AWQS Alternative Baseline Monitoring Timeframe, Duration and/or Frequency Meeting Request Form

Is this meeting request related to an ADEQ Case or Enforcement Action?
What R18-9-A215(D) Alternative Baseline Monitoring request would you like to schedule a meeting for?
What is your existing permit information?

Permit Information

Person/Entity responsible for complying with the terms and conditions of the APP Permit. Permit fees, including hours billed during the pre-application phase, will be billed monthly. See fee schedule | View Fees >

Authorized Agent

Enter the Person who is acting on behalf of the Applicant

Facility Information

Enter information for the facility where this APP application pre-meetings is for:

Where is the facility located?
Is there a landfill on the property?
Is this an Underground Storage Facility (USF)?
Is this facility under the Voluntary Remediation Program?
What type of facility? (Select all that apply.)

Proposed Meeting Schedule

Propose at least one date and time that you would like to meet with ADEQ

Who is attending the meeting?

(At least one attendee is required)

Names(s)
Emails(s)
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