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PERMITTEE NAME/ADDRESS lGaYL FsIAryNa/Laallm UOld •9 <br />NAME FU'A.li::('r:"Ili L'~.; j L G~i".PANY <br />ADDRESS n,IA i,it "ell. , ,, -, P(ikT?. L$ <br />FACILITY <br />LOCATION <br />i.Ii:~: Jai:... n. _. c', F:i..11C,..'.T <br />NATIONDISCFiARGEDMONITONING REPORT % MRN/POfSI <br />11-161 117-191 <br />CD 0027146 005 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAV <br />FROM "' +1'+ '~ 1 TO ~~/ ' 'J C ] ~~' <br />!70.)11 tl7-)31 Ob151 /16-]71 /]8-I91 !30.311 <br />form Approved. <br />PONC 9 TC CO LCHADofnBRrjo~~o„ao-oooa <br />Approve`L a:pN,ee OS-31-98 <br />(S11 Fig LC) 1L:} <br />~ - f7lhl <br />~IVOF <br />NOTE: Reed Inetruotione before co I<tln0 thle lorm. <br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADING !I Grd Onlyl QUANTITY OR CONCENTRATION NO. FREOUENCr SAMPLE <br /> !46531 !54811 l38-e51 116531 154671 <br />EX OF <br />T~'PE <br />131-371 ANALrsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e7-e7l !64681 159-701 <br />.,il, 4. '!!` _.. ~- SAMPLE :'s :: :: ';r r ( gly) ,:~• r: er: ,; :;,.: ... rr:-=' . <br />~ 1 -ill n L MEASUREMENT <br />,. ty Jr.L ~ :l PERMIT K1Y+~:X'X~ .l :'. !`1, f~.1 Y I•. ::=: GY,1 $o eery fa Y,IL¢8A O'Y,i fj +'A PJ M,. .: ';: ;, L'F. P:LY I.'L~A (. <br />FFLJLA: ,.rU::b YALUl .REQUIREMENT 1Fj$}' tSAX tiJ=O ::;:/ <br /> SAMPLE ~ <br /> <br />MEASUREMENT <br />(~ D <br />~~ ~ ~ ./ <br />i:.~ <br /> PERMIT. ~ <br /> :REQUIfiE.MENT ~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENI: ~ ia? <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 />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I c¢Rn <br />AM FA FV UNDER PENUn GF uw THAT I HAVE PERSONAUr ExAMINED AND <br />MILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE <br /> <br />MY INQUIRY OF THOSE INDINDUILLS IMMEDIATELY RESPONSIBLE FOR ~/~ <br /> <br />M ~ ~- 1 ~ <br />Jor+~ <br />OBTNNINO THE IHFOIIMATON, I BELIEVE THE SUBMITTED INFORMATION IS ~= <br />` <br /> TRUE. ACCUMTE AND COMPLETE. I AM AWARE THAT THERE ARE <br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />7 - ~I/ <br />I~l <br />M I ~LJ ~~ , <br />THE POSSIBILITr OF RNE AND IMPNSONMENT. SEE 15 U.S.C. 1 1001 AND 77 <br />' / BIONATURE OF PRINCIPAL EXECIlfIVE ~ <br />~ <br />3J `~ <br /> U.S.C. 1 1 ]10. IMWOi. IwWI el.r .bnma mrY Y,cArl~ A <br />rw. W ro F IO,ODD AREA <br />TYPED OR PRINTED erM wmuim.nbw+'sweA+t aF e.fwwremw,er.WeF.uAl OFflCER OR AUTNORI2ED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION of Anr VIULA I TUNS lFrererencs sn srtecnmenrs nets! <br />.;iT:'LEAiIL.: SCiIuS LII'Ii~ ;.1vLIr.:: U::LY IE <=lOYF,F24Fii !~'"IYIT.4?I0~ :Y`N7 IS C[.il,',F'v. PF9!"Ii'T.+:f. i`4-> <br />~Ui:rbM OF t'H.^.UF BIiEY cc 1Jt.:..Ii.-, I;tLi~r' Fri;l:~~ ~L'I:LcA;-L~ ~.: IOS FFI:".6EY LI:'IITST.IOr-`,. <br />~i <br />:? <br />EPA Form 3320-1 108-951 Previous editions mey bs used. IREPLACE6 EPA FORM T-00 WHICH MAY NOT BE USED.I ~ - PAGE OF <br />0, 3>P/~3C22~-Iho <br />