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BID AND INFORMATION REQUEST FORM

CLIENT INFORMATION

Please complete the form below with as much information as possible.  Any additional information you can provide at this time will expedite the bid process.

Company Name:

Contact:

Address1:

Address2:

City:

State:    Zip: 

Country:

Phone (including area code): 

Fax (including area code):     

E-mail: 


TESTING REQUESTED

AmTest's follow up call will be based upon the information provided below. Please fill in as completely as possible. Thank you.

40 CFR Part 60 Methods Other 40 CFR Methods SW-846 Methods


40 CFR Part 60 Methods:

# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
Please provide further information below:


Other 40 CFR Methods:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
Please provide further information below:


SW-846 Methods:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
# of Runs:
 # of Conditions Each Source:
Please provide further information below:


SOURCE INFORMATION

(Please fax any pertinent documents, i.e., permit, source specifications)

Type of Source:

Brief Description of Process:

Control Device (if any):

Emission Standard(s) (if any):

Stack Diameter(s):

Number of Ports:

Access to Stack:

Approximate Percent (%) Moisture of Source:

Approximate Temperature of Stack:

 

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