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DEPARTMENT OF LWVWH Al, REGULATION <br />RECONNAISSANCE INSPECTION REPORT <br />1. Source Name: -Z-46 t-iR �+ t + �+ I✓S <br />2. Source Location: �O �r�E.csoR wE• VEtic.o ''' i" <br />3. Permits: State No. <br />SDG 31 — ZZ'�Z• Expires: 12- 31 —74 <br />NPOES No. FL Expires: <br />4. Is there a State and/or Federal (circle) compliance schedule for this facility? Yes LOOOO No <br />5. Is this facility in conformance with the existing State and/or Federal compliance schedule? Yes No &000 <br />S. Source Description i(circle one): Iw 7. Discharge: Yes 1/ No <br />8. Permitted Flow: 11095-1 MGD 9. Basin No: Rank: <br />10 Person Contacted: w Title: iA*r%g W -d- 019 VAS &L <br />11. Purpose of Inspection: <br />12. Comments: <br />AK1�M4 W 1 44% LL+i 1 a10 CAVA+0K. <br />p A.�. A v� A <br />G � �i4N W �+fTi i r► <br />y <br />K' t i v'%'# <br />''"4'�`'/ <br />4 <br />tn.aKi� A t ` j • <br />b 4"7K+ VbO+ 1 . <br />d I �9 <br />G� <br />t <br />WSL <br />O <br />, <br />13. Indicate Corrective Action(s) to be Undertaken by DER District Office: <br />i+� o i�.•4•. wi +1% Nov. <br />90 -90 <br />14. Individual Assigned Responsibility for Corrective Action(s): ii4 Title: <br />15. Inspector Completing Report: �o r Title: S Date: U)5,0#%71 <br />DER Form PERM 14.10 (Jan. 77) Page 1 of 2 <br />JUL 19197 <br />r.4 <br />O <br />, <br />r.4 <br />