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`02/1J/97 THC? 11:18 FAb 30J 78203x0 <br />a.-~-no DEPA ~ $EALTH <br />Wat.~ 8uality control Division <br />CDP$E/WpCD ~ ~ 004 <br />FROM wATFR QUALITY DATA SFIEEET <br />II1T M>~TITCgi,IIVG FACT SI~BT <br />1. Name oY mtity:~ L(i11._._/'1//vim- / 2, Permit #:~j-a03i577b <br />3. <br />5. Date of Ooatact: ~l~~7 4. <br />Person contacted name a; itle) : _ KA~/l~F~~ 113:- Time of Contact: ~/p ~,,,~ <br />EN /_ ~ /r9 nl He-~A <br />~ <br /> _ <br />cz2/'i5e~/L i <br />6. Phone No. inhere he can be r p a 7. (batacted by: ..TE35 )/.tninJ <br />8. Date of 3c~edUled Sampling: ~ 1 - - 9 <br />9. Does Representative of Eatity wish to be Present?. r <br />10. If so, what is his name, title and phone comber? N <br /> N IV C_ a <br />11. Do they wish to split samples. <br />]2. If so, will they provide costa- <br />13. What arrangements have been made to t representative <br />facilities: ~~vrT/! kq ,+Hl~~ uJ~~-i A i and/or gain entrance to the <br />H 1 ~ D- ~ 1 Lam. <br /> <br /> <br /> <br /> <br /> <br />14. Parameters to be iv~ored: EOD Suspended Solids X D.O. <br />~ ~ 7 Sr./. <br /> Fecal Ooliform T~peratur~llirbidity Chlorine Residual <br /> Oil & Grease~~ (list):~h'L~~N <br /> <br />15. G/,~ <br />Type ai sample~l(grab or ccu?posite, 'describe)? ~; S <br />S,(MPL.ES <br />lb. <br />17. <br />18 <br />19 <br />20 <br />~a9 5~ <br />• r u <br />Note: Inborn or a al f ~.~ <br />uality Control AGC.~~ LMESE fPSlllts IOaV hn uc otl in fh/7F.If nrn ~ nnfn rr~smunt nrY inns. <br />,. n <br />