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P£RMIITEE NAME/ADDRESS pweY4irWry Nadlocule~dD~rwU NATIONAL POLLUTANT OISCXMOE DJMINATION SYSTEM (NPDES) FQfm Approved. <br />NAME $Ed ECG CORL COB P1111i DISC /IIM6E MONITORING,REPORT lDM91. DISCHl kGE TQ TAIB V~~e~~LQ,I 98 <br />ADDRESS OR4YBR O ~ (SUER dM) 1L]4 <br />YA1rDE^ FrO 516j9 _ PERMIT NUMBER DISCHMGENUMAER F ~. rIIf~L <br />NI~.d$ f . . <br />FAauTV M IFORING PERIOD ~~~' t <br />:~ • YEA Ire MO •Y "YEAR MO DAV <br />LocATtoNk-IUtM CO .B163D FROM ~ TO 0 ~, 0 Y;i E ; -~j ~~ <br />82TY: G. bUD BRDYN 6E2IB8aL d1NA68R 120-" .•. RHdI «r~f«~2'd~I7pMtMp thM form. <br />s :(' '251 /16271 l1B-291 (30-J// <br />PARAMETER 13 Ord Onryl QUANTTY OR LOAD /16rd OnIYI QUANTITY 08 T 710N ~ - ;(~O, FREQUENCY SAMPL£ <br />l6fi-53) 151-(i)) !3B-I51 /16' ~ 151-61) OF <br />132-37/ .. if X' .ryWALYSIS TYPE <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE ~ MAXIMUM UNITS ", ~e2-sii ,161-5s1 169-701 <br />SOLIDS, TOTAL SAMPLE 91fi00100 0~4:t 1k# 44OA*o ~ 1 I/) ~19}.~~ ;~. <br />5O5PElfilEU MEASWREMEN.T ~/ V V My <br />~~ .. <br />PERMIT::.;..; ..: .. , ....- „,:,. , .... <br />UOSlO 1 0 0 •".~. •: :~~8:... <br />ii+illktrt:." :, ` .iYI~M1~fCt , . Ei4i T(~` :. ;r." : ":: -: -~~~:: : . <br />., <br />EFFLUENT Gk05S YALU REQUIREMENT.-:; .. ". ..:?:: '.."... -; .:".,.:'::':: .'a0 ~:::::.. r. <br />SOLIDS, SET.fLEAeLB SAMPLE aTxaoaa t4aao:e ~; isa <Q (I ~Q, l) ~ Y5~ U;• 1~0 ~~( <br />MEASUREMENT a 11 <br />~~ .PERMIT ~. C:de 014l~t 01 .ilggp"9g.0!'~ a40 ~: _:< :::. ..::.::..~.::~.k ':''Su~a:~~ ~~:':;y ~ ~ S~yyr r .~~:::z ;"~ <br />7iEQDIREMENT '~~~~~~ ~' <br />.......... <br />EPPLUBNT GR095 FALU .... ... :: ;. .:o~IsR ,, <br />T k0/i SAMPLE ##tk4C# aoaaa~ so - ~~- ~ ~ ( 19) j <br />TOTAL kE(:OYBRIBLE MEASUREMENT •k* .; v. i ~ ~. ~ Q ~3U ,, ,, <br />G09dU 1 0 0 ,PERMIT :: '41s~+0!#01 ;r&8<tIC1!. :kLLC ~....:-- 'R~~~R'~:.:. ~G~E~;.:'i$1"~.; <br />SPFLUiVirY 69DSS -ALU t~EQU1REMEN7". '. - ." .. -7.thC0 ':'.: .':.,'.. '.'.:.: ;".:r•.":" <br />IL ANG v,kEA$C SAMPLE C04¢4fi 4d40;tC k@~OOEk ; ?. 04 ``' ( 19) <br />MEASUREMENT -"`~ 1 Y O~- <br />;: <br />. ~ .:: <br />PERMIT:...::,:.:.:'"O'gplM~~ tTS+fAClktf C+ac: >ft$IA4~!OI:~C:" ': :ti ~_.. ,:::..: <br />03Sd2 1 D 9 <br />EFFLUEM2 rR054 f ALU ;fiEnUIREMENT% j A330: -'a`~;~"~' I~kKIN>: ~.RI'. KG/L .: ~'~'1`- ' ; ; <br /> <br />.. ..:... .... <br />.~::: ::PERMIT :~:: ~..~ ~..~:: ...;~ . :..:.:..:. .:...:.~~.:.:.:.::.." ~." <br />,. ,.:. <br />.. <br />REQUIREMENT::: ~ "~ ~ ~" "~ ~ ~~ <br />NAMElfITLE PRINCIPAL EXECUTNE OFFICER ~ I cmnFY UNDER PENALTY of LAw THATEHAVE PERSONAUV E%AMINED MD ` TELEPHONE DATE <br />AM FAMIl1M WITN iNE INFORMATION SUBMITTED HEREIN; MO BASED ON <br />MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE fOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATON IS <br />TRUE, ACCUMTE AND COMPLETE. 1 AM AWME iHAT THERE ME ~~ ~„ 1~'~ ~ O~' <br />SIGNINQMT PENALTEB FOR SVBMITTINO FALSE INFORMATION, INCLUDING /ILF.r. ) <br />TXE POSBIBIUIY OF FlNE MD IMPRISONMENT. BEE 18 U.S.G. f 1001 MD 9a 610NATLRIE OF t71 pPAI EXECUTNE <br />U.B.C. E 1 J10. /rMrkL, uMY r/IIM Whm, ;n,Y itA.d, ~M, y Rr 1!0,000 <br />TYPED OR PRINTED +ea n m„+.Il,e E*P+o+eNH ar Mrwwn a mmU, rd a ywal OFFlCER OR A OR¢ED AOEN7 CODE NUM~R YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerencs s// stfschmenfs hare! <br />TSS LIt7tT MILL BE YAI>!BD iND $BTTLBABLE SOLIDS LIlSIT APPLISD FOR C=lOTA12gkR PBECIP ErBMTj TSS 6 <br />5622Le;i19LE SOLIDS LIDIT YLIYSD POR >lOSR.Z4Nfl PBECIP BIEtT 9QBJP.C? TO 80RDES OF RROOF Id L ^.2• OIL 6 <br />f S 4 n e o r <br />EPA Form 3320-7 108.551 Previous editions mey be use IR Ll~CE FORM T40 WHIQn~MAY: NOT 8E U4ED.1 ~ PAGE OF <br />_ 60D~9/9B091p~0~24 1 <br />