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ys~--:SNp $ 61141 Cf1~THf)i4Ptii1?! Clt '• <br />~e~g!-~ n' XI9N.p------------ <br />~A Ft~1R~1 L ~•---- -------- <br />---- ~ tl , ~1~~.. ------------- <br />----- ~ i - ~.-I-. ------------ <br />t~Gl6lIY----- -------------- <br />LOCAT~ON -- ~ _-.} ~ ---- <br />NATIONAL POLLUTANT DIBCNAROE ELIMINATION SYSTEM (NPDES) FOnnApp/DVed <br />DISCHARGE 610 ORING REPORT (DNR) .. O O. 261040015 <br />12-161 (17~f91 ~ '' ~ ~ ~ ~~ _ ' <br /> [ngol:v5 OOt+ - _ <br />` <br /> PERMIT NUMBER DISCHARGE NuMi[R ., ~ ? ' <br />- MONITORING PERIOD ~ !RrNO DISCHARGE'!• = ~ •'tF <br />'' <br /> YEAR MO DAY YEAR MO DAY -I.1 <br />- 'FROM r14 q / 0 1 TD ' bU q4 30 ~ - ~ : ! y , <br />. <br />. <br />'. <br />- < <br />: <br />. <br />u•.,/, u~.rq ,ia2+i aA~Tn urns LM.N, NOTE: Read IneWelbne bsloro 2omplelbp thb 7oTn1. <br /> (1 Card Onl/) QUANTITY OR LOADING (i Card Onl)) QUALITY OR CONCENTRATION ' <br />PARAM ETlR ~,. (I6-1J) .1 Jibl) (feat) (16JJ) (!!-0I) - Np;~ FREOQUF NOT :BAH PL[ <br />T <br />PE <br />, (J7d7) I, ) '. <br />' EX_ iMwLYBIi' Y <br />'. <br />I <br />I AVERADE MAXIMUM UNITE MINIMUM ~AY[RADE MA%IMUM UNITE 6JdJ) '(6I6!)> (69.70) <br />t{{ BAM PLE '~ <br />• <br />~ <br />- <br />` ~ <br />;~~~ <br />. <br />~ <br />• <br />•~~ t;ii <br />~'-' ,~ <br />FL()Yl (F.F F~UtNT1 <br />~ MEASUREMENT f R R-• • <br />r' <br />} <br />* • <br />r <br />t <br />~' <br />• .. . <br />' I <br />' t ~ .. <br />r <br />/[11MIT., <br />' <br /> <br />.. <br />, .. <br />~ :~ <br />~ •' <br /> <br />.. .. <br />, .a .. <br />tlf. 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' <br /> 'PEA ~. <br />y. . <br />, <br />r <br />. ' <br /> <br /> <br />~ :.: m ' <br /> <br /> <br />" <br />~ ;. i <br />r 4: «<, <br />,%s, <br />~..~ . <br />~ <br />f <br />••~ ' <br />• <br />„ <br />a <br />~ Z <br />. <br />~ <br />. M ~, ~ <br />' <br />~' <br />'g <br />~,. <br />: <br />' <br />~ x, <br />_~. gp s~P <br />~~ , <br />~.~^g•~ ? <br />» <br />~~ <br />701U0 .. v~:. <br />... R< <br />. <br />• <br />*, <br />a Y •, <br />r <br />~ c ~ <br />x t <br />'B <br />* <br />, ~ <br />~; e <br />.w <br />.~ <br />c <br />Y.i, Y <br />d' * ~~. ~. <br />Aa x ~ , <br />aN. #~ ~ d C <br />F.. ., <br /> <br />_. ~ .. BAMPL[ <br /> <br />"' ~ <br />~ ~ <br />...~ .: ~. <br />4 <br />~ ~~ <br /> <br />.i.. ~~ ~ I. ... <br /> <br />'C ~'~ <br /> <br />c~S ~~",c fi' _ <br /> <br />. <br /> MEABUREM ENT .. „•. <br />- .. N k . <br />: ~ ~'PLRMIT. ~ e e P > >'`' :.$•A. ;>'e~<a <br />.. ~ °~«~ '{^~ t.g< k <br />s,t' ~.r.` <br />w < ~-!T~,? I~ `~. t:. AwB ~'.w. <br /> RWUIRWaNT' , ,.. ^~ ~ .-, ~ ^. .. bi;: .~ ~" i:~ <br /> ~ p ~ , ,^ s <br />V <br />NAME/TITLE PRINCIPAL EkEC UTIVE OF/ICER I CERTIFY <br />UHDEPr PENALTY OF LAW <br />THAT I NAVE PERSONALLY E%AMINED <br />AND AM fAMILIM WITH THE INFORMATION SUBMITTED MERLIN <br />AND BL6ED / <br />~ <br />~ <br />/ <br />- TEL[PNONE <br />~ D A T <br />[ <br /> . <br />' ON MY INQUIRY OF TI,OrE INpVIDDALS IMMEpAT[LY RE6lVIISIBLE FOR ~ <br />I <br />~ j <br />~ ~ <br />- <br /> <br />- <br />p <br />i . Reynolds ~ ~ ~ OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATIOI ~ <br />I6 TRUf. ACCURATE AND CQMRFTC I AN AWARE THAT THERE ARE SIGr / _ ' <br />• NS'10AM PENALTIES FOR. SUMRTING FALSE. InFOPMATgN. 9,RUdNG. <br />~ <br />'eneral Manager ;;U <br />'~;;8„'; <br />a ;;~: " <br />~ <br />~w 6O <br />•~ <br />* <br />` <br />' <br />~ <br />: <br />e° ~~N <br />Q R <br />T1 303 963=3d'4 8d 10 17 <br /> S <br />, <br />, <br />. <br />~ <br />: <br />;,,,; <br />,,,, <br />I <br />,, R <br />rl yo9, <br />: ~ B <br />E <br />IN~IPAL EXEw <br />Y[ • <br />~ nt <br />d <br />/4 <br />E <br />M <br />dS A <br />TYP[D OR PRINT[D o <br />A. <br />/oP nv+.mwl PwPRAmmr <br />,wYn <br />n,on <br />P Rn <br />yrar,./ - OFFICER R AUTHORIZED AGlNT NUMBER '. ,l'[AR ~ MO DAY <br />I VMM LII, V LI,rMn/„lVn VI /, l,I IIVM.•Vni ln•lnen.• uu n.. n. ,. n.•n.. n•>~/ _ ~ t •.- ~ .. . ~ .., r .3 .L_ ~ i • . ., ?:;~~. .•. <br />Ii N ;Oi'$GFIIA~tt;~ ~G RRFU UIJHiNG T1iIS RF'PLIkT1kG PF.kIU7 REPURI: a. N(] 'QI~SC.}LARGE;a'c"1~~;'~~ ~"'~~-` =;'u'•~L`'"= •c._- <br />I; y. }t T ;9 ~ rY :. <br />FpR:CpNDUL,TIY~~;T~%(~~' TD5 T°Jf11f.4TE UNITg 1~l' hFAgURFMf'NT,. SF~k'_PEgiAtT`'FUk~R~(Jl1iR~MCNT3';'-"''.'~~'•°"`~' ~"'C'j"`~ :~ <br />r <br />.7q) PREYIOUB EDITION TO BE USED fwEPLAG E6 EPA FORM T•{O WHICH MAY NOT BE UBED.1 I <br />r UNTIL SUPPLY I6 E%H AUSTED .. ' <br />