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MEASUREMENT .. -:. <br />./1U+15 L ~ ,D'.- <br />, PERMIT ~" ..:.•...lll>f~:~p:~;;:% .~ 0##OIAi$ 4.4C 00#+d# 3eS. ~.;~.. 7~eD ..~ .I NCE/ +RA$ <br />ir'~aENT GAaaD $ REQUIREMENT :. :(:tr'sc~~..:: <br />~ , .{I ~p00111 3QDA'!'t Ah hT: h6 ~s. $ H <br />Ji:. AND GRLAgg SAMPLE ~ <br />#l4~tOR #0#¢+0 ~ ~ #00404 ( j91y " <br />... MEASUREMENT <br />r3SU2 I ~'D fl :::'.::',P..ER.M17. "~ . .~~~~.#R.fS~i04i>r. ~.~ .' 44Q~'~17*~ ##. ~~ ~A:>¢~l~~. ':~. 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TREY :NAB <br />FFLUJrYT 6k0S5 VALUE REQUIREMENT.: :.- - OOY4 <br />RTA""AYG <br />"GRT6.:.iFAX. <br />MG/L <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERn <br />AM FA FY usoeR vENAlrr of <br />MIUM WITH THE INFO uw TNAr I NAVE vERSONALLY EzAMINED MD <br />RMATON SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br />J' / / {~ ^J T <br />~~~ <br />~ S <br />ATO <br />F <br />A <br />~ <br />E <br />N <br />/.~"~ <br />L/'Z ~' E AM <br />AWME <br />TH <br />TNERE ME <br />TRUE. <br />A000MTE <br />AND <br />COMPLETE. <br />SIONIHCMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br /> <br />P ~'A ~ , <br />THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 1B U.S.C. E 1001 MD 33 <br />BIONATURE OF PRINCIPAL EXEC E ~/ <br />7 V /~ 0 <br /> <br />TYPED OR PRINTED U.S.C. 1 131 s. lArWCY. unar w.~ mnm• m.r Mss. nw• w ro t ropOD <br />rp nmuMum irrfdrwrwN elMlwr+6 men6u rN 6Y..'><I <br />OFFlCER OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAV <br />i-!~. <br />~>~ <br />~r <br />~. <br />Y <br />,~ <br />.~ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRelefencs ell sttechments hefel " <br />~ETTLEAfiLc SOLIDS LI!'ITS APPLIES ONLY IF <=lUSR,24HR PRECIPITATION EYINT IS CLIItlED. PERFIITTEE tIAS <br />BUhDEN OF PROOF YHEN RdQUESTING RELIEF FROy StTTLEARL£ SOLIDS PFItlAAY LIHITATI015. <br />Epp Form 3320-T 108-95) Previous editions may be used. /REPLACES EPA FORM T.iO WHICH MAY NOT BE USED.1 U 0311 I I ~ 8 C 2 2 3 ~ 12 S 6 PAGE j OF <br />