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<br />PERMITTEE NAME/ADDRESS //nJl4f•NIIryNwN/I.K/IIdIIJDIp..el0 <br />NAME 4 n .: ~~c ~ n ~ c~• _ t t ~ / <br />ADDRESS ti /, a ~' L K • I K <br />rt utlt u.,.u T'J 1311 ' <br />~q~tWU.+.,F 1~~-vc <br />Y"~"PfIN EVG n1 VJ 11( T'fl ,1 RO1 <br />FACILITY TN 4'T' <br />' { ` i-+-Ji~fi s a u 8~'' S~ r L~ ^ JL1c w ~ 111 N: n ~ <br />LOGTION Y r S f .Y M L p C D B L D 91 FRI <br />.~ x- <br />FQQor~~rn A~~PProved.~~ E <br />~'"'+~ F, q'! r A on \ ~ A{IbroVelY~d~~e'06~'(-96 <br />F - FINAL _ <br />r TFtOv <br />NOTE ~ Rud.IrLBWCtlorr 6eforIBOnp this form. <br />PARAMETER !3 Grd Onlyl QUANTITY ORLOAD N.Q. !I Grd Onlq ~ ANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> /15-531 (54 I38~51 /1653 5L6/l OF <br />13Z 371 <br /> AVERAGE MAXIMUM ' ,~(JNITS MINIMUM AVERAGE MAXIMUM UNITS /FS-691 (5q-5Bl !63701 <br />Ltu SAMPLE 8x¢-fL4 7t4{:a^^: ri, .. X404 r J <br />( ) <br /> MEASUREMENT s ~., - <br />i:011U0 L 0 '1 PERMIT.' ~t aaga?fi Cr: "3i: <br />~': <br />~ i~~ ~ <br />~ <br />~ <br />~ =s'F• v .; y• <br /> <br />, <br />- REQUIREMENT .: :.. <br />.:. <br />~ . <br />.. <br />.. <br />`L;"-<: ~~ <br />. , <br />1 <br />:: c~ 11!:!1 . <br />.. . <br />C: sat <br />JLLU ~, 3'.)TAL SAMPLE 4aaaaa aAIR$44 a##t19R ( ', ~) <br /> MEASUREMENT <br />~ L' S f F 411 °: (1 <br />` <br />. <br />LUS1U U !7 ~. PERMIT ~ Rt%a~bra#~~' '~maeuaee 0::~.;: :^•t?>I14/.i~~..<, ~~~ <br />~, <br />.~~ 3{)~ ~ ,.y(~I•/ _L•„r. <br />t, ~.. I~ , y r ~ r ~ V I :REQUIRENIEFIT ~ : a .: _~~ <br />, . <br />. <br />~ Y . . FI <br />',i CiLI D3, ir.r TLF:A {. Lc SAMPLE ~a0'*~^-^ O4!-R R't .-~CS1tOt $C'J 3fi C< ( /ri) <br /> MEASUREMENT <br />('Utiu', 1 U J .~. PERMIT tr44`iF4#~ ~. 4aaaa~ .. ~ 3: #~~tY~~: ~~ it T )V!'%'/ "?F" <br /> ":REQUIREMEN7~ . <br />IH7C, T~)fAL SAMPLE .:Rt:{. •. 844 .441RQ ( ?'7) <br /> MEASUREMENT <br />(ti <br />i FF <br />) <br />. <br />, <br />~1'1.1~ 1 D n <br />PERMIT ~. ~ <br />t <br />4, am <br /> <br />44aa4*~ <br /> <br />~-„ :~ .,:. <br />.# <br />an4 ;~`; <br />L: ~ <br />,~ <br />: <br />.~ <br />aD <br />Yr..`' / <br />' R t <br />s. Y r' L U "t T '~ I ,REQUIREMENT ~ a ,. , <br />. . 1 I <br />JI:. 0.ND :HF,AS~ SAMPLE 'F ": T'^C^ R-,rrG^: k^aaaa aaa~^~:s ( 17) <br /> MEASUREMENT <br />I: J7:+~ 1 U I) :PERMIT. ~~ aaaga~a.~~: ~ aa+~daa F^-'. *X 4r#II14A ~' :'.'::~: ~II3014Cti$4 ~~ :~;iy. ~:~ (y At "'r -pQ•: <br /> REQUIREMENT' ~ " <~ ;:; •.~ <br />~ <br />`'L 1,, I?: rDYUllt' 1P SAMPLE ( L13) ~ .4G00 4r,.a4:tC ,^n~r:- <br />q y , <br />1' M <br />H ~ T k% ~i T tr F: N T ~ ( MEASUREMENT <br />, <br />, <br />SUI)tiU ! <br />U U ..PERMIT ~ RP~['ORT~~~~ RE~D~RT <br />~~ <br />~ 's>;':#{xrrp ~ ~ ~ 10!~9lsIF~4+~~~ ~~ ¢!tCL4'~rk ~~ >r,:.-- ,?rrL7 I"~:'"A <br />. <br />`:FFLUii4'f ~.:VnS` V0.L'I 'REQUIREMENT . <br />U h .~ . <br />. <br />~E.~ _ ~ ~ <br />.. <br />~.. 4;:«.4 <br />JIL P. ;.~ ~:ItF0. ,c SAMPLE 44fi X44 ( •;4) '3"t^4 CS't.`-sr4 8r^"~`-~`- <br />V I > II A t MEASUREMENT <br />,tUJL, t, 1 U :I PERMIT S~.RgF ALa ~ 7.!:PDRT ._ °`•=l 41=##,# ~~~+Q#b~tR lPa~ ~~. fi.,",. ",•Yc4# _4=.t :` cFVI.Y T ~[i+' <br />^~!L'JkKT GH:ISS VAL(1 ~REQUIREMENT~ <br />~ __ <br />NAME/TITLE PRINCIPAL EXECUTNE OFFlCER I CERTIFY UNDER PENALTY <br />OF UW TNAT I HAVE PERSONALLY E%AMINED AND <br />AND BASED ON <br />TTED <br />ERE <br />N TELEPHONE DATE <br /> AM FAMILIM WITH THE INFORMATION SUBMI <br />H <br />I <br />: <br />MY INQUIRY OF THOSE INDIVIDUALB IMMEDIATELY REBPONBIBLE FOfl ~ <br />1 ~Q • F <br />L OBTNNING THE INFOIIMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />T T <br />R <br />RE <br />L <br /> HE <br />E A <br />TRUE. ACClR1ATE AND COMPLETE. I AM AWARE THA <br />R BUBMITTINQ FAIRE INFORMATION <br />INCLUOINO <br />S <br />N <br />FICANT P <br />NA <br />TI <br />F ` <br />1 <br />~, ,~ ~ f , <br />IG <br />I <br />E <br />L <br />ES <br />O <br />THE POBBIBILITY OF RNE AND IMPRIBONMFNT. SEE 18 U.B.C. 1 t001 AND 33 ` ' <br />i~ QI / ~ A <br /> <br />TYPED OR PRINTED U.B.C. E 1]tY. IhNIBFF IMFr Mw FbNM1F mFy Y1[AA• rPa11~ ro 510,000 <br />AM Ormu:.Nnr lnmYFrvnwvW Mmwn BmenM~AM6ywral I IDNATUR OF PRINCIPAL EXECUTIV <br />OFFICER OR AUTHORIZED AGENT A <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Reference B// BttscOmenrs nBrel <br />J'i 'IAt k7^'N.•l';' IS vI':4':',T r.~4[•HLY .4V :. [tU?I'IG ^''.P.I(`h gF.PnD•r::D. 7TL ` ,':D',0.`'}• _ .;c: r,N.l.D, D. `]. ^'i5 ~' <br />:J~i'AL IS.Ii LI"[T5 PILL :f ;. unI Y~'D, A8D ~FTTl.~.0.RL? ;'?Lin; L; "TTS .4PPLi ER F03 C=1GYF, 24HR R4F. C.TP PVFn?-;£?'T, <br />EPA FdFIK 3310- ' 1 b'-96 NouY dditlo B aV a Ue ~ ` ~ ' • 1 E C A R d HI A OT B b D.1- ~ 'r ' " AGLA <br />00065/961213-1227 ! <br />