|
PERMITTEE NAME/ADDRESS pweY6 FrWgN.yl«.na. dD1E'.'wq
<br />NAME fRAi'PF"? YI'IINf;, INC.
<br />ADDRESS T H A i' P E R '+ 15 "r:
<br />P.G. Ti:iY 1"7
<br />CnA1~ r~ 91L2',
<br />FACUrrY
<br />LOCATION
<br />,:t:: r. GOt+DJ„ f: TEE,`°, Pif'.5/GEN ~~„8
<br />NATIONK POLLVTMT dSCNMOE ELIMINATION SYSTEM /NPDE$I
<br />DISCHARGE MONITORING REPORT lOMRI
<br />7-r5i rnas
<br />000032115 CC2 A
<br />PERMIT NUMBER dSCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM TO
<br />I767r1 l77-731 III-751 176-771 I1B-191 /36311
<br />Forrn Approved.
<br />F O N C A° T O N 0 N A .~M~l,~cpo-oooa
<br />(S U F F ? V) ApProvallexplrQ~05-31-98
<br />F - FI3FL
<br />"IhCT
<br />''~'°z' NC ~ISCHAPGE ~__I
<br />NOTE: Reed imtruetlwr bdw~ eompletiny this form.
<br />PARAMETER !3 Grd On1Y1 QUANTITY OR LOADING !1 Grd On/YI QUANTITY OR CONCENTRATION NO• mEDUENCr SAMPLE
<br /> /4653 151-611 138-/5 11653/ !5451
<br />EX OF
<br />P
<br />l37-371
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />rs7-sal MKV515
<br />164681 TY
<br />E
<br />!5&701
<br />_ Ul. :a, 1 ~ SAMPLE •'~ +' '•` ;r'.:##;Yx .,0.10r ( 19)
<br />
<br />_ .i .: E' [. N G H il
<br />MEASUREMENT
<br />y0
<br />y0
<br />~ /
<br />,{p
<br />G~A.~
<br />~U5)U 1 0 (! PERMIT Yl#4p1T0•
<br />` :k¢0101C:4 00;`• 41+0001 t4
<br />-~ 7C 3(CFJ RAC
<br />rFiLUENf GRGSS YALll REQUIREMENT i'. .. 00:74
<br />.~::
<br />~ 3~CA AVG i`AI1.Y !IX na/L Of14N : ..
<br />.. ~, ~.: .AFL.. SAMPLE #u0:t#; ?Jt0{T :! 0
<br />11+7 C'1 ( 2S) ~
<br />
<br />MEASUREMENT
<br />~D•/
<br />~~•~
<br />D /
<br />j(J
<br />lwtlJfj
<br />~/vS11S I U 0 PERMIT ~." :.:. P r•1fr 4<.»•g0lWD Cpt?Cilkt;,.: ,': l3EfORT:.::: NtiE~
<br />: .~18
<br />:.rF'LUtNf GRO55 VALU ;REQUIREMENT '.' 40#0 `:.A:~G.
<br />3Q:UA.. .
<br />a(SAI^• T 1!E.IE ~?L/L ` .
<br /><' ON:YH .::.
<br />•. . 1 SAMPLE ####14 C##0'44 000100 ( 19) ~
<br />
<br />(A~ f'};)
<br />MEASUREMENT
<br />D.G `
<br />O.4i
<br />~
<br />/(?
<br />Ce«~
<br />J 10 u S 1 0 0 ..PERMIT 0?X. xL'r.. , .: >:+O~k004 O y4 # ':1001 ] , (' ~ .0..:. f7CE/ RAP
<br />r_FFLUF:N1 GR05S VAL`JE REQUIREMENT
<br />... 0170 ?C.Cf .AVG CAI~Y Y,X M~./L >Fpp:'('H
<br />v . J G SAMPLE #+.: r1v:`.~ Y:;=4'#~7 ;: ::1000% 0t 0r::7c ( ]rl)
<br /> MEASUREMENT /31/4 /Y N.~ N~
<br />.).1541 I 0 U PERMIT 1~X##"~# ~#;XOaI# #0~7 ~ t?D9101 10110E 1.C' ~ ~ OMTZ?d ':tAR
<br />E:FF'LJENT 6RUS:i YAI.U REQUIREMENT a0## TNE1 C!AX MG/L TYRT
<br />t Or, I?I L NGUI i C'{ SAMPLE ( U3) +`009v'? ':; 00+71 AY,#.'~`'~
<br />IHnJ TF.i:ATIMF.MT PLAG. MEASUREMENT p,r~of O.98y O ~T i,.ar,~+-
<br />`.UOSO 1 0 O PERMIT .gp RR riEPUnT #1.13000 On.+a1~. O.Oi«~ #~~? ~EKLY IN.STA
<br />;.FFL'JE:rrT GRO_5 VALU REQUIREMENT 3:7DA: AVG DAILY ?lll I7CD
<br />~
<br />~ ~ Oa>~4
<br />.
<br />.r.~ .,, SAMPLE •.u. 3#rt :..: r, YT 17# 100110 ' { 1~) ,
<br />.. I .i .`; il L V t U MEASUREMENT /?J~O /Z'p O /Q G,ry~°
<br />1'J1?>> 1 0 0 PERAAIT. ''-'~ ~`~ '=x:Y1~#% ~'):` X10109 CF7IC1[AL t,lFt7AT TREY :RAE
<br />::F"rLUF;NT :,RJS5 YAL11, "REQUIREMENT ~ 0'J~# ~ ~ ~ETF. AuG ~CA1IY MX M~/L
<br />it .. ~ SAMPLE .. :.: ,: gq) ~. ,. #^ rr,#y.. ,,,
<br />i
<br />i _i L A L MEASUREMENT O O / /~iy.gt
<br />~IV.1 r:V 1 0 U PERMIT.. ~ .° OP,~ EC=1 t~00 0 +1 1:7 .01><0>::': .#r1 ::~ 'rr`;N LT T50A
<br />~.FFL'JFNT c;R055 VFLU ~~REQUIREMENL~. : ~ ~ ~ . ~ ,I>iSZ.~MAII- NL=U ~ ~ ~ r'++°'~'
<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I ceRTIFY uNOER vENKrY of
<br />AM fAMILIM WITH THE INFO uW THAT I NAVE PeasoxKLr EAAMINEO MD TELEPHONE
<br />RMATON SUBMITTFD HEREIN; MD BASED ON DATE
<br />
<br />W
<br />P
<br />d
<br />G MY INDUIRY OF THOSE IN
<br />F
<br />A
<br />NI DIVIDUKS IMMEDIATELY RESPONSIBLE FOP
<br />~
<br />T
<br />S
<br />Ef ,~-~~ ,(/
<br />~~
<br />~~
<br />970
<br />824
<br />4401
<br />.
<br />or
<br />on
<br />etarlf COM
<br />ACCUMTE
<br />MD
<br />TgUE HAT THERE ME
<br />PLETE
<br />E
<br />AM
<br />AWME /~~
<br />/ -
<br />- 98 7 2]
<br /> ,
<br />PENKTIES FOR .
<br />sUBMITTING FKSE INFORMATION
<br />INCLUDING
<br />President/G@Oeral Manager SIONIFICMT ,
<br /> THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 10 U.S.C. f 1001 AND 3a bIONATURE OF 1711NCI-AL EXECUTNE
<br /> U.S.C. E 1 ]1 e. I/rWtl.. Ydrr e'ww w)rPM. mry Y,.kW rn.. y ro S 10.000
<br />TYPED OR PRINTED r,O nnririnm LM'1>o"rwNW MMwn lnw,ex rII6YAraI OFFICER OR AURIORRED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/sronce ell ettechmenb hare!
<br />::~-i t: ''O:AL IdJr• Liit1:'S MILL :t E. rxIVEL, AN;, :ic.TTLtA3LE 5')i ICS CI?!IT AFF[.IFI FCC i=IiY3,?'inf. PF;CIP iVt:1'f-
<br />SEt bL°.UEN OF Dk00F N`+iU7dE:1h'NTS UN753 1.A.3• PER".ITTEE hUST T1YF All F;FR_FCAA;'1F ~'[.ASUi,7,_". TO 4cDIiCr' PP
<br />Fwm
<br />mey be used.
<br />
<br />3
<br />t;
<br />'~I
<br />I
<br />
|