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PERMITTEE NAME/ADDRESS (/nclude Faciliry Name/Location ijDigerem) <br />NAME dOwL£ k°': ~~';^~';'-~ <br />i T I { .) <br />ADDRESSdUN I £ N!'. .' ' "F <br />P.J. 90A ~ <br />FACILITY PkoNIA CJ elti2l <br />LOCATIO <br />fI'.Ir. r0 d1fI2i1 <br />%..""t c +ILLIA~ ~. gin:. T- •r,;o rr.o <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR; <br />(246) (Il- 9) <br />^nn 1 n <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 9 .T D ~ TO U Q !) <br />(zpzt) Razs) R4zs) (z6-z~) (ze~ze) f30.7f) <br />Form Approved. <br />OMB No. 2040-0004 <br />'~ 7 Y O A Approval expires 05-31-98 <br />(,t)e~ uc) <br />- FINAL tif'Ln.'M1 <br />n^.C{!, Y)F Sfl TYl DF-3B i2l;i. 771'4 <br />. ,l.T ('T cCH ~u~.r .1L ~~ <br />~ANOTE: Read lnstructlons belor~-cgTlTpleting this corm. <br /> (3 Cero'~Ony) QUANTITY OR LOADING (4 Cent Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER 46-53 (5a-61) (38-45 (46-53) (5461 E7C OF TYPE <br />(32)7) AVERAGE AXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(6z-~1 aNal.YSls <br />(64-68 <br />6'970 <br />~IiL 9ND ~ttFA`~5 SAMPLE :4~:r:,• ( 94) ..-,.#±e'k~F 4, ~,y ~. -•-- x-.~. . <br />. I .; i <br />t <br />A L MEAS <br />REMENT <br />U <br />L <br />` <br />/ <br />IJU'JV 1 () VT /. <br />C <br />~ -HERMIT' ` <br />>R> y <br />L~~I y, <br />~ ~ 7<>~ yy yy~ <br />1aT '1!*' y~yy,,~~ <br />~f.aY~~'S A <br />YA <br />. <br />~~ <br />-. F k' L U F. N T :::~ J :i 5 V 1 t. ; J R~QUIREMtaNT ~ ,,,'" _- ' u~. °~ ~ , ~ <br />,• t ":~'; . <br />• SAMPLE . ~ r <br /> MEASUREMENT j <br /> i. f X YM .q,~ <br />'~ <br />-~ j <br />1~ ij.slgj 4~ <br />1 <br />I`~ YSY M1~ y, ~i4 ~.p <br />T .~ ~ I`,$~'~- Jl <br />.. <br />A V 4 <br />K4i" ?i.t ~~ <br />~ <br /> ~I_ ~ ,i <br />f ra!f.~W~ <br />I ~ • :; ,+T~ i~~. <br />~ , . <br /> SAMPLE <br /> MEASUREMENT ~ ' <br /> <br /> OUTAEMENT <br />. - ' ~.. <br /> SAMPLE <br />) <br /> MEASUREMENT Q js~~•)(trC <br /> PERMIT.,-' '"~' ~` <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> - PF,RMIT, <br />. - r'r m-= ; e~- <br /> RRQUTAEMENT , ~~, <br />y <br />.i', a - ~. <br /> SAMPLE <br />• MEASUREMENT <br /> PERMIF ai ~ ,nr, <br />- ~ l; <br />- 3 r , <br /> R~Ql1~IREMENT ~ ~ . - ~ ~ - - - <br />.:,• <br /> SAMPLE <br /> MEASUREMENT ~ <br /> PERMIT ~. k ~ ) <br />t ~ <br />~s <br /> REZdUIREMENT- : •~ ;'<_ -. <br />, <br />` , <br />. <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM lAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY E%AMINED AND <br />IN; AND BASED ON MV TELEPHONE DATE <br />ryf <br />l <br />~ <br />L c )Am IJ EAIC ~~ INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />R <br />L <br />O <br />, <br />i <br />) AND COMPLETE~E AM AWARE THA~ THERE <br />A E <br />SIGNIFlCANf <br />gCCURATE <br />SUBMITTING FALSE INFORMATION <br />INCLUDING THE <br />PE <br />A <br />T <br />ES FO <br />~ <br />// <br />~/ (' O EYr a ~r, [ ~- r N <br />L <br />I <br />, <br />P <br />POSSIBILITY OF FINE AND IMPRISONMEM. SEE 18 U.B.C. § 1007 AND 33 U.S.C. <br />al <br />tl <br />A <br />I <br />l <br />tl <br />li <br />7 <br />tl <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />~l7 a <br />1 / ~ 557 p <br />1 <br />O <br />~ b <br /> <br />TYPED OR PRINTED as un <br />er t <br />me statutes may <br />nc <br />u <br />e <br />ras up to 5 <br />0,000 en <br />m <br />4 1319. (Pone <br />maximum lmpnsonmata olbetweenBmaahv enOSyesrs.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY vlOwl Ives (FreTerence au artacnmenrs neTe) <br />SE""TLEARLI; 57LID5 [.ICI" ~FPLI°5 ONLT L;•' <=10TRa7liHR PRFCIF ;;9FVn• LS CLAIr"~1. IF CLM1IC AFPRCVT'C hY 4~7r^• <br />':'~5 '. IkUtt Li`I"5 4ILI. ,707 92 APPLI::D T7 4t:PORT F:D h°ASU RY>"~R°~-55~: I. A. 2, '~" ` FC5 ifURD@y Of' PN~JC~F <br />EP'A$Rrgi'd3~241' 0~- ~ Previofls editions t be 11Setl' ' '" • (TIFF CES`~ T-o AY N S D.) n n~ n ~ / oo n ~ i T_ i 7 ~ 7 PAGE 7 OF <br />