HYDRO24671 - Laserfiche WebLink

Home Browse Search

PERMITTEE NAME/ADDRESS p,dle. FaeWryNrWloc.nm lJDlprrq NAME GY~rtirS L. i1f'(rtC LJh.h'uKAI LL;i ADDRESS ~ Li l31L 1( G'~ GKA1G L~ al .. FACILITY I.YF.nlr~ t_NpIKE c.OKt'I~YATIJN LOCATIONLKi11V L:: b1CL7 FRE A(l~r MILhAEL N• LULILIid• l,:N~kdl `!... Form Approved. 0 240-OQ04 Ivl~. b ;I(;.r 1 : r:1L "1~'~p5 4. , . ,(fpprovel exPIIBe 06-3~-R38 SUdk ivA lU4'~ ~ - FiYHL hl (IV yX ti~a# NU UISGNARGE~~•A#~ NOTE: Reed Instruetlorr 6e • eomple0np thM form. PARAMETER !3 Grd Onlrl QUANTITY OR LOADING . ~ ~~ 14• lyl QUANTITY OR CONCENTRATION NO FAEOUENCY SAMPLE 132-371 !46-53 154-67 6! !45-53 16A-6I1 EX ~ OF TYPE AVERAGE MAXIMUM UNI ~~ NIMUM AVERAGE MAXIMUM UNITS /ss-ssi ANµYSIs !64.681 !6&701 ~L,L IL~r I,;TAL, SAMPLE ,..q;. ~... ~?V###P ##**~pF 19 U I ~ 5uL'i L L MEASUREMENT I Jc Y7 1 U O ~i;~~ PERMIT. .:, #+<~k#~~ i. ~ ,~4.>It#r#!fl~ :.:.~ : # ~~:YI t~iR?lk?~>;; ~` ~17 iI:I" ~ : r ~. uT'T: ~;1:A1A~4 .~ , . T~I~~Yl ~ .,.k.~i3~: Lht Utt T JKIT$ VALUE IREMENT. `~EQU . . .:. ,. e ~ ~~. ~~~~~':' ~ .. .' ,. : ;. ; ~< , : : . .. . ~ .. :.. : . . . . :r: ~ L I ~ . ~ :....: .. . . ~ . .. SAMPLE MEASUREMENT ~• f'~'Y" p ~ .. ` ' : .. ~ REQU19~1~lEFJT? . . ~ : ~> : . :. :.~ " ~;~.. ,. ,. ,. r~ .. :~., ' . ~ L.'~ : .... . . .; ... SAMPLE MEASUREMENT - ,E ,'.~ ~PERMIT~ .: ~;; :~.: .~.. ~ ..,. .. .... .,.., a ' ~ .,. .: ..: ~~ ~ ~ . .fIEQUIREMENT . :::::::. ~ ~ :. ..... .. .. : ':::.; 'i": . .. :.:~ : : .. ,;:<: ~~ ~ . . . . .:. .if .:5::.';'. SAMPLE - MEASUREMENT L :....PERMIT . ~ ~ ~-... : ..:.......:..: ..::: ..r, .~~ :.:...:::~. ... ~fiEQUIREMENT ~ ~~~ :::,: ~.::,A::.. .. ~ . ~r-.~~~. ..~: ......:....:: ' .. . c.:::.:.. .:.:,E:,;:.:,:~.:.;:...: :. :: . .: SAMPLE MEASUREMENT .,... .. ~ ~ ~~~ REQUIREMENT ~ ~' ~ ~ ~ ~ ..d::. SAMPLE MEASUREMENT ,. . REUUIR ME`NT ~ . ....:.: :.'~..:. ~.. ~ . .:... SAMPLE MEASUREMENT ~.. PERMIT.. ~, ~ ~ .. .. ... ~ ~ ~ ~ ~::~~ ~ . : ~ ~ ~ ~ ~ „:..., :..:: r...: :.;~::~,; ~~ . HEQUI.REMENT : . .. :': '.: .. NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I OERTIFY UNDER PENALTY OF l AM FAMILIM WITN THE INFOI AW THAT I HAVE PERSO UTATON SUBMITTED H NALLY E%AMIN EREIN AND BA EO AND SED ON ~ ' TELEPHONE DATE ; ~ MY INQUIRY OF THOSE INDIVIDUALS IMM WIATELY RESPONSIB LE. FOR s'•IC{lil l"(~ Itill((S OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFOflMA TRUE ACCUMTE AND COM0.ETE I AM AWARE THAT THE T10N IS RE ME , . SIONIRCANT PENALTIES FOR SUBMITTING FALSE INFORMATION INC LIl01N0 ~ :.•viruhr~enial A^anac?hr , THEPOSSIBIUTYOFFI E ND MPNSO ME T EE 57Q 870-2712 7 27 9u N A I N N . S IBU.S.C.11001AND]3 gIONATUREOFP111NCWALEXECUTNE U.S.C. 1.1 ]te. IPrWeYF uM~r IMr mv(.. mry icN.d~ /n.. Ip ro if0,000 AREA TYPED OR PRINTED wnmuhvn hrAVlA:wrwrr a/MMrn emmM. rH6rrra/ OFFICER OR AUTHORIZED AGENT CODE NUMBER. YEAR MO DAV I.VMMCIVIJ AIYU CArLAR1A IIVIY VI APIT VIVLAIIVIYJ IRe/e/eOCI N/eReCOTeOf506/6/ r LJN Ll~ili Ar'FL.fi~ la t:~rtdl^ILU rLU,E ~rtuM GU3F GCC v UC4. UIL ~v~~L.+~t t.nA!i $AhPLt A:vALY SIS KE~JU1•itL i~ rl.loLc ~hlEcly l~ LuSLk~tLi• .IkTkLY ~AM{'LINI+ 1NSihUCTl:.tr5-1.C.br PG X. EPA Form 3320-1 106-961 Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE U6ED.) UUUC ~ / y o 1 VG 1 ~ 1311 PAGE 1 OF