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<br />PARAMETER 13 Grd only! QUANTITY OR LOADING !< Grd Onlyl GUANTITY OR CONCENTRATION NO, FREDUENCr SAMPLE
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<br /> MEASUREMENT
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<br />NAME/TITLE ~CIPA! EXECOi1VE OFFI R '1 CFATFY uNDE11 PENN.TY OF L
<br />AM FAMNIM VATN THE NIFO AW THAT 1 HAVE PERSONALLY E%AMINED MD
<br />RMATION SUBMITTED HEREIN: MD BASW ON TELEPHON E DATE
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<br />AR T/1 MY INQUIRY Of THOSE INpNOUµ3 IMMEDIh7ELY RESPON4BLE FOA
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<br />I BELIEVE THE SUBMITTED INFORMATION '
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<br />TRUE, ACCURATE 'MD COMRETE. 1 AM AWME TNAT THERE ME
<br />SIONIFICMT PENN
<br />TIES FOR SUBMITTING fµSE INFORMATION
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRslorsnce ell ercschmenu here!
<br />SETTLEABLE SOLIDS LIMIT APPLIES OIILi IF <=l0YR,2UNR pRECiP EVENT LS CLAIMED. I'; CLAIM APPRDYED ilT a~^_D,
<br />~i'SS E IRON LIMITS MILL NOT BE IPPLIED TD REPORTED tlEASURRMENTS-SEF.. L.A.2, PG U, FDR 90RDEN DF pRJOP ,.
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<br />DOOd'J/77)506-15'11
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