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First Name
Last Name
Email Address
Company Name
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State/Province
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Pre-Test Meeting Requested
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Reason for Tests
Tuning
Guarantee
Permit Compliance
CEM Certification
Other
Types of Tests Requested
Level
Units
Tuning
Guarantee
Permit Compliance
CEMS
RATA
Duct
Burners
Aux.
Equip.
Other
None
NO
x
CO
SO
2
O
2
CO
2
VOC
Non - CH
4
VOC
NH
3
PM10
TSP
Opacity
Other Parameters
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Fuels to Be Tested
Number of Units to Test
Test Location(s)
Stack
Duct (where)
*Requested Test Date
Height of Ports from Grade
Access to Test Ports
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