5900-31 Radnet Precipitation Report

RadNet (Renewal)

RADNET PRECIPITATION REPORT FORM

RadNet - Precipitation

OMB: 2060-0015

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OMB Control No. 2060-0015

Approval Expires XX/XX/XX


UNITED STATES ENVIRONMENTAL PROTECTION AGENCY

NATIONAL AIR AND RADIATION ENVIRONMENTAL LABORATORY

540 SOUTH MORRIS AVENUE

MONTGOMERY, AL 36115-2601

PHONE: (334) 270-3400 FAX: (334) 270-3454


RADNET PRECIPITATION REPORT



SECTION I: STATION INFORMATION


C OLLECTION DATE: STATION #:


S TATION LOCATION:


STATION OPERATOR:


T ELEPHONE: EMAIL:




SECTION II: SAMPLE INFORMATION



DID COLLECTION BUCKET OVERFLOW? YES NO


TYPE OF PRECIPITATION: RAIN_______ SNOW_______ OTHER (Specify)__________________


VOLUME COLLECTED (LITERS):




C OMMENTS:









FOR USE BY NAREL PERSONNEL ONLY:


DATE REQUEST RECEIVED: DATE REQUEST PROCESSED:

R EQUEST PROCESSED BY:



The public reporting and recordkeeping burden for this collection of information is estimated to average 5 minutes per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed [form or survey] to this address.


EPA Form 5900-31


File Typeapplication/msword
File TitleERAMS EQUIPMENT AND SUPPLY REQUEST FORM
AuthorPC Site Coordinator
Last Modified Bybronish
File Modified2007-03-14
File Created2005-02-17

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