HUMAN CREMATORY

COMPLIANCE INSPECTION CHECKLIST

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

AIRS ID#: 0710075  DATE:  11/7/06	ARRIVE:  10:30 am	DEPART:  10:45 a.m.

FACILITY NAME:  FT MYERS CREMATORY SERVICE

FACILITY LOCATION:		2411 CRYSTAL DR
		     
		FORT MYERS   33907

RESPONSIBLE OFFICIAL:  WILLIAM CLEMENTZ	PHONE:  (239)936-1053

CONTACT NAME:        	PHONE:       

REMITTANCE YEAR:       	  ENTITLEMENT PERIOD:  4/3/2006	/	4/3/2011
	(effective date)	(end date)

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

   IN COMPLIANCE         MINOR Non-COMPLIANCE 	 SIGNIFICANT Non-COMPLIANCE

PART II: TESTING/RECORDKEEPING REQUIREMENTS – Rule 62-296.401, F.A.C.
	(check R appropriate box(es))
	1.  Were there any objectionable odor(s) detected?---------------------------------------------------------------------	 Yes    No
	2.  Was a visible emissions test conducted during this site visit according to EPA Method 9 (Ref.: Chapter
		62-297, F.A.C.)?---------------------------------------------------------------------------------------------------------	Yes    No
	3.  In order to demonstrate individual source compliance, was an annual visible emissions test conducted 60
		days prior to the AGP Notification form submission, and within 60 days prior to each anniversary date?
		(Rule 62-296.401(5)(i), F.A.C.)----------------------------------------------------------------------------------------	Yes    No
	4.  In order to demonstrate individual source compliance were the remaining applicable standards testing
		completed  within 60 days prior to the AGP Notification form submission? (Rule 62-210.300(4), F.A.C.)	Yes	No
		a)  Carbon Monoxide (CO) emissions equal to or below the requirements of 100 parts per million by 
		volume, dry basis, 	corrected to 7% O2 on an hourly average basis and tested according to EPA Method
		10 (Ref.: Chapter 62-297, F.A.C.)?------------------------------------------------------------------------------------	Yes    No
		b)  Oxygen test performed according to EPA Method 3 (Ref.: Chapter 62-297, F.A.C.)?---------------------	Yes    No
		c)  Particulate matter emissions test with results equal to or below the requirements of 0.080 grains per
		dry standard cubic foot (ft3)of flue gas, corrected to 7% O2 and tested according to EPA Method 5
		(Ref.: Chapter.62-297, F.A.C.)?----------------------------------------------------------------------------------------	Yes    No
	5.  Was all emissions testing conducted with the source operating at the manufacturers recommended
		capacity?-------------------------------------------------------------------------------------------------------------------	Yes    No
	6.  Was CO & PM compliance demonstrated by submission of a test report for an identical crematory unit?	Yes    No
	7.  Was the Department notified at least 15 days prior to the date of the last formal compliance test?----------	Yes    No
	8.  Was the required test report filed with the Department as soon as practical, but no longer than 45 days after	
		the test was completed?-------------------------------------------------------------------------------------------------	Yes    No

PART III:  OPERATING/RECORDKEEPING REQUIREMENTS – Rule 62-296.401, F.A.C.
	(check R appropriate box(es))
	
	1.  Is there Continuous Emissions Monitoring System (CEMS) equipment installed on each unit to record temperatures in the 	primary and secondary chambers where there is a 1.0 second gas residence time in the secondary chamber combustion zone in 	accordance with the manufacturer’s instructions?-----------------------------------------------------------------------	Yes    No
		a)  Do temperature probes seem to be properly placed?-----------------------------------------------------------	Yes    No
		b)  Are the following records kept on file, available for inspection for at least two years following the recording of such
		measurements, maintenance, reports and records?
			1)  All measurements (including CEMS)---------------------------------------------------------------------	Yes    No
			2)  Monitoring device-------------------------------------------------------------------------------------------	Yes    No
			3)  Performance Testing Measurements	------------------------------------------------------------------	Yes    No
			4)  CEMS Performance Evaluation---------------------------------------------------------------------------	Yes    No
			5)  All CEMS or monitoring device calibration checks----------------------------------------------------	Yes    No
			6)  Adjustments--------------------------------------------------------------------------------------------------	Yes    No
			7)  Preventive maintenance performed on systems/devices-----------------------------------------------	Yes    No
			8)  Corrective maintenance performed on systems/devices-----------------------------------------------	Yes    No
	2.  Was this crematory unit constructed: (check only one R box)
		a)  BEFORE  August 30, 1989? (If this box checked, continue on to #3 and skip #4)
		b)  ON or AFTER  August 30, 1989? (If this box checked, skip #3 and continue on to #4)

	3.  If constructed BEFORE August 30, 1989 is the:
		a)  secondary chamber combustion zone providing at least a 1.0 second gas residence time @ 1600oF?	Yes    No
		b)  actual operating temperature of the secondary chamber combustion zone no less than 1400oF 
			throughout the combustion process in the primary chamber?-----------------------------------------------	Yes    No
	c)  cremation in the primary chamber begun after the secondary chamber combustion zone temperature
	is equal to or greater than 1400oF?------------------------------------------------------------------------------	Yes    No
	d)  required monitoring equipment installed and operational, and providing continuous monitoring to
		record the temperature at the point or beyond where 1.0 second gas residence time is obtained in the
		secondary chamber combustion zone according to the manufacturer’s instructions?--------------------	Yes    No

	4.  If constructed ON or AFTER August 30, 1989 is the:
	a)  volume in the secondary combustion zone sufficient to provide at least a 1.0 second gas residence time
		@ 1800o F?---------------------------------------------------------------------------------------------------------	Yes    No
	b)  the actual operating temperature of the secondary chamber combustion zone no less than 1600oF
		throughout the combustion process in the primary chamber?-----------------------------------------------	Yes    No
	c)  secondary chamber combustion zone temperature equal to or greater than 1600oF before the cremation 
		process begins in the primary chamber?-----------------------------------------------------------------------	Yes    No
	5.  Are appropriate cremation containers containing no more than 0.5 % (percent) by weight chlorinated
		plastics used during the cremation of dead human bodies?-----------------------------------------------------	Yes    No
		a)  If the answer to question 4 above is YES, is certifying documentation from the manufacturer that they
			are composed of 0.5% or less by weight chlorinated plastics kept on file at the site for the duration of
			their use and for at least two years after their use?-----------------------------------------------------------	Yes    No
		b)  Are there any other materials, including biomedical wastes (Rule 62-210.200, FAC) incinerated at
			this location?------------------------------------------------------------------------------------------------------	Yes    No
	6.  Have all crematory operators been trained and certified by a Department-approved training program?	Yes    No
		a)	Are copies of the training certificates for all crematory operators kept on file at the facility for the duration
			of the operator’s employment & for an additional two years after termination of employment?-----	Yes    No

PART IV:  SPECIAL CONDITIONS AND PROCEDURES – Rule 62-296.401, F.A.C.
	A.  New or Modified Process Equipment

	1.  Since the last inspection has there been 
		a)  installation of any new process equipment?----------------------------------------------------	Yes	No
		b)  alterations to existing process equipment without replacement?----------------------------	Yes	No
		c)  replacement of existing equipment substantially different than that noted on the most 
			recent notification form?--------------------------------------------------------------------------	Yes	No
		d)  If you answered YES to any of the above, did the owner submit a new and complete
			notification form and appropriate fee (Rule 62-4.050, F.A.C.) to the appropriate DEP or
			local program office?------------------------------------------------------------------------------	Yes	No
	2.  If a crematory unit has been modified to the extent that a Department air construction permit
		was required, have all operators been retrained to operate the modified unit?------------------	Yes	No
	3.  In the case of new or modified equipment, where a Department air construction permit was
		required, has the owner submitted copies of all operator training certificates?-----------------	Yes	No
			a) submitted within the 15 day required window following the training?----------------------	Yes	No

Sherrill Culliver 								11/7/ 06
_______________________________________________		___________________________________
	      Inspector’s Name (Please Print)				     Date of Inspection

								     
_______________________________________________		___________________________________
	            Inspector’s Signature				     Approximate Date of Next Inspection

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