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QCn_ ' <br />-,:-~- .. <br />PERMIT NUMBER DISCHARGE NUMBER <br />L' <br />= s , MONITORING PERIOD <br />FROM YEAR•'~ MO 'DAY _TO YEAR MO DAY <br />V <br />., O/LVA rnr~a •ni.~u-: =r • nom na-gym naau <br />Fl'1 ii L'SCHt1b 70 6kiA55Y C1if.Efi <br />~ NC V 0 4 ]991 <br />i ,. <br />:, ~ :> ~~ -: M- <br />nIHOH (suBH~Hw)~I~~~,I~~nedLand <br />NOTE: Read Inetructlona Eatore como161111~~t9 t6111L:_. <br />~ ' ~' <br /> <br />' - ~ l3 Cmd Only/ o QUANTITY OR LOADING ~ 4' ~µ : <br /> <br />tlbJ3 <br />+ <br />~ <br />~ <br />`+ 'll Card Onlyl, ~ QUALITY OR CONCENTRATION ' ' +' ~~ ,, <br />• <br />n <br />l7 <br />I <br />~ <br />' <br />~ ~ <br />NO: ' <br />FREO <br />FENCY <br />SAMPLE <br />PARAMETER <br />~` r <br />JI61/ <br />1 ! • <br />_ <br />_ <br />~ ; <br />, <br />a <br />138 <br />J1 <br />. <br />Nb-J31 (JI-6l/ ;E%. 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D i D ' PERMIT j- #~#### • <br />- d,#W#t~# <br />,, #~# A ~3y ~.:(7 <br />6' ~:####>a~ 9.Q : <br />-' <br />~ -: Q ~C.E/ H~IB <br /> HEOUIREMirNT- -::r <br />4 T ~ <br />.Y.., ri`c'''~'~ ##~#{ r <br />•u ~., i;c. : <br />: I <br />.j .~ ~ r <br />SOLIDSr SETTLEABLE ~ ~ SAMPLE <br />~ ,#####~' '% ~~~#~~j m _ <br />1 ~~#~rR## ###### - -i' ~ <br />~? r. <br />.:J MEASUREMENT <br />.. .. r~ ~. _ <br />- " ~; r: .;S ',J j, i ~ ~ .]. - <br />;: ~ I <br />M1 <br />~ ;: <br />:. <br />00545 1 0' ' 0 ~ PERMIT #_I~',?### "~ ; ;~C'3,~o## ### -°• y,r{###### ~####~# : :'0.'S¢ ' ~ ` `' I y ~ 1CS/_ CAB <br /> REOUIREMENT~' U c ~' C-~ 'A• ~ <br />' •z ~ ;• C ~!: # { r . <br /> ## <br />~ ~ ~ <br />OIL AND GREASE -SAMPLE ###### = '##~~##' ~ °; ~ ###### <br />~ ~~ ###### ' ~ - <br />FHEON EXTG-GHAYyn ET MEASUREMENT :; L ~~ TT p ~ ~• ~. • <br />~» r <br />T - ";- <br />OU556 1 ~~.0 ''0 ~~ ~ ~- PenMtr• <br />• <br />- #4###~ £ ~ l~~.#~ IQ ##_# ~ :;~#~~#it# ~ <3### ia# <br />.. <br />r <br />~ iQ'°- ;~ _ ^' ~pSYIS flAB <br />- f~EOUIREMENT <br />. ia' ~ ~ '~ f r <br />~'`~~' r' ' <br />#I ~ 7 ~ ~ ~,2 .,,. <br />...{ ; <br />. , <br />r i r • ~' 7 <br /> ,. , # ~ C w <br />IHQw ~] :~ ~: i~r <br />' ~. 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' O ?q Ef ~. o , <br />I - r r) (~.. ~q . j..'IE^.. S r i ~ _ - <br />_ r ~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ~Y <br />' .I CERTI <br />'AND AM FY LNDER PENgLTY;OF LAW THAT I HAVE:P <br />FAMILIAR WITH THE INFORMATION SUBMITT ERSONALLY E <br />ED HEREIN <br />A %AMINED ~ ~ ~ ~' <br />HD BASED TELEPHONE -~ DATE' <br />{{,, . ~ „j ~ ~ <br />Karla' N. RduUCk ,. ~ <br />~ ~ ; <br />ON MY INQUIRY OF THOSE INDIVIDUALS'IMMEDIATELY •RESPONSIBLE FO n • r <br />OBTAINING'THE INFORMATION. I BELIEVE THE SUBMITTED INFORMAj70N ~r~ {' r <br />IS TRUE <br />ACCURATE AND COMPLETE=1 AM AWARE iHAT THERE <br />/C/v'T/ <br />RE J~ .. .. <br />", i ' <br />: <br />• ~` <br /> <br />~ ', <br />~ <br />VTCe Pr2STd2RL -' 1 .: :~~ <br />r , <br />~ • <br />A <br />- <br />:NIFICANT PENALTIES FOR SUBMITTINO'FALSE INFORMATION, INCLUDING ~ , <br />THE POSSIBILITY OF FINE AND IMPRISONME <br />T:SEE <br />~ . <br />! <br />, <br />6OH 754-2291 <br />91 <br />10 <br />31 <br />.. <br />. : <br />N <br />~18:U.S.C~ <br />1100t AND GNATUREOFPRINCIPAL EXECUTIVE <br />3lB <br />lPrnrnin undrr Aee mrnm mv <br />;i*hdr <br />%Nn ' <br />'ro JfO <br />GW <br />I . <br />- TYPED OR PRINTED ~ . <br />y <br />. <br />rp <br />, <br />o,N wman~lnum <br />mprimnmwr oJbrrrernE manrArrnd Jytvrx/ ~ ' rOFFIGER OR AUTHORIZED AGENT NUMBER YE11R MO OAY <br />wmmtnl'wnu enrLArvpnun ur ArvTywLA nuns /Rgerenar an rttacnmrnu nrre/ -- <br />CII 6'GRFASE: SEE FOOTNOTE F/, PAGE 3 OF THE P <br />msy oe useo. <br />.- <br />IT. FOHtlEHLY DISCHARGED UHDEH CO-0035653...._ ' <br />PAGE OF <br />0001/910123-1557 1 <br />