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T ,. +~ OMB No. 2040-0004 .a <br />„ . „ ~ q ADProval expires 10-31-94 <br />r <br />~'~~' NO DISCHI~C? ~__~ ~t'-~= <br />NOTE: Read instructions before completing this form. <br /> l I CuN OnIJy QUA NTITT OR LO G (J Carl Onlyl QUALITY OR CONCENTRATION <br />PARAMETER (J6-j i) (JJ hl1 (JS-JiJ (J6-5J) I54-6/) NO. <br />EX FREODUF NCr SAMPLE <br />TYPE <br />!~_'-7l , grvALV515 <br /> AVERAGE MAXIMUM ~ <br />ITS MINIMUM AVERAGE MAXIMUM UNITS /6 r{,p (d+fiA) (h9401 <br />Pr1 SAMPLE ;: O'v .. •=.v ~l Tt't :{[.J :t:f :A.r>;: ~' ~ T J~ <br /> MEASUREMENT + O ` <br />~-~;~I: } ~ PEP.MIT 'fin ~CtQv~ <br />.~O~O ~ .v-.. <br />+-.. '.. <br /> <br />- w <br />~.>a•.•~~'L` <br />.~- <br />-~Ct;li <br />RA~~::_.~ <br />c r , c s. ~ <br />2, F ft^. 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GROSS VALU REQUIREMENT ;Y3:+= OATR YC; RTR M M';/L <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTr OF Lpw THAr I HgvE PEREONAUV ExpnnNEp TELEPHONE D A T E <br /> AND AM FAMILIAR WITH THE INFORMPTION SUBMITTED HEREIN AND BASED <br /> ON M. INQUIRY OF THOSE INDIVIDUALS 1MMEpIATEL~ RESPONSIBLE FOR <br /> <br /> <br />~ <br />~~~ <br />I' ORTAWIrvG THE INFGRMATION 16ELIEVE THE SUBMITTED IhFORMaTIGN IS <br />TRUE. ACNPATE ANO COMPLETE I AM 4WARE THAT THERE ARE <br />SIGNIFIOpNT PENALTIES FGR Sl1BMITTIfJG F4 <br />SE INFORMATI <br />N <br />I f <br />L <br />~ <br />. <br />/ , <br />a!S ON I <br />.IG <br />L <br />CLUDI <br />THE Fo551DIUrv re PulE AND 1MPR1 <br />ONMENT <br />4 /a^ /O <br /> 5 <br />1wl AND <br />sEE la use <br />33 USC 4 1319 <br />R• <br />l <br />i <br />J <br />J <br />~ <br />l <br />J <br />li NATURE OF PRINCIPAL EXECUTIVE O 7a <br /> <br />TYPED OR PRINTED r <br />na <br />l <br />u un <br />rr <br />lcm ,umlr+ n~ <br />um <br />n.:+ up er <br />u <br />r <br />FIOOIMI vm nr nuvmum wmmomm~u n( hnnren n rnowb+anJ + rur+l <br />OFFICER OR AUTHORIZED AGENT <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS lRrlertncr all J!larhmtule' hercl <br />?r:R?". ITTS.°. MUST NOTIFY NQCL' 30 DAY'S PRIOR TO CttMBIit T_NC DISC9AR~;=~-PAP.T I. A.11, PG IV. 'i ~NTNLY SAMPLING P7P. <br />?•1, FLOW OGG ALLONYD DURING PERIOI:S OP LTD ACCESS; ATsACH C-;A'RpPAJT rn U~D, D°^F'C'IOV ;.IM::S-52E '.F.::. <br />EP Of 320- v. f Pr VIO I'(I(jIISJ a e used `' • • ~~ IRE CAGE EPA ORM T-40'W CAM Y'NOT'9E=USED: V V V . 1 b 1 V 1' AGE = I~ OF <br />0002 /950824-0928 1 <br />