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PERMITTEE NAME/ADDRESS (Include Faciliry NamdLacarian yDgerenq <br />~~ dGf1I6 tl'~;S^if?('F.'. Lf!'~IT!(U <br />ADDRESSdU~ I;; Nt?, 2 y (vF <br />~ P.O. i3UY. +"i3 <br />FACILITY PAUhIA C~7 81+129 <br />LOCATION <br />dO~Iie CU 81[129 <br />.+~: 1'k: 4I ILIA". k. ~~EAH .iH._ '.7N' MGA <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR; <br />rZ'f5) nr- 0) <br />r <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO D <br />FROM 97 lU 01 TO oo ~ 3 <br />(z0-zt) rzz-z0) (zazsl (z6-zzl (ze-2e/ (ao~y) <br />Fann Approved. <br />~ I N O P OMB No. 2040-0004 <br />Approval expires OS31-98 <br />(SnPR src~ <br />:fFT *"STZAG FOP OG2A <br />A."-{_ H'1 rl~cC %t~PGE ~I 84-. ~ ~1 <br />NOTE: Read Instructions belor~~Mpleting this Corm. <br /> (3 Cad Onty) OUANTI7Y OR LOADING (4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (as-53) (sa-st) 38-a5) aa53) 5a-sr) EX OF TYPE <br />(32J7) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANa-YSis <br /> lszuT/ (Ba-68) 69-70 <br />:.CSU STA'P It F. '1RN.R AC[ SAMPLE %•'•'r#4,". 'k-'.-.v44# fiYGt: f:N ~,`. •'.+~Y~3v ( ?3) <br />C°~I{IODAFHNTA MEASUREMENT <br />;' n f; 3 N 1 U O ,'- ~~ <br />~~~ '_I ~+ V!ltii~ ~ :: ; ~R~~l: ~ ::`-~ i(~~~ : <br />~~f- +OIC+~ <br />!'I~b~~' ._ EA <br />~ I- <br /> <br /> <br />,.FF'LUr.'6T I. FOSS YP.LU' y <br />~kl <br />®M <br />R~lH ~NL a b <br /> <br />vh :x ,G <br /> <br />~, - -~,c: <br /> <br />L'3:~ . <br /> <br />^, `,-: ~ ~ _ <br /> <br />r~ <br /> <br />,'s *~ <br /> <br />•"` <br />SO STA2 HE 96NR ACT SAMPLE <<~~#ri r=k~IROt 35tiF*#C +.`-IItr'3tfi ( 2j) <br />IMEPHALr.` MEASUREMENT -- <br />;A'tLC 1 U 0 p,'PERMIF .I~~#?K ~ #k ,; get U~ <br />11t `" #~' <br />"~ EA- <br />;:FFLUENT GRO55 Y.# U 'F~4UIREMENT -: r 1 tP~:;x, oas~ . :r;;t~,~:r U` _ <br />.~ :. 'z, ~ ,:-,. <br /> SAMPLE '^~ <br /> MEASUREMENT -. - <br /> - PERMIT <br />~ ~~ we? `:- a •' ~ - - ~ <br />~ _ 5~!. <br />~ <br /> REOUIREMENT ~ ~ _ - <br /> SAMPLE (-~ C/' ~ ~ I J -~~ <br /> MEASUREMENT ~/ / <br /> , <br />- <br /> PERMIT • . . .: ~ ~ ,. _ ,.: ~- . -: <br />rti;' <br /> REpUIREMENT +'~ '~ ~ ! t,~- <br /> - r <br /> SAMPLE ~- ~ - <br /> MEASUREMENT <br /> PERM14 ~{rtnxy ~ '' +~ ~ T°% ~x ~ ~ ; ~' D <br /> <br />REQUIREMENT <br />.~ ~ <br />~-- t A <br />~ <br />e3+ .M ~ ) <br />d "° <br />ui <br /> . ~, , : , <br /> SAMPLE <br /> MEASUREMENT -~ <br /> *•' ,i''~ . <br />: <br /> pEQUMREMENT i ~ J . - <br />_r <br /> SAMPLE <br /> MEASUREMENT <br /> PEflM1T ..~. <br />~ ~ c. <br />~ ~~ ~, ~ , <br />~~ <br />~ <br /> flEOUIREMEN7 - ~ - -) . - a <br /> <br />- ~' <br />` <br />~'. <br />NAME/TmLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FAM FY UNDER PENALTY OF LAW THAT I HAVE PERSO <br />ILIAR WITH THE INFOrIMA710N SUBMTRED HERE NALLY EXAMINED AND <br />IN; AND BASED ON MV TELEPHONE DATE <br /> INOUIgY OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ? <br /> THE INFORMATION, I BELIEVE THE SUBMRTED INFORMATION IS TRUE, <br />WA <br />T TH <br />RE SI <br />NT <br />- <br />~~r <br />" <br />~ <br />~ <br /> <br />~ <br />~ rE. I AM A <br />RE THA <br />ERE A <br />GNIFICA <br />ACCURATE AND COMPLE <br />PENALTIES FOR SUBMITPNG FALSE INFORMATON <br />INCLUDING THE ~~ <br />, <br />~(( <br />/ <br /> <br />~, ~///, <br />~' A)/ "f/~ , <br />POSSIBILfTV OF FINE AND IMPRISONMENT. SEE 1B U.S.C. 4 1001 AND 33 U.S.C. <br />Vl <br />h <br />l <br />d <br />I <br />0 <br />0 <br />F <br />SIGNATURE OF PRINCIPAL EXECUiNE ~ <br />/~ k <br />i ~ ~) S 7 <br />~ J <br />~ ~ <br />,T <br /> <br />TYPED OR PRINTED es under t <br />ese srefufas may Inc <br />u <br />mes up fp Sf <br />, <br />00 end a <br />6 fife. ( <br />Ux. <br />e <br />merimum ~mpdsonmem of Uefween5morx/u entl5yeers.) OFFICER OR AUTNORI2ED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANpTWN uF ANY vIUIJ1iIVrv5 (Heterence en ertacnments nere) <br />:fE:E PART I. A.4 FUk DETAIL-i OF TEST PROC£.DO.^. F.. 3EPOE4 LOa~:ST' CIL`JTI(1N {": F.PPLU°~T) WHICH T~ LFT4AL T7 SOo <br />•F TEST ORGANLi'}~ (LCSYJ) AND ATTACH ACV^'F. TOXTCIT.Y T°ST REPO*+" FORA Tn DY.?, <br />EPA Form 3320.1 (08-SS) Previous editions may not be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) PAGE OF <br />~ 00094/990312-I22~ <br />