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PERMfiTEE NAME/ADORERS pndim FsWryNr~faulnn UDld.rv/
<br />NAME COLOYYO COA4 COMFnNY~L.?.
<br />ADDRESSCOLOYYO !TINE
<br />5731 STATE NIGRYAY 13
<br />NEERER -C0 616u1
<br />FAaLm '.~~
<br />LocAnoN !~~s~:%<.
<br />e r r T~ n~~~~~NT
<br />Form Approved.
<br />L~AOOUT SFDI PONDDMB~No~2040~0004`R
<br />(S'!BR NY) ApProvi~iy ~06-31-98
<br />F - FINAL
<br />`!ZNOR
<br />NOTE: Read Inetruetlane before completing thb fum.
<br />PARAMETER l3 Grd Onlyl QUANTITY OR LOADIN G
<br />~ 11 Grd Only QUANTITY OR CONCENTRATION ND. FREQUENCY SAMPLE
<br /> 146531 /54-611 138-I5) !4663 !5461 EX TYPE
<br />/31-371 µKrSIS
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE .MAXIMUM UNITS re7-sal 164681 !53701
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<br /> MEASUREMENT t -, `
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<br />5 U S P E N 0 E D MEASUREMENT ,
<br />D0530 1 0 U .PERMIT.. 5: ~: ;: ;z{a ~1C:X±!~:F :-3t pOC ....a'~IXt#2L+:,.:{ <.:. ..
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<br /> MEASUREMENT , ~,. ~, .j7 t, ,
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<br />EFFLUENT GROSS VALUE REQUIREMENT #~a ~', r e Tv My N p ; ~
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<br />71L ANU GREASE SAMPLE ;faa.#~: #a;r## ,__~rC_C#3tfi ~, ~+~####+T ~/ ( 19)~ //!A N
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<br />LRON, TOTAL SAMPLE 4;~~Y;kO r##:.~# ~#'1R+p3~70~, f1 ~oA ( 19) a I/ ~f
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<br />A MEASUREMENT
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<br />01045 1 0 D "PERMIT'
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<br />TABS IGn
<br />PHRU TREATMENT PLA NI MEASUREMENT O•IS D' . 7
<br />0050 1 0 D PERMIT 3P.TIDkAL R$POE2 ~:~::, s.::::.:"-.=g$':.~::. -::r,.'::.xt. ;
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<br />DISSOLVED MEASUREMENT
<br />70295 1 0 0 .~ PERMIT. .~ ~y-v~'v-:,:.p .u:,:-,::., :.•..• .~: GO:
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<br />NAME/iiTLE PRINCIPAL EXECUTIVE OFFICER I c¢Rn
<br />AM FA Fr uNDeR PENfity of
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<br />Mr INQUIRY OF THOBF INDINDUALS IMMEDIATELY REBPON4B ON
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<br />OATNNING THE INFORMAnON, I BELIEVE THE SUBMITTED INFORM
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<br />SIGNIRCANT PENALTIES FOR SUBMITTING FN-BE INFORMATION, IN ERE ARE
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<br />uW>nlrrimnr inA'iaavnrtt alMewun ammlAa ArN6rval~ -_~
<br />•, [;OFFld:R OR AUTHORIZED AGENT
<br />CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lFeference ell stroehmenGS hare) '~' .
<br />SETTLEABLE SOLIDS LZi7IT APPLIES ONLY IP C= 10-YR, 2a-HR PRECIP EY.EgT IS CLAZ!!ED. IF CLAI!1 APPROVED BT
<br />YQCD, TSS E IRON LI(hITS SILL NOT RE APPLIED TO RFPORTP,D MEASURF.!!EN".'S--SEE I.B.lA, PG 4 AND I.6.2D,. PG 6.
<br />STr1RIeR lTRR Ne NeCRN RNT OTetl DiiR 7-1 -07. '
<br />EPA Fwm 3320-1 108.96) Prsvioua ediuona mey be aced. IREPLACEB EPA FORM T~0 WHICH MAY NOT BE USED.) ~. t,~PAGE
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