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PE <br />T7EUyNAME/ADDRE$$ (delude FacBlry Nams/Lacation iJDlBerenQ <br />E CYPicUS [§M~4 Y#LL''Y ~~#[. CDR P, <br />ADDRESS'IIV'.S 1.,2%3 ;DDTN, !; ~:=R'fAN PK <br />y1•f,7 °AST '~IN5RSL "L P.C!.° <br />?••GL=aDnn "'~ 911155 <br />FACILJTY <br />LOCATION <br />Arrv: v~)a~•rs ~+. rrr, T.T~, ;c;,~4AL 4T4! <br /> <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR; <br />(Z-181 Or- BI <br />^17D77151 MA ~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM '1:1 ~ 1 TO ~, ' ~. 1 <br />f16z11 Rs-z31 R4-zsl R&srl Ra-s9) (3031) <br />Form Approved. <br />x ~ 1 ,t ~ OMB No. 2040-0004 <br />Approval expires 05-31-98 <br />r ;rrn~ .r..~ <br />v _ cam. eT n~1t~• <br />MT ^i •• 7 nnv~n P TlT cnT nF, t. rn. :•v <br />-~ , <br />NOTE: Read Instructions before completing this forth. <br /> (3 Card Onry) QUANTITY OR LOADING (4 Card OnN) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46.53) (54-Bf) (38.45) (46-53) (54-61) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(CtGT) 'tea-~!S <br />(64-88) <br />6&70 <br />JD SAMPLE <br />MEASUREMENT -': ...-.r azx~: ~~(„e Ll- .•t .,; :~,;• '~ 0~ <br />~j ( ) 1) ~ JI!~ L-~Y~t~ <br />ODuU~J L D ~ <br />- <br />PERMIT- <br />- <br />+ s <br />- avc li'.~&,~~~;'~'° -~saW <br />~ Y"~!r':.r,~~ ', <br />~• ~ Y E$RGT •!?k <br />z" <br />£FPL!I?kT SRDSS v3LOF -. <br />REOUIREMEN7 _ <br />= '~' i <br />:~~~ 1F~x: ~ <br />~ ~ ~ SD <br /> _ ,! ~ <br />x . <br />. ~ <br />J L DS, ~ '_1' SAMPLE F+RiRR R.1:R'kS~ b+?GR=S~ ,,`` <br />~Q <br />~~A ( )1) <br />A <br />~~(~ A' <br />n <br />SUSt1~yD':D MEASUREMENT N n N V <br />DDS30 C 7 7 ~ _ _ Igo- r. .c ~x 4 ~!l~C3RT R 1/CP/ r, _ <br />~ <br />k: C7!!°-!IPS 9°L'l~ <br />S F :fiEQUTAEM~NT ~. 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SAMPLE ~Y-EKES R;vxtgf, k#'-'+Yx,~ <br />hI / A <br />~ ~ n ( 1 9) <br />N~ <br />N1~ "~ <br />N~ <br />(# S ~ °) MEASUREMENT / <br />. <br />D L ~~ ~ 5 U ~ 7 ~ FERMIT', t~ +~ ~`, aY = #s~i .* " ~ $~"~ ~. ~'~1~dR' ~` ,: ; ~ ~_ , <br />SF. .. OfIM;:grS 9 .LJW FiE~UIREMENT ,'-~. ., ,~ ~ ~ ;. - =34p~ -~k?~ R'tC.LT ~!-` nC/L - 1} ,,, >. <br />•NAME?ITLE PRINCIPAL E%ECUTIVE OFFICER I CERnFY UNDER PENALTY OF <br />T <br />E INFORM LAW THAT I HAVE PERS <br />ATION SUBMITTED HER ONALLY E%AMINED AND <br />AND BASED ON MV <br />EIN TELEPHONE DATE <br /> <br />IiIII AM FAMIUM WITH <br />H <br />INQUIRY OF THOSE INDNIDUAL <br />I BELIEV <br />THE INFORMATION S IMMEDIATELY RESPON <br />E THE SUBMITTED IN : <br />SIBLE FOR OBTAINING <br />FORMATION IS TRUE / ///~~j,,, ,,,,,, <br />( n <br />~ //'/ <br />S <br />4icharTi , , ~~ <br />' <br />~ <br />- ACCURATE AND COMPLETE. I AM AWARE THAT TH ERE ARE SIGNIFICANT f ~ <br />\ // /// / 97D-87D-27L7 ~/ <br />Ad S18 C]PI <br />tllV11"O"1NPil tR1 PENALTIES FOR SUBMfITING FAISE INFORMATION, INCLUDING THE <br />/~/ 7 <br />J <br /> POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 U.S.C. <br />' SIGNATURE OF PRINCIPAL EXECl1TIVE <br /> <br />TYPED OR PRINTED es under Nave smfules mey Include Urlav up m f10,000 end a <br />§ tat B. (Perem <br />madmum impnsonnrerR Ol belreen Bmonms entl5yeers.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />``cp. <br />N* <br />i <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />AIyTF.3~IlT~' LL"Ir5 FDA T3 S, IR7N F, S?rTLP.1RLE SDLTf15 (L7' •n') #~PLT D'+L[ TP C= LD-T n, ?'I-Pn ^R''^TP °V"c^• <br />LS, ."L3i1t:1. SE'' I.#.2, P' LH, PDR 90RD?Y 7P PRODP ^£)7L~F,YO11••S. ?TL ~ G?EASP,-SP.F. F70't'NOTr r/• p.• -1• <br />TYI -A '' " C or nnat.~a^ rrc wo..^. ~nuv_vnnwun-.. ..• <br />EPA Form 332p-7 (OS-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ~ O T 3 5 / 0 9 (1 b1 2-1 ~~ 7 d PAGE L OF <br />