Forms for NYS Perchloroethylene Dry Cleaners
Part 232 and the Federal Perchloroethylene (Perc) NESHAPS have certain reporting requirements for all Perc dry cleaning facilities. For example, §232.8 (c), Operation and Maintenance Requirements, states, "The department will provide an operation and maintenance checklist to the facility. Each operation and maintenance function and the date performed must be recorded on the checklist. Completed checklists must be maintained on-site for at least five years from the date of the checklist."
The Department is responsible for providing necessary forms and checklists to owners/managers. All forms which may be needed by a NYS perc dry cleaner are now available on this page or by mail upon request.
Operation and Maintenance Forms
Weekly Leak Inspection and Operation and Maintenance Checklists Form 232-2 (pdf file, 67kb)
Emergency Response/Corrective Action Log Form 232-3 (pdf file, 49kb)
Equipment Maintenance Log Form 232-4 (pdf file, 49kb)
Hazardous Waste Management Form 232-5 (pdf file, 46kb)
Perc Usage Log Form 232-6 (pdf file, 47kb)
Bi-Annual Operation and Maintenance Checklist Form 232-8 (pdf file, 61kb)
Facility Registration/Notification of Change of Status Forms
New York State Registration Application and Instructions for Perc Dry Cleaners Form 232 (pdf file, 292kb)
NYSDEC Perc Dry Cleaner Information Form 232-10 (pdf file, 25kb)
National Emission Standard for Hazardous Air Pollutants, NESHAPS, Initial & Compliance Notification Form for Perc Dry Cleaning Facilities Form 232-11 (pdf file, 218kb)
Perc Dry Cleaning Facility Notice of Equipment Shutdown Form 232-12 (pdf file, 104kb)
Miscellaneous Issues
Machine Disposal and other Timely Regulatory Issues
NYS DEC Approved §232.14 Owner/Manager and Operator Training Course Vendor List
Preparation Checklist for Yearly Part 232.16 Dry Cleaning Compliance Inspections (pdf file, 25kb)
