Laserfiche WebLink
PERMITTEE NAMEIADDNESS (/Midr FacreryNar/laewrar UDl~.nq <br />NAME ~YFlri:uS CMJrIi(L i,i,liYclrcATLU,r <br />ADDRET N u OLJX btl <br />~ CkAiL, lU 8162D <br />~~ <br />FACILITY i.YNF(uS LMF'i>lt GOKNUICATIUN <br />LOCATION ~'t A 16 L U i, l 015 <br />ATTIC t11LHAcL k. LUL~LU:v. GcNEk/11 HGk <br />Forrn Approved. <br />OI~B oTT Q,40-0004 <br />ivr-rar U ~YV-`/Iri TJ I~p ~E~al'~plree 05=31~J8 <br />~ubii ~+w 1..~4 ~ <br />F - FINaL <br />roin012 <br />NOTE: Rud Inetruetiorr Mfon comp Nne thb form. <br />PARAMETER 13 0.rd Onlyl QUANTITY OR LOADING A/p QUANTITY OR CONCENTRATION NO. FREDUENCY SAMPLE <br /> <br />/31-371 !4653 ~ 151-61 -15 (4663 5e-Bf <br />EX OF <br />ANALYSIS <br />TYPE <br /> AVERAGE MAXIMUM UNITS ~ INIMUM AVERAGE MA%IMUM UNITS (QZ-esl J5~-881 l5&TOI <br />F'Fi SAMPLE ###### 4####M~ ~ $#%'i<R# 12 <br /> MEASUREMENT <br /> ~PE MIT..... . #4?~+-?Ittr~ ##~i~ (jt:.~j~.~;.i..:~::.c.:~.,: <br />;: !#~kMl* <br />~~ <br />~1?1 <br />~ ~::. <br />~~IS <br />:. ~': ~::.: <br />Q~ <br />~ :L~f~: a~~!1%. <br />~Fr~U[r~{ unU55 YAL'J REQUIJIEJNEN7 #$t~# . <br />... . <br />. <br />. <br />.,:..: <br />;.:.: .:: :. . <br />. <br />.. <br />. <br />. <br />(Dj:.:,: <br />~ILIL~. ~tT(LEAdL,. SAMPLE . ;.q;..,a yq#.;.~..,, {.,}.~#'x# 25 <br /> MEASUREMENT <br />U l:~ti~ 1 U 0 :-~~..~PERMIT ~~ ~4i<###~'A '#a~P#>(<b #~. ,, ~~ '1r?~ti~G##~. Y. <br />:~ :..~ <br />.a:~:~- .;::.: .; 41LfrE ~... .. (th~[+~ <br />- <br />tfr LOCI\i I,KO SS yAL Ut REQUIREMENT <br />...:. ., ~ <br />. <br />r%$$V ~ ~ ~~ <br />. . <br />~ •: ~' ~ ~. <br />..; .. <br />.~.~ ..:~ <br />V 1L. Af.1: :+r<tASE SAMPLE 4~>t~}ti'ti<u 4$#+.'i';i' 4•}{.rk## ~##41F# ~ 19 <br />r nL L, l~ ~Alli-GkAV HtT MEASUAEMENT <br />VL.7~0 / G 0 <br />:~,. PERMIT .:~ <br />~..~ <br />>IT#*### <br />`: <br />###$r#! <br />#vt~ <br />.....~v: :~.. .... <br />cFFL.l,tt~l i:kUSS VALU REQUIREMENT `' <br />.., <br />hL~~ns l.w i.UNDUIT Qf( SAMPLE ~ U3 4###A# #ria#+~## *~*### <br />TYIn'J Tn~:iTA'i_!'JT F'LAtJ MEASJ]jiEMENT »<+ - <br />7L.l~U 1 U U .PERMIT ki=PU~~1 rZEQ(3KT +#~~#u ##i•~>ii.~tl, ar>Ir+k~laa +'Vd p11;E/: tV$T.Ai. <br />crFLucf~T lahlUS$ VALU REQUIREMENT 3U A 4'ti 'A1 Y' t4X. H ~ +}##'i` <br /> SAMPLE <br /> MEASUREMENT <br /> ~ <br /> .RE.QU.IREMEN7 ". ' .,::'• ~ .. ~ ~ ~ . . <br /> SAMPLE <br /> MEASUREMENT <br /> ...~~PE.RMIT:. :~. _: ~ .... .. ... <br /> <br />REQUIREM~,N.T~ <br />~ ~ ~ ~~ <br />~~ : ; ~ .. ~. :. <br />~ <br />: ~~ ~ <br />~ ~ <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> :,..: PERMIT:::: <br />~: ~ <br />:. <br />. . <br />;.., .:. <br />r.,.. .... . <br />. : <br />. <br />.. <br />.REQUIREMFN~ .. `:.~~ ~.. ~ .:.::::. <br />.... ..... ... <br />NAME/TITLE PRINCIPAL E%ECUTIYE OFFICER I CERTIFY UNDER PENALTY OF <br />T LAW.THAT,1 HAVE PERSONALLY E%ANI <br />HERE <br />AND SA <br />T <br />TT <br />N <br />' NED AND <br />SED ON TELEPHONE DATE <br /> AM FAMIUM WITH <br />XE INFO <br />MY INQUIRY OF THOSE .IN ION <br />gUSMI <br />I <br />; <br />RMA <br />ED <br />DINOUAL4 1MMEDIATEIY flESPONS1e LE FOR . <br />- <br />;cichard ylills OETAININO THE INFORMATION <br />AC`UMTE AND COM <br />TRUE , 1 BEIIEYE THE SUSM4TtED 1NFORMA <br />1 AM AWARE THAT THE <br />fTE <br />pI TOH IS <br />RE ME <br /> , <br />T P . <br />. <br />IN <br />NFORMATION <br />T <br />F <br />LSE CIUDINO <br /> <br />FrlYironrnental ManapPl- SIGNIFICAN <br />ENALTIES FOR <br />THE POSSIBIUTY OF RNE AND I , <br />SUBMI <br />TING <br />A <br />I <br />MPAISONMEHT. SEE fB U.S.G.L WGI <br />AHD 33 <br /> <br />IPA <br />NAT <br />E <br />F MII <br />EX <br />UTIV 9]Q 870-2712 7 27 98 <br /> <br />TYPED OR PRINTED u.S.C. F t71 s. !/MWOIr. Wr"errr mnma nrY ArcMl~ Fins Fv ro F/0,000 <br />.nsamuMun hrFn.awwrt elMrwwn smmN.WSywa/ 810 <br />UR <br />O <br />NC <br />EC <br />L <br />E <br />OFFlCER OR AIFTNORIZED AGENT AR A <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS ANO EXPLANATION Of ANY VIOLATIONS Ixe/erence en strscnmsnrs oars/ <br />::c1TLL:+dLE SULILi~ llitlf ..rilvtu Fi,K 1JYK.~4rirt ?I~tli+' tV~,:T-~L~-l.A.3F i'S IVF Flai ktl~i:IRENchiS. L1L <br />uKLNJC ~riAb SAiIF'Lt A;vALY~1J hc~ull.cu lF VIS[bLE 5rIEtN !S Lb~tKVLD. .~F'.T~LY ~4hIFL1NG [NSTkULTIGNS-l.t.~~s <br />EPA Form 3320-1 (08.961 Previous editions may bs used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) U iT 1 ~ 5 / y 6 I UU 1- 131 I PAGE lOF <br />