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<br />- I. G1iNERAL IPrO~•;e,TIOC1: <br />-' ,Date:~• _ 3/_ 7[~ Time: <br />~ , <br />Company: (, <br />Address: F/~ <br />Person(s) Contacted: /;• <br />AIR i'OLLUT I0:4 CG'~TROL <br />FZELD It:SPECTIO?! FOILS SHEET <br />/` i <br />J_">[~ ~/PM Inspected by:.~~. it -'~~ ~. `/~-~., ~:~ <br />~~ SIC: <br />~- ~~-~y ourty: ~~ ~ ~ ._ AQCR: f~, <br />/} ~ <br />N i S ?~ , / f!' . ~ ~/~ . , c / / Phone:? 2 3 - 3 GG! <br />II, It:SPECTION TYPE: <br />~~Routine % /AUth/Coast, <br />/ /Per/Opr.n <br />/ /Complaint / /Violation / /Variance / /Other, (state) <br />III, Vi:OLATION DETCRPfIAr'1T20N (if applicable) <br />Violation: <br />How Deternined: <br />Temp, Wndspd: Dir, Skycond: <br />/ /Compliance <br />Reference Regulation(s) <br />Obstim~:: AH/PM <br />Gk>spt : St kd i s t : Stkht : _ <br />IV, RF:QUIR.ED ACTION: File / / Citation / /Cease and Desist / / Re-inspection <br />/ /Recall Re-inspection-Recall Date: / /Other: <br />V. ADDITIONAL ItII~'ORMATION: (Flow 3iagz~ams, inspection points, equipment, remarks, etc,} <br /> <br /> <br />~ i.~.k <br />r~ : ~ d~w~ <br />sl.ti.n <br />we <1.,. <br />~~-.l~~ j ~-~ ~~~~ <br />~in-c <br />ir(z.~~,,,,.,,= ~ <br />~~..1 6a~s <br />~ ~ ~ ~ <br />,~ <br />s~i..., s~%:Z z: <br />[~~~ ~ _~ <br />7---- ~~_ <br />1 / <br />/t J ~ [. <br />_ ~ , <br />Colorado F[calth Department <br />RPC. 2~ (Rev, 4-74-SG) <br />t",yf~/r v! <br />r•w., f <br />~~ <br />~,~~ <br />s_~, .. <br />`°~-r <br />3 <br />L/ <br />;~~1 <br /> <br /> <br />