Source ID
Source Name
Business Type
Tanks Info
Fuel Throughput
Vapor Recovery
Gauge Well
Waste Collection
Notes
GDF Form


Supplemental Emission Information Unit worksheet - Gasoline Dispensing Facilities (GDF)
Clark County Department of Air Quality
Source ID Source Name
1. Type of Business/Operation (check only one)
Gasoline Station with Convenience Store (NAICS 457110)
Other Gasoline Stations (NAICS 457120)
Fleet Fuel Dispensing
Other (Describe):
2. Fuel Storage Tanks Physical Descriptions
Tank status
Tank
Existing
New
Remove
Aboveground
tank
Number
of
compartments

For each compartment, select fuel
type and enter capacity in gallons

Fuel TypeCapacity

Total tank
capacity in
gallons

Tank 0
0
3. Annual Throughputs and Control Technologies
Throughputs Control technologies Emissions
Fuel type Maximum
annual
Monthly average Phase I
control
EVR Phase II
control
Other VOC
tons/year
HAP
tons/year
Gasoline
Aviation
E85
TOTAL EMISSIONS in TONS PER YEAR
4. Additional Information
Is there a separate Gauge Well from Fill Tube? Yes    No   
Is there an Open Waste Collection System? Yes    No