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Appendix A                                                                              Linearity Test Observation Sheet

Linearity Test Observation

1.  Plant and Audit Information

Plant Name:

ORIS Code:

State:

State Plant ID:

Plant Contact:

Phone Number:

Inspector Name:

Audit Date:

2.  System Information

Parameter Monitored:

System/Component ID:

Span Value:

3.  Observations

Certified calibration gases?

Are the cal gas concentrations appropriate for each range?

Low

20% - 30%

Mid

50%- 60%

High

80 - 100%

Were gases injected nonconsecutively?

Concentration stable before recording?

(not to exceed 15 minutes)?

4.  Test Results

Gas Range

Low

Mid

High

Cal Gas Value (R)

Gas Cylinder ID No.

Run #

1

2

3

Mean Response (A)

| R - A |

Linearity Result (LE)

where LE = Percent Linearity Error

R = Reference value of calibration gas

A = Average of monitoring system response

Part 75 Field Audit Manual - July 16, 2003                                                                                                       Page A-13

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