HUMAN CREMATORY

COMPLIANCE INSPECTION CHECKLIST

INSPECTION TYPE:	ANNUAL (INS1, INS2)	☒	COMPLAINT/DISCOVERY (CI)	☐	
			RE-INSPECTION (FUI)	☐	ARMS COMPLAINT NO:        

AIRS ID#: 0930112  DATE:  05/15/2013	ARRIVE:  09:15	DEPART:  09:40

FACILITY NAME:  BASS OKEECHOBEE FUNERAL HOME & CREMATORY
 
FACILITY LOCATION:		205 NE 2ND ST
		      
		OKEECHOBEE    34972
 
OWNER/AUTHORIZED REPRESENTATIVE:   THOMAS CONWAY 	PHONE:   (863)763-2111 
     Email:   TC31458@aol.com 	Mobile:            
CONTACT NAME:    PAUL MITCHELL 	PHONE:   (863)763-2111 
     Email:   TC31458@aol.com  	Mobile:     (863)801-1500 
ENTITLEMENT PERIOD:    6/11/2009    /    6/11/2014
                                                               (effective date)        (end date)

Facility Section

PART I:  INSPECTION COMPLIANCE STATUS  (check ☑  only one box)

  ☒ IN COMPLIANCE        ☐ MINOR Non-COMPLIANCE 	☐ SIGNIFICANT Non-COMPLIANCE

   (check ☑    only one box for each question)

PART II: ONSITE INTRODUCTORY MEETING

1.	Name(s) of facility representative(s):       

	Brief Notes:        

2.	Is the Authorized Representative still THOMAS CONWAY? -------------------------------------------------	☒  Yes         ☐..No
	If no, who is?:         
 	If different, did the facility provide an administrative update within 30 days? ------------------------------	☐  Yes         ☐..No
3.	Is the facility contact still PAUL MITCHELL? ----------------------------------------------------------------	☒  Yes         ☐..No
	If no, who is?:        
4.	Will facility be conducting VE test(s) during today’s inspection? ---------------------------------------------	☒  Yes         ☐..No
	If yes, was the compliance authority notified at least 15 days in advance? ----------------------------------	☒  Yes         ☐..No

Emissions Unit Section
1 – Human Crematory-primary/2ndary chambers,LPG fired,100#/hr

   (check ☑    only one box for each question)

PART I:  FILE REVIEW PRIOR TO INSPECTION

1.	a. Complete AC application or, if no AC permit, initial GP registration received on or 
		after August 30, 1989? -------------------------------------------------------------------------------------	☒  Yes         ☐..No
	b. If yes, were design calculations provided then to confirm a sufficient volume in the 
		secondary chamber combustion zone to provide for at least a 1.0 second gas residence time
		at 1800 degrees Fahrenheit? --------------------------------------------------------------------------------	☒  Yes         ☐..No
2.	Crematory unit installed after February 1, 2007? ---------------------------------------------------------------	☒  Yes         ☐..No
3.	Date of last inspection:      05/01/2012
4.	Past Visible Emissions (VE) tests:
	a. Was a VE test performed within each of the past 4 calendar years? ---------------------------------------	☒  Yes         ☐..No
	b. Has a VE test been performed yet within the current calendar year? --------------------------------------	☐  Yes         ☒..No
	c. If first year of operation, was a VE test performed within 30 days of commencing
		operation? -------------------------------------------------------------------------------------     ☒  N/A      	☐  Yes         ☐..No
	d. Date of last VE test:     05/01/2012
	e. Was the VE test report filed with the compliance authority no later than 45 days after the test? ------	☒  Yes         ☐..No
	f. Did the facility demonstrate compliance during the last VE test? -------------------------------------------	☒  Yes         ☐..No
          If no, what was the problem (if known)?         

PART II: VISIBLE EMISSIONS TESTING

   (check ☑    only one box for each question)

1.	Was a visible emissions test conducted by the facility for this unit during this site visit? ------------	☒  Yes         ☐..No
	a. Was the test conducted with the unit operating at a capacity of one adult-sized cadaver? --------------	☒  Yes         ☐..No
	b. Was the visible emissions test conducted according to EPA Method 9? -----------------------------------	☒  Yes         ☐..No

	c. The visible emission test resulted in an opacity of 0 % for the highest six minute average.
	d. Did the visible emission test demonstrate compliance with the limit? -------------------------------------	☒  Yes         ☐..No
 	(5% opacity, six-minute average, except that visible emissions not exceeding 15% opacity shall be allowed for up to six minutes in any one-hour)

2.	Was a visible emissions test conducted by the inspector during this site visit? -------------------------	☒  Yes         ☐..No
	a. Was the test conducted with the unit operating at a capacity of one (1) adult-sized cadaver? ----------	☒  Yes         ☐..No
	b.  Was the visible emissions test conducted according to EPA Method 9?                  ----------------------------------	☒  Yes         ☐..No
	c. The visible emission test resulted in an opacity of 0 % for the highest six minute average.
	d. Did the visible emission test demonstrate compliance with the limit? --------------------------------------	☒  Yes         ☐..No
3.	Is there any reason to ask for a special test to determine compliance with the PM and CO standards?
													☐  Yes         ☒..No
	If yes, what reason?        

   (check ☑    only one box for each question)

PART III: MONITORING/RECORDKEEPING REQUIREMENTS

1. 	Were there any objectionable odors detected? ----------------------------------------------------------------	☐  Yes         ☒..No
	An upwind/downwind survey of the facility was conducted.  The observed parameters were:
	Downwind odor level detected-      	Wind direction -      	Upwind odor level detected-       (1-10)

2.	Continuous Monitoring Systems  – 
a 	Is a continuous temperature monitoring system installed on each unit to record temperatures in the 
	secondary chamber in accordance with the manufacturer’s instructions? ------------------------------------	☒  Yes         ☐..No
b 	Is the temperature probe properly placed, at least at the distance where the 1.0 second gas residence
		 time at ☐ 1,800^1  ☐ 1,600^2 degrees was determined? -------------------------------------------------	☒  Yes         ☐..No
                           (Application or initial notification: ^1 received on or after 8/30/89;  ^2 received before 8/30/89)

PART III: MONITORING/RECORDKEEPING REQUIREMENTS (continued)

c. 	Are the following records kept on file, available for inspection, for at least the past two years?
	1)  All temperature measurements ---------------------------------------------------------------------------------	☐  Yes         ☐..No
	2)  all continuous monitoring systems, monitoring devices, and performance testing measurements; 
		monitoring system all continuous performance evaluations --------------------------------------------	☐  Yes         ☐..No
	3)  All CEMS or monitoring device calibration checks  (last performed on  (      ) ---------------------	☐  Yes         ☐..No
	4)  Adjustments ------------------------------------------------------------------------------------------------------	☐  Yes         ☐..No
	5)  Preventive maintenance performed on systems/devices ---------------------------------------------------	☐  Yes         ☐..No
	6)  Corrective maintenance performed on systems/devices ---------------------------------------------------	☐  Yes         ☐..No
d.  Are the temperature charts properly documented with operator name, operator indication of
	when cremation in the primary chamber was begun, date, time, and temperature markings --------------	☐  Yes         ☐..No
e.  Was the crematory unit installed after 2/1/07?  If no, skip e.(1) – (3) -----------------------------------------	☐  Yes         ☐..No
		(1)  Is the crematory unit equipped and operated with a pollutant monitoring system to automatically 
		control combustion based on continuous in-stack opacity measurement? -----------------------------	☐  Yes         ☐..No
		(2)  Is the system calibrated to restrict combustion in the primary chamber whenever any opacity 
		      exceeds 15% opacity ? ------------------------------------------------------------------------------------	☐  Yes         ☐..No
		(3)  Has the opacity measurement system been cleaned and checked for proper operation in 
		      accordance with the manufacturer’s recommended maintenance schedule? ----------------------	☐  Yes         ☐..No

   (check ☑    only one box for each question)

PART IV: SECONDARY COMBUSTION ZONE TEMPERATURES

1. 	If the application to construct was BEFORE August 30, 1989 is the:
	a.  actual operating temperature of the secondary chamber combustion zone no less than 1400^oF 
		throughout the combustion process in the primary chamber? -------------------------------------------	☐  Yes         ☐..No
	b.  secondary chamber combustion zone temperature equal to or greater than 1400^oF before the cremation 
		process begins in the primary chamber? -------------------------------------------------------------------	☐  Yes         ☐..No
2.	If the application to construct ON or AFTER August 30, 1989 is the:
	a.  the actual operating temperature of the secondary chamber combustion zone no less than 1600^oF
		throughout the combustion process in the primary chamber? -------------------------------------------	☐  Yes         ☐..No
	b.  secondary chamber combustion zone temperature equal to or greater than 1600^oF before the cremation 
		process begins in the primary chamber? -------------------------------------------------------------------	☐  Yes         ☐..No

   (check ☑    only one box for each question)

PART V: ALLOWED MATERIALS

1.	Other than human or fetal remains with appropriate containers or clothing, are any materials,
	including biomedical wastes, incinerated in the unit? ------------------------------------------------------------	☐  Yes         ☐..No

2.	Do cremation containers contain no more than 0.5 % (percent) by weight chlorinated
	plastics as certified by the manufacturer? -------------------------------------------------------------------------	☐  Yes         ☐..No
	If yes, is the certifying documentation from the manufacturer kept on file for at least 2 years from use? 	☐  Yes         ☐..No

   (check ☑    only one box for each question)

PART VI: EQUIPMENT MAINTENANCE

1.	Is the crematory unit maintained in accordance with the manufacturer’s specifications? ------------------	☒  Yes         ☐..No
2.	Is there a written plan onsite which addresses the operating procedures during startup, 
	shutdown and malfunction? -----------------------------------------------------------------------------------------	☒  Yes         ☐..No
3.	Does the crematory allow for a visible check on the flame characteristics? ----------------------------------	☐  Yes         ☐..No
	   If no, skip a. – b.
	a.  Was the flame characteristic visually checked at least once during each operating shift? --------------	☐  Yes         ☐..No
	b.  Was the flame adjusted when necessary? ----------------------------------------------------------------------	☐  Yes         ☐..No

PART VII:  EU INSPECTION COMPLIANCE STATUS  (check ☑  only one box)

  ☒ IN COMPLIANCE        ☐ MINOR Non-COMPLIANCE 	☐ SIGNIFICANT Non-COMPLIANCE

Facility Section (continued)

   (check ☑    only one box for each question)

SPECIAL CONDITIONS AND PROCEDURES

Administrative Changes:
1. 	Were there any changes in the name, address, or phone number of the facility or authorized representative not
	associated with a change in ownership or with a physical relocation of the facility or any emissions units or
	operations comprising the facility; or any other similar minor administrative change at the facility? ----	☐  Yes         ☒..No
2.	If yes, did the facility provide written notification within 30 days of the change? ---------------------------	☐  Yes         ☐..No
New or Modified Process Equipment or Change in Ownership:
3.	Since the last registration form submittal has there been --------------------------------------------------------	☐  Yes         ☐..No
		a. Installation of any new process equipment? --------------------------------------------------------------	☐  Yes         ☒..No
		b.  Alterations to existing process equipment without replacement? ------------------------------------	☐  Yes         ☒..No
		c.  Replacement of existing equipment with equipment that is substantially different? --------------	☐  Yes         ☒..No
		d.  A change in ownership? -----------------------------------------------------------------------------------	☐  Yes         ☒..No
		If the any answer to 3a. – d.  is Yes , was a new registration form and the appropriate fee 
		submitted 30 days prior to the change? ---------------------------------------------------------------------	☐  Yes         ☐..No

Nicole Stallings								05/15/2013
_______________________________________________		___________________________________
	      Inspector’s Name (Please Print)				     Date of Inspection

								12/30/2014
_______________________________________________		___________________________________
	            Inspector’s Signature				     Approximate Date of Next Inspection

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