AES-02 Facility General Information
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AES-02 Facility General Information Form. This is a Indiana form and can be use in Department Of Enviromental Management Statewide.
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Tags: AES-02 Facility General Information, 52053, Indiana Statewide, Department Of Enviromental Management
AES – 02
FACILITY GENERAL INFORMATION
State Form 52053 (3-05)
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
NOTES:
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IDEM - Office of Air Quality
Technical Support and Modeling Section – Mail Code 61-51
100 N. Senate Avenue
Indianapolis, IN 46204-2251
Telephone: (317) 233-0178 or
Toll Free: 1-800-451-6027 x30178 (within Indiana)
http://www.emissions.IN.gov/
Use this form to complete all the necessary information regarding your facility. Please complete all the information.
a.) County Code:
Section 1: Facility Identification and Inventory Year
b.) Plant ID:
c.) Facility Name:
d.) ORIS ID Code (if applicable):
e.) Year of Inventory:
Section 2: Physical Address
a.) Source Address:
b.) Source City, ZIP Code:
Section 3: Mailing Address
a.) Mailing Address:
b.) Mailing City, State, ZIP Code:
a.) UTM Vertical:
b.) Latitude:
Section 4: Source Coordinates
UTM Horizontal:
Longitude:
Section 5: Industrial Classification
a.) Primary NAICS Code:
b.) Primary SIC Code:
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