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~' P[RMITT[l NAM[IAOQ R[[^ (In[lYdf t <br />Ftrdlry NBIM/Lour dr/Jamq <br />Pwaurv_ <br />LOCATION <br />ATTN: DE'1H ~ .L. Sn'zVF.K501; P^~ESLDF.NT <br /> <br />NwnoNU roLwTwNT oncN+wu uIN lNwnoN sv [T[M (NPDESI <br />DISCNA ONITORIN6 REPORT /DMRI <br />1 / 7-/9 <br />,,o nn <br />IERMIT NVMB[R RIF<Nw RC[nuNR[w <br />MONITORING PERIOD <br />YCAR MO DAY ~ YFAR MO DAY <br />FROM TO <br />J_ <br />(1911) (IL11! l1~~131 (26- ! (18~Z91 (O~ )) <br />N L NG H Form Appr <br />(SUHR ±:u) ROdB;No. 2 •0004 <br />f ~ - FI . A L Explras 9.30-91 <br />ACI)T~ YET TESTING FOP. 0(/8A <br />E:'~r=' Nf) DI^l'kA~{GF ~ ) :3{:!r <br />NOTE: Raad instruetioro Mfora eomplatinH this form. <br /> (d Card Only) OU ANTITY OR LOADING (I Card Only) QUALITY OR CONCENTRATION FR[OV fNGT <br /> <br />PARAMRT[R <br />(16-J8) (11fi1) <br />(J8a3) (16J3) (Hbl) NO <br /> <br />% <br />OF BAMPLE <br />TYPE <br />(e1.ry) `• <br />~ <br />' <br />- E ANALVSIs <br />- AV ERAOE <br />~ ~ MAXIMUM UNITE . 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ON MY INQUIRY OF TMOSE INDIVIIXIALS IMM[dATELr Rf 510NBIBLE F011 <br />~,Jv N~ ~ OHTAININQ THE IHFCRMATq.V I B[LI[VE TNL sUBMITTED mFORMATION ~. <br />~ ; <br />f ., - ,.. <br /> <br />IS iR11L ACCURIT[ AND CONFECT[ I AM AWAR[ TNwT TNCIfE ARC Sq <br />L ~ <br />- ~ <br />W <br />. <br />-~ MIFI4NT PCNALTIC$ FOII SIJBNITTWG FALS[ INFpIMATgN WCLUOING <br />• <br /> <br />I / <br />TNC POSSIMLITY ar Fme AND IMPR50NMEMT $EE IB USC 1 1001 AMD <br />1 G 1 <br />~Ct I(I DuSC 11]19 1R <br />llgrnl <br />IA <br />wmb <br />l <br />'A <br />h <br />M <br />d <br />: <br /> <br />BIONATU OF PRINCIPAL EXECUTIVE <br /> <br />-` <br />tJ~ <br />~•" L_J _ <br /> <br />U ' <br />rr <br />rr <br />. m mr <br />u <br />. <br />m <br />N.. <br />• /m. <br />FR <br />s <br />A <br />d <br />S A <br />1nr~nl <br />. an <br />. <br />.n•.~ <br />TYPED OR -RINTED •.d,,.mA.~mun t~.P...,,.+~•~~l •/MI...n OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO OAv <br />COYY[NT_AMD QPLANATION OF ANY VIOLATIONS IRrrrrrnrr RU Rrrurhmenrt here) <br />5EE PANT I.R ~Of PEfiMIT FOk DE?AILS OF TEST PF:UC3DUkER Rt'.YORT ;iSSULY:, Of LuC TES'.' AS "~1ISIfU't" Ak0`+`•; <br />ROkTALITP TEST (ANT CONCENTRATION) AS NKA%It?f!nN AND ATIAfH ACU T}: Trll(ZCIPY°}::,T Re:POkT Pr, F, '1 T!1 D?1N. <br />1 ( N: 'P /t! a tX/r/dBlf w[P6 c[ [-A ~o B W CN MAY NOT B[ Yt[D.I Pwc[ of <br />•lrtt 'a7/tr TnrT C_T•+ul <br />