TE-09o Fugitive Dust Control Form 15-Loading

Dugway Proving Ground Fugitive Dust Control Plan Form 15 Construction & Demolition

Trucking Loading with Materials
Activity Description: The loading of trucks with materials, including construction or demolition debris, rock or soil, to be transported on or off site.

General Information
Location(s):

Start Date:

End Date:

Point of Contact:

Email:

Phone Number:

Description of site:

Fugitive Dust Emission Control Techniques
Select at least one best management practice (BMP) for the critical mitigation area: Stabilize surface soils where truck loading operations occur Pre-water and maintain surface soils in a stabilized condition where loaders, support equipment and vehicles will BMP 15-01
operate.
Apply and maintain a chemical stabilizer on surface soils where loaders, support equipment and vehicles will operate. BMP 15-02
(Name of chemical:
)
BMP 15-03 Empty loader bucket slowly and keep loader bucket close to the truck to minimize the drop height while dumping.

Logbook Requirement

If suppression is used, a logbook is required, at minimum, it must contain: the date, time, type of suppression used (i.e. water/chemical suppressant), amount (in gallons), purpose and location applied.

Trackout Prevention

In accordance with Utah Administrative Code R307-205-6(2), any person(s) performing fugitive dust emission activities will to the maximum extent possible, keep material from being deposited onto any paved road other than a designated deposit site. Any such person(s) who deposits materials that may create fugitive dust on a paved road shall clean the road promptly. *By signing you attest that you have read and understand the requirements of the DPG FDCP and will follow the BMPs you have selected.

Signature

Date

This form is to be completed and kept on record according to the requirements found in the Dugway Proving Ground (DPG) Fugitive Dust Control Plan (FDCP). Copies of form(s) and corresponding logbook entries (if applicable) shall be provided to EP, Air Program Manager, upon the completion of operation(s) and/or annually at the end of each calendar year whichever occurs first. Submit completed form and applicable logbook entries in hardcopy or electronically, via email to Environmental Program’s (EP) Air Program Manager: [email protected]

Environmental Programs
Air Quality Program

FDCP-15

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