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SAMPLE <br />MEASUREMENT ~: ~)G #tk!`XYZ .. ~. <br />~ <br />T p <br />LO t ln) ]' <br />~ <br />~ ~ <br />G <br />5 <br />,. . <br />".` .i ' °, ;. ....: i Y S 3 .A y L ~. r <br />. , , I(q <br />).1 e :~! 1 J U ~~:~::~:PERMIT:'~:~ : ~>r~u>r~fi:'%t:~:,: :.;.:;.0'iF~L~rX~fi '~ 'rtf'.I!:•:::: T. :`. ~~ ~ ~. ~.:ii"£O:R.T. ~~ .:. :Tl-IC~E/ :Qsd <br />,:.'r'LU?`7T :,BOSS YAL <br />•REOUIREMENT~ <br />~:. ~ <br />~~:~~~ ~ .:...::. : -;.,.~. ~ ::::,r.:,~ <br />:;:.:x~~,:. ~.;. ::... n_:.. ~ <br />.. ...V,- : ;7t :T:L_Y,":;'~ "::i' <br />{.t <br />~ ').NTy <br /> <br />NAME7TITLE PRINCIPAL EXECUTIVE OFFlCER 1 nNq.n n Anal al Lw UII N <br />ynp.rM.bn mr al~n.n.rrype M JaYM1enl .M tll .II.[M1~nb.en <br />r+lf.e la .ne,a.nn.un nrn.n am <br />nre <br /> <br />'~- <br />TELEPHONE <br />DATE <br />/. <br />I <br />GY <br />// <br />^~ [ <br />1. aeon lM1.IqutlNen prwnnel propedr plAo.M eolu.le lM1e lnfornabn ~ <br />` <br />~,1 <br />77 <br />/ <br />f / f 1 a,bmillad. Esd en mr Irpullt'.f N. F.rwn or penon..M1a m.n.[. IM alne~q i ///Q ? <br />/ <br />~ <br />~ <br />/ ~I <br /> <br />~ <br />` or lM1Ce pemmtllr.aly mpo,ulbklx PllleAn[Wlnfonn.Ilan, IM1.Inronull.n _ <br />G'li <br />~- <br />/ / ~ <br />/ ~ (L ~/(1 t.~~ <br />9 <br />? <br />.JV:/n~ <br />'/r/ Muna/~~ <br />- <br />i .u4.InN41>le.nel,fmr~n>.wE..narn.f.ln...nn.,l...na~mpm.. G! (v <br />~ Lm <br />n ua m <br />. <br />dn <br />l <br />nn <br />r <br />e <br />l <br />m <br />nta <br />r <br />l 61ONA7VRE OF -RINCI-AL EXECUTIVE <br /> . <br />. <br />m.n q[ <br />na <br />p.. <br />e <br />.r.. <br />m <br />u <br />[ <br />. <br />.nna <br />.n. <br />TYPED OR PRINTED IMWm[Ihepmlbinry.fJl,r.M lnpdcnnwn. for •n..mt+Iww.a OFFICER OR AVTNORIZED AGENT CODE NUM[1ER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lR~/~r~nc~ sll ifE~chm~nfe h~r~l <br />_.. r,oATc: L[°•CP'; P.3^ 33TTLL'ABL° S!lLT':5 (L'J= .,,) tc-.: ;.v ,v, •.Y _ .= 1'~-YR[ 2Q-H° ;>p,-C':, 'Y;'NT ?; <br />.:L.•I'~`'G. "+°.L _. A.. 4, ~: 9[ FCr UURD'.[7 Jr iO~F o~~l;!IiP'*: ..,. `.L '`'`:AS`.--~~.,. T.N.1.Dp 11. <br />EPA Fam 7320.7 ({t0V 3199) Previous editions maybe used. 00 019 / 01~is31~ ~~ ~.~CQrtu~ PAQE ZoF <br />. ., ~. <br />