Example Petition for Exemption - anr state vt 2025

1. Click ‘Get Form’ to open the Example Petition for Exemption in the editor.
2. Begin by filling out the 'General Information' section. Enter your company name, facility name, mailing address, city, state, zip code, and telephone number. If your facility location differs from the mailing address, provide that information as well.
3. In the second section, describe your surface coating operation. Clearly explain why your facility qualifies for an exemption under 40 CFR §63.11170 (a)(2). For example: 'Our facility repairs automobile collision damage and does not use any target HAP containing coatings.'
4. Next, identify all spray-applied coatings used at your facility in the 'Description of Spray-Applied Coatings' section. List manufacturers and product lines accurately.
5. Complete the 'Certification Statement' by confirming that you have consulted reliable analyses regarding the coatings used and certify the truthfulness of your petition. Ensure to include your signature and date.
6. Finally, review all sections for accuracy before submitting your petition to the appropriate EPA Regional Office or State agency as indicated in the document.

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