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(1 Card OMy) QUALITY OR CONCENTRATION ~ - <br />NQ <br />FREQUENCY <br />SAMPLE <br />PARAMET[R ~: -p161) .i <br />(I6JJ) lJe-Il) (I6J3) (SI-61) - <br />E% OF TYP! <br />I <br />. <br />(77d1) ~ ,- _ <br />AVERAGE <br />MA%IMUM <br />'UNITS <br />~ MINIMUM <br />AVERAGE <br />MA%IMUM <br />UNITE <br />616A w_ rvALrfu <br />(6168) <br />(69-70) <br /> <br />OIL AND GREASE BwMPLe e6060o = ( 94) ; ; OOSOaIu #aaaaa C014d0!6 ''~ <br />~ <br />` <br />Y I$UAL .. ,. MEASUREMENT , ~ t ~Y' <br />B O6 f, 1 ` o~ o ~ m~€A ,~ ~~ ~ # P~'A <br />~, ~m <br />t9 %~~r $~m ~# ~ <br />~ <br />~ Es 1 <br /> <br />~ <br />~~~ aim ~~ <br />~ ~ ~~ a~ ; ~~?i~~~~~. <br />ii<i <br /># ~;g°~s ~$~ <br />eaa ~ $~ a,~~ ,~~ °~~y~ <br /> <br />'f P eR ~ o E lR~Y ~N'~>' <br />~~,~ ~~~s°~~a~o a,~;r'~ <br />~~~~~~-~~~ ~~ vm an <br />~~ <br />q a~a; <br />~ ~ -_ ~&e~Aw~.~~s~ ao-'~ <br />~ ~ ~. ~z~w.~ti~~°.°e,<a °~',~ ~»":~~^®~".F °.e°~~ ~~v~ ~ e°m'~~»" '°.e~.: w.~s <br />~. 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SAMPLE ~ .. <br />~ ) ~ .. ~ - <br />_ .-.t :T :. <br />~ - ~ <br />~ ~~ .~. <br />r,' C / <br />' MEABUREM ENT ~ - <br />- FtRM Ka~`~ce~ <br />~ra <br />m e"$~ ~'awg~~.m~ <br />f' <br />` <br />' `.~a~mw~e~ ~~ttx - ~' <br />- .~ a ~R~~~~~ ~ `~~~:~~~~~~ ~°.~ge&~~~ <br />Affi~<g$a& ~ <br />~ ~a°~~ ,%~,~sy~y m~, <br />~ a~eoa gems <br />r <br />° <br /> e <br />n <br />~@z' 1~' i ~.ml. <br />~ ® <br />~k <br />~ <br />,°~ <br />~ <br />•~~` p~ ~ tt ~n <br />' <br />~~ £~ ~&s ~'` ~ffi ~ <br />~ <br />'~" ~g~ ~w'~d t".a. <br />' <br />.~$~ , <br />~ .~x` ~Y4v~eg~~~4 <br />4 ~a3 A~ <br />~x~~~ <br />r ~~q <br />`•g <br />~ <br />~ <br />~ <br /> ~ ~ <br />iq <br />y ~ <br />aw ~ <br />~'., m ~_ l <br />~ ' <br />.. ~ k ~ x <br />$ v <br />~~ <br />~ <br />.. ~ .' E <br />'~ SAMPLE -~ ;.1 R ~ ^ r'" J - .. ] . ! . ~ `p <br />1. M1 <br />~ I_ 'r <br />f MEASUREMENT ~y i - '• .. I~• <br />' <br />'L <br />- ~'my 6a F r. <br />r <br />R ffiM ~` $'~%:A', R .,,,g <br />~ ~~'' ~':~g. 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HIA' ~~'PV ~mB ~a <br />~ W ~~%aY wY'~@Y <br />$ <br />~ S ~dTCrc R H S¢9gb.ag ar" <br />° <br />.. i ~"~qj~t q <br />N~ ~ <br />~ ~~: ~ ,;.,a <br />~~ a•` q 1 e <br />~°°~+~'°)g ~ti"ga ~&~ 're ~p~c'~~~ID'• <br />$x~33 s's'~~g:~ <br />,~ <br />~>3 ~A~~ P°< ~ <br />'•~ <br />~ ~% <br />q'°'+~°" <br /> ~ .~ ' .~ , ~a Sy <br />_ <br />~~ BAMPL! 4 ~4f ;: ,1 ,~ _ _ ~ ~ i - ' <br />' <br />~ <br />- - <br />` MlAfU REM ENT ~ ' , <br />I <br />, <br />~ _ ~ <br />.. ~ . I ~ <br />4~,~m n <br />~ <br />bra y. <br />~ <br />. <br />~q*Cw~,o, i <br />~~~a .p xr <br />~sg, <br />~!o ~ e. (, ~ w <br />~~~~@ <br />'~. <br />m~ R • <br />.. t <br />Y <br />a~8- m~ `#~ ~0~ T <br />~ a. <br />~ ~ ~. , <br />;8 <br />~ ~'u~ & <br />~q~v <br />b <br />'. <br />'° <br />~~ <br />:#a~ 3,°~~~. R~~AbRCffi l.a~ <br />~e' a k <br />kla $ <br />a~& <br />a ~ <br />ti'A `~°E <br />~ <br />%~~~$'wy~ a <br />t <br />o-b <br />~w <br />FPo' ne'ym~Qa o <br />~ ae <br />~ <br /> E <br />~ ~ <br />~ ~ ~ <br />~ p <br />5 <br />a~ k' <br />° ~ <br />~ <br />x <br />@ <br />~ma .~ <br />~ m <br />~ <br />w <br /><A <br />R <br />~Y <br />' a , <br />a 9. <br />p+ <br />~•vk a <br />.,: <br />s a <br />~ <br />'a <br /> w <br />~. m ° egm.'°~.° &¢Jro. a <br />°'b•,.:'S~e--'s w w <br />~'.aa #a• s <br />.P ..fib ° .@~ <br />~. .ngSr <br />.$' . <br />W .m IDp <br />%A <br />RAYE/TITL[ PRINCIPAL EI[CVTIY[ OFPIC[R I C[Irt6M UNDFA PENALTr OF LAw TNwT I NwvE N:RSONALLY ExAMIn[O ~ <br />' TlLEPNONE D A T ! <br />ATKINSON " <br />• R <br />G MID AM FAMILIM LATIN TN[ INFORMATION SUBMITTED N[REIN AND fAYD <br />"" "" '"°"'"• °` THOSE INDYIDUALS IMMEdATEIr wES.ONSIBL[ FoR <br />OBIMNWG THE INFORMATgn I BELI[VE .TNE SUBMITTED INFORMwTIOn - 870.824.4451 rrF~~] <br />/ C <br />~C o <br />. <br />. <br />i <br />- '~ TINE KCIIRIITE AnD COMPLETE I LAM nwwRE TN.T TNERE PRE SIG <br />wauDNc <br />NFlcwnr PENUrrts FOR SuBIwmING rALSE IHrOwMATgN _ - 7 <br />J ` J <br />HSE~ & LAND MANAGER . <br />TN[ POSSIbLRY O FM[' AHD IMRIFVONM[rvT 5[[ IB USC 7 IODI AND ~BIGNATURE OF PRINCIPAL E%ECUTIVE <br /> <br />TVPED OR PRINTED ]3 uSC f LDIp .Rnr114• .uJn IArw Mrlrln mo mrldr /nlrrW rr• Jl4rru <br />•1d ~.. inrrin Mw.1nPn~ww.nr ../Mluwn 6in..wlA. rnd .i ..wr.I <br />OFFICER OR AUTHORIZED AGENT <br />NUYBER <br />TEAR MO DAY <br />COMM[Ni AND [%PLANATION OP ANY V)OLATIONB (RrJerrMr aY aRUrn.neM. nrrr) <br />SETTLEABLE SOLIDS LI!!IT APPLIES ONLY IF <= 10-YR, 24-HA PRECIP EVENT IS CLAIftED. IP CLAIM APPROVED BY <br />f:i1CD1 TSS.E IRON LIRITS YILL NOT BE APPLIED TO REPOBTSD MFASUREMENTS--SEF. I.B.lA, PC 4 AND I.B.1Dr PG E. <br />~~ %tl0/1 Y p IRLPLACCf EPA TORY rlNICM YAT ROT 6 YfED.I [ OF <br />00984/920908-1914 2 <br />