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PPL - HSE / FM / MEE / 01

Rev: 00

Environmental Monitoring Plan (Year)


Dept. / Field / Location: ______________________

S.
#

Source Description / Location

Average
Hours of
Operation
Per Month

Prepared by: _______________________________


Dept. Head / Field / Location Incharge

Stack
Emission
(Y / N)

Effluent
Stream
(Y / N)

Noise
(Y / N)

Others

Monitoring
Required
(Internal /
External)

Approved by: ______________


HSE Dept. HO

Monitoring
Frequency

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