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PERMITTEE NAMEIADDRESB lItlrLirWryNrWLoranan ljDldi.1np <br />NAME CYPRttiS EMPIkE CURVUKAT1Un <br />ADDRESS P Sj if.1X bFt <br />' ~ ~kA1G GD 81626 <br />FACarrv GYVKUS EMPIRE Gl)itPUKATtUN <br />LOCATION~KAIIP CL D16~5 <br />aTTN hIGHAEL.d. LUULUN, GENERAL MGFf <br />Form Approved. <br />~~HNE b ~N-SLw TO o~N~131yofI 40-oooa <br />SUBk Nr1 ~pAfbbeC ~pi4e~05=37!`s8 <br />F - FINAL l <br />M1hUK <br />*# N~ uI~c11AkGE ~ ~~* <br />NOTE: Reed Inatruedona before eomplatln0 thla form. <br />PARAMETER !3 dre Only! QUANTITY OR LOADING ~,: ~,~~ ~!iM'QQ~nly(~ . AUANTITY OR CONCENTRATION pJO, FREQUENCY SAMPLE <br /> <br />r323f/ (16-53 15161 ~s: p3a:F6 .~~. M6-63 61-61 OF <br />ANALYSIS <br />Tvre ' <br /> AVERAGE MAXIMUM UNI M I AVERAGE MAXIMUM UNITS . m=.eJl r61.66/ rsg~a <br />Nh SAMPLE #i'¢,tl#p #*~**~? <br />~ ~ <br />` ****it 12 <br /> MEASUREMENT ~ <br />., . ~_ ~! <br />Y <br />~ <br />:• <br />uU4UU 1 0 0 >:::..:PEP.MIT;.':ia: : '~~lirY. ...~ 'r ~?M i. «# ... <br />r. s.. <br /> <br />tFFLUENT GKG55 YALU ;.REQUIREMENT:, .<.:.d;'.. ... ::.. ~ ;.: <br />.:.,.... <br />':'.::.,.,~. <br />`i. .....: .. .. <br />~:.;.::::~`::;: <br />:.. ::fit: <br />. <br />SL'L1USF ~tTTIEAdLt sAMPLE ##*#k# +.•*##**' .~ * 25 <br /> MEASUREMENT - <br />' <br />~ <br />UUJhh 1 U U ::": ~P.RNIIT;~' ~~~'***>kM~ ~~ <br />~ ~ ~*~6#**~V ~ Vri%~ .. <br />;:, ~:.~+~~.., ~::: ..!,~~~ <br />~ <br />.: F'.:. :~: <br />Q.y'~:. <br />~. <br />:~. i ~~~f~:.~ <br />~ aT~~~i~ <br /> <br />tFFWENT GkDSS VALUt REQUIREME.NT:. <br />:.. .:<.. . <br />.: :. ...,.:.:,...:; <br />'`. <br />tk*#* .... :..., :: <br />i4::r-::;. .?r4"r :. <br />: . <br />. <br />:. <br />s.: ... . <br />IL AtvU GkEA$E SAMPLE 4####4 ###AN.*{< ***4~ `{ +C*i~IF <br />~ 19 <br />FI[CLIN tXTk-GRAY MtT MEASUREMENT ~ <br />•~ . <br />• <br />UU756 1 a 0 ;: :7:PERMIT• .: ` <br />~ '+k$*Ili4# *#~#** <br />.. ##+~ r.,• <br />.: ~r•*:~"~; ~ ,.>~ <br />` <br />F~llll~'~ <br />~:i' <br />~ L: <br />~~:~:'::,::.ra•~ •:~~'::r:~ <br />~: <br />.~f/fi ~-N. r <br />~K:~f1~ <br />. <br />cFFLUENT GR SS VALUC REQUIdEMENT: <br />.;.... ~;:. :. tM#+L4 .;;.; . <br />x~.. <br />~ <br />u . .: <br />.::'' .. " <br />LLiYIF IN GDNOUIT nk SAMPLE' G3 *4+Fffi+R }, <br />I~1#i3+M ##~*#* <br />THrtU TkEA LNkNT PLAN MEASUREMENT <br />5GU7U 1 0 <br />. 0 ~ ~~~~~ PE.RMIT.. ~ .:-REF{kf2T ;.:.{f~PLT.R~T ~!~Fc.:!.', <br />~s~+Fi+11~Y. '~!~"_.:.: <br />.. ": <br />,~ :.. <br />~.r~711~F~ ~:. #*# ~` lIGEa::. N~$TAi• <br />. <br />FrLUtNT GRU5S VAirUE NEQUIREMENT ~#LtI;< ;~tV6 : OA1LT !!X MGU . . <br />: <br />' '~,+ :: _,.:. <br />s ~ ~?` ~: #*#~x . k : `:. <br /> SAMPLE '^ <br /> MEASUREMENT <br /> -::.PERMIT'..:... <br />: . .:.. <br />~ ~: <br />~ .. ., ::; ::;y;, a. ;;1k,'yi ,3°: ~'~ ~S:r:~.:::::.:; .. ~ <br /> <br />. <br />~ .. <br />QEQU <br />If'LENI~NY <br />~-'. <br />. :~ <br />~~ ~~ <br />~ <br />af.: <br />:.:: <br />Y' . <br /> . <br />. <br />~. . <br />.. . <br /> <br />.:. ..:.... ` <br />.. <br />:r. <br />....: ..: v:::. ~.: <br /> <br />~ <br /> <br />:.. ~.. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ~~REQUI~Ii.EMENT ~, ~ ~ .. <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ <br />~ ~ <br />:~ <br />~ <br /> :NEQUIREtiIEMT? .:..: ..•..:....: <br />~ .. <br />.. . <br />. <br />. . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 cERnFr uNDeR <br />PENMTr of <br />AM FAMILIAR WITH THE INFO uw rHAr 1 HAVE PERBOeuLr EzAMW <br />RMATION BUlMITTED HEREIN <br />IWD BA ED AND <br />SED ON <br />' TELEPHONE,. ~ DATE <br /> <br />Richard Mills ; <br />MV 'INOUIRV OF TH09E INDIVIDUALS IMMEDIATELY RESPONSIB <br />OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMA LE. FOR <br />TION IS <br /> <br />l M <br />t <br />i TRUE, ACCUMTE AND COMPLAE. I AM AWARE THAT THE <br />SIGNIRCANT PENALTIES FOR SUBMITTING FMSE INFORMATION <br />IN RE AiiE <br />CLUDING ' <br />anager <br />ronmen <br />a <br />Env , <br />THE POSSIBILITY OF RNE AND IMPNSONMENT. SEE 18'U.S.C. 1 7007 MID 99 <br />eIONATURE OF MIINCIPAL EXECUTIVE _ 7 1 7 4 O <br /> U.S.C, ! 17[a. lRHWeYF uMr rMr .uArta. nrl ircA.dF rr>.s rp ro S 10,000 <br />TYPED OR PRINTED .Mwnrr.Ynun Mp/arwrt of MnrwrlnmN..ndb Trra/ OFFlCER OR AUTHORIZED ADEMT CODE NUMBER. YEAR MO DAV <br />COMMENTS AND E%PLANATION OF ANV VIOLATIONS /Rafsr~nea ell srrsehmenls haul <br />~EfTLtAbt_~ St)LIUS L1HIf YIAlVEU FUk lOYKFZ4HK PKEGIP EVENT-StE I.A.jF PG IVF FUR R~CUIRtMENTS. UIL +. <br />bk~ASE Gt<A'v SAMPLE ANALYSTS kt4lUiREU 1F YiSlIiLE SHEEN i5 U85EkVEU. ~kiKLY SAMPLING INSTRUGTICNS-I.l.ifF <br />EPA Foim 3320.1 10&-951 Previous editions mey bs ueed. (REPLACEB FPA FORM T-40 WHICH MAY NOT BE USED.1 0020 T/ 96~Ik~' 131 l PAGE loF <br />• ~ aa;. ~ . <br />