PERMITfEE NAME/ADDRESSp„dd. ixWryNaedLxn/m UD18.r..9
<br />NAME 6'NERCY f'7F.L~ :9INfSIG CO'7PAP+Y
<br />ADDRESS li A P U N :: K E !: i M I ?I Y.
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<br />G'J LUCN CD tl04)L
<br />FACILITY
<br />LOCATION '
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<br />NATIONAL POLLUTANT DISCHMOE ELMINATON SYSTEM INPOESI
<br />DISCHZR6E MONRORING REPORT OM91
<br />"~G8S0032 U
<br />y PERMIT NUMBER DISCNMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM TO U U.f S ,
<br />nn9I1 /99_931 U61F1 /969]1 Ue-191 /30-3I1
<br />Approve, eX
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<br />NOTE: Raed Iruttuaiorw balore eompletlnp this farm.
<br />PARAMETER l3 G/d Ontyl QUANTITY OR LOADING /I Grd On(yl QUANTITY OR CONCENTRATION NO. FREOUENCV
<br />of SAMPLE
<br /> (1663 (54-61 38-46 (4663 154-611 EX NALrsly TYPE
<br />132-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (41-say A
<br />(54.681 (66701
<br />YH SAMPLE :JR.?{: r::: ;:sGOM:: ., ( 1 )}
<br /> MEASUREMENT ,'JL'
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<br />NAMElTITLE PRINCIPAL EXECUTNE OFFICER I CERTI fY UNDER PENALTYOF
<br />T
<br />NFO uW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE
<br />AND BMED ON
<br />RMATION SUBMITFED NEREIN DATE
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<br />AM fAMILIM WITH
<br />HE I
<br />MV INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON9IBLE FOR
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<br />. y ~ OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS
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<br />, TRUF, ACCURATE AND COMPLETE. I AM AWME .THAT THERE ME
<br />INCLUDING
<br />INFORMATION . Jc{L'c.'. c,
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<br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE
<br />THE P0951BIUTY OF RNE MD IMPNSONMENT. SEE 19 U.S.C. F 1001 AND 33 '
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<br />1 1319 g1pNATURE OF PRINCIPAL EXECUTIVE AREA
<br />TYPED OR PRINTED ,
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<br />bHO.mu/ml.rl inplFVFnenr orertwwn enbnelArw6 wrAl OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRe7erance e/I ettsc~ments neiel
<br />5ETTLEABL"E SJLIUS LI9If MnIYEU 'rUR LU-YH, 24-dR YHECIP SYFt+i SJo.iL;;:P 't';) fiUki!i.': .,c' !, 1..~ID~ d".' !!I3:'~1; A'P'~ IN
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<br />EPA Form 3320-i (OB-951 Previous editions mey he used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 PAGE OF ~!
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