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'.C: t, :3~ ( 1~-I) <br /> MEASUREMENT <br />U J :) y 1 1 U U ~: ~: ~ PERMIT .' ~ ~ .L< `.'. it ::: ~: ;7. ~. <br />~ ;' ~ ;: ~:::•::;'rr. • <br />., :Y :;n;. ..yTSfjy.;~r:;t.1::. ~ r:.r+k:''.;':''.i `. t i :. ;' I~[~ ~ fi A ". <br />tE'F'Li)eNT Gk05S YALUI :REQUIREMENT: ~~. ~..; <br />... :~. :~:~..:. <br />:: >.::,.:a ~ .. .. <br />;.. <br />. . MG/L '.;~'~~"'. ~ . <br />1!. %;iLuULT OB <br />°LJ+ SAMPLE ( .)3} a'jQ4~~ IC.}f,. ~e#~ .:: [o xekG <br />. <br />, <br />Td~:U ['r.iAT ~ih:T PL',S MEASUREMENT <br />`.~UUyU 1 U U ~~:.~;~PERMIT.. :~ ~:~:::3 ?ti : .,:~~c.:•::i.i`.~ <br />'."<. a' :<;>.~#~;~~: tY:fTkr:~:.:.,~ ~ );er,p .,~K~~LY LFSTAD <br />~F't'LU6`I[ Gi?055 VALU .REQUIREMENT .J')Ui:. 4YC i`d.TLY 'i' :; :I 'f"^•F# <br />.iJil~-i, l:1TAL SAMPLE ... ,~. r.ar. ~. {: ^. ::,I L<:,`. ( I'r) <br />U L~ S D L Y t. C MEASUREMENT <br />lti2yS :L J U <br />~...PERMIT~. <br />..+=`~:~'~.} <br />~ <br />::yx,;.c;:$' <br />~ ~ <br />,. - <br />~ .+'o$L:L~ <br />'..+{'llUhl,o.' <br />"Y+,)I:t.':' <br />~ <br />„.;n~L:! <br />{;1AtI <br />r.f PLUC:T GROSS VALU .REQUIREMENT ... . <br />. . <br />.::~ ~n ~t ~'J k~2: ~~R~. ~.,=i l.:i ~{:Y A Y. t;6/L <br /> <br />NAME/TITLE PRINCIPAL EXECUTNE OFFlCER IRr1111Y lr pen.IreEl.wlh.I N <br /> <br />prtvrtn YYaer mT el,xnew er mp lf Eav,m:I .nE .II .IIKbmfntr wlR <br /> <br />mlarn m xs..a.«..Iln . eTnem aeap«A ~ <br />/ <br />f <br />TELEPHON <br />E <br />DATE <br /> le Yvurt IbY19uYlllletl «ronM prepenr plner YIM erYNYle Ilse Inlenlelbn ~~ <br />Q <br />^ <br />' YlnMUed. lYad en mr Inqulq of Ine goon x proeu who m.n,p IM ryae~ly ~ <br />/ <br />\ <br />\ <br /> er lM1er penile tllrtalT.xpYMblefx EYlbellnE Nelnfermeneq lne lnlermYllen ` <br />TY <br />~ <br />` <br /> <br />rvbM11eE N, to the bxl of mT EMYndpl plla bald, leue <br />Y[[en1e <br />YnE evmplele <br />/ I OO~ ~~ <br /> , <br />, <br />. <br />l .m <br />w <br />Ina m <br />a <br />un <br />m <br />an <br />f <br />b <br />lm <br />n <br />l 610NATURE OF MINCIFAL E%ECUTIVE V <br /> . <br />nrt <br />ert.rt <br />r. <br />pen <br />El <br />rt <br />er m <br />m <br />ry <br />nfomuuon. <br />M <br />TYPED OR PRINTED I,YfYaInEIM p«aenllT an«p,tl lmpMn,«nI f«Em.Inp .ld.uele• OFflCER OR AUTHORIZED AOENi CODE NUMBER YEAR MO DAY <br />COMMENTS AND E)(PLANAIION Vf Ant VIVLA INNS IRI/I/IIrCI !//IffIC/ITMb h///J <br />TS.i b IP.JN :,:"L` R1 LL 3~, kf.ZY:~. ~, _..-'L'A:+L;~ .;^LIU~, ~?"I: AI'i'L.IrL F'Gi; <=1~)Yd,2UNn PRECIP EY£AT; TSS t. <br />1HOY LItlITS wAZYLU FCn >1JY.1,2~1;,1, F4L~'IG _:YCIIT SUk+Jc'L1' '7 :!UriJ<=u CF E•i:OC)F I'~ I..i..'.. 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