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PERMITTEE NAMEIADDRE55 pwdre.fa-r4ryNa./L«mle„ I/prps.,q
<br />NAME stk.-i ~. :: ~,1 ;, x,70',
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<br />ADDRESS U rt A d a ii i!
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<br />LOCATIONn A'i ;," CV dlb9J
<br />A'fY'1.: . :~r:, CL3inAL MANAGER
<br />NATIONAL pOLLUTMT pI3CNM0E ELIMINATION SYSTEM (NPOES)
<br />DISCHARGE MONRORINO REPORT (DMRI
<br />17-161 17-191
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<br />PERMIT NUMBER olscHMOE NLIMeER
<br />MONITORING PER OD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM t! 7 ~ L TO a r, , .
<br />nn.,... .Dual n6.771 178-191 !36311
<br />Fo~rmg Approved. o
<br />~''; .; 1! A ii 4 l T J L f A -; O T ~lo.. ~0t4~1-0004
<br />' Approve)`gitpl es 05-31.98
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<br />PARAMETER !3 Grd Onty/ QUANTITY OR L ING !~ Grd On/Yl QUANTRY OR CONCENTRATION ND, FREQUENCY SAMPLE
<br />l3Z-37I 146-531 /56511. /38-45 !1653 /51-611 EX OF TYPE
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<br />AVERAGE
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<br />'MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />m7-Bal MALY95
<br />!6/-651
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<br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF UW THAT I HAVE PERSONALLY EAAMINED MD
<br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN
<br />MD BASED ON
<br />: TELEPHONE DATE
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<br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ~
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<br />~ ~'" ~ - OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION 19 ,
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<br />' TRUE, ACCURATE MD COMRETE. I AM AWME THAT THERE ME
<br />SIGNIFlCMT PENALTIES FOR SVBMITTING FALSE INFORMATION
<br />INCLUDING ~'1
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<br />F I ~ ~ ~ THE POSSIBILITY OF HNE MD IMPRISONMENT. SEE 1B U.S.C. E 1001 MD 73 T
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<br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS (Rs/erence s/1 sttschmenn here! t
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