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NMED - AIR QUALITY BUREAU

By Cheryl Hughes,2014-07-24 05:15
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NMED - AIR QUALITY BUREAU

    NMED - AIR QUALITY BUREAU

    NOTICE OF ELECTION TO COMPLY WITH REVISED 20.2.70.302.E(2) and 20.2.70.304.B(4) NMAC

     Company Name:

     Company Address:

     Company Phone:

     Facility Name:

     Source Address (physical location):

     Existing Operating Permit Number:

    This form is effective seven (7) days after submittal to the AQB, and constitutes an amendment of the permit pursuant to 20.2.70.302.H(1) NMAC. This form shall be attached to and shall become part of the relevant permit.

    The permittee elects to comply with revised 20.2.70.302.E(2) NMAC and 20.2.70 304.B.(4) NMAC. Accordingly, the following permit terms and conditions related to the former version of 20.2.70.302.E(2) and 20.2.70 304.B.(4) NMAC are no longer applicable to the facility:

    CERTIFICATION

I, , hereby certify on

    behalf of , that the information

    and data submitted in this form are as complete, true and accurate as possible, to the best

    of my personal knowledge and professional expertise and experience. Signed this day of , 20 , upon my oath of affirmation,

    before a notary of the State of .

RESPONSIBLE COMPANY OFFICIAL DATE

     __________ ______ PRINTED NAME TITLE

Subscribed and sworn to before me on this day of , 20 .

My authorization as a Notary of the State of expires on the

     day of , 20 .

NOTARY'S SIGNATURE DATE

NOTARY'S PRINTED NAME NOTARY SEAL

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