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General Information <br /> 1. Has the Emission Factor for any Permited Unit changed in the previous year (source test or modified / <br /> corrected permit emission factor)? Please List: <br /> Permit Number : Pollutant : Emission Factor : Units <br /> 2. Were any malfunctions or breakdowns of process or control equipment experienced which effect emissions? <br /> Yes Duration of Event(s) <br /> 44No <br /> Describe malfunction/breakdown quantity of emission and pollutant emitted <br /> Questionnaire Answered By, Title ;,IKN <br /> Signature <br /> Telephone Number () 9Yb• g/a/• D <br /> Contact Person <br /> Telephone Number ) <br />