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PERMI7"TEE NAME/ADDRESS (f~.i.I. FcW yNwr~Lor,non dD~d,.wp <br />NAME GHAAD YALL~Y C':in(. ::0'I'ANY <br />AD_DRE$$~ItUN:,EA~CA NT OR rIRr: <br />n P.O. BOY 70 <br />LO!1A CD B1S2'1-0070 <br />FACILITY GRAND VALLEY CDAL cone~asY <br />LOCATION <br />A'tTN: JORN h. v1ALT/R5, hAMAGRlE <br />Form Approved. <br />ACUTE YET TRS'1'INGAM r~ ~~~531-98 <br />(SI1RR WC) ~l~'-~~~ <br />P - FINAL <br />niNOR <br />~Gr RO PISC,iA4Go. <br />NOTE: R••d M•truetlorl• b•1 Com Yp thi• form. <br />PARAMETER Oniyl QUANTITY OR LOADIN rd onlvl QUANTITY OR CON IiTRAT10N ND. FREDUENCY SAMPLE <br /> <br />!32.37) 6.53 75s-6f 138-15 /15.53 /5L5f1 <br />EX OF <br />MALYSIS <br />TYPE <br /> AVERAGE MAXIMUM UN MINIMUM AVERAGE MAXIMUM UNITS rel~bll /5e-551 /s.9~7o1 <br />LCSO STATRC VRHR ItC. SAMPLE SxCiIRO av#pr:p ...,..,. r3v,.~ ( 2i) <br />Ch:iti00APHNIA MEASUREMENT <br />TAN3H 1 0 <br />0 PERMIT it91O>K: ~0:',.. <br />.o~lr#k4 <br />~ s~fi 1QQ;; a%X,~y'z: "' <br />~ #?C##~? ' #####10r FY- TRLY RAR <br />r <br />EFfLUEMT ..hJoS VALU REQUIREMENT k . <br />. <br />,.. a <br />LC'SO STATHF. 9'>HR AC SAMPLE ,.,.... C#RM¢ - 4fi#~~; ~....+ ( 2i) <br />PIPI£PHALr,S MEASUREMENT <br /> <br />TAN6C 1 0 0 ,... <br />,!~RM17... <br />' <br />maaCaR <br />~#,^•a92.%e .: <br />,~1(!':.::':'.; Y;i;">, <br />;`'': ,ads##: <br />:: <br />EFFLUENT RDSS vA1.U Iq~N1ENT <br />.:.::.,:., <br />~~~ aka <br />J(;'.tl ,, <br />•. . CFM+ <br /> SAMPLE <br /> MEASUREMENT ~ 2~r <br /> PERMIT . <br />. ...:....::: .,.., :.:::: ~..:. :.::. ~' <br /> . <br />.REQUIREMENT ~ ~ :'"%=Fa ..:''.:i.: ~. :' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :'.;:g i'r ~ ~ ~ .: '~;>~:': ':~. <br /> <br /> <br />~PEQUIREMENT ... <br /> <br />.. . <br />: ..... <br /> <br />::.... .. <br />: gig::: ..'. <br /> <br />~ ~ <br />..:. <br />~~?~::~~~ :>r._.:.. <br /> SAMPLE <br /> MEASUREMENT <br /> .. ~.. pQRMkT ~ <br />,.,. ~ ' ......... . <br /> <br />r~: <br />,.:. .::::~.. <br /> <br />~:'::::~. ~.: .~., :.:: <br /> ::REQUIREMENT : <br />.,: . . <br /> SAMPLE <br /> MEASUREMENT <br /> RERMIY ' <br />, <br />.a::~..: ~ ~ <br />. . <br /> ~REQWREMENT <br />• ~ ~ `.5r~.~' '. ~ ~ ' <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> . <br /> <br />NA RTTLE PRIN EXECUTNE OFFICER I cERn .. <br />FY uwDEll PENKTY O <br />TH ~1 HAVE PERSDNµLY FXAMIN <br />S <br />NERHN <br />M <br />eA <br />Ep M 7ELEPFION <br />SFb <br />E <br />DATE <br />' ~ AM FAMIUM H THE IN <br />Y <br />F i <br />N : <br />TIO <br />UII.UTTED <br />D <br />IM EDIATELY RESPONSIB E <br /> <br />N05EE <br />1 <br />M <br />INDURY O <br />OBTNNING TME <br />INFOIIMA'fl <br />V <br />f EV E tNE SIMMMI1TTED INFORM <br />A710N I (~~~~ <br />JOHN M. WALTERS . <br />TRVE <br />ACCUMTE MD C 1 /1M AwME THAT THE <br />PL E RE ME <br /> <br />E . <br />SIONIFlCMT PENAlTlE9 FOR . <br />IN <br />SUBMITTING fAtSE INfonMATION <br />CLUDING <br />~ ~Mn <br />87D 868 ~ 36U8 <br />98 <br />D7 <br />23 <br />S <br />MANAGER OF MINE SERVIC THE POSSHWTY OF RNE MD I , <br />MPNSONMENT. SEE fe U.B.C. 1 1001 MD J T <br />1 <br />M <br />' <br /> <br />U.S.C. 1 181•. /hr Web pMr Nrw Mlvh, NIrY EfE~I~, Av, W m ! IO, NE <br />t10NATEIRE OF M <br />CM <br />. <br />AL EXECU <br />TYPED O~ppIN'IED .esdmunwnr+wlie.,wrce/an.«nemmrA,.wsr...l OFRCER OR AVIHORIZED AGENT CODE NUM6ER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /R•/•r~nc• •lI •tF•chm•nfa hrl - <br />GEE I.A.2, PP 4-7, FD!t DETAILS OF TEST PRDCEDOR°. REPORT GC50 - 5TATTSTiCAL POIBT ESTI!lAiE 4RICE LS <br />LETHAL TL' SI)M OY T°ST JRGANISt!5, AND A*TACR ACUTE TOYiCITY TP.ST REP03°. FORn SO DnR. CQ4LE5 OY ALL <br />A am 3207 100- 1 r•vious editions m•y be used. (REPLACES EPA FORM T.iD WHICH MAY NOT 8E USED.1 003 07/9 6I2~7-1206 PAGE lOF <br />