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PERMITTEE NAME ADDRESS ,lrl: rude Focil6)•;Vame•'L. aitM ifDvcrent) <br />NAME i t JC <br />ADDRESS `i I NE <br />I3o,. <br />NCE <br />FACILITY iFIEL. i`tI''Jt: <br />LOCATION i11GE '-L E7 I c';_ <br />PAT't =-i-f-,,!•IIV. t1 t NF M(-'R <br />UiSi.f t:HGt tJIiUfII I GFiINCS HtYI)H i (Uh1k? / <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />Pt I NUR OMB No. 2040-0004 <br />(LiUDIR 1\11) <br />F - FINAL ?RMNT <br />m'i'l;? i F`JftiOr F TU MAGP11: CREi7-K <br />NOTE Rears Instrtirtinns hafnra rmmnlatino this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ;+ ` •f f7c; yt# _ : #' :. 0 I(?!? : Tl <br />J' REQUIREMENT .1 ! i`•I I t 1l; "! Mic X ?: ('IUt 1 1.- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r ;f#- l!•ir 3f•a k ###yiil it R. EF0RT U. J 1NCi_i GRAD <br />i L REQUIREMENT .iC}1,'r? re'•Ii; DAILY Mt. ^?L MgPaTF <br /> SAMPLE z - - ! y 1 <br /> MEASUREMENT <br /> PERMIT a .. -0 1} -ta- 41 #00 10 <br />r REQUIREMENT Cis.. d T <br />L SAMPLE <br /> MEASUREMENT <br /> PERMIT PORT R£F'Qh'T 7NCF 5T <br /> REQUIREMENT „ rt Vt ') ' i i_Y <br /> SAMPLE r- C 94 <br /> MEASUREMENT <br /> PERMIT ;'tom#..4*Z 1 REPORT ??==-., #dr?r# 2 #?tx C::_/ r' Al <br /> REQUIREMENT I HS MAX '-A MCPiTh <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penaliv of law that this document and all attachments wes TELEPHONE DATE <br /> <br />R, C Nl prepalyd under nn) din:cuon or supuvt ion in accordance with a system designed <br />to assure that qualified personnel properly gather and csaluate the information <br /> <br />?J/` <br /> <br />7 ` <br /> submmed Based on my mywn of the person or persons who manage the system. "tJ-f r`? J <br /> or those per ons directly responsible for gathering the information. the information ?7 <br /> to the best of my knowledge and belief <br />suhtnimd is <br />trite <br />accurate <br />and complete <br /> , <br />. <br />. <br />, <br />. <br />a <br />that th <br />a <br />s <br />iti <br />dti <br />I <br />t <br />!o <br />b <br />i <br />f <br />t <br />i <br />f <br />ti SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED awn aw <br />ign <br />c.ut <br />pcn: <br />orma <br />re <br />ere <br />rc <br />cs <br />r su <br />m <br />tting <br />u <br />se <br />n <br />on, <br />including the possibility of tine and imprisonment for knowing violations OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />I.VMMr_" 1 J HIYu CArLJ1111141 I%J" Vr MIN T IF IVLmi mji\.7 Inleiererit;e cm dtidwirritllllb rierul <br />I P E'.'FNT SUB <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. 0016b ;Th1S;is a `-p,7 t foml.