Laserfiche WebLink
PERMfffEE NAMEIADDRESSpMJ~FmNrryNPw/Loc.non UOdr••a•o <br />NAME l;Yr'nuS ~~ih'IKt:~ GUKh'L.KATIU~. <br />ADDRESSh, .Lj ;;LlX Otl . <br />FAaLFFY-CYPRUS tHPIkE Cf}I~PORi1 <br />LocAnoFt: R A I V 625 <br />AT h HIt.HA 0 ~A <br />Forrn Approved. <br />OMB No. 20~0,p004 ,c <br />iJIJhS niN/riFtJrlfJi].r.v T1Ap~fo a f}e;05-T31=98 <br />SUBie NN ~~~4`, <br />F - FINAL <br />HINC12 <br />NO Rasd Instruction bsfors complstinp this form. <br />PARAMETER l3 Gre Only! QUANTITY OR iOADI .fare On/yl~ QUANTITY OR CONCENTRATION ND, FflEOUENCY SAMPLE <br />131-37) /46.53/ /5b 611 :: /38-I51' /d5-53 /54-61/ EX µ~yyS TYPE <br /> AVERAGE ~ MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS ler-s.Tl 16x68/ !69701 <br />•~ <br />Li <br />1LUt <br />Y SAMPLE *#.Il. yrr01# 19 <br />~u <br />~ <br />U' L MEASUREMENT <br />,.. ... ' <br />..• <br />'. <br />'hjlu I V V ~~.. PERTAIT ....r .:ti"-.. '.::. ~..-. :^ .: :. , <br />, <br />.:: `:^...:: <br />4- . ~ <br />>¢~IM4fi.,.:.:: ..~ <br />j~ ., , . ~ . <br />5. <br />fit! <br />kr~N <br />.~ R~QUIgEMENT: . ~' ? <br />N . <. <br />~ . <br />~ <br />~ <br />Ih SAMPLE ;.4MP+i+< V <br />4.1!i~h ;1.~, ~ #'!'•k#~'$ 12 <br /> MEASUREMENT <br /> <br /> <br />uYU~ 1 U' 1 .....PERMIT ~ , <br /> <br />- ... - .. ..: <br /> <br />a###*?i .•::::: <br />~ ..:..:. ... ... <br /> <br />':.:.~!#r; .:±Fklf'` <br />:. <br />~ <br />~ <br /> <br />## <br />r... <br />.~. <br />a"; <br />5..:; <br /> <br />_i~+IF~i±±i".:. <br /> <br />;'~. .::.:..' :::: <br /> <br />kK4.Y. <br /> <br />itAfs <br />- - ~ REQUIREMENT: . ....- . ....:: : <br />...... <br />..:.: ; <br />. .. <br /> ... .. <br />~ .. <br />L;LIUJ, fuTA~ SAMPLE ;~(~ +4'•A4###~ .» <br />~ Iv <br />V r~ E I~ IJ L u MEASUREMENT <br />U~~J 1 0.. 0 <br />~ .,':~'PE9MIT. <br />Viklrn~rrt`~ <br />'R~n .S : <br />~ .:L~Q., - <br />~ ##i'v#+i fi t'X;Q, '' <br />- ~E/. eZA$ <br />. y <br />hr v' n f . . '. <br />1L. At~u uREASE n A<+Y •}x'44 ~,}p;, ,};. y;. {~:<;,. ,. :<fi. tt<#P 19 <br />-}<L'Li1V tXTit-GRAV HETM ME <br />suREMENr <br />)V»o 1 0 0<' ,. <br />:_,, <br />.~Ef,~f~AIT.~::: <br />33 :..il#~Py?y,k 4##V~'i?IP .d' ~•+. ,dF~<okp~>k ##Fx#~U~ Ii7. <br /> <br />; 'QiTIN .RAfi <br /> <br />/ <br />~ <br />~ :... <br />~ . . <br />-LLJRr 1tJ L(]b~UtT ,~'FK SA~iAPLE 1i1 Z<M ;. ;. ,. :, ;.u:f {<.i t< •t 4<~:a.}.} <br />n~u f.<c_aIMEiVTY'NI;ANT MEASUREMENT <br />fu,,~~ 0. 0 •::°`-pEEiM.4~:;' <br />` <br />'~` .t~tE~: ... . ' ;+~tf+LIR.:~f: ~k*4~~~. #~~tF#fi :: s~.~?ii~:* .... •'~~' tI~LY. NS'fAu <br />F r L 1, z u f L, k V U - ME117.; <br />ti:Ul}~E <br />~ :. :..' .::, # # # # <br />h~L,KI~~i:r Tl3~AI: SAMPLE a#40~F4 a###4# i•ti•l<•. i<b ,y :.{<#4* l9 <br />~, l uUAL MEASUREMENT - <br />iUJuO 1 f3 U ?:~':~E.:M!?::'s'i s:..'(iapN?lOrl~:: <br />;:; .?M~kht#~k +N ## *~l+Pity~. ev><Y##~.. .:5;: ~LKI.Y~ kAF3~ <br />. <br />' sH6QNl EM[t'~F: <br />: . <br />:.:.,; <br />': ..::, <br />; ' .. <br />: <br />:: <br />:' : . <br />FhLutN IvR <br />V LUE . , :.. , <br />. . <br />. <br />. <br />, :... p <br />..;. I+J N % ,t; L <br /> sAMPLE` <br />. MEASUREMENT - <br /> <br /> <br />,. <br />P k7;;' ;:::. <br />;..:: <br />::::. <br />..... <br /> ~~ ~ ~ <br />NAMEli1TLE PRINCIPAL EXECUTNE- [{ I CERTI <br />FJC <br />AM fM FY UNDERPfj <br />,NALn OF L <br />11NAp wlT[k' <br />yE IN AW TNAT <br />I NAVE VFJiso <br />RNAYION SUBMITTED H NALLY ExAMIneD AND <br />EREIN IVIb BASEb ON TELEPHONE DATE <br />. <br />' '' I.~Yj NQpt~RIYY 6F~ OBE <br />F:ichard Mills GeT~1LilLi~R1E INfORMAP <br />NDUALS AIM EDIATEL <br />,iBEDEVE THE SUBMI <br />' <br />Y RESPONSIBLE FOR <br />TTED INFfN1MATI0N15 <br />T <br />R -~ <br />TRUE,. ApDUMTE AND CO <br />r SI IFCANT• NKTEB FOR <br />h! <br />a BETE. 1 ANI <br />AWAR <br />SUBMITPN FALSE INF E ARE <br />E THA <br />THE <br />ORMATION <br />INCLUpING ~~]O~H7O'2'I~Z IF 27 ~P <br />anaae <br />Environment <br />l <br />E <br />~ , <br />NT. SEE 18 <br />TH <br />POSSIBILITY OF RNE ANPIMPflISONM <br />~ V.S.C. 1 1001 AND03 810NATUIIE OF PEIINCI <br />AL EXECUTIVE <br />h3.C.. f t a+e. I/WrIOFS udr ersw mruM1r rnFY IxA.ds r.». ey to d IP.000 <br />U. P AREA <br />TYPED OR PRINTED ~ ~ rqW muhwn Nprlm•rNWMrwsm smwNS rM6ywa.1 OFFlCEIV OR AUTHOR12ED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Referents ell ettschments hare! <br /> <br />~.1L :. ur<t 45c :,KaH 1AIaF'Lc ANALYSjS >iE uUInLU IF VISIdLt ~HEtrv I~ ,Jd ~LrcYLO. ti h.. (.NL~'tINE NAS UStUr ~ _ ...i <br />ni.l IvU CHLuKIMt iRtAT11ENT UKTI~LY SaHa,LiNG INSTRUGTIC~I:i-I.l..or I'G X. LLPUIi7 INFLUENT SAriYLr ,.•, ~>,• <br />E or 332 •1 -95) Previous editions mey be used. IREPLACE6 EPA FORM T~0 •+'41CN MAY NOT BE USED.1 ~ PAGE OF <br />OJS7h/961Ud1-l.ill i <br />