VEOM9ONLINE • Opaque Smoke School Inc.

Name *

First

Last

Email *

Company Name *

Facility Name *

Emisson Source Address (location where you are making observations. Not the home office) *

Address Line 1

Address Line 2

City

State

Zip Code

Key Contact Phone Number

Source ID

Emission Information / Facility Type

Process Equipment *

Control Equipment

Operating Mode

Emission Point Information

Size, Type, Location, etc

Describe Emission Point (Type, Size, Color, Shape, Location, etc) *

Height Above Ground Level / Start *

Distance from Observer to Emission Point / Start *

Height of Emission Point Relative to Observer / Start *

Vertical viewing angle in Degrees

Direction to Emission Point *

Direction to Observation Point *

Emissions Descriptions

Describe Emissions *

(Fluffy, coning, looping, lofting, lacy, copious, fumigating, mushrooming, spreading over the horizon, etc)

Emission Color *

Water Droplet Plume? *

None
Attached Steam Plume
Detached Steam Plume

Distance and Direction to the observation point from the Emission Point *

i.e. "10-100 feet west of emission outlet" or "0-20 Above stack exit"

Describe Plume Background *

Background Color *

Sky Conditions (% cloud cover) *

Clear
Scattered
Broken
Overcast

Clear - 0%-10% - Scattered - 10% - 50% - Broken - 60% - 90% - Overcast - 90% to 100%

Wind Speed

wind speed its okay to estimate +/- 3 mph (if wind speed exceeds 26 mph / consider observing at a different time)

Wind Direction *

Ambient Temp *

Wet Bulb Temp

Only for if a sling psychrometer is used. mark N/A If not used

Relative humidity (in percent)

Source Layout Photo *

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Picture of Emission source / your location / any information you find relevant to the observations

Latitude

Longitude

Additional Information

Date / Time (Start)

Date

Time

Time ( End)

Observations

Seconds 0

Seconds 15

Seconds 30

Seconds 45

Observations #2

Seconds 0

Seconds 15

Seconds 30

Seconds 45

Observations #3

Seconds 0

Seconds 15

Seconds 30

Seconds 45

Observations #4

Seconds 0

Seconds 15

Seconds 30

Seconds 45

Observations #5

Seconds 0

Seconds 15

Seconds 30

Seconds 45

Observations #6

Seconds 0

Seconds 15

Seconds 30

Seconds 45

Observers Name *

First

Last

Observers Organization

Your company name if different from the company listed above

Observers Signature *

Clear Signature

Date / Time

Date

Time

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