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PERMITTEE NAME/ADDRESS /l+ei,e. Frd,ryNwJLxe„a ,/D,p....p
<br />NAME ~ Y P R U o • n .. p - ~ ° '_ ~
<br />ADDRESS 7 I R F:5 (, ' . i _ ~ ~ ' / '~ J -~
<br />FACILT'
<br />LOCATION
<br />.,II•: ^;OH1IS a. ~ =GL:'?, :°6~y.ai, A"V'f
<br />NATIONAL POLLUTANT DI9CHMOE ELIMINATOR 9Y9TEM /NPDESI
<br />DISCHARGE MONITORING REPORT IOMR)
<br />rz-r6~ n7-191
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<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM '~+-I ~._ '7 TO '+" +
<br />!26111 112-13) !14151 116-271 118-191 !34311
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<br />Forrn Approved.
<br />~..^OI~81No., 2040-0004.
<br />Approve! expire OS-31-98
<br />NOTE: Reed InstrucNoro befor co lollop thb form.
<br />PARAMETER l3 G.d Onlyl QUANTITY OR LOADING !I Grd Onlyl QUANTITY OR CONCENTRATION NO RIEOVENCY SAMPLE
<br /> 106-531 154611 138-<51 !46-53 154611 EX DF TVPE
<br />131-37/ ANALY519
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is2~s~1 !64681 159-701
<br />'il SAMPLE ...-vRX xTR', ,.s^ .^: ,~, A; ,- ( 111
<br /> MEASUREMENT
<br />,; 171;+~0 L :T 7 PERMIT R7'~JrR'k #:~rr.>t~ r, r.-;: 6.; .~~^..#,:` ^
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<br />S7C:PS rOrA?. SAMPLE -. . ;:.'s~
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<br />.i L "~ k~ R :i U .c. C MEASUREMENT
<br />7fJ ~jlJ !1 0 C ~ PERMIT.: #t<':;i~. 3f: {T.+,r$# L -:#.`- ¢{t##~fft P, I ' i?~f!
<br />_(. :. CJM'S?NTS gcLn.~ :REQUIREMENT 31F'kP I(1•,!A r4V^ n!<7 v I!Y r!r/L. x:)arTu
<br />.iJi.i D3, rJrAL SAMPLE `(<~ i~~'`•Y4':.-: O".rt±ta :~: ( ± ~)
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<br />i~.)53J L U ') PERMIT ..:h:: ... »rA# k~: ~.gye:y!-:;: 3G 7(' ( ~\^y/ 'Ip t)
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<br />JOLIDi, Sf.TTLFe.aLS SAMPLE `!-':: kGR:`f:': ~':.'.:'.=-7 t: ( 7 ~)
<br /> MEASUREMENT
<br />IOSIiS J U +: PERMIT .;:+S XO~ rrt;;..~f< .. gr,:Yfi:": Rs Ff)F. "' ~.5 ' Y's/ ;:Z E. ~+
<br />i :: I: CCI .":KLiI°S ° -L:',' REQUIREMENT '"<`•? 3D7A AYr DA`I•Y wi: '"T,/G '1Cti T!9
<br />c~7LIDS, :;errr,f.~ iL" SAMPLE :kG'SL:G ,..`•'}:°c -, ... . ~ Jq)
<br /> MEASUREMENT
<br />1USVS 1 U _ PERMIT ••'•=ft%''% .-#Cr~;- r '`-'!;: PY~Yt#e;%r F?POP^ n°F~'T ( '1C~J :p~{:i
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<br />)IL AY^, :r34~ +' SAMPLE ter,. ,. ... ~!a -.` :##dr: :^ :`#~".##" ( l9)
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<br />J'U'Iti5 1 n '7 PERMIT .-. .:+:: ,: :t ;rtG# ~. :##f,:...., h~;:;.k_.• 1^ I ~r)~,; 1'7"
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<br />i. ~ F .' ~ MEASUREMENT
<br />J1 :145 J D ' PERMIT ... . .v.t x#~.-t'` °= rr/9T nnpn.,q, ~ t+^oJ .4A9
<br />:c CJH~r gHTS n'L.7t REQUIREMENT ;<t;:.x ?Or1E e7,^.. ')d"T.'f «Y .^/L Y17.•.,.,:
<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI
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<br />MILIAR WITH THE INFO AW THAT I NAVE PER90NULY E%AMINED AND
<br />RMATION 9UBMITTED HEREIN; AND BA9FD ON TELEPHONE DATE
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<br />THE P09ABIUTY OF FNE ANO IMPRISONMENT. 9EE 19 U.9.C. 1 1001 AND 73 _
<br />610NATURE OF PRINCIPAL EXECUTNE
<br /> U.9.C. ! 13tB. /P.rWtl.. ,.rW.r IIrIM mNna n,FY ANAMN FwA UP ro trO,ODO AREA
<br />TYPED OR PRINTED rd nrrr..rx.nJ'r,P'!,a"tNtTWbMwn smmNarW 6l+va/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erence e6 sttecnmenn nerel
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<br />EPA Form 3320.1 108-951 Previous sditiorn mey be used. (REPLACES EPA FORM T~0 WNICH MAY NOT BE USED.1 ,t O T 0 ~ / ~ •- ~ ,~ 17 _) ~ 7 -, PAGE I OF
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