air Pollution Control District / Deliver application to:
701 W. Ormsby Ave.Suite 303
Louisville, KY 40203
(502) 574-6000
FAX: (502) 574-5137
www.louisvilleky.gov/apcd

Process Permit Application
Form AP-200G
Printing Press Operation
Plant Name: / Plant ID:
Date of construction, modification, installation, or operation: / Control equipment associated with this process equipment: / NoneGeneric Control EquipmentBaghouseCycloneSettling ChamberElectronic PrecipitatorChemical ScrubberRecuding SystemsCondenserVapor-Liquid SeparatorAdsorberThermal OxidizerFlareVenturi Scrubber
Equipment Description / Emission Process/Point #
Manufacturer: / Model:
Type of press / Flexographic / Lithographic Web (Continuous) Heat-Set
Lithographic Sheet fed Non-Heat-Set / Lithographic Web (Continuous) Non-Heat-Set
Rotogravure / Screen
Other (describe):
Type of products printed:
Number of colors: / Does this press use a coating unit? / Yes / No
Substrate: / Paper / Plastic / Metal / Other:
Substrate feed / Sheet: / Maximum per hour: / Sheet size: / Length- / in.ft.cm. / Width- / in.ft.cm.
Web: / Maximum web width / in.ft.cm. / Maximum speed: / sh/minft/minin/secm/min
Blanket Cylinder: / Diameter- / in.ft.cmmeter / Width- / in.ft.cmmeter
Dryer Description
Is there a dryer associated with this press? / Yes / No
Manufacturer: / Model:
Maximum rated heat input: / BTU/hrWatts / Heat source: / Electric / Natural Gas

Continued on next page

Ink and Resin Information /
Material Safety Data Sheets for all inks and resins must be included with this application. /
Manufacturer / Product Code/Number / Product Description / Usage rate (include units) /
Fountain Solution Information /
List all components used in the fountain solution. Material Safety Data Sheets for all components must be included with this application. /
Manufacturer / Product Code/Number / Product Description, mix ratio / Usage rate (include units) /
Thinner Information /
List all materials used to thin the inks prior to use. Material Safety Data Sheets for all thinners must be included with this application. /
Manufacturer / Product Code / Density
(lb/gal) / VOC Content
(lb/gal) / Mix Ratio
(ink/thinner) / VOC as applied
(lb/gal) / Usage rate
(include units) /
Surface Preparation Material Information /
List all materials used for surface preparation. Material Safety Data Sheets for materials must be included with this application. /
Manufacturer / Product Code / Product Description / Density
(lb/gal) / VOC Content
(lb/gal) / Usage rate (include units) /
Blanket Wash Information /
Material Safety Data Sheets for all materials must be included with this application. /
Manufacturer / Product Code/Number / Product Description / Usage rate (include units) /
Roller Wash Information /
Material Safety Data Sheets for all materials must be included with this application. /
Manufacturer / Product Code/Number / Product Description / Usage rate (include units) /
Press Cleaning Solvent Information /
Material Safety Data Sheets for all materials must be included with this application. /
Manufacturer / Product Code/Number / Product Description / Usage rate (include units) /

March 2016