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?l <br />~" <br />~i' <br />I ~• <br />PERMITTEE NAME/ADDRESS Odd. Fxll.ry Nmn/f.o[sllen I/Drginnr) <br />NAME l.nA .J 4•+L ~_ Y ~.. ._ ~ - <br />ADDRESS {'~{. (.L AII'.: L4:.Y J•. i I 1 <br />L...lilL .. L -.. .- <br />FACILIYY <br />LQCATION <br />DT TN .nilr: 14~ n61 (; i. •. `I~[ MI+Jf `.r•G`V <br />NAnoNDISCHARGEDMON TORING REPORTS lOMR1POES) <br />11-161 17.191 <br />~ ' <br />PERMIT NUMBER DISCH/JIOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ! .;'. '.. i TO ~/ ~ J': .'~ ~' <br />tl/}9II U9-931 /14951 /]69]1 /96-991 /3Q311 <br /> <br />~~• •~ i ; ,HAiR <br />riOTE: Rsed Irntructlorte <br /> <br />98. <br /> <br />PARAMETER (3 C.rd Onlyl OUANTITY OR LOADING I4 C./d On/Yl QUANTITY OR CONCENTRATIO ~ - I,Jp, FIIEGUENCr 5 LE <br /> 146531 154-6/ 138-451 146-53 150-611 <br />EX OF <br />131-37J ~ ~ ANALYSIS <br /> AVERAGE " MA%IMUM UNITS MINIMUiyI~ ~ AVERAGE MAXIMUM UNITS 169-F]I 160-681 I6& <br />PN SA PLE t•064+,< ++++#4 ~j/ / ~ <br />' {.., t~{.*,A 1_' <br /> MEASUREMENT /vQ ~ <br />/-~. ,~ <br /> <br />(JUh~O 1 ' <br />- ~E% :~::... ,.1 <br />.'.::.P~...`~.V:~':::."': .. .. <br />:::'..=.~~.Ip~,I:l!~::.::: ' ,,.: <br />6:., '':':?Al~~:l~'*~~~:'. <br />'~~M <br />(f ~t ~'. ....... .'. <br />:',':fti.::.*P:* <br />~Y~f U. .'. <br /> <br />r <br />': <br />CF1~7F:.. <br />.r r'.$l~ <br />tFf-LUttvT ~ S5 VALU ..A~ i '-fi :::::.:::.:::.:::::::: ... .~::~':::.:•:.,.. bill :~; .LfJl~. : F1.1i!(IMti.tt.:: y ;: <br />.. <br /> ,.: <br /> <br />,`ill Sr'ChI2iL v ~ " <br />MEASdB" <br />~ <br />_ r <br />,, . ~ _ <br />, <br />VUrJ jI) 1 J ~ ~ a'::iPERMh <br />:'`~/~~:• _ <br />.: <br />:c: •:~*:. .' ~. ~ <br />: <br />:~ .: ~'d`.: ~ ~ +:. ,}~ ~!~~~': <br />r.,. <br />.a <br />:.3~ <br /> <br />. :ii)i.~ ~:(~f. ~~~~~:: <br /> <br /> <br />tt=h L UE:' Ni v Il.i'~ ~ r ~t . <br /> <br />~EO.U,I~.E.MENT-; . ... <br />. <br />. <br />c.., <br />. s.. 6. .~%F's:f .: <br /> <br />:::::: <br />~ <br />.:.,: <br />.:: 3U$lA 'liV~ <br />.:'~':1~~{ <br />'~~;:' <br />M../L <br />:.. <br />:t~!' Pik. <br />: :. :. <br />~ <br />l~:i i;h~ <br />TiITa L A MANIPLE "+i, M*+ ~ *#~r <br />#+#' ; *++#+•x ~ 1; <br />. <br />. <br />/~$ }-E $i5~C9EMENT <br />: <br />U1Cti~ 1 -'.. <br />a c %-.<~:: :>: <br />.:: ;r e,. . :z<~~:~:«~+*Y bt<7 ~:«+wu+ ~+: <':'::: .:?.c~ ANC;./ ~A~s. <br />• <br />tFiLLtI<t UYS ~atl~ .: r; <br /> <br /> <br />~ <br />~ IF:.~.'.. :... <br /> <br /> <br />~ <br />`'. <br />~;It1iE <br /> <br />.'GAit.Y M <br /> <br />/t <br />;. <br />.::.,. <br />~, <br />.Ti+:.,1T. <br />' <br />G!L_ A;au A5~ ~k?L•Er <br />` .. "-'. *+>r++,*a ~-+*a+~ ~a+*~A ~x9~ <br /> MEASIf ANT <br />(J3SF:[ 0 x;.17 PER <br />. ~? ., <br />i:4~IP#1[nt ~~!!+ #•i •r #/!~$+.. %r'F~i# ;. <br />~ c :.~.~:::.::. : ~~'`ITI'' (i32A:'3 <br />a <br />tFFLUEWT CiRUS~S 1fAtU , <br />.REQUIRE .. . <br />:;; <br />'"';::-;.::.... ,. <br />... <br />'. ».:::.;:, <br /> <br />;..... : <br />i ...:.:.: <br />";:::~ ~ <br />M'v/L <br />.:: ..: <br />:G£NT <br />~FLii~Nla lrl trl73i UIT 'a F, SAMPLE; ';•ti "x; <br />~ .)3 ++,F •<•:o+ .: •**+~I+ <br />o' <br />T+}~411 T+tea r Mt;.t 1 LAN MEASUREMEN <br />xt: ' <br />"' <br />~. <br /> <br />•l: U U . <br />~~~3.~ <br />s. `~,.: Pk'gIy1lT,r:. <br />.. ~.. <br />. <br />..~.! L„ ,.:, <br />>``i.:..l''P. ..':: :~~~ <br />~.:.. `.IP ~+lir*F!A!;' <br />:..;' lnFlk.~l?R+4.t .: <br />.:!Io11:'~ <br />. +x. i~ <br />'. <br />.:c~KLY <br />~I H~$T'.~ <br />., <br />~~~"17ENT-L1QC7$$ 11+~(i.U 'i7.~U1REMEN.T: . <br />.: ::... <br />~'. rx~ k:~~j/1-r LY.~~~i~~l~~: MGU ~ }r..}.~ <br />~$(yl: $~ ~~ AL. ~ < ~SAMPL~ .~ 4' ~•M# ++kb*+ 4}i++~# l~~ <br /> <br />U39$•tltVEl7 :. MEASU EMENT <br />~ <br />70145 1 U 0 M <br />;:::x <br />.<i:;'~ ^4~m~1~'«'; <br />>r :... <br />`:.<+:.:ai* <br />;:: •-v+ ;:~+iI+M. #4 i~c~E}kT -?.:;AfIKT a:T.tp li <br /> <br />EFFL4rt+i CiRi7$5 VALU ., <br />.: <br />gE11UIREN~:.~' ; <br />:r:>F;,' .: r'.: ::.::.i <br />~ . <br />.. <br />.. <br />'c<:::...;:(~;;"J <br />+++b <br />::. .. <br />~idTh`. AYii <br />l~Alt~.3E3E <br />.1.~/L <br />U1L E 'ti %k _,4SE 'SAM LE = oa ++ rj4 *+#++~~ ~,<,.*#+?< dVd++a <br />VISUAL MEASUREMEN? ~ - <br />tl40415 1 U J ;•`1: <br />.EEkM1T`..•;:. °.. .d!: .: ..' ... .{]RI,: cS L ##b#++ +6~4+l.,} . . .:.* ++ 4•i.< .iUAt <br />- <br />tFf(,UL.tfT bRU.iS YALU . <br />~REQULREMEN'F: <br />.,: ~ s,~..~:~....~'.,.:,.:. ~.~.~.,.. . <br />.~.:... ,: ... <br />~.#5Y` ~~ <br />idu 0 :.~ ~ ~ :~ d 4di. <br />NAME/FITLE PRINCIPAL EXECUTIVE FFICER LCERTI <br />AM FA FY UNDER PENALTY OF <br />MILIAR WITH 1ME INFO UW THAt l HAVE PERSONALLY EXAMI <br />RMATION SUBMITTED HEREIN: AND B NED AND <br />ASED ON ,J <br />// TELEPHONE DATE <br /> MY INOUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR / ' ~ <br />' <br />.IOHN P•t 'rVALTERS ~ OBTNMING THE INFORMATION, I BELIEVE tHE SUBMITTED INFORMATION IS <br />TRUE. Act}uRATE AND COMRETE. l AM AWARE THAT TNERE ARE <br />INCLUDING <br />GNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />S ij <br />/ 1 <br />MArdAr,EF i7F MINT SERVICES , <br />I <br />THE POSSIBILITY OF FINE AND IMP/SISONMENt, SEE 18. U.S.C. S 1001 AND S3 ~ <br />610NATlME OF PRINCIPA/ EXECUTIVE 47Q R",8 - 3608 G ? 1D .'~ <br /> U.S.C. S 131 B. IP,.rIrY, In4V q,a m(un, nI,Y NICNN~ rxw, W b t 10,000 <br />TYPED OR~PRINTED .rgnmuimun MPrlmrwnr or Mrwwr ereoner,.rp6r.,n.1 OFFICER OR AUTHORIiED AGENT CODE NUMBEq YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRe)srsncs an arreenm.nm oars! / <br />3:, LAY ~~ iIAGL l; ~i[GNF. ::T n;;NT:,tT AYG. tU~'INC PLk ILi C; `1tP 1h TcG. TE;y NI.Nl T;41v+i - 1.7.1. ~=~`~'r( A~UT~ •.I T <br />Tr:iflhi; ,:-:iULTS UN JyR Mi+Ithf.C U~1 a. <br />EPA Form 3320-1 108.9) Previous editions may be~used. - (REPLACES EPA FORM T~10 WHICH MAY NOT BE UBED.I OOJ4 3/')Ii04G 4-09 j 1 PAGE lOF - <br />