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PERMIITEE NAMEIADORESS prY6 F.ruiryN../ro:.n.. UDbi...p <br />NAME SENe+CA CJAL CONE'A'r1I <br />ADDRESS DftAtlER D <br />RAIDEN CO 91639 <br />PACam <br />Loco,noNyAIDEN CO 8163D <br />ATrr: 6. BDD BRDRN, GEd~iL-L. NANAL;dR <br />Form Approved. ••. <br />OMB•No: 2040-0004 ~`~ <br />SED. PCND OSCGH T,. .+.....o,, ~K. <br />(SDBR Ntl) Approval ~x~IEej 05-31-98 ,, <br />t - FI N iL Y '~~. <br />eINOR <br />a~a' NO DISCNARG6 ~~~ ~~+ <br />NOTE: Resd inetructlone belore eompletinp thb form. <br /> <br />PARAMETER -"`^ !3 GrO Onlyl QUANTITY OR LOADING ~ !4 hM Onlyl QUANTITY OR CONCENTRATION NO. FREGUEncY SAMPLE <br /> !46531 154-611 I3B-451 !4653 l5b5f <br />~ EX of <br />TYPE <br />l3Z-371 MALY95 <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS. rsz-am 164-581 /63701 <br />pR SAMPLE L`$t~2Gr sacaC as r,:#'-F'r.'t ( 12~ <br /> MEASUREMENT <br />00400 1 L D ~~ PERM17... :=+=;`.`-:v .. .<.`:~t::~;;k~.~ ~~R ~E.' <br />:.~';~. :~"x.~~:M.L•-k ~.0. <br />~~~ : ~ ~~ ~ ~ 'NG£~%~:: ~NSIT.?d <br />tiPPLUEtlT GROSS PALUE REQUIREMENT. ~?C4 . <br />4~i-N~3" . <br />I;~ILt° <br />«A % SIJ . <br />14:©fiT°4 <br /> :. <br />. <br /> SAMPLE <br /> MEASUREMENT <br />~ ~ <br /> ~~ ~ .PERMIT ~~ ' <br />~ <br />~ <br />~~ <br /> REQUIREMENT ~ ~ ~ ~ <br />.. <br />.- ~ <br />~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> :. ~ PERMIT ~ ~ ~ <br />~ ~ .. .. <br />~ <br />~ ..;::. - .~ . <br />c <br /> ~REQUIREMENT~ ~ <br />~ ~ ~ ~ .:: , ., `... . <br />: ~~.~ <br />. .:'::a;,-s^;, ~ ~. <br /> SAMPLE <br /> MEASUREMENT <br />! <br /> ~~~~ PERMIT.. .a ~c <br />:. ~.a- ~: ~ <br />.. <br />. ~•;~,;~ <br />,~y ::~.;>:::~~ <br />~ <br />~, <br /> REQUIREMENT ~ ~ .. . ~ ~' , . <br /> SAMPLE <br /> MEASUREMENT <br /> :: PERMIT: <br /> <br />~ <br />~ <br />~ ~ <br /> <br />~ <br />.... <br />~~ <br /> REQUIREMENT ~ ~ ~~ ~ ~ . <br />~ <br />~ <br />~ <br />.~ ~ ~ ;: <br />a:,.. <br /> SAMPLE <br /> MEASUREMENT <br /> ~~~ PERMIT: ~ ~ ~ ~ ~~ ::. .. ;:,;. <br />,: ~;., .: . <br /> ~ <br />~ ~ ..... ~ .:;: s:6T <br />!.: <br />: <br />: , ~ <br /> <br />.. <br /> <br />~ <br /> <br />:: <br />~ , .. . <br /> <br />.~ <br /> REQUIREMENT . <br />.. <br />~ . <br /> SAMPLE <br /> MEASUREMENT <br /> .~PERMIT~: ~ ~ ...... ....::.: .. <br /> REQUIREMENT ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FY UNDER PENN.TY OF lAW TNAT I HAVE PERSONALLY EXAMI <br />MILIM WITH THE INFORMATION SUBMITTED HEREIN <br />MD B NED MD <br />ASED ON TELEPHONE DATE <br /> ; <br />MY INQUIRY OF THOSE INDINDUN-S IMMEDIATELY RESPONSIBLE FOR <br /> OBTNNINO THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATON 19 <br /> TRUE, ACCUMTE MD COMRETE. I AM AWME THAT THERE ME <br />SIONIH <br />PE n 11~ <br />! <br /> CMT <br />NKTIE9 FOR SUBMITTING FALSE INFORMATION, INCLUDING ll I <br /> THE POSSIBILITY OF RNE MD IMPNSONMENT. SEE 18 U.S.C. F 1007 MD S] /f <br />IPAL E <br />UTIVE <br />E <br />•:, <br /> <br />TYPED OR PRINTED U.S.C. f 1J1e. IP,rrle,+Mtlr Nrr +uNM1+.rY bcpd+f+w+wroE10,000 <br />WwnrrNWn MMaan.+rATr,/MMwrsmanN+rMSyAwA/ BIONATURE OF PRINC <br />X <br />C <br />~ <br />~-.OFFlCER OR AUTHORRED AGENT AEA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !RS/rrence e//affschmenta hire) <br />TSS 6 I$ON LIOIrS NI LL Bf. uAIYtiD AND SETrLdABLE SOLIDS <br />LHON LIMITS iiALYED FOFi >LUIR,24HH PR£CIP SVc"Nr SUBJECT <br />APPLIED TOR C=l0IR~24NN PAECIP E9£NT; TSS E <br />RO£tl OF PROOF LN I.A.2. OIL B GREASE-SPE <br />may <br />"p°"''I. OPLOS{98091u-0923.. P""" I"' <br />