Laserfiche WebLink
PERMITTEE NAME/ADDRESS pnaY,d. FrlaryNawd[«anan dDldn.np <br />NAME t;'frnJS +_rlPlrtr_ Li;1:~UI~Ai fury <br />ADDRESS 1' v J (V X Fj b <br />~rtA 1 ~ Ci, 81626 <br />~. <br />FACILITY CYf'icu5 triNlkE CLR~'iika7lUN <br />LOCATIONLKA I ~ GV 81625 <br />A((N MICNAEI 'd. L1111(_i7w. i. f,WFAAL nGw <br />Form Approved. <br />T:; M,. ~ ~ r <br />Approval expire 05=31-98 <br />~Ubr: rln ,~.~~+~ <br />FINAL ~ <br />~`I:. ~K <br />h <br />~~t N[3 ul ~L:4+a~GE ~*+~ <br />NOTEc Raed inetrvedarle q aP c, Pletin{••thij form. <br /> <br />PARAMETER !3 Grd Onlyl QUANTITY OR lOA ~ <br />r"~~~~ Af+id ~Onhl ~ QBANi1TY O O CENTRATION FJO, FREQUENCY SAMPLE <br /> <br />37 <br />32 (46531 154-61) `~ l3B+s5k.'. !/ 154611. ~ <br />E% OF <br />s <br />TYPE <br />- <br />l <br />1 (LVERA~IE ~ <br />,~ MA%IMUM ~ <br />MINIMUM~:~ I~ <br />AV G~ ~~ MA%IMUM UN,11'S rs1-sm ANALr <br />s <br />/5/-eB/ 169-701 <br />1L AN(; ~Uli<tA~t SAMPLE ~n*40f4 r4 #4+?+F+~6 I' "~. 4 ++#?:~•.~4 <br /> <br />r I~u AC ~ <br />MEASUREMENT <br /> <br />~ } <br /> <br />' <br />~4vnu 1 U 0 PERMIT>..;?': .:~~".~I. .. <br />: <br />,,- .^ <br />,.. <br />~ <br />;''~ <br />: „ <br />. . <br />~ 1 Y...: <br />. ~ ~^~. :.+[1!±f!~M.~!M.~ <br />~ :`10+(r~:1p1~11!~;`~. trl} <br />_t•f LUtrvi ~kLT~S V;+~Ut REOUIf~EMENY` . <br />, . <br />: .::. <br />... <br />. <br />; <br />~,. "'~ . <br />:: :.: !".? y. +vF# <br /> SAMPLE <br />• <br /> MEASUREMENT ~ <br />A L <br /> .::::PERMIT <br />~ <br />: <br />~ <br /> ~RE..QUI9EME..NT: .•. .~: .. .. .: , :: ... : <br />:; <br />: <br /> SAMPLE <br /> MEASUREMENT <br />:"' '.PERMIT: ~~.:: <br />.:: ~ .. <br />' . <br />~: ~i~QUIREMENT~; <br />~~ <br />~~ . ~~ <br />t SAMPLE <br />~ <br />5!( MEASUREMENT <br />.~ .: ~ ~~ <br /> ..EnUIREMGCIT'~. .. , ., . . <br />' ..SAM LE <br />,..• MEASUREMENT °- <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ..,:P.EIIj~AIT.::: i; : ~ .. <br />,. <br />:.. ~ .. <br /> EMEHTa <br />;R~.~UIH :.:, .:~;~ ..::~~ ., ~ . <br /> , <br /> SAMPLE <br /> MEASUREMENT• <br /> ....: ,, <br />............ <br />- <br /> .-. <br />, <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICE YI <br />A1A' FY. UNDER PENALTY OF UyI THAT./NAVE PERaONALIr E%AMINED AND <br />AND <br />BASED ON <br />VATH THE INSDRMAt10N SlMM1TTED HEREIN <br />I <br />I TELEPHONE DATE <br /> <br /> <br />11115 <br />I' <br />IChSt'(1 ~ ; <br />. <br />L <br />M <br />Mr 11NOggX OF -THOSE .INgNQUKS IMMEDIATELY RESPGNSIBLE FOq <br />OBTANMG THE INFOMIATIQj! LBEIIEVE tHE SUBMITTED INFORMATION IS , <br />~ <br />- <br />. <br />. TgtlE, ACCPMTE AND LOMN.ETE. I~I~ AM AWARE THAT THERE APE <br />RSUBMITTINu'FKSEIMFORMATION <br />INLLUOING <br />SIGNIRCANt'PENKTIE9F <br />~9]Q R70-2712 <br />TD LlP <br />~~virenmeRtal M1ana nr , <br />O <br /> THE POSSIBRITY OF RNE AND IMPRISONMFNT. SEE 18 U.S.C. E 1001 AND 33 IVE <br />S <br />E <br />F <br />P <br />L <br />E <br /> U.S.G. E t 31a. dMrrob under aMSr mnm. mry YiaA.d~ rl.. w ro f f0,OD0 IGNATUR <br />O <br />PRINCI <br />A <br />E% <br />CUT AREA <br />TYPED OR PRINTED rid nmvi~wninsvlaan.nr olwaa.n6mann~ e+db Yr'•1 OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS /Relerenee s// sttschmenls here/ <br />:.IItcADL_t ~ULIUS LIMIT NAjVEU fOk l0Yk.24HK NkEC1f' ~VEN1-Stc 1.A.1~ p;; lvF FUG Kt4i:InLHEkTS• L.LC :. <br />lrKch~t uRAb SAMPtt ANALYSIS Ht4ULhtU 1F Yi5[:.1LE SHEt(N i5 CriStY.Vt U. ~k (Rl_Y bAMFL LTG [NSTRUCT IC,v,-I.C.•.~, <br />r' <br />EP Forrn 3320.1 108-951 Previous editlons may be uaed. (REPLACES EPA FORM T~0 •~++ICH MAY NOT BE USED.) ~ PAGE OF <br />Ouhl1't/yoi~.:I-1311 i <br />