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PERMI7TEE NAME/ADDRE85 PwoYdrFrWyNAr/lacmlm Uo~...q NAME iQ>f i:. '-'_,..:'UC F.'.i ~.T~i i~. ADDRESS Uhw LG ~,rj ~ f', V1; w-''i]' '"L'. ~, .i k'Ap•:IA - ~ ul'1 FAaLm ftV.lI2 n'F SUCI'CEti LI"?T:. i. LOCATION L •^ ^ _ S I T f N E .1 :r 1 .` !I . .'~ [' T U d NATIOXAL PoLLUTMT DISCHMOE ELIMINATION SYSTEM (NPDESI DISCHARGE MONfTORINO REPORT (OMRI IZ-!6'1 l17-19I r-, 'z :' PERMIT NUMBER DISCHMGE NUMBER MONITORING PERIOD YEAR MO DAY YEAR MO DAY FROM ~ ~ O r1 U 1 TO 0 (1 ^~ 's 7 IM111 2z-231 lZ4Z51 l16Z71 l18-I91 !36311 Forrn Approved. "L~F; AI t: A. T7 gTgy9AQ8Noy.~Q,4~-0004 (:i i • :• i+ 7 (_) ~PProvgl gzei(les OS-31-98 f' _ CTi AL 'CNG `NOTE: Reed Inetruetlorr Mfwe completlnp thle form. PARAMETER l3 Ord Ontyl QUANTfTY OR LOADING /1 urd Ontyl QUANTITY OR CONCENTRATION Np, mEOUdcy SAMPLE 146531 5461 l38-151 !4653 !51-61 EX GF E I3Z-371 MALYSIS TYP AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e:-ss~ I51-5B1 /69-701 Prl SAMPLE ,::t x:<:-:^: ~. A:;4-'.a t:: :±a::::: ( 1?) MEASUREMENT i:OoUO 1 0 G PERMIT ~ ,_Y>##'`:~ sfi#xs~:k ~c:-r 6.,g : er~aa~al'.' .9~.q': ,B;xK:LI:' '~}15TT'J ., '• / '^ r. S .; • . :. REOUIREMENT ~ A _FF .. .T...:M tI'N:.. I .. :.. ~ SAMPLE ~........:. .. ;~a::a: :Ct x-'RQ~::,_ ~ MEASUREMENT .iP°,hD.•,U O U `+ 3 i) I 0 PERMIT : :;::h 3C • a" "rO L7ixaG%S a' .z R xt>s?~~f.e1 3 5 ~ ;...... , f1'i ~' :tt .... .. ~ 1• ,. r ~ 1 ~ q E :REQUIREMENT ~ ,... ..... .. : ~ULIDSF SE:TT1."-~:~1.: SAMPLE ~r:a,.x r;*r:r, :Z} ar,:r:~:}x: ( ?S) MEASUREMENT L'USII$ 1 0 rl '..:PERMIT' {',actif:-xrxc ' «'T?AxIR>k ~ ~ ~ ~ ~ PY~Y 4###>'Jla ~ OP'R`Tr!'~~I. 0.5•':' t~C°l rFA9' . 'F- ~ r ^^ n REQUIREMENT ~ ~ pr.:.xn ~ 3 '. 7 ''i !1X ML/ 1338'Tff 1Nli.'t TOTAL SAMPLE ;':r.::3;:::= G::i<C4F #4#;:: ( l~) r (A' F~~:) MEASUREMENT c n J111~~ 1 0 ' ' ~' PERMIT ... .: .. ::>::.xtxL::~' .:..~x#a:sxT~ a~;: Ai}%tpAF# ].5 ')rt? .:'. ~~&/.' BAfl "v II F!i ~?" L!I, ,REgUIRENIENT .~. .... .. .. 4<:'':k .' .. :' D-~~ ~Y. ^iY~. K' C ;/L ~ .M<3liTiL .; . )1L ANU ~dE4JF SAMPLE ,:..... 07:x'3-Y ~zaDax[;: ;:I;aa4x: ( 291 MEASUREMENT ,J {`,d2 i 0 :~~ :.:RERMIT~-:~ ~ :: YF01##~taNi .. ~.."-X?:ttiL~3.: 3":Y ...IgY#i~#Ll~±z ~ fi~0idir7lXi~.~ T.t) ~'~~~~:.'~: '. ~ ~'.~ .aNrIrt ~ ;.g.A~l •_ fiEQUIREtuIENT ' ' ' ~ ,.. .,a " ~ ~ ~ ~:. ..:. .~ ~ ~.. ' fl ... r LJ~AA IN CONf1U :'" )k 1 SAMPLE ( J3) ( +- `##:::` ry is:3.;: 7 Tn:.AiK%:ti '" .%i,H+; ' MEASUREMENT ~I SJ 1 0 ~V '~~ PERMIT: .. . G, ?tEP7_T A p .. ..~.OTt I' ~ 4=Xxx#~J# #,s tf d~~k#~~ ~ ~~.a-s3k'»«.R G:.t ~~?'~;;LY .11::>T6'. - _ , :REQUIREMENT. ~. ~ ~ ::' ~:. ~ ~ ~ 0:t;:p ~.)L1DS, TOTAL SAMPLE ;;,.0:x+~k b:}:.`-•'.:O;L 70#:F'.:': ( 19) i?ISSOLyE:U MEASUREMENT 70295 1 0 (: PERMIT: «-pti.#.xrQ:: . :;e Kt#Xt?F=X ~ 4:'.~~? ~A'-Yihpfi# 7(PIxOST . 'i)'PTI)•NAt I'flLC :RAR _ ~. y r HEQ.UIREMENT.. .' ... .: ... ....:' '.''..' .~.. :::~: '::.: 0:r0 ......'.: ~:. ~ ~..^ST~s~,.: ':4~~. :: .RT.3~~.l1A7C. b;/L ~ NAME ITi.E PRINCIPAL E%ECUi1VE OFFICER I CERTI -AM FA FY UNDER PENALTY OF MILIM WITH THE INFO LAW THAT 1 HAVE PERSONALLY EXAMINED MD RMATION SUBMITED HEREIN; MD BASED ON TELEPHONE DATE T,A W11 I ~ Nr1 I~C L Q I ~ MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONABIE FOR I BELIEVE TMF SUBMITTED INFORMATION IS OBTNNING THE INFORMATION ~ ~ j . . , TRUE, ACCURATE MD COMPLETE. I AM AWME THAT THERE ME SIONIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING /^~ ~~^^ h~ N I I S , THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE IB U.S.C. E 1001 MD 33 _ SIGNATURE OF PRINCIPAL EXECUTIVE ~ w ~y ~{ ~ /) U.S.c. f tG1e. !/iwtla unlrr el.~ mnnra m.r ~.[/w. riA. W ro S IO.OTlO ` TYhED OR PRINTED NM wmuMUn inadmrwrt olMhwnlmonUr. Nq eYw+l OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DA Y COMMENTS AND EXYLANA I I V N W An T V I V LA I I V nJ rlTeroFenCe en ermCnmenzs note! I:UBTTLEAbLE SULKS LI''12'!' APPLIES ONLY IF <=1DYR,Z4NR FRPCIC ZVCNT IS ^I,li'1iU. I' CLAD +^~P~Y°. .) .°~ ~1CD, 1C5; E IHUN LII"ITS MILL ND'f .+r APf'LI.'.D TO PFPI)FT'.D ';FASUt~°."F.NTS-S r I.n.2F ?q 7, FUH 9'Ir!^RN ;)F D4?7.`'