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.m~gaf:~ : . al. i .:IFG...T...L...w1 PERMITTEE NAME/ADDRESS//.riib Fx/Ory Nw/lasrrm l/Orpw'.rq~ ~. NA^~ KERR C7AL C7"IPAN' -- ADDRESS !1 A k h R I M E k~.U. BDX 173457 STc"A;:AOAT SPRINTS ~O 9DU77 FACILITY LocAnoN4AL~F:N CO P~043U ~.i~r: ;L3aae v. I'AI'CERSJ6, tIIFE •N; R. MONITORING PERIOD YEAR MO DAY YEAR MO DAY FROM TO U S !1677/ l1I-731 !7475/ /56-57/ 158-29/ /J63!/ ~trF.+ ...: - - ~ ~- - - '~ f-):orm-Approved. -Ipy PD><D HflRIA TD CA~~BJ~°~I 3oa~-Dgoa~ 1 ($T?HR !i{I) Approve e i e 05-3 -9~[F 1~`~4~ TTT F - FI~iA[. MINOR "- t `., 'k 4'+`• NO UI SC IIAR ;? ~X~ :"h Pf NOTE: Reed InalrucUons 6etore eomplstinp this lorm. PARAMETER I3 Grd OnlY1 QUANTITY OR LOADING 11 Grd Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE 11G531 !54611 !38-151 !1653 1545// EX °F PE 131-371 ANALYSIS TY AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s7-s]1 (84881 169-701 e'h SAMPLE {:GG~ }4 err: .; G{; ,. , ( 12) MEASUREMENT . ~ t;0-AVU ~ 0 0 ~~ PERMIT :- ~t4tr~G'xG ~ .^.?-?>as ~ 440 r~, S 44{.4.. , ~ ~.D . setsLr °wslru :.Fr'i0t.+. .;RJ35 VALD ; :REQUIREMENT ~ ~ ~ +G 4:a gl~ik Llib.'[ ~ ~ rax u-: s +JLIJ~, ~c:7:LBAUL~ SAMPLE #?G471a O:k4664 iRk#tcL Y'?# '%4 ( 15) MEASUREMENT ~ t;JS+S 1 0 D PERMIT: `..: : FSt lF ea a. 4R3R 00." 4fi4 t>r s.. /}Kyyc iraG~ e : ~ 'pa5.... .. ... ~ ... 1 'N.CE/ . ~ ~.~LB E::'E'Lt1~hP .;ROSS YALOd REQUIREMENT:. :.:... ~ .. . ~. ~ .~: Ia 04a ~ ~ i1lIET !tX L/L tSJMTH :. JIL AtiU ;.k6A$E SAMPLE 4GGGGt :e.GG'T# 'k;^4G:A:F 44# 'F4 ( ). q) MEASUREMENT DJ»2 1 ~+', 0 PERMIT aaaa;~. r.a#sao 44^. CGO::p-A LF'Xta4 4 1:0 I 'UYTIN iRAA .;FcLURN1' '6j~155 VALJF: REQUIREMENT ~ ~ ;•4r.k ~ 1`AILS F€X~ '7C/L ~ G~?'T L"JLI, L.V ~DNDUIP DR SAMPLE ( 03) S;:FY;=:: IFY'F ~F.;: C4::::i''.rf i .. c~J Tkt;ATM ENI F'LA'JP MEASUREMENT ~:rOSU i 0 J PERMIT PTT711AL.:.: ~~PyHT GxG/s~=t~ ;~f44 ~ ~+a>R~lu>x ~ vr.s F 31011 "NSfA`l ~IF'LUE:~+I' GR)5: VALJE REQUIREMENT ..3ODA :ikY:e:::. :.;#AILY !IX !'1 CD 44n+: pJt+TH i1L 41;i ~_;ItF.1~.i!; SAMPLE #b .0?O ( q1( .AGO+k ;- .::4 {: r,. {:Yk:;:nr, J I `i S d :. MEASUREMENT 143~~~ 1 J J PERMIT ~.~~. '##CxGG REP?tIf E5=1 a~;x 4:r. ~ 4>24t3. fi ~. R~>;rC:sx~4 .r a{: r.- _ t1CE'/ IIStJAL ::FPLJr:'r: ;iiD55 YALUt: .REQUIREMENT jNST li,AL NO=O #44',: 'I' "ilk. 4 SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT ~ ... NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTI FY UNDER PENALTY OF UW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE AM FA MILIAII MATH THE INFO RMATION SUBMITTEO HEREIN: AND BASED ON - Ly.~__~~ Munson ~i C`~ u A MY INOWRY OF THOSE INOIVIp UALS IMMEDIATELY RESPONSIBLE FOR OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS< / ' ' ' ' • Vice President TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FN.SE INFORMATION, INClWINO ~ ' '~ / ~ 7' 970 923-4721 99 04 09 THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. 1 1001 AND 37 " ~ 610NATURE OF PRINCIPAL EXECUTNE U.S.C. f tats. !goers„ unar eMw mom. re.Y heM.W Fvwa w ro ! 10,000 AREA TYPED OR PRINTED .ne nrrrairWnirunYmnwrr orblw.arsmmerFYM6 weal ~ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DqY ~.~ ~q~l ,t COMMtN I, ANU tAYLANA11Vn Vr ArvT VIVLAIIVrvJ IRIIBFBOCI N/erFeCrlmBOl3 neFe/ S~PTLEAnL'r: 4]LIDS LINIi yAIYED FJR LO-IN, 2a-dk PRE'IP EvEtiP SJnJE.I' TO BURUEN OF PkOOP RF.QUIR~~F9TF. IN rA i~' I.li.1,D, P. 5. ST]R!7wATEi/ ~MA4ASEyE'iT PLAN GUE 1-L-3j. EPA Form 3320-1 108-951 Previous gditiona mey be used. IREPLACEB EPA FORM T40 WHICH MAY NO7 BE USED.) ~~ 2 4 ~ / ~ ~ a s) ~ - I ~ 5 4 PAGE [ OF