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PERMIITEE NAME/ADDRESS /lrbifrNryNr'lecmnn ynffl r.nr1 <br />NAME :. )L::n"J Ye'~PA. C~,'1 L .''~"vh <br />ADDRESS'? 1 •i F S 1 , 1 .1 `_~ i) ~i ~ i . , i ~ •'_V. i ~ 4 `I (~' Y. <br />~/5i'J 'CR KZ/ <br />FArnm <br />LOGTION~ n! ~: 3~ [• K ' J h (J 4 r 7 <br />T"4: '.ICA,I, i.ODLn,,. Yl N? 4GF.. <br />NArioNDISCHAROEOMON TORINO REPORT /OMRIPOFSI <br />PERMIT NUMBER g5CHM0ENWlD1 <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 7( , TO (1 y <br />~' - FI'.AL <br />°74" L, ""v 1.D <br />.: ;' <br />NOTE: R~Ad butruetloer ~b~for~ eomphElnp thh }wm. <br /> <br />PARAMETER nUANTITY OR l0" <br />QUaiity OI' Concentration NO• fAEDUeeer <br />or SAMPLE <br /> E% Mi4Y~y TYPE <br /> AVERAGE MA%IMUM MINIMUM AVERAGE MA%IMUM UNITS <br />~iL .1 ".;i ;s?ET iF SAMPLE r:.^. ;t ~sy!< .. 3R4dfiv is ,.:•.: .':':J ( 1 <br /> MEASUREMENT P <br />~. ',1 <br />' t;'r"";, ~.jR, .?%i <br />~'!'I '.'. 1 0 ' <br />.! ~. 'PERMIT:, ~. ~..:~ <br />~..~ ..........:...... .. <br />:`:..:~c;e,.:^:,. ~. :.:.:-^^~ <br />...sir <br />~ . <br />:~~~~~'i-~iR@itr.-~: <br />~5!::iai<~!~r.,7'.::: <br />~, ... <br />'.;::';i::~:<:.:;~:.. <br />I.l:~ ~, ,.~, ~;m ~>..• ~ <br />1" <br />°YLJ'r:9!' G~:JS.; VAL7'- <br />L 'REr].UIREMENT: <br />.. ~.`.i:..~: ~_ ... . <br />.... ::.:~:. '. :'~;r~i'`::.;:-:`~,..' , <br />~~~ <br />~ : <br />.i::.y.`iM..:;';j.R~'i. "' <br />IN C~V~I1Ii 'I'i <br />L7+ SAMPLE ViY ! Ib ~ ~ :~ ;:~,trxR4! C14;;r::t '<~ <br />, <br />i' P ° Y A T !1 E •~ 1 " L A '] }• MEASUREMENT ~~ (/~ <br />V~ !/ ' ' . r',} '1 f ` <br />,~i:)SJ I 0~ 7 ;.~.:~:PERMIT. ~. ~: ~, ;,:?., ;• .:.. .. ,. .. ... ::nF#'V :~9~R if#YS ",R. :' : ~'Y.?i:Wi'!5.: :~ ~ ~~1:. .. <br />Y! I.7 (;YT oRJJS '/AL'i: aEDULREMENT. j,~~[i 1:r' ~.lY-. :•^~.[{:' "' ., <br />• <br />.~' <br />~ <br />fL A";} ;RF.ASE SAMPLE i -;~ .:.. u[ ~4l=rt r, ,. !5 <br />.•,;:.:. '~.. <br />l,IA V MEASUREMENT O ~') ~ .~( ~.~ / 'y: ~. '~. ~: - <br />'~ <br />Jhh 1 Ll J -~::. ~: :PERMIT.:,:::. <br />.. . <br />.:...~. .,. <br />... ..,s..^v ^'. <br />~.t... a3~-. .. '.r.. .. nr: :.: <br />:~: <br />.., r.'.. .:: Y ;, i!: ye>^ <br />r>s C. .. <br />' <br />'-•::;: <br />!:~~i:~", <br />~ <br />~~.~~ ~ <br />~ ~?AL'~F.~!(Qg?~i: ;..~ <br />~ <br />~... <br />!,.X :'} <br />.. . ,.. „ ~, ;. , <br /> <br />~.,.NC .nHJ55 VAL.J.. . <br />. <br />::IZEQUIRENIEIJ.T;. <br />...........:.-:.::..,.... .. ~ ~ ~ ...::~. ~..:. <br /> <br />.s.~u.f. 4i.~ . <br /> <br />.. "i5,;....~a.t,~.: <br /> <br />;.:i_ <br />:. , <br />. <br />. <br />>'~s~~,.:'>:}:: ~ : <br />;:'::;.:i t...'ss:,::.:.; .:. <br />~~ <br />:::s?::.<'?r'',':::':.i .~ _: <br /> SAMPLE <br /> MEASUREMENT . <br /> .:... PERMIT..' . .. :. .. .... <br />~ ~ <br />~ <br />~ .. . <br /> :REDUIREMEN7. .~ ~: ,..' .. ..:. <br />~ <br />~ . <br /> SAMPLE <br /> MEASUREMENT <br /> :~.;:~:::PERMIT'S:::; .:.-. ~ .. <br />..... .. ...: .:. .. <br />. <br /> <br />HEOUIREMENT: <br />::':. ~ :~.~~.~: ~.:. <br />: ~.... <br />.. ~ ~ .:.. <br />.: .........:.::.:: ..::~:~:~.:~:::.: w:~.;;~:::;::....: <br />.~ ~ ~. <br /> SAMPLE <br /> MEASUREMENT <br /> ':~<~PERM17~'.~~:: ~~:. ... ~ :~~. ... ..... .... <br />. ~REOUIREMENT. <br /> <br />~~~~~ <br />~~ . ~ ~~. .... .' ~ .... ~ .:: <br />,. <br /> SAMPLE <br /> MEASUREMENT <br /> ~:' <br />"::~~::PERM17~~~: : ~ ~ ~. ... .: <br />.: <br /> . <br />. <br />,REQUIREMENT <br />: ~a~~ .. i<. <br />~ <br />~ <br /> <br />:. .. <br />. <br />NAME/TITLE PRINCIPAL E%ECUTNE OFFlCER 'vrnyn nr gnn,ln .. mn!m.em,mem .m nEn mene.m TELEPHONE DATE <br /> pmp.M.Mer m}Elnc,lan tt+ugr,l"an In ~ane~.nae Ih n+}+4m M~jnN <br /> m.vurt(b:gwIIllM gmnrl progH}p,ner .nd a.tlmtr,nr ln}armubn <br />4 ~-' ~ J - ~ <br />I <br />~ <br />' <br /> <br />1 1 1 <br />f3 P <br />' <br />'i <br />Q m <br />minedlydnn m}Inqulp of ln}pmnwpnmu.nn mnnye lM }Plem, / <br />', <br />~j <br />. <br />( <br />' <br />~ -~,~ ~'} 11OO <br />i)-L / 1G <br />5 <br />O <br />: <br />1 <br />8 pr lhmegmmdlrer,y mgMbk la p:~erlnE Nrlnlorm.Unn. ,ne lnformntlpn ' .~ <br />f'. ~ ~:Af ~. <br />~'- .~ -' <br />~ /T1 ~ S <br />:~'~I,Pr; '. ~.,,I '"d~u('i .wbm,uN4 bloc W:o}m}knnwktlp.M ntllr}.Im., na[.nle,nnd mmplele. <br />Inm n..mu+unrn ore tl <br />Mnam <br />ndtl <br />l <br />nMN <br />M1b <br />l <br />l <br />b <br />eIONATUAE OF MINC1AAl E%ECUTNE (./I S r <br /> p <br />g <br />u <br />ar m <br />nE <br />e <br />n <br />emu, <br />n, A A <br />TYPED OR PRWTED ~~++winE,ne pmmum,lu}n~.M!mprlonmen+k}~m.(nE,(nl.ums OfFlCEA OR AUTHORIZED AOENi CODE NUMBER YEAR MO DAY <br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS lR~/ir~nc~ ~p ~thchm~nh h~r~) <br />"~'7 .. ... ,~ ~, i ,..,..f."L~'~.'1 '. ., i1,Tf1 i (L '.•') ,. ,.° ~- i -°. )'l-N?Z PBECI' :. <br />. .: ":.. .. ;.4, v.a "., ~.)~: r,ORD"+[ ~.• ~-., p. ~~, ,:, ., ~[L ~+`,. - ~ ~ ..~,... :, ~4GE 11. <br />EPA Fam 3320-1 (Itey 3/99) Previous editions may be used. , ~t~s s, ~ 4-~a~n Iorm. PAGE of <br />"_,._.... ..._ ,___--- .......,W.. . <br />