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PERMITTEE NAME/ADDRESS (1M~m FrI11ryN~WEIic+Ilgl IfD11)/e.q
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<br />ADDRESS TNA PPF.R ~jVh~
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<br />HATIONU PODUTANTdseHAAOE ELIMWAnON SYSTEM /NPDESI '~ Form Approved. 'I
<br />DISCN/1RGE MONITORING REPORT /DMR1 ±
<br />7-161 17-f9 (t OMB No. 2040-0004
<br />PERMIT NUMBER ~ DISCHAADE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAY
<br />FROM TO
<br />126211 l22-23/ !$1.251 l26I7/ l18-191 I30.3f/
<br />RIND
<br />( a II R R A N} Approval expirse OS-31-98
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<br /> !46531 !5451/ l3B-151 !16-53 !5461
<br />EX DF
<br />l32-371 ANUVSIS TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNfTS nz-,3J 16,66'81 l69-701
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<br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMIN
<br />AM FAMILIAR WITH THE INFORMATON SUBMITTED NEREIN; AND BA ED AND
<br />SED.ON - TELEPHONE DATE
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<br />~ MY INDUIRY OF THOSE INpINDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />COMMENTS AND E PLANATION Of ANY VIOLATIONS lR,forence ell attachments here)
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