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PERMIITEE NAME/ADDRESS penA.sreyg..rta~Ia, I/Dl~..n.q <br />NAME <br /> 1:31 Ii C'^'~~I~Y^' it <br />'t <br />k <br /> W.rf <br />e <br />. G <br />ADDRESS y :; d c 1. 4 r f r; p <br /> t it lJ;i NT ;u7Er ty 1311 13GnY ww` <br />l~r ~/t <br /> _L"T'ltl / <br />C v c r 5 V <br />~ 11 c <br />~~L r~ ;~ <br />FACILfT' usr <br />uc <br />!o~-r , <br />^ <br /> <br />LOCATION .. <br />cv <br />c <br />. r <br />r Naw 6+k= M~nA <br /> ~°_ <br />C ,/ R <br />A <br />1 <br />~ ~ 1 N 1 U~ 1 <br />t. ,• T f: .r, <br />~... <br />i •.: -~ <br />.t., ~,L .t_ r' ;: v c n . F .. _ n <br />Forrn Approved. ~ <br />f'~'_ F r 7 F: ~ 4/ n!1 ~Rlp~rovelbf{pireB~6-31 9!.( <br />[ "i fhr <br />ANOTE: f~l~ed fitsttuetlota 6e}a1Fl61n~htinp thin form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LO /I Grd OnlYl QUANTITY OR CONCENTRATION NO. FREDUENCY SAMPLE <br /> 11653 I51-611 /JB-15 0653 /51-611 EX µ <br />l5 <br />Y TYPE <br />I3~-371 AVERAGE MAXIMUM ~ 5 MINIMUM AVERAGE MAXIMUM UNITS lass AL <br />3 <br />/µ6g1 Igalw <br />~:v SAMPLE ,^•,a a^~R ;T Pia: ^::: ., ... ( t ~) <br /> MEASUREMENT <br />i. ~J'A ;:ll 1 ~ .J ~. ..PERMIT' ~ YrtJ R:a~ .'.~>r ptl ,^.C;° <br />.: <br />~ FrC <br /> <br />b <br />~ ~ #II'%R.Atcirx~ .r7y0~ <br />. fFK L: Tv~="~I <br /> :REO[11REMENT . <br />. ' <br />.~ I „y .141 it fiCp T. 4 c <br />:i'iLl D:;, 'fnYAL SAMPLE axOgaa O~iaaa~: ~d OOt1tR ( ~' ~ <br />S rI i; I, F;i ;14• ~1 MEASUREMENT <br />.. <br /> ,.. .. <br />'J (J'I i!) 1 0 U PERMIT <br />~~~ ~. :.:.~... <br />a3tt RJRC~ :: 4RxY.a+f 4r a::: . <br />. <br />~ R~Oi6i¢:4!~~.:: .:,~ <br />~~' .'1~0: - ~. qC°J J;o Ar <br /> REQUIREMENT . <br />.. ~ ~ !I~~ <br />I '; m S" II . ,.+ ~ <br />`..iL1USF !'TTLL'4~L°. SAMPLE ,r;. ;; ,~.- R~; ;;Ga-. rGOrpa 'X .'4dila t` ( ::i) <br /> MEASUREMENT <br />I:'lL4 `) 1 U i) PERMIT a'f A'AIS v acaaarA tt ~`== J. #;xlkir~4-: ~ <br />~'.:. ~. ~r~tldf#1a ~ ~: 7TB3?LJit°C xrrl ;t~4v <br />.}..F <br />., - ^ :REQUIREMENT ~ ~~.~ <br />.. <br />r. . <br />~ ~ . <br />;;,...:.. <br /> <br />... <br /> <br /> <br />: ,~ ., <br />i k) "I <br />'f /) l' :1 L SAMPLE .~..:... .. <br />........: .. .. <br />~-.r r.r. - , t; ~ t 1) <br />~ MEASUREMENT (~ <br /> <br />.F <br />IJ 1:)15 ,. ~ .~~ PERMIT .. a~aa-tea aaa.a. <br /> <br />._ , <br />.,._ <br /> <br /> <br />:r <br />.~ r ~-.a. ~::.:.::... <br />~.~ ~~ <br /> <br /> <br />~ <br />~ ~.. .... <br />~.::~~~ ~ <br />:'r~~-~ xir,~ <br />r A~ <br />, REQUIREMENT ~~ ~~ <br />~~ <br />~ . <br />~~~~~•~~~~ <br />,~: <br />,~ <br />i n <br />): L AtiS3 ;HPASt. SAMPLE y, ;:; ^: n ..... ~ `FYI •: faa ~L: r` { 7`}) <br /> MEASUREMENT <br />,1J`~~:i ± 1 U U PERMIT.. c~lt•a~a ~ a~a~~ca^ ax:=, aa•^fi--:t ~ a~tna~a# .~ <br />~8~.~~,~...:.:~:~:..~:<.:~ ,OHT2 ,R11:, <br />"r T' ^ I 'flEQUIREMENT. ~ ;.;_tt , <br />~.' <br />T <br />F Ga.., I.4 '. ~ti 110TT :1N SAMPLE ( r17) .,,. .. 7:;`#;:^ aOaaLR <br />1ThCAT }'LAS; <br />Pii;'I TTtr MEASUREMENT <br />. <br />'S:il?',.1 1 0 () RERMIT RGOORT 1t.E?OBT X4-.50': ar-rrcL>~. R~Rokr>;t C°." $ERLF 7NSTA. <br />is F' h L'J ~ y''' S V A p . :REQUIREMENT ~. .,; : ~ r T ~ ~ . . y¢',:4 <br />1 ',L .4Ni' ~.uEr<SF SAMPLE 4;:00a5 ( 90) `,^•a*r.:~ n-^attfiA .. . <br />V I'~" <br />4 L MEASUREMENT <br />. <br />~~ <br />~~~ fi0Xta0~3 ~•4a'- <br />•+UUu!, L U D ~.~: PERMIT ~ aaa:~DmtM~ ..RP. ?~OBT F'~=1 rOiL trfi~~ C'3*:3?4 <br />~ ~~K LTajS'1A[ <br />~REQUIREMENT~~ ~. ~ ~ : <br />_ ~ r. <br />'r. F'F1. ,J°tiT .:RU S <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I cERnFr UNDER PENALTY of LAw TNAT 1 NAVE PERSONUty EAAMweD AND TELEPHONE DATE <br />AM FAMILIAR WITN THE INFORMATION SUBMITTED NEREIN; AND BASED ON <br />MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPON9BLE FOR <br />11l OBTAINING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS a.. <br />l 1 ' ~ <br />I AM AWARE THAT THERE ARE <br />T <br />AHD C <br />PLETE <br />CC <br />R <br />L <br />A <br />( <br />. <br />. <br />RUE. A <br />U <br />ATE <br />OM <br />. 1 <br />SIGNIFICANT PENALTES FOR SVBMITTING FALSE INFORMATION, INCLUDING <br />THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1e U.S.C. f 1001 AND ]] / ) <br />f <br />~1 7 <br />' A <br />OR PRINTED U.S.C. f 131 p. /h,Mlei.r urlr dur mNhs nrY AlcAld~ lxra y ro J1o,000 <br />rNnmulmMn MpiAam,rN Ol Mrwwn en,mNa rasyAVSI IONATURE F PRINCWAL EXECVTIV <br />OFFICER OR AUTHORIZED AOENT ~ CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRelerence e// ettschments here/ <br />IU J4Y 4V `~.±e'7 F' f+ !!f :`I^~' N)K TIILY AY;'• DII?-tl~ nFRI`1n 4FinE T';D• 61L 5 1:?vl ,t _ ~?r. i• •1_eRA °• 7. yr . <br />f7TAL .IR:)w LI"TTY '';ILL 11F YAfYFDs A'tD SKTTLaAPLB 30S.ID5 r.r~ir`: PPPLI"^ L'n4 <-1D°i!,7rIaR f'?°.Ci^ 5VF'!tT-:F'T'". <br />EPA Fd}dl 370- iOB'96 Pb 'ou RdiU n e e eb. ' • 1 CE A ~ R A O B L + r ' '~ ' ~ P OF r + ' <br />00032/961213-7221 <br />