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PERMI7TEE NAME/ADDRESS (rryAr6 fmNry Nar/L«aua I/D~a.m) <br />NAME '' ` H _ " ' <br />ADDRESS ~ ~ ^ k ~ J <br />, 8.1 ~ ] / <br />FACILITY <br />LOCATION ., L ~1 : _ 1': <br />.J.i • ~ <br />NATIONN. POLLUTANT DISCNMOE ELIMINATON SYSTEM /NPDES) <br />DISCNARGE MONITORING REPORT IOMRI <br />11-161 /I7-I91 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM I ~. TO .• '~ <br />/7671/ 111-131 /14761 /76771 /16-791 /36311 <br />Form Approved. <br />~• ' r, •. .'{ / * !: I a, -. ^ .. OI~B.No, 2040-0004. <br />~ Approve) eKpNee 05-31-98 <br />( = .~ I n ) <br />NOTE: Reed Inetruetlone before eompletin9 thb lorm. <br />PARAMETER !3 Grd On/yl QUANTITY OR LOADING !/ Grd Onlyl QUANTITY OR CONCENTRATION NG FREQUENCY SAMPLE <br /> Id6-531 /54611 l38-051 !46531 154611 <br />EX DF <br />TYPE <br />l31-37I MN.YSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /a-sal 16a-681 169-701 <br /> SAMPLE ~ ~ r ~~ ~ ~ ~ - - ( ') <br /> MEASUREMENT <br />7 PERMIT ;~ :. ,' .~ . . > .. .. :. '! , T . <br />- <br />- REQUIREMENT - <br />al: L t > . <br />Y..l <br />J.' <br />_ .. ~ . " SAMPLE .. ( , ~ "~ ) <br /> MEASUREMENT <br />- ~ ~ PERMIT ... ,•. «~F := - .. ..?a's ~~. f?,9 \~P! ~i?. <br />.-, ,. ... REQUIREMENT .. ':L;;V ~~!,/;, .JK T. <br />. .I SAMPLE ~ -. ... ... ( ~; ~ ` <br /> MEASUREMENT <br />. i ., PERMIT .- . . .. . . ~ ~ !} . '. 'i ,'~- V <br />• ., , REQUIREMENT rJ' ~ i.q .: r - / . <br />i, . _ SAMPLE ! -• ~ 1 ~ ~ -' '- <br />.; ;- ~. ~ ~ MEASUREMENT <br /> <br />_ <br />i ~~~ PERMIT ., , . .,, .. .... <br />.. ..: ,; <br />.. ........: . .: ..~- ~ - ,; <br />- . <br />) REQUIREMENT i , .) ~ ~~. 7 .' ) -:...: ~ ., I ,y -, .. <br />... -. SAMPLE ( <br />11 .. .- . <br /> MEASUREMENT <br />. ~ PERMIT .... . , .' J `.: = 1 r . .. .. .. -. - ... ~ ~ f T .~ 1 <br />•. ~ REQUIREMENT ~ ; ~~ ~ ~_ +~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERT <br />NN FA FY UNDER PENN.TY OF <br />MILIM WITH THE INFO LAW TNAT I HAVE PERSONALLY E%AMINED MD <br />RMATION SUBMITTED NEREIN; MD EASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDIVIDUN,S IMM WIATELY RESPONSIBLE FOR ,~ <br />I"Il CF]F'$(I A. l`iLU:P0T1 OSTNNING THE INFORMATION, I eEUEVE THE SUBMITTED INFORMATION IS <br />~ <br />' <br />~ <br /> <br />;i <br />t <br />• TRUE, ACCUMTE MD COMPLETE. I AM AWME TNAT THERE ME <br />TIES FOR eUBMITi1N0 FALSE INFOMIATON <br />INCLUDING <br />T PE <br />A - _.-~ ~ . <br />: <br />~ <br />'i <br />"' _ ' <br />q~ I <br />Y <br />' <br />ce 13 <br />ee <br />dent , <br />SIONIRCAN <br />N <br />L ~ <br />I O 7C ~~71 ~. n <br />~ ~O 1~]. <br /> THE POSSIBILITY OF RNE MD IMPRISONMFNT. SEE 18 U.S.C. f 1001 MD 77 ~ eIONATURE OF PRINCIPAL EXECUTNE <br /> U.S.C. 1 t ]1e. lhlrl6r. ule.r elver mnmr. nMy NcIW. n.. Re ro f 10,000 AREA <br />TYPED 011 PRINTED w.earm.rwlvn i.,pLOnlwRO/bM.ulemmnuW6yw.l OFFICER OR AUTMORRED AGENT CODE NUMBER YEAR MO DAY <br />ODMMENTS AND EXPLANATION OF ANY VIULAI IONS I/re/ersnce el/ srrecnmenrs natal <br />~r <br />EPA Fwm 3320.1 108-951 Previous editions may ba used. IREPLACE6 EPA FORM TAO WHICH MAY NOT BE USED.) / : ~ . , . _ , , PAGE OF <br />