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PERMITTEE).NA~/AODRESS~ ppr~MAF~eWry.Nlw~!Loeuren IjDlQirrny <br />NAME ..fl~..::Fult~tl" I`I? .~1!.lu~~~r tm~_.(.: <br />~s!1si~f~rl,fi~f3) ~{'Sf~ LE ~.:.f.»t~i i.,f`~f'1 f`f 2.:'`f~~ <br />ADDRESS F., ~ ~~~~ ~,~~~ <br />FACILITY ~~1~3~~~fL ~;F?f~t ~ ~L_~•t ;~I:2f,; P~7'rf'd~ <br />tocATaN~`~I'~i~[,S~T ~-~ £:si~`P.~::;j~? <br />i~ 1 r~"~I. 4}szil`-i~C`3 I ~i,~~af ~3C'~:. F.~.-.Y4~~. ~~tr. 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SAMPLE ..., , <br />. ,.., .. . r . <br />. <br />. . <br />/~~ 7' ~ ~ MEASUREMENT <br /> <br />~.J Z U~t~s :~, ~' ~:' <br />`PERMIT <br />::., .~ , ~ <br /> <br />,. <br />.... n ~ <br />~ , <br />._ , ... _ <br /> <br />~ <br /> <br />~ <br />- <br />~ <br /> <br />J~ - <br /> REauIREMErrr T~ a '~"t'TC .3+.. e_ r~ )~~. t ., <br />t ~ ~'~j ';{ ~R.4 J < i <br />•~~~ <br />, <br />... r-3~,_:~1 }~ ;:...=v.:~s:.. SAMPLE ..., ,... ... .. ,. ...., ., ,. .. ~, .. ,. ..., ., .... >: ^, <br /> MEASUREMENT <br />~ ' <br />~ <br />Ci~~aG~ 3. 4? U PERMIT >. .. ,. .. ~•r,••t~ ,.. .. .._ a ~ <br />~ :r~ . _ <br />~~"~~ l..~s~..lyl's° r;i~C"xi~ ~~f...G1 R~CIUIREMENT>, d~~s~•~•k:~ t;:_ r :,='4 Y' f°if~ir i_. : i .,. <br />'-- ° ' °' ` "' ' ' ' ' ' ` SAMPLE <br />/i f-~~:ll ~'I~~:~:'f ~~~''i;S~7` ~''T.r~l~i-. .MEASUREMENT <br />s <br /> PERMIT •" •~ <br />~ ,: <br />"i°F'LU~f`t!( ~1~Ci~~S ~f-~31...U; ~REQUIREMEN'Y °~_~~3-7 ;,v; },F =i_.'~" ~~'~X !"az:~J a,~3i••;t•~~ ;•I;_~I~+~ <br />! <br /> <br />. ~ . ~ . , ..,~.._ <br />.. <br />SAMPLE <br />~' ~~a..l' '~1~)-. MEASUREMENT <br />'' <br />_ <br />~~Y=+..f~+f~fv t- `e~'a~'t~:.'+~.J" ~,~~.~~ t31 f!ERMiT <br />F~EQUIRI:fNENT <br />"~~, , <br />.'V~.~'=4~ <br /> <br />- <br />r'f•::•:r•~f <br />t`t~ f{~i ~ i. <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER ' «nny u er pem ty o ew that; thb doavrnent end dl ut.cnmenb were <br />errMon In neeordnnee with ~ system deslLned <br />dlreetlon or au <br />re <br />ared under m TELEPHONE DATE <br />,e <br />s~P ~ <br />i r+ <br />r t <br />+ <br />~ (() n p <br />p <br />p <br />y <br />to asure Ihet qunHOed personnel P~~y Pther end erdurte the Infonnnllon <br />sobmltltd. Bmd on my Irpulry of the person or penoro who numLe the system __ <br />' <br />~ <br />~ <br />• <br />~. <br />~'' ~ , ~ , <br />YY / ~ i <br />"~ <br />~ <br /> or those persoro dlrettty respomlbk for ptherlr3L Ibe Infortrullon, the Infortmtlon f <br />l~ y IK <br />- <br />tr <br />~ ~ ~. ~ <br />, <br />/ F( { / (4, f ~ ... '~^ <br />r '~ <br />t/ <br />submitted b, to the best of my knowkdLe end belief, true. nccunte. end complete. <br />/ <br />EIONATURE OF PRINgPAI EXECUTIVE <br />• ~/G <br />~/ <'~ j / ~~.. <br />~ .~~ ._ <br />. , r <br />~ ~ / <br />• 99 <br />}C 1 em swrre IhN (here ue slLnlflunt penNtles ror submllHnL hbe Infonnntlon, , <br />TYPED OR PRINTED IndudlnL the posslDlllty of Ilne n~ Imprisonment for knowlnL rldaUons OFFICER OR AUTHORIZED AGENT CODE NUMEIER YEAR MO DAY <br />COMMENTS ~A.ND EXPLANATION OF ANY vIVLATIONS IRe~~rence s// ~tncninents ntnel <br />i ~~ ,~~, /...t" r``al,_ T,?;tv~E''~ f."~:t'~# ~."i'~ v:3~:i..#_ Y.~fr'~ ~v~T.~1~=.t;r, ~f')°} ..y•~~.T~i..._.3".'i_~` ~~.il.~}'f?:-s t_.g':.{, f?.C'€'I...1'fi~.~ ","€~~Z .-=1 t7~'i•~3 <br /> ~?+~~k~ ;~~k~'::; M:e"-' f~'~+.~.f~4'~'~ <br />.~s~l~~"ii_~e~ist_.~. ~l~3f...:~L~~:i L_~t~~!' C~:=`:`t f~s~ 9us^3a-~`k~~"' f=€~ii2 _~ ~I'~tif<i~ 2~d•F•t~t ~~'+r`~:~`.~"-•~f~a: :. ~. ~., ;'Ra ~t,...5: ~'~3''~i~.j ~:. a^:. ~. 3 ~ ~ <br /> F"t~:~'`+. 4?fi.~+i'=i~~"s"~. <br />~'~~ ~ ~Id 3' TL ~ T "., T : 7 ~ 11F" Fz.faT' t"~f ,=.J_ 'k= . I i T_'):=~ ~ ~'~f?'~ i~ ~ t-i ~" i~`..^t)` '"T' f`3~t )T'F-tl ~` a`~ r` . C~I.I~ T f~R•t •. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. +.~~ t:k~ -r~ ~ C.~'-ha~'1&f~'>4 ~Si't_I'(IIm. PAGE .SOF <br />