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C <br />0` <br />Permit Number: <br />Company Name: <br />Plant Location: <br />Person to Contact: <br />E-mail Address: <br />NON-CRITERIA REPORTABLE AIR POLLUTANT EMISSION NOTICE ADDENDUM <br />(See reverse side for guidance on completing this form) <br />County: <br />Phone Number: <br />Fax Number: <br />AIRS ID Number: <br />Zip Code: <br />Chemical Reporting Control Equipment/ Emission Factor Emission Uncontrolled Actual Controlled Actual <br />Abstract Service Chemical Name BIN Reduction (%) (Include Units) Factor Source Emissions (Ibs/year) Emissions (Ibs/year) <br />(CAS) Number <br />Reporting Scenario (1, 2 or 3): <br />Signature of Person Legally Authorized to Supply Data <br />Calendar Year for which Actual Data Applies: <br />Date <br />http://www.cdphc.state.co.us/ap/statioiiaa.html Addendum revised December 4, 2006