Document DGKmy9DkMoYkRpG5kpmGQ7rdB

NATIONAL emission standards for hazardous air pollutants COMPLIANCE STATUS INFORMATION Form Approved OMU So. 15S KOIJl i. sounrr bepobt ySTRUCTIONS i juners or ope I at or \ o! stHirers ol hazardous pollutants su L[es t lo the Nation jl Fm lesion Standards tor Hazardous Atr Pollutants inquired i<> sulmiil the inlotmation eontaincd in Section I to the apptopiute U S, l.nvironmenlal Protection Agency Regional OHicc pttor to I days altar the ctlci live date ol any standards or amendments which require Ilia submission ol suali information. A lisnny ot regional oltiaas is provided in |6I.04. PLEASE NOTE: Do not write in shaded areas. A. sound information 1. IDENTIFICATION/LOCATION Indicate the name and address of each source. 2. CONTACT - Indicate the name and telephone number of the owner or operator or other responsible official whom EPA may contact concerning this report. DUP 1-14 1 4| 1| IS 20 l Jl .1 Ll i Wi oi ri si ti_.eiJ4.3j i iiii i i i i 1 i 21 NAME 43 13,0,4, 44 46 AREA CODE 47 NUMBtR II eo 3. SOURCE DESCRIPTION - Briefly state the nature of the source (e.g.. "Chlor-alkali Plant" or "Machine Shop"!. our i-i e I 4l2l 10 20 I Pi ii si Pi ei ri si ii oi rn t M it m Vi Ii jR ie p d P i iP |1 iatn it i i i 91 nrcrmPTiPN KA 1--I _1--1__ 1... 1-1 .1. S' -i I I I I CONTINUED liiiII i LJ 79 BeOo ALTERNATIVE MAILING ADDRESS - Indicate an alternative mailing address if correspondence is to be directed to a location different tnAn fknt rrSiSAif i4rf iskAun 'Dtrr t-ia 141 3i It 20 I P[ Q I^QXI number P p p |4 I I 1 I I I I I I J STREET OR BOX NUMBER II I DUP 1-14 i--i__ i 10 20 i Si q i Q h ai ri 1| Q s, * CITY q r) , , tW ,V | 37 *ae- STATE |2 15 ,3,0,3J ------ 44 0 ---------T nn'jXJ' 1 ' 'v "UMiuira MUMI SIMS avuiK Luvom I_PMMIIUI mrct trie emilUll MmncmuiiJ LfUlKmiUU in IHC lT<niOn9l tl Stendardi prior to 90 days after the effective date of any standards or amendments which require ihe submission of such information til, t Signaturtyof Owner, (Operator or Other Responsible Official N?|TK-: lr -tK Cmisslons from *l,c sourcc will exceed those limits set by the National Inussion Standards I'oi Hazardous Air Pollutants, the source nu I he in violation and subject to Federal enforcement actions unless eranted a waiver ol compliance by the Administrator ut the U.S. Environmental ro eition Agency 1 he information needed for such waivers is listed in Section 11 ot this lorm. . Form 7600 1 (9.75) PAGE I OF 5 UCC 102592