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PERMITTEE NAME/ADDRESS Pndiird~ryNar/L«mtm UD~d..,.o <br />"^NIE UYPKUS cMNlkc (,i;itYLKAT IilN <br />ADDRESS ~ 0UX Gty <br />GLl~iu CU tl1b26 <br />~~ <br />°FAaLfI`Y CYPkuS triPlkE CUR~uKAT1UN ~~ ~"~~ <br />LocAno"CRAIG C'Ll b1625 <br />ArrN M[i:NAEL N. LUUL EiH. Lf NFAtA[ MGM <br />Form Approved. <br />t e r I, i i, L o r Li w 1 Pa4^B %M ~SO4P °°q.° <br />pprovel expi~e~ OS-31-98 <br />SUok td.. lC:. , <br />F ~ F1,vAL <br />M I r•i.i~ <br />NOTE: Reed Irntructione befo -completing thle }orm. <br />PARAMETER l~Certl OnlYl+~ QUAN `j : <br />~~ II Grd OnlY1 QUANTITY OR CONCENTRATION pJO, FgEOUENCY SAMPLE <br /> <br />l31-371 /46-531 ~15A ~ <br />` l38-~51 14653 /5r-57) EX µµ~~S TYPE <br /> 'AVERAGE MAXIMUM 'ITS MINIMUM AVERAGE MAXIMUM UNITS rFZ-B]1 15b5B1 /58701 <br />:,(,LIDS. TL:TAI SAMPLE #4#### Q44+.r#{~ IMi#### lv <br />l>>ULVtU MEASUREMENT - <br />luCy3 i 0 t? ".PE~1;t:;.: :s: :::: .:#.#ik31[?i : :i~7t+E~4# ## '•~~:': <br />~ : ~~p~rt <br />Ti" li{~T [.L/71b r, THLY Ini..:1 <br /> <br />FFLUENT ukUSS YaLUf= itEtlUlf~EfdEtix <br />::;..::.;:...:..:' ~ <br />: <br />': ~: <br />s$# <r'y~... <br />;...-~:-;~;:;..>; . <br />: <br />,. <br />H <br /> SAMPLE <br />MEASUrREME~ <br />~~ ~`' <br />~ <br /> ~.:::~ <br />:.i. ~,PE <br />RMIT:~ :~ .. . <br /> , <br />.. <br />.. <br />~ s <br /> . <br /> SAMPLE <br /> MEASUREMENT <br /> 1T: . <br />;..I:FEd <br /> ~ <br />~ ~ <br />~~ <br />•- SAhgPLE <br />°'. MEASUREMENT <br /> <br /> ~~ ~ <br /> SAMPLEF <br /> MEASUREMENT <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ~~- <br /> SAMPLE ' <br /> MEASUREMENT <br /> .,. <br /> <br /> n <br />I CEPr1 <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER <br />AM FA FY UNOEfl PENALTY OF <br />MILIAR VATN Ttl <br />INfb uwTHAr 1 HAVEPERSO <br />gMAT10N S MITTED H NALtr ExAMI <br />EREIN <br />AND B nI:D AND <br />ASED ON TELEPHONE DATE <br />: <br />E <br />MY' IN <br />UIgY OF THOSE IN61NDUALS IMMEDIATELY gESPONSIBLE FOq <br />p <br />Richard P.'lilis OBT NINO?HE INFORMATION11 l BELIEVE THE SUBMITTED INFORMATION IS <br />T <br />' <br />AM AWARE THAT <br />HERE ARE <br />TRUE.• ACCUMTE~. AND CONIISETE. 1 <br />INCLUDING <br />NIRDANT <br />PENALTIES FOfl eUBMITTINO FKSE INFORMATION <br />$I <br />~ ( <br />97n 87(]_271 II ^~ C <br />9 <br /> <br />, <br />. <br />O <br />T:i i V 1 YO1l lE1E'E17:81 <br />Manager , <br />THE POSSIBILITY OF RNE ANO1MP11150NMENT. SEE IB U.S.C. 1 1001 AND 73 <br />SIGNATURE OF PRINCIPAL El(£CUTIVE <br />U.S.C. E 1 ]1-. IhrWNa, uWr eur wtuna m.Y.NCh.W rn,a re ro S ]0,000 AREA <br />TYPED OR PRINTED ,ndwnraNe,ni.rAde»+wrr orbrrwn emarnlsW SY,ral OFFICER OR AUTNORI2ED AOENT CODE NUMBER YEAR MO DAY ~ <br />COMMENTS AND EXPLANATION Oh ANY v1uLAl Ions INaerence N/ attecnments oars! <br />,cf1LE,i:rLL S•.IL1L)S LIRii r•al~dtl: hl.M1 iVYinrL4nri YHtClr' '~'vt~r-Sl=t I.A,~P Pl, IJs ~L,r: ~aU~Inthaal:;, ~~iL ~. <br />w.c„x L,nAC 5APIr'Lt AhdLYSLS Kc~irlrLU 1F VI:,IDLC- SHttN tS l.~;LriVrD. 1FTriLY ~Ar'IrLIN., LNSTIiULTfC/v~'l.E.,aF <br />EPA Foim 3320.1 108-951 Previous editions may ba used. (REPLACES EPA FORM TAO r"r tICN MAY NOT BE USED.( PAGE OF <br />J~3oh/yt,lu.,l-lyll l <br />