Laserfiche WebLink
PERMIT7EE NAME/ADDRESS (l.NL4 FsWry Nwr/Lxanw dDlg nu) <br />NAME ~.Y~9u'- v'. ,.. ,r _..,~L ,."^, <br />DDRESS;;,IN ~-, ~: E ...-i ~. ~II' ~ ~ '. .: {;'A' <br />X31 n'~ ~! -1 ... ,. .~T'.":.°• <br />FACILITY <br />LOCATION <br />. n rV:-I~Tr rr cV .,-.E'~9AL LT\7 <br />NATIONAL POLLVTANT DISCHARGE EiIMINATON SYSTEM INPOE$I <br />DISCHARGE MONITORING REPORT (OMRI <br />12-161 ll7-I91 <br />-;10'1 71i7 nna ~ <br />PERMIT NUMBER DISCHMGE NUMBFA <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM 97 7! ^1 TO O~ nT T1 <br />I701I1 l72-731 !74751 !26771 l28-191 !303!7 <br />Form Approved. <br />. T r. p T r ., n e n .. .I,~OM&No~2040-0004 c. .r <br />Appravel expires.05-31-98 <br />(_" ".1 - <br />_ -•~rAr <br />• A t .~ <br />-NOTE: Reed Imtructlom before completlnp thle form. <br />PARAMETER !3 Grd Ontyl QUANTITY OR LOADING 11 Grd On1Y1 QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE <br /> !46531 !5461 138-461 !<663 !54611 EX OF <br />137-37/ <br />ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 167-s]7 lµ681 16&701 <br />i.^. 1."', ^:~?~i, SAMPLE •:+4 r':¢^ n(•n~-~:) -, :::]'.: -;: t: ( t~) <br />I r ~~ r ~ I MEASUREMENT <br />l~l ~~l, _ '? ^ PERMIT rtLR RSrC l."C[c4 C:k ~ •••.• SYk#Kr": h, Av ~O n•s 7°nn'7? i 1h',^,r/ 'rAS~. <br />i'. Cil•' ~ :'I? i i.n'; REQUIREMENT ~ :f?:34 .'Sl P_.1. :iVG- t4ATtY MY ~S: • -M ~~M.; <br />T `~~ F it; "'AL SAMPLE u;: x;: ;; ;: C'XCC>,Y :~ <br />~ CC*:r{,n <br />+ <br />O f 19) <br />~ /" <br />( ;, f~ c I MEASUREMENT I O 1 ~ ~~ <br />~IIV~I'-, i 7 n :. ~PEHMIT., <br />- ~CG+Q'.TCfi hCrSCA~fT 0 71•'.:.• ~ :f%+rt~1X'.='t '1e5 ~ ?~~~~ ;I i.11 ^~:R/ ;A.tP <br />L'J3:": :~'7,," "~ Lnp REQUIREMENT ~?4sr. (10A 'AMA ?TIY -°Y [F./ . M `84R <br />i L-ibF T ~ .. '1NC11'^ ^.U SAMPLE ( ^3) ,^'+•'a :` fy ^,I'.k!Yep1Y,! :!: ~.~;{::FYI ~~ /~ <br /> <br />i; ~ <br />"_ a F' •(T -• f q •~? <br />MEASUREMENT <br />Oa O ~ <br />~ ~ F E <br />,u,;~•~' r ~ PERMIT REPJRT::.:. ~P°.T.nvRy 'p 7: Y1I?r..; ;Y:..r;~..;.., r,YICfYk3?:1; : bbr: F°~1.~': INST.1f <br />:,"LiJI"~'' s,PJ55 Y-Lr,f REQUIREMENT 3ADA AYfi:' ::~SAILT M[ w;^• <br />.. ~'.'IY- <br />'TL AM1(~ .:,EASE. ~ SAMPLE ;e¢?3x4 ( 74) gnp,t e: (: Y, }~.,, .....,, .y Y,:..-.:.: ~. ~Vw~ <br />y ~ ~!• i L MEASUREMENT ~ <br />I <br />l u;l:f5 1 (1 7 ~ PERMIT~~.~~: .;;~. Y,,k+-Znt... T. .... .~ v__1 R~44'; t= <br /> <br />... - <br />-; ;'-;t r- .. s=ASe::, ~_ . .{,,.:. <br />I,,yLy <br />~r 1t/,L <br />I_`'r LU "r,'.~T G'-"F,' C ~ '.'J = REQUIREMENT- ~' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ~ ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . <br /> REQUIREMENT ~' <br />NAMElTITLE PRINCIPAL EXECUTNE OFFICER I cwnFr UNDER PENALrr QF uW rHAr I NAVE PERSONALLY FAAMINED AND TELEPHONE DATE <br /> AM FAMIUM WITH THE INFORMATION SUBMITED HEREIN; AND BASED ON ~ <br /> MY INQUIRY OF THOSE INDIVIDUN <br />S IMMEDIATELY RESPONSIBLE FOR ~ <br />Richard Mllls . <br />OBTNNING THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATION IS <br />T <br />E <br />A <br />/ ~~' <br />~~ <br />l L^ <br />~lnaner <br />vi <br />m <br />E <br />t TRUE, ACCUM <br />E AND COMPL <br />TE. 1 AM AW <br />RE THAT THERE ARE <br />SIGNIRCANT PENALTIES FOR SUBMITEINO FALSE INFORMATION <br />INCLUDING ~ ~'"~ ~ ~ <br />w <br />n <br />ron <br />en <br />a , <br />THE POSSIBILIT' OF RNE AND IMPNSONMEMT. SEE 1e U.S.C. 1 1001 AND ]3 _ <br />BIONATURE OF PIIINCIPAL EXECUTIVE " <br />_7T 7 O 7R 9() <br /> U.S.C. 1 1 ]°e. lP.nr1EY. rnNr 1Mw nnroro. mEY HcAdE A,.. 1e ro S 10,000 AREA <br />TYPED OR PRINTED rldnm.rim.n Mpiearnwre erMMwn RmonNa rMeYwral OFFlCER OR AUTHORREO AGENT coOE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRSterenee s// ettecnmenTS Mrel - - <br />,1,`:r'+AT~. 1.?".?C' :^-, -'-. -t~9'i .. - -~TL'.E.'T.R L~LTD° ('. '1^ rnFl °"^T.' n•IT-Y r- ,.,_,,. I_~• ~.,C.T. .., ., .IT <br />::; "LAi.".cG. 7.;. ~ _ 7 ~ Fal~ <br />E <br />- ~ r v - - _ -... .. ,- . ,. ~ ., . ~2J?~~ '1c nr~rr >-, ~/T-,:.r. .r ~ nT. v <br /> <br />_ _ ,. <br />, r~..r ,- _ .,. .. c., n-o ., v/ <br /> <br />-, , <br />EPA Form 3320.1 108.951 Previous editions mey be used. (REPLACEB EPA FORM Td0 WHICH MAY NOT BE USED.1 n ~ t ~ n / ^~ ~ f• I, r' 7 _ t r T n PAGE . OF <br /> <br />