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PERMITTEE NAMEIADDRESS pkra Fro,yNw//,or,nm,/opnnp <br />NAME .i;;NtCA C:IAI. CJ~PAnY <br />ADDRESS O H A i! L k^. <br />I1AYUtN CU 81oj~ <br />FACILrrr <br />LocAnoNkAYUCN CO &1h 30 <br />ATfN: G. :,Urr BROUN, GEMBAAL 4AtlAGE9 <br />Form Approved. <br />r r= C~; C G c T T E S T I~'!I9 ~°a?P~p~~~ <br />(S U Q F ~ Y) APProvaL e>Epi~~OS31-9 <br />- PIlAL 1~_ ' <br />CINCF <br />NOTE: Read instructions before completlnp this form. <br />PARAMETER 13 Grd Ontyl QUANTITY OR LOADING ( rd On/T1 QUANTITY OR ~ CENTRATION ND, FREQUENCY SAMPLE <br />l31-371 !16.531 I50-6/1 !38-15 146-53I I5L61/ EX OF <br />TYPE <br /> AVERAGE MAXIMUM UNI MINIMUM AVERAGE MAXIMUM UNITS r4=~B]1 ANAlY515 <br />l61-6B1 /64701 <br />»z F. ~ DA SAMPLE ###### :#::~rh C.>;..~-`:. :)r,r:gi:t ~ Z3) <br />CHR CfikiJGAPHhIp MEASUREMENT - " <br /> <br />1Cr,+3e .i 0 U PERMIT ## P#M ~A4.~+R#'C r,Or,. 11.3 :.:~ ao~Yt;-. ~xa>:o#tE tH- TRLT SAAB <br />SeE COrMG6TS NrLUM REQUIREMENT 41?'~~F $K. Y:{~~:F Ci.R'T <br />AE FEC1' sfATRE 7nAY SAMPLE ':''0#CKA 60#AY#I# ;~.C.:tY: #t0;, t:# ~ 23) <br />CHii PIH h.rh ALBS MEASUREMENT <br />~ ~- - - ~- <br />TCPt,C :; 'MIT ~~a;<:/,~ <br />'`"`^"A## <br />#4~ifin <br />~t, 3 .. <br />n~r~>-r- <br />a+dtx;:u <br />cs- <br />~'j.~LY <br />::CAB <br />5 CU"Stlc.nTS -. REQUIREMENT '=~fi~ tIN Y1:1~P CF.vT <br />rp <br />u LUP <br />I~C`I UP SAMPLE <br />M SUREMENT <br />~ <br />~ <br />~ <br />' <br />~ ERMIT <br />RED IREMENT "::' ~' <br />~ <br />V <br />V[,U U I ~„ ~ <br /> <br />~Ltu V ~~ S MPLE <br />MEAS~IREMENT <br /> RMIT <br /> RE IREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT: <br /> -~-. <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENKTY Of L <br />AM FAMILIM WITH THE INFOR AW TNAT 1 HAVE PERSONALLY EXAMIN <br />MATION SUBMITTED HEREIN <br />AND BA ED AND <br />SED TELEPHONE DATE <br />~ <br />~[ ; <br />ON <br />MY INQUIRY OF TNOSE ~ INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br />I <br />~ <br />`~Q M ~ ; r <br />OM PS <br />..a ~~l OBTAINING THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE <br />ACCUMTE AND COM0.ETE <br />I <br />ME T <br />T T <br />M <br />~ <br />/ 1( r <br />ff (~ , <br />. <br />A <br />AW <br />HA <br />HERE ME <br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING yy <br />~ ~YL ~ <br /> <br />~ <br />[~1~{ <br />O v <br />l <br />D <br />, <br />THE POSSIBILITY OF FNE AND IMPNSONMENT <br />SEE 1B U <br />S <br />C <br />! 1001 <br />D <br />V / <br />/V <br />(% <br />` <br />y <br />i . <br />. <br />. <br />. <br />AN <br />]] 610NATURE OF RIINGP EXECUT <br />V I (v <br /> U.S.C. ! 1]1e. lPA~rhY, urW ewe mnm, m,Y NcN.d, ~Aw, w ro J 10,000 I <br />E AREA <br />TYP OR PRINTED war nNrrimnr hpiaFrwnrWMrrwl6,rlmerAW 6Y~'F.1 OFFICER OR AllTHO ED AGENT CODE NUMBER YEAR MO DAV <br />F.vmmm,a nnv cnr~nnnl,vn yr nor nv~nllvrva lne,erence sn srrecnmmra oars/ <br />EPA Form 3320-1 108.95) Previous editions may be used. (REPLACES EPA FORM TAO WHICH MAY NOT BE UBED.1 C 0 0 Sri / 9 7 ] 0 31-1513 ~ PAGE l OF <br />_~,w..r~ <br />