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C.3 L ` T _ ] PER vMscR lo19cWARac NUMecR� <br /> �1.•,.' ~M�'.,,,,3 MONITORING PERIOD <br /> L 4;.L6 TY Nnrla MinP ——————————————— YEAR MO DAY Y[AR MO DAY <br /> tyOCATN��10 'Y1Sp County. Cf1lC ratio ——————— FROM �,. TO :3 <br /> 1; 11 ( a ) ( 6 (28.29) (Jo•J ) NOTE: Read Instructions before completing this form. <br /> (J Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION <br /> PARAMETER <br /> ►RcoucNCY SAMPI <br /> (r6-J3) (J�•6J1 (Jd1J) (KJ3) (14-61) NO.ex or <br /> (Jj-J?) ANALYSIS TYPI <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> 8S6 (6tasd) (69-70 <br /> SAMPLE <br /> C` MEASUREMENT 0.602 0.737 0 1/30 CT <br /> FLJ.- (�. UJ� jTa * * t �. r r * ,v .. <br /> 5 .�c., R[GV,RONE»T �- * t * t ,t * ,� y �► * /r W, -A-. 'aw i/3 z. C <br /> MEASURE IENT 6.00 12.3-9 18.00 0 1/30 GRA <br /> .FFLUE "T' ►"MIT l.y/^a "G/L <br /> (:u 5 3 REGwREMElkr • sr +w * * * * it * �. ti► 3S 7i; L f 3ll i <br /> 3AMPL[ ' <br /> IRON e TOTAL M[ASUR[MWT 0.26 0.37 0. I/30 GRA <br /> PERIen". , L3/J,a ,ri= MG/L ; <br /> R[GwREltEl,T "V37 G <br /> SAMPLE <br /> L MEASUREMENT 7.93 8.07 0 1/30 GRA <br /> REQUI#tK ar •r * +t` Ar X" � b S +r �r �► r 4 , ' , S U :..., 1 <br /> c� <br /> 7' l3R "G <br /> SAMPLE <br /> W OIL 3 GREA3E MEASUREMENT *, * '/1 '* 'k *' * * 0.0 0.0 0.0 .0 1/30 Visu <br /> VIIUAL P, 1,- ;s. : r . MG/L <br /> a V I'2 RECLl,REEt[K1<' NK *' *".'#y .w * �`# * * ) * * z<`.w L. <br /> k` 1:1T -V <br /> CO;IGOCTIVITY a/-1119 MEASUREMENT * �► + + + �► ,r 1348 1541 1720 0 1/30 "GRAB <br /> L`9 C E F F:'J E:•i T) <br /> ��u�n REou,RsrltEtrr �}. ill •sir- * )M' ]Ir � #'> 9r• yP• #` � #•-•'tAP•#` � 'Ay �4^ •t11:��• �"°`�" �f�Q`• •� <br /> SAMPLE - .•. .. . <br /> MEASUREMENT <br /> REDUIROs[NT M1„ <br /> NAM[/TITL[ PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW TWAT 1 NAVE PERSONALLY CXAMINCO TELEPHONE - D A T E <br /> ANO AM FAMILIAR WITH THE INFORMATION SUeMTTLD HEREIN AND BASED ^ <br /> ON MY INOUIIrY OF T'NOS[ IMOVIOUAL.SUCV I Tl[c s EIY Rto tw ISLE FOR <br /> oerA,NINc n.c IwoRMAr1oN I ecu[Vc TWc we..rrrcD IwoR..AnON r/(Vl/ V'I - _ .•� <br /> H. Theodore Smith iS TIIUE ACCURATE ANO COMPLETE I AM AWARE THAT TWERE ARE SIGJ/rv��— <br /> NWCANT PENALTIES FOR SUIRArTT1NG FALSE I00FO1MArION INCLUOING <br /> H drol o St THE POSSISR•ITY Or FINE AND IMPWVSONMprT SEE ie USC 1 1001 AND SIGNATURE OF PRINCIPAL a[GUTiV[ 60 4- 86 10 2 <br /> 33 U S C 11319 tPrw.hr. Wdrr, tM.r ILIu/r. uw. In hw* /uw. a to Stu am <br /> TYPED OR PRINTED AId'.r^.A.II.YIR IIRPn.on nv^/.4 M/uwn i^"°^te.A"/S`^r'1 OFFICER OR AUTHORIZED AGENT NUMSER YEAR MO DA <br /> COMMENT ANO EXPLANATION OF ANY VIOLATIONS (R.i.r.nce all allachm.n/i here) <br /> IF -�O �%,ISCNAFGE OCCURRED DJRI'.G T,,-*I3 REPO.gTI .;G PE`1,T) REPORT —40 DISCHARGE'S <br /> 1 1 <br /> EPA Form 3320-1 (Rev. 10-79)UNTIL EDITION <br /> IS TO DIE USED <br /> (REPLACES VA FORM T-40 WHICH MAY NOT DIE USED.) PAGE OP <br />