Veo Form1 Observer EPAveoform

User Manual: Observer

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EPA
VISIBLE EMISSION OBSERVATION FORM 1

Form Number

Page

Of

Start Time

End Time

Continued on VEO Form Number

Method Used (Circle One)
Method 9
203A

203B

Other:
Time Zone

Observation Date

Company Name

Sec

Facility Name
Min

Street Address

0

15

30

Comments

45

1

City

State

Process

Unit #

Zip

2
3

Operating Mode
4

Control Equipment

Operating Mode
5
6

Describe Emission Point

7

Height of Emiss. Pt. Rel. to Observer

8

Start
Distance to Emiss. Pt.

End

Start
End
Direction to Emiss. Pt. (Degrees)

9

Start

End

Start

Height of Emiss. Pt.

Vertical Angle to Obs. Pt.

End

10

Direction to Obs. Pt. (Degrees)

Start
End
Start
Distance and Direction to Observation Point from Emission Point
Start

11

End
12

End
13

Describe Emissions
Start
Emission Color
Start

End
Water Droplet Plume
End

Attached

14

Detached

None

Describe Plume Background

15
16

Start
Background Color

End
Sky Conditions

17

Start
Wind Speed

End

Start
Wind Direction

End

Start
Ambient Temp.

End

Start
Wet Bulb Temp.

End
RH Percent

Start

End

18
19
20

Source Layout Sketch

Draw North Arrow
TN

21

MN
22
23

X

24

Observation Point

25
26
FEET

27
FEET

Observer's Position

28
Side View

140 o
Sun Location Line

Stack
With
Plume

Latitude

30

Sun
Wind

Longitude

29

Declination

Observer's Name (Print)
Observer's Signature

Additional Information

Organization
Certified By

VEOF1.1

Date

Date
Source Exif Data: 
File Type                       : PDF
File Type Extension             : pdf
MIME Type                       : application/pdf
PDF Version                     : 1.3
Linearized                      : Yes
Create Date                     : 2005:12:02 17:34:25Z
Modify Date                     : 2005:12:05 16:37:59-05:00
Page Count                      : 1
Creation Date                   : 2005:12:02 17:34:25Z
Mod Date                        : 2005:12:05 16:37:59-05:00
Producer                        : Acrobat Distiller 5.0.5 (Windows)
Author                          : Curtis Donatelli
Metadata Date                   : 2005:12:05 16:37:59-05:00
Creator                         : Curtis Donatelli
Title                           : veo-form1.cdr
EXIF Metadata provided by EXIF.tools

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