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PERMRTEE NAME/ADDRESS p~4FrdIgNaWLoclllan l/D1pmw9 <br />NAME ; . Y P , ... ,.. - . . , . ). _. , y .. ) v cs , <br />ADDRESS rI.I ''... )-, ~ 1'•',,,.,` _ F. ..,Ir,ly nr <br />.9170 ~' _ '-'.iL ,.i•t^L`. <br />FACILITY <br />LOCATION <br />. . <br />NATIONK POLLUTMT DISCHMOE ELIMINATION SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT (OMRI <br />lI-I6I /17-791 <br />::)n'1271i7 ^15 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM ~ ' 1 TO ' I 1 ~ ; _ <br />1161/1 l11-131 111-151 116171 /IB-191 !30311 <br />Form Approved. <br />•• T •~ ^ p n ., ~~, ~~ T -, OI;IB-No. 2040-0004 <br />{ ~ ,, T, „ ^ r ,/~ Approve! expires 05-31-98 <br />' 1 ~. <br />r. _ v~, <br />'1 T^,a <br />NOTE: Raad Inetrucdone bsloro complatinp thu farm. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !4 Grd On1Y1 QUANTITY OR CONCENTRATION NU FREQUENCY SAMPLE <br /> 14653 l5bs11 I3B-<5l !16531 151511 DF <br />131-371 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX <br /> <br />!s1-s!! <br />MKVSIs <br />(54-58) TVPE <br /> <br />169-701 <br />• SAMPLE <br />MEASUREMENT ~. .. ;:: !et4.-: <br />8~ ... y.r; .. ~;:. <br />4 <br />8 ( I ~ <br />, ryy L <br />~ <br />6 <br />C <br /> ~ .0 <br />. !~ 3. ~rA <br />'J'?IiIU L (? •I PERMIT fikfi 3,x'~F ,. •.>,; :.#:: ,:.~ 5.5 ..«%-k :" ~,r, <br />~ ~ <br />F r. f. !.'. ,zn -/ <br />r <br />': r" I, q t: y m .) ~ ~ ..:; :• s T n p REQUIREMENT ;tt._fi '~ <br />7INii±r F <br />7 <br />r <br />! <br />F ' <br /> , lA <br />T <br />~; <br />t :i <br />i <br />_JLI`J5, S.°.T:'I."' 1.` SAMPLE r#R,^,r3 :#RC .•: ##;s'.'I;/^ ,I/~ <br />N"' <br />N A <br />( 2 5 ~ <br />~y <br /> MEASUREMENT ~ ~..~:1 <br />:Ll "i 1'i t Q ) .PERMIT #Ik#0## ~ 4te7##?# 4` ;': `. $###rt# Qg PAP".' >'P PCR7' ( 't'C c/ '. 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REQUIREMENT jt77A AY~G nAILr MX hf;? - r,#~: /t <br />J AN7 J:IFk:~ SAMPLE •#6#k~? <br />~ ~ aly' s$..;.;Ax,. ...~..;t~.., .; #;.,..; _: <br />~ <br />1 I $ IJ A L MEASUREMENT ~ 3 ~ ~~S • <br />-1 !1'J60 1 (1 ~ PERMIT ::,=~fi## ) 2 F, 5.1 R41r.:><-.:.. ..-^,'•k :'$ 'X :".+ ~-X - #":.~ t c:~,'•v I~ <br />'7;-, 41 <br />"FFLUI':N: oP77- 917 I,'•- REQUIREMENT IVST !iA$ NCc7 ^S='k :' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMElfITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENKTY OF LAW THAT I HAVE PERSONALLY EXAMINED MD <br />MILIM WITN THE INFORMATION SUBMITTED HEREIN; MD BMED ON TELEPHONE DATE <br /> <br /> <br />';ichDrd I•li~~~•~ <br />MY INQUIRY OF THOSE INDIVIDUKS IMMEDIATELY RESPONSIBLE FOR <br />OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IB <br />TRUE <br />ALCUMTE MD COMPLETE <br />I AM AWME THAT THERE ME _ <br />III <br />'/ <br /> . <br />. <br />AGNIFCMT PENKTIES FOR 9UBMITTINO FKSE INFORMATION <br />INCLUDING / <br />( ~ <br />S/O 8]D-L]~7 <br />~ ~ <br />Z" <br />DP <br />Frviron^lert. ~ ~•'~yll0 er <br />y , <br />THE POSSIBILITY OF flNE MD IMPNSONMENT <br />SEE 1B U <br />S <br />C <br />1 1001 MD ~] u ~ <br /> . <br />. <br />. <br />. <br />U <br />S <br />L <br />f 1315 <br />Fy <br />l <br />l <br />Y EIONATURE OF P111NCIPAL EXECUTNE <br /> <br />TYPED OR PRINTED . <br />. <br />. <br />. / <br />.r <br />n <br />. M,Ow t <br />wsr mnma mrY N,cM1W IGwa .P ro SIO,00a <br />.nlwmumun inprlan,rN a/bwwnsmanNS rW SY.ea.l <br />OFFlCER OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAV <br />I.VMMCry 1 J AryV CArL/1ry/, I IVry V/ I,ry1 YIVLI, I IVryp IneFe/eeCe e// eRIC/ITIOfS ee/e/ <br />.'°.P"LP,A ILL' SJLI94 L;rT- I; aAIY(?A (r~^ tOr~ JJT.'f Ic ?L:I-Y"/, ?9-"R p~orT_r.. ~-Y:q,.. ~~ ~•L,T~r •i. <br />nJ 1H 's^,? °JPD.: '. 7c .'JJ^ Rv r. ~,;up'. c vq _~: rn.^^tl .~.. T•/ n^ ^~ rte.. r•.v .. H^ `r <br />=l~`~UmT•. T•. .'tr T~• _C•Y -,m,;nrc n/ <br />EPA Form 3320-1 108.95) Prevloue edltlone mey be used. IREPlACEB EPA FORM T-00 WHICN MAY NOT BE USED.) ^ n ^ T ~ /„ n n,l „ 7-~ ^ ~ , PAGE , OF <br />