Laserfiche WebLink
PERMITTEE NAME/ADDRESS Pk6d. Fxtl.ryNr.J(am~w IJD.grmq <br />NAME IlC6Y. CLiAL COtlPANY <br />ADDRESS dtA:t N0. 3 ilINE <br />P.G. BOY 518 <br />JGCi 27$Cl <br />co eiv3u <br />FACILITY <br />LOCATION <br />nTTN: Unb1EL dEA~, ^i1N~ I:Ahx~En <br />nLnc UdAIrAGE <br />(SL'bil rC) <br />F - FInAu <br />tlltrCN <br />Form Approved. <br />TO ~BMR• ~r~lPR4°.iON <br />Approvelix~ljr~ 05-31-98 <br />##~~ nU u1SCAARGE ~__~ •~ <br />NOTE: Reed Inetruetlora before completing this form. <br />PARAMETER !3 Grd Only) QUANTITY OR LOADING l~ G N1 QUANTITY OR CONCENTRATION NO- FREQUENCY SAMPLE <br /> !46531 !54671 -a51 !46531 15~-671 EX TYPE <br />l32-371 AVERAGE MAXIMUM - 1JNITS.~ IMUM AVERAGE MAXIMUM UNITS !et-esl At,/ALY515 <br />!64681 l68-701 <br />1:'It SAMPLE #####YA +--. +•+ ~ ++'-F ~F++ 17 ( 1l) / <br /> <br />MEASUREMENT <br />d <br />r 2 <br />~. .41+G i U U PERMIT #~i'3 ~~ . :'~.: . ~$i##,r.# .-, O, S, ~~ ~ ##tr##+ ..i3 Y~EHL .INSTT <br />aktLUEdl' v1ti055 YALU REQUIREMENT ;1:~:Y;;; ¢1IN.I~~ .~AYIg11ki SU <br />:3GL1US, IGTAL SAMPLE -.+ .##* :- «##### rte; ### ( 19) <br />LUSYhNDhu MEASUREMENT ~Or ~ VH !od ~~ ~+ <br />IiGS-il, 1 C 0 PERMIT 3:cs}:t`.t `##3$ ### -:-='s n:: -y~::: 35 7a...... NCE/. GRAB <br />akkLUEN1 GHOST YALU `REQUIREMENT ,. ## ji:DA 11Yfv .: iSY 7U dY MG/.. tlG>!iT <br />1 hU:., aGaAL SAMPLE ##>r#=::-} +•.-+-=~:.+'c #~r=:~%:~v p ( 19) <br />~ <br />(A$ FL) MEASUREMENT D L 9 3 ~~ <br />~i~4:i 1 <br />Ci li <br />PERMIT <br />##fi~?~$~~ <br />vv^.YYY <br />.. -.. -;,;;, I-: #;,# o <br /> <br />3. o:G iICEi GB.AB <br />r:kk'LUENT L;hOSS YALU REQUIREMENT <br />` <br />~ rJGDA l1YG . t)AI1Y tiY (iG/L i701iii <br />:Ili tiND rihE ASt SAMPLE .'-#.10~•'r` -+`+'1#4r.`•. ### vX~«+'r'+=v ~ ( 1y) ~ ~~ <br /> MEASUREMENT <br />~J..uL 1 t .. PERMIT =i.;r,.fjl ~ rY##:~-;: .Y «-;r#.::;. :~::~~~Y+#fc'+?'.: 10 ~ ON~TI GRAB <br />LktLUr,d'i .rkGS~ Y.i,LU REQUIREMENT ~::.,~ <br />,. INST. NAY !fG/L GEN2 <br />F'LUr, in i.ObLUi1 UX SAMPLE ( uj) -.-r-F Yc## ##/FT•AT YY'rYYY <br />~ <br />itinU TIicAlnaYT rLAN MEASUREMENT rt5(~ ors6 <br />TGWU 1 C G PERMIT U.1Gd <br /> <br />: <br /> <br />:. <br />~ ~~ REPQkT <br />x~=::~;t <br />^##$~~.. <br />T71r`#~#3} <br />.##Y <br />P.{(L <br />iNSTA <br />c.FFLUhn't GEO$5 YAL4 "REQUIREMENT 3UDA AYU ~`.' pI::Y (!Y MGU <br />Y <br />yC,.lli:i, .:.lAi SAMPLE •_ ### ###### +.:~r#: 2 !L <br />~ ~ 1~) <br />( <br />/ / ~1 <br />LI.:jGLYtL MEASUREMENT ~~~ J T G~ C~ J•~{ <br />7 L1`J .ci 1 ~ ,. PERMIT #;:+. +'-##' .. .. ~3+"i#+•wr--: +-~ ~#«:~#L` BEPORl ~ABPOHT YflLY GBAe <br />a,iFiULNi k+hUSS YALU REQUIREMENT r+#'Y 3.ODA AYt: UA1LY tlY l7G/L <br />J L ARil GnEA51i SAMPLE +`+=~#'%r ( 9u) + •+ ~Y #####;: ^'####r <br />~ I j (j A ~, MEASUREMENT ~ (/L <br />d ll e,bb ~ U 0 PERMIT #+ ### 'PQ AT GS=i rd %i •.`•tsY'# ~ .?)< I slt ~ #• +:$"° :## $~ L Y $4A <br /><;Fi LUt:dT 'v hG55 YALU REQUIREMENT ~.. µ;. r::I itiST .'SAX uU=U ~ ~ ~ #'`"" <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW ?HAT (HAVE PERSONALLY ExAMINED AND TELEPHONE DATE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTEO HEREIN: AND BASED ON <br />MY INQUIRY OF THOSE INDINOUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, f BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE. ACCURATE AND COMPLETE. I AM 'AWARE THAT THERE ARE <br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING ~`cC <br />~ <br />S <br />/C I ~ <br />~~ ~ <br />N <br />L THE POSSIBIUTY OF HNE ANU IMPRISONMENT. SEE 15 U.S.C. r 1001 AND 33 <br /> u.S.C. E t 31 v. lPnv/w, Mgr rMr ,unm, mrv inchr0, r,l., PP ro J 10,000 SIGNATURE OF PRINCIPAL E7(ECUTNE R A <br />TYPED OR PRINTED .ne anwimlm imrv:.emwrr,/brwrnemmrh, md6 yrr,.1 OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Relerence sU sTTSChmsnrs here/ <br />yIL & Grab52 itEPOdTINb-SBE i.d.leC. 30 DAY AYi:.tAL;:. IS :IIGBti3^t tiONTBLY AYG. llUkING PENIOD AEPGdTLD. TDS <br />~,~i-itia. a. uE 5AL7P..EU UN A :~GNYBa.Y BAS=S UYia. S1'L SAtS P..EJ ii;Yb jnEN AtrALYZEU; 'i HEAEA FTER, QUARTERLY <br />r I r. _ i - <br />EPAForm3320-7108.951 Previous editions mey be used. (REPLACES EPA FOR T-40 WHICH MAY NO B USED.1 U0016/9b 02L'2-0943 PAGE ~F <br />