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•i• <br />PERMITTEE NAME/ADDRESS (Include ~' - "x gnoMwL.POLf.DTANT OISCHAROE ~LIyy~~,N ATIONSTSSEn{((}If/~65~ <br />Faailily Name/Loaarion if di!lerenU ~. +. ~~ ~DISCHP.R6E MONI~TOf~'JNg'lR~P91~T (Q~!{i) t ' . ~ , t <br />NAME-Nf1ft ELT J:S~L L`B.21LFL~_C []_t~LC T-ttL+r1 r11~L ~_ ~ ~ ~• •~.YI 16)-"'-!iu t :1. v 117 ~'9•): .r T'unu' <br />ADDRESSTUT____ p.__ __-.- _.___'- ... 1 ~.s <br />-i+-i~i-J-l'~iiFVir-s-i-t-- -- -- -.~ ~ Q .. .. F fOVed ~.n ! r.fi <br />i .] >9r <br />. sK:J d~f",`"~B <br />) <br />tree <br />~,~a' ~I-,T PERMIT NUMBER'!! -o ~cuwnce NUyscn~l <br />ff <br />_-_f3.Q1 ~,'FYT G!]r ~~'r 7(~(~~ , <br />. <br />MB_No 2Q40 QQ04r} „t~ <br />f p <br />_ PIN }i'L O <br />( <br />{7 <br />- - <br />-_ <br />.t1Qj.O~FS- <br />~~.~'--=1~ w- r r.. I~ONITaRF[J P`~1QL1 . <br />q~ <br />eTT~ 90ND 'K P--~~'~--~'~r~1~t°-~'9 <br />t ~- <br />'{i <br />~ <br />~ `= <br />i <br />FACILITY <br />-1 -- --j r ~EMR MA PAY' .2 Y h{O' DAY <br />--- f - <br />, <br />n t' ~ I <br />~ <br /> <br />LOCATION <br />n ti ~= iEROM ~,9 0 ~'0. ~ ~° ..i~ i~' X03 ~ 31 <br />--- ----' --- -- „- C L" L <br />~4~d ~ ~ p ~ ~ -' <br />; <br />. <br />0 <br />9 <br />~; <br />~~ <br /> <br />z. '~ ' '' ^ 0-441: (1113). (14-2s) ,~-11(2 <br />-1 8-19)''(J63ry S ~~ <br />8 IfI5 <br />U fl0 S 8 ~71 <br />I <br />IS <br />.., ~ ~r ~ =p i~ ~ . P~ @ t~ . (PIRI.-~. <br />^~ ~~ <br />PARAMETERi ~ (J C•'~Td OnlY,L GUAt~,TITY. ORICOAbING '2 <br />,x(46-53yX u(54."61):? a.SJ~~ =1 _ <br />(,4 Cs,~C~ n1 )'y:..'OUAIITY,'OR'CQf1CENT$ATION'. I' -'. ~t <br />~8=4~ a.~' .'L46.5J) ~'~'' .-(54-61)~ I 1;~ 1" C t <br />.~~(- ,5 '~ v <br />:F'BE 4EN~' ;'~~,',. <br />,S~MRLE~ <br />RE <br />(J1 J7) J ._. ~ <br />..`I~ ~ <br />tAVERA E A MU tl'' UNITS'^; <br />M ~.. .. ~ 11 <br />y~I~p7eIMQ[.1" AVERAGE MAXIMUM ~uNITS <br />~ <br />' v~ <br />3~' <br />(d lllN519-. <br />' SZ <br />" "' I - I <br />!(69.7 <br />!) <br /> ^ <br />N 1 ~, ~ U - <br />r! <br />tS L_:. <. 4 <br />J <br />~ ~6 _ (3168) / <br />. <br />PFi -f <br />' SAMPLE' ~dOdflpd <br />' JOdaC ~3AWEl <br />" i ~ 1- rA <br />° rJ _ .N d?N~~~? <br />~ IM V. <br />'~ ~1 (k <br /> <br />~ :: v,- ~. -. <br />~ <br />' <br />I'- <br />_ ~ MEASUREMENT: p <br />',~ ~ - <br />! ? <br />'~ .- cs. O __ <br />_ ~ .~ .. "fie ' <br />1 ~ p <br />~v:~ J <br />. <br />S <br />. Vf <br />. <br />' " i~D ~ y <br />''~ ,. <br />T <br />! <br />x <br />' q a C a <br />4 <br />OU+iO~/ I 0 0 <br />= <br />~ 'PERMIT <br />T <br />EC I- !P>i <br />P 1h <br />,.+ ~` " ~ ~~ <br />~,`' <br />~ <br />' S V <br />Od+ -~ <br />y <br />~ <br />ynp <br />0. <br />~ <br />, <br />~ ~ <br />g-X. - .~' <br />R , Z y <br />- <br />f <br />ilst 4! , ~~ y1 <br />E R <br />UIREMEN ..;.,: <br />" :.4 : <br />= <br />s .J ~' .N #: ~~ aivi 1 ~ ' d <br />k -y;.'r. t <br /> <br />5 5, TOTAL r <br /> <br />ENDED ~ <br />: CSAMPLE 1 <br /> <br />MEASUREMENT <br />~ I C <br />'gd'd~Od <br />a~ <br />' x ~ <br />z..~OQ~!O~fi~l. <br />~~' <br />?'. o ~ <br />-~ ~ 3 <br /> <br />s y c.. ~ - t. <br />~"~'~: ~ w. <br /> <br />`~ o. ~;~~~~~^~ <br />- <br />y <br />~' ..D ~ <br />( 1a9k3 <br /> <br />.~ a <br />' <br />... ~,~ <br /> <br />i :'F <br />«Ny,~.•:. <br /> <br />:.Ctt'~ •~. "..l' <br />, _ ^' <br />Ov 30 0 0. <br />5 I ~'eERMIr : !~''+pa01r<1;f--0~ <br />. t <br />-p:~~ ~Fa~l <br />~ ~~ o f <br />Y~' ._ N <br />~ . <br />~ '-~+. <br />F. RE UIRE.MENT' :- t :a ~ _ ^+- . ''d " <br />OIL AND GREASFr SAMPLE ~ Odd ~+d ~%~d~4~duh ~ , F: dI~101~polld b O <br />~ (' (~l~l~:r it:-.1 'ti.'.,. : ' <br />FaEON EYTA-GBAY ~rjE1' MEby.SUi)_EMENT' : ~` ;~ 5 j, ? m y ~ ~ ~' <br />~ ~ , ~" ~ <br />. <br />60556 1 0 `'~4 ~.,, .PERMIT <br />NT ~~ <br />'# '~~P <br />~ 74~ <br />1f ,-3?~<r'. <br />~ <br />. ~~~ <br />C ~'+': <br />,;< 1' <br />' <br />~ ~ ~!V: <br />111. 1 R <br />4~ <br />,,. ~+~ _ <br />~ a `,a > <br />~ $.~* <br />• <br /> <br />RE°UIREME <br />,~ '. q4 ~ <br />'''Yt :.i' <br />~ A <br />.',- <br />O.bd <br /> <br />.. <br />S± X <br />A Y' <br />' <br />Sa . <br />.f~ <br />FL06f, IN CONDU <br />Ixi 9AMP.LE. A I ..1. _ _ .~ ~ ' ~ ~3~ s <br />K ~R~~1 ~.~ '~ 4" <br />' 5d' tibd `. ,~ .~ ~; <br />v - .: I: ~' M; <br />. <br /> <br />THRU TkEATl9EN'1;- PL <br />ME' SU EMENT <br />`^ `~ <br />~ <br />~ <br />to <br />-~ <br />~ ... <br />~ •? <br />_' ~'N <br />P ~'• " <br />• •y <br /> <br />~~ <br />° <br />'~ ~ ~ ;+ .. <br />~, <br />~~~ a ~s m <br />~`aa` <br />51050 1 0 0 ~ S~'ERMIT ~L; ~ I~ A' <br />~v' ~T ^ <br />' S: sM~Lyl, <br />Lly,~ P i ~ <br />C ,Q, ~{ <br />aT }Ir ~>p. .P~~;~ ~~ h' 1 r a ~. <br /> RE°UIF;EMENT,. w. i ' <br />+ , <br />^' <br />.. <br />T01'A3.'~ OG <br />S~LID$ b ` <br />:SAMP.,LE'._ ' <br />I C'A:~4 dd <br />' ~ .3 ,O~~1w,u~, <br />- OY+a'C "-T <br />r .~ :Y ~ <br />- Y. a ,.;,,'a <br />'"~~AIQ~ <br />~ :,.. f I ~ <br />~ ~G~"J> :~' 'K <br />'n: :'. - .. ~, <br />~ <br />~ <br />'~ ~ <br />` i((~~ <br />,: ' <br />~ <br />, <br />DISSOLVED - <br />~ ME SUR MENT: <br />Y+ `€ .n. ~ ~ J~ u <br />£ c c <br />C, -. <br />D , <br />O . 7 of <br />~' o _ e ~.~ <br />_ '? ~ ` ' " <br />~ g ~ <br />~, 1w <br />~ ~ a <br />• . <br />. <br />~}A.{ <br />r <br />70295 .I 0 _ 0• (mu rPERMIT - <br />~~~~ +q ac <br />~'4~ <br />x . <br />q <br />~d~ ~ _ <br />~-T: f <br />M y{~j <br />~ dIL '~~~'. <br />." ~ ~ w """~' <br /> <br />E FO_ _ <br />R~°UIRFrMEN'r <br />y '}'~. <br />. 1'w- '~ <br />p/Ol~1Ql~ <br />-~ e 1 ~~ <br />. . <br />Y o <br />1.. . <br />`fn . <br />OI~ND GAEASEr <br />r L O _ -sAM_PLElm^j <br />MEASUREMENT' °tYQ30~d8 <br />'. j O <br />- G~ `; ':~^~ <br />S'[ .L ~LJ ,~ ~!•~ <br />Ui } C`Ib~Oludl III ' <br />~ Ovtt , C a~ ro ] Q ... v ~~ +Q d>4 <br />j tir .. L~ .~cT'~" ' <br />` <br />. y ) ` <br />L .^ ~ ~ <br />U.:S r1 il~~~ <br />~i <br />66 y 0 -O' V^ -PERMIT `~, ~~~ <br />~ y <br />~ j <br />y~ ~2e1 <br />- ,RFy~UIREMENT . rT 1`, . { . '~i ~, l 5 d idw~ <br />iE; O R+~ ~ . <br /> <br />' fj .4".' A ~' 1ia. ~.. ~ ` ..a-. <br />:..'ibAM@)-E rCl 7 t~ •~ p-O:' Oa - _ ...0 <br />' .l ~ r i51Eri5~1~EME~-1T' u ~ ry A ~ ly:, t - S' a <br />'' <br />~ <br />..c, yy.. -' .,v' .; -ie 4 -0 ,:v ~''•.~ <br />- ~a 'Yi ~+i ~ t\. ~~ ,'~i E <br />v' .b ; ::. p. ~1i.} ~' .~ T~ .. '~: ~ ~ ~ <br />~ <br />O _ <br />:C .%~ <br />' LM <br />~ D,. <br />' <br />- <br />c ~ <br />^ . <br />. c 7 <br />' <br />- ~ Y: ti N ~ '~.* :C'.b~ ~ r - <br />1~`1 <br />^N p C <br />` 5 i PERMIT j <br />{' <br />T <br />~ ~y'p~ 1~~~~! ~r L ?~ ~ 1't <br />g <br />i"t' k . <br />' <br />` r <br />~ '.11'54 1 yi 1 <br />JqR t <br />' .(. <br />r <br />F <br />~~ <br />4` ? <br />•~ <br />C c ~ <br />_REQUIRE E T 8' <br />)4 N <br />'Y <br />`"~w};: r: u! <br />+tr ! <br />3 <br />~. ,~}v..; `-I .r _ <br />.i+ <br />ac S f <br />YI y ~+L <br />n n <br />1'' ~ <br />c~• <br />t: <br />• <br />- : a <br />I <br />-? <br />-E' . <br />•..f .. <br />.7 <br />Y ~ r. <br />. k <br />. <br />C' -~. gg m.. <br />NAMEl TITLE P.RINCIPAI E%EGUTIVE OFF~CER,- 1 CERTIFY U DER PEI~tLTY~ W~ YN5i; IltiAyE PERSaNXLLW,•E~{M1 <br />' <br />ERE <br />D' <br />~ <br />D <br />`-Nb <br />; ..- . <br />. <br />t <br />p..:. .. 'r .j.....: ... ~. <br />' Y <br />TELERFiP Eu..~ <br />~_s. p v' 1. ^~ ~. <br />v <br />l~~1 <br />f <br />`~~ .. 'PATE <br />a <br />• <br />. •~ <br />!ATIpJ <br />S <br />0.RI <br />BM H <br />W' <br />• <br />' ANP. AN FA11~~ IPRfYJ THE,'I a <br />,~rr //~~~~ ~/~~f ON%MYt' INIX7IRY OF HOSE, VINIJA ' I E ~TELV RESPO~SIBLR' <br />~l~ rfi(~~% =~~~ ~ ~_ _ OaTPINING TpiE I~vOgTltJJfl 661EV I4BMITTECI~~INFDRM S <br />~ <br />~ <br />L <br />.~ <br />j THAT y <br />R <br />P <br />A <br />~E <br />G <br />" <br />'~ <br />r f . <br />. <br />~ Lj <br />vl _ <br />~='~ <br />'~' 70. <br /><~~:~ ~~' '~>r~. ~~ - ~~`~~ 9. ~~-~ <br />: ~ <br />~ <br />- <br />~ <br />~ I `~ ~l <br />1 <br />// <br />.9 // <br />~ ~y 1 <br />E <br />P.W <br />RE; <br />. <br />. <br />.CC <br />~AT A D COM <br />LE I <br />TRUE <br />y' <br />p <br />, <br />' `.- _ - C SIGNIFI@NT`PENAMTIES FOIj 3~1BMRTIN FALSE'INFQ9MAilONj ~ OIdG <br />!' TrIE P2531Bd'ITY.' F KiNE D MP ISp~ 3[E i~.Q tl C~L ADD. <br />ji .`' ~.. AEI ,@ FI~l7 ~$ <br />~ <br />' <br />9 <br />' <br />^ <br />, _ <br />, <br />" ~. ~ ~• ~ _{ y <br />~I <br />VE ... {.'•: .~rA G ~. <br />Gp .T R F IN - W~ <br />~ <br />} <br />~ <br />~ <br />~ <br />~ ~ :. <br />- 1~ I <br />~~ ,. 1 <br /> <br />" <br />PED R P,RINITED ~' +?;:'~~ <br />T. <br />(AlnalliG{ <br />dCRS lhuaj 111fulef?~ <br />ma]C <br />~AIYdC SyP~ <br />' 33VUSC. 43131 <br />,S/O_DDO~end nr mAVyum~Pn=pnm~r p~j 6vlwCen~ mgnths JSa urg)•: ,~ :.Sv ~ . <br />..,= <br />~ .~• ~ <br />~ , <br />M . <br />. ~~ O F.~ER ~QR ~./S)YTM .RI~E[),l+;O..FIT <br />CREA ~~NUMIBER' ~. <br />.TE.4R <br />`HMO <br />Dp.Y <br />COMMENT AN2-FKPLANATIDN OF ANY IlIOL4TI ON5 /Re([rcnce 31 atrBCMlenls~8e2 - ~ ~%: •: 4.E.. - R''~- . -1 m r ~ 1 <br />r <br />UIL E Ga~8A5P,~E~~,SE;E FOOT'80~T'E, ;I%; ~AG1r,15,. - I ' ~,,, '- ~ ~ <br />": <br />EPA Form 3320-7.(Rev.9-88)Previous edilipnS'inay be:Lsed.^'%'-1~.'% >~I,o-IfjEPIACES ePA'FOR T.AO,W.HIGR'MpY,NOT'QE;USE ~ l.T~.'-. s. ~:: ., ;"Cd'~~i: 'PAGE' .'OF <br />,. c' 4.,.. ._ .. 7 <br />.: ,..- ,;:: .: .:~'--=:pT~+ff1'r:f~911'25=161;9,~'I~ <br />