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EMISSION STREAM DATA FORM* Plant contact Mr. Phil Brothers Telephone No. (999) 555-5024 Agency contact Mr. Ben. Hold No. of Emission Streams Under Review 1 #1/ Incineration (c) (b) (c) (b) (c) (b) (c) (b) (c) (b) (c) (b) (c) (b) (c) (b) (c) (b) Organic Content (1)*** P. Content (1) Heat/O 2 Q. Particulate Content (3) 3.2 gr/acf, flyash R. Particle M
Effluent Characteristics for a Municipal Incinerator Emission Stream

HAP (a) municipal incinerator (a) process point (a) cadmium (a) inorganic particulate (a) 10% (a) (a) (a (a) 5% vol 400°F 110,000 acfm atmospheric none/none assume 99.9% removal space is necessary (e.g., more than three HAPs) and note this need. **The numbers in parentheses denote what data should be supplied depending on the data on lines C and E:

Company Incineration Inc. Location (Street) 124 Main Stree (City) Somewhere (State, Zip) Emission Stream Number/Plant Identification Emission Source Source Classification Emission Stream HAPs Class and Form Content (1,2,3)** Vapor Pressure (1,2) Solubility (1,2) HAP Adsorptive Prop. (1,2) Molecular Weight (1,2) Moisture Content (1,2,3) Temperature (1,2,3) Flow Rat

Table 11 A. HAP B. C. D. HAP E. HAP F. HAP G. HAP H. I. HAP J. K. L. M. N. O. V. W. = 1 = 2 = 3

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