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~ PERMITTEE NAMEIADDRE55 pweirL FxdiryNaw//uenordo10 a9 <br />NAME $.~.'h'sCA CC.+L CO!F.S.~Y <br />ADDRESS DRAif:R U <br />HAIUEN CO 81639 <br />i <br />FACaITV <br />LocnnoN N A Y D 6 N "CO 816 3 0 <br />` AT'iN: G. BUD DAOYN, CENP.AAL MANAC£A <br />Form Approved. ~4 <br />;et. Fcu:, DSC;H IoMe;NpA2oao-oooa.l~: <br />(S U C fl (i W ~ APProvellexpues~05-31-9/~ <br />c ~v~ <br />F - FINAL ~ <br />MINCA <br />`%'z' NC DISCF.tBt'E ~ .. <br />NOTE: Reed inewetlona before m latirrp this form. <br />PARAMETER l3 Grd Onlyl QUANTITY OR LOADING l<Gid Onlvl QUANTITY OR CONCENTRATION <br />- NO FREQUENCY SAMPLE <br /> /4653/ /50.611 ~ .: (38-<5! (4653 (SCSI) GF <br />/3Z-371 EX <br />ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNIT !". MINIMUM AVERAGE MAXIMUM UNITS !61.63! (61-6g! (5&701 <br />PLUM, LN CONUULT Oh SAMPLE ( ~ 7grl ;-~:i gbl~~s r,I •~ r,. :•:},~t:,: <br />TN 3U T5EAT;9ENT y[,AN MEASUREMENT <br />50050 1 0 0 PERMIT N~P:iRT kEPC+ <br />RT diot~gl6rlr.. LIsL~i>r';I. #r:•r:••K:4, '+G k;: rk:::HLY i <br />`75TkF <br />EFFLUENT t,R055 VALU; REOU1nEMENT 30DA AV,;: . <br />:aAIt,Y .Mx 'i~D #s•+;- . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~ - <br /> REQUIREMENT ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ... PERMIT <br /> .REQUIREMENT ~ ~ ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ... ... .. .: ..:.. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT . <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL E%ECUTP/E OFFICER I cERTI <br />AM FA Fr uNOER PENN.Tr of <br />MIUM WITH THE INFO uW THAT I NAVE PERSONALLY ExAMINEp Mp <br />RMATION SVBMITTED HEREIN <br />MD BASE <br />O \ TELEPHONE DATE <br /> ; <br />D <br />N <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEpIATELV RESPONSIBLE FOR <br /> OBTNNING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE. ACCURATE AND COMRETE. I AM AWME THAT TNFRE ME <br /> SIGNIRCMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br /> , <br />THE POSSIBILITY OF RNE MD IMPIIISONMENT. SEE 19 U.S.C. 1 1001 MD 33 SIONATUflE OF PRINCI AL E%ECUT <br />VE <br /> U.S.C. E 131e. (PNWSw Wr soar mNha ro.F L'ICMd. Fw.a Ip ro t 10,000 I AREA <br />TYPED OR PRINTED .na ormvinun inFriavrwtr o/Mrwwn smatdu rd6Pw.l OFFICER OR AUTM RIZED AGENT CODE NUMBER YEAR MO DAY <br />GUMMCN 15 AN V [AYLANA I IUN UN ANT V I V LA I IONS (Bete/6/ICB e// efreC/Imertl3 hale) / <br />T55 G Ie~:1M LI!'ITS MILL bE YAIY~D ANU 5EPTLLADLE SOLIDS LIFT! ~PPLIeI FCR <=lOTF.7)~HET PRECIF F-YE4T; ': 55 & <br />IRON LI`IIT$ MAIY£C FAR >lOYR,l4aR P~ECZP EYENT SUEJCCT TD BGRC°N CF PFCOF iN I.A.2. OIL F. ,REASE-SSE <br />I. 1. 1.'1. Tf1C nnN YT/1GTti C-ccv T-w-T-c-~ <br />EPA Form 3320-1 108.951 Previous editions mey be used. (REPLACES EPA FORM T40 WNICN MAY NOT BE USED.) 0 013 6 / 9 7 ] 0 31-1 S 13 PAGE ~OF <br />