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PERMITTEE NAME/ADDRESS O+d.47sWryNadfxeuee UDlD.,..'0 <br />NAME.. CTPt."= T4'"PA~ YIiT. ., - L "U'Pe <br />,ADORES5IIP.`..'~ Lr )';~ 5p""'r ~:(~dh P5 <br />91C0 F:Ai* "Its`?1. _. ~?c <br />FACam <br />LOCATION <br />PARAMETER l3 Grd OnIYI QUANTI <br /> 106531 !546/1 l3B-4.51 !1653 151-611 <br />EX 0 <br />TYPE <br />137.371 MursTS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /shell / <br />581 <br />64- 159-701 <br />_U.•''UC "[: ["} SAMPLE ^?Cd~t<= Q#O G'~,. ~',:r•,.•;, ! I1) - <br />~ <br />/ n <br />/, <br /> MEASUREMENT ~ ~ ~ /Z <br />11~i1 ~y 1 '' '' PERMIT ~ Lt r,;;: ~,:Y~' .'e fe rA le=O ; A`, :: T;~KLr+- qo nnnm 1oT~^. "•FT. 'nHn/ ~ e'!'kLT >I'A= <br />~' ~. J .:: '. ~ `~ S Y A L !! t REQUIREMENT ~ ~ ~ <br />~ ~.,. 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L'` / U't''I" 'n~a <br />F F L U E H'P ' ° `.` S '/ 9 1 ^ ` REQUIREMENT - T •' @ ^ ^ <br />NAME/T1TLE PRINCIPAL EXECUTNE OFFICER I eennFr UNDER PENALTr of Lww THAT I NAVE PensoNAUr ExAMINED MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BARED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDINOUALS IMMEDIATELY RESPONABLE FOR ' <br />{ <br />ti <br />'(( LIEVE T~S <br />TO <br />ED <br />~g <br />NI <br />~ <br />A ~ <br />/ ^ <br />l <br />$ <br />RlchDrd I TNA <br />A000MTE <br />COMRETE <br />AWME <br />THERE ME <br />UE, <br />AMD <br />SiONIFlCMT PENALTIES FDR SUBMITTING FALSE INFORMATION <br />INCLUDING ( <br />.jig <br />.2r." <br />nrnental 6tana <br />Envirr , <br />MHE POSSIBILITY OF FNE MD IMPRISONMENT <br />SEE 1e U <br />S <br />C <br />1 1001 MD SJ <br />. <br />. <br />. <br />. <br />. <br />610NATURE OF PRINCIPAL EXECUTIVE ' <br />~ <br />' <br />~ <br />O <br /> U.S.C. 1 131 e. /ANWIM/ IIr1Y e.r mom. nleY NcAd~ rPle/ W ro t 10,000 <br />R <br />C <br />E <br />NUMBED' ~ <br />VEAR <br />TYPED OR PRINTED war mexirwnhMsrnwlr er Nnr«nsmonohe rd sYeenl OFFICER O <br />AUTHORIZED AOEM OD MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lReterencs en sttecnmenn oars/ <br />.";''"x,7A,~, rr.. l,..- :•-, m:r-F 1-.n _!:r^~-.a( '^T rf'": (L.)^ r~r) r-1 "T.v riv rY <br />.. .. - Tr - .rt_va _,;_ar ona ,: t~T <br />.. (:La I't :.C. ~ re •Tr •• 1HF F19 iJ4r) 6 rP t'a)!t F' ~.,^'TI~Trc v';.: •w •-e 'ITT r <br />. r.,v. .`._p_•-•r :/1 '1^"(~T° ~'/ <br />r ^• <br />.• v . am I^ •.r <br />T ^ ^ <br />^ <br />(REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) <br />Previoue editions may be used. <br />EPA Fwm 3320.7 108-s51 ,I ,~ ~ ,^ ~ / ,: , r _ .~ _ 1 ~ ,I _ PAGE r OF <br />NATIONAL POLLUIMT OISCHMGE ELIMINATION SYSTEM (NPDES! FOIm ApprOVed. <br />DISCHARGE MONITORING REPORT (DMR) „ r ,. ONIB No,12040-0004P .r <br />17-161 17-191 "' T r ~"I"~ T'') 1 L L ..~~yy~~ <br />ApproveL azpl ~ee.05.31-98 <br />PERMIT NUMBER DISCHMGE NUMBER ~ _ r T I• F T <br />MONITORING PERIOD " a t r ^ ~ ~ ~. <br />YEAR MO DAV YEAR MO DAV ~ !!. <br />FROM 9 1 "J i ,. 1 TO n ~ n ~ l? .. ,;,. .. ,, ~- .:-.. .; a r, ,.:_ I __ ~ r ,r ~. <br />lI67// 177-73/ /14151 11617/ /ZB-?9/ !3631/ NOTE: Rssd Imhuctiwu bstors eomplelln0 thb IGrmi~~ ~;; <br />TY OR LOADING !I Grt/Onlp QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br />F <br />