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PERMITTEE NAME/ADDRESSp~bFSWryNaWlaeuor pDtS.r.nq
<br />NAME '- v p t f q . .. . T ~ ~ ~ -. _ •• _ .
<br />ADDRESS 7J:f.~.5 1, !' , .. . . ~, ~ ~~ - i. '. -
<br />`~:UU .SAS. .'r' -.. ?:. :i ~I.
<br />FACarrv
<br />LOCATION
<br />NATIONAL POLLUTANT DISCNMOE ELIMINATON SYSTEM (NPOESI
<br />DISCHARGE MONITORING REPORT (OMRI
<br />11-161 I17-191
<br />~'0'~771TU 07^ ]
<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM TO "° 7-~.' !!
<br />l?6211 122-231 /21-261 /26271 178-19/ 130311
<br />C _ PT 1'!f
<br />-., ~In,
<br />Form Approved.
<br />..OIyBtNo:12040-0004
<br />Approvey expires 05-31-98
<br />a .. . ~ ... ~ r C
<br />'~ NOTE: Read Inetructione beto co i tinp thu }orm.
<br />PARAMETER 13 Gfd Onlyl QUANTITY OR LOADING !I Grd Onlyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> M6531 !546/1' 138-151 !0653) !54871 GF
<br />132-371
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS EX
<br />
<br />!62.691
<br />Mursls
<br />/8458) TYPE
<br />
<br />189-701
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<br /> MEASUREMENT
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<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I cERnFr uNDtR PENALTr of uw rNAT I NAVE PERSONALLr EtcAMINED MD
<br />AM FAMILIM WITX THE INFORMATION SUBMITTED HEREIN: AND BASSO ON TELEPHONE DATE
<br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />Richard Mllls OBTNNINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
<br />_ ,
<br />l F TRUE. ACCUMTE ANp COMRETE. 1 AM AWME THAT THERE ME
<br />9GNIRCANT PENALTIES FOR SUBMI
<br />TTINO
<br />FALSE INFORMATION
<br />INCLUDINO ~ 1Q70 (~j-JQ-~'~~2 ~1 ZQ 98
<br />lan-~ger
<br />environr7eTTta _
<br />_
<br />,_
<br />THE POSSIBILITY OF RNE AND IMPNSONMENT. SEE ie U.S.C. ! 1001 MD 3] _
<br />SIGNATURE OF PRINGPAL EXECUTNE
<br /> u.s.C. f t ]1 e. IMWAi. uww Inter moms mry Nca.W rvws w ro ! 10,000 AREA
<br />TYPED OR PRINTED rM rv muir:un Mpdevmnr elArtw«n 6fnanM.r rg6yrn) OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lFre/aience sn ettscnments nerel
<br />:.IL uR::Ai!~ ScE ..°Q17:'j"t,F r/F 41 '. "'.°'nD C';TE^Ci~'. t.i..T.... _ rn~T.r•1.,.. /~ ^-~ - ^r.Lrv n- -.t ••r
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<br />EPA Fwm 3320-T (08.951 Previous editions mey be used. IREPLACE6 EPA FORM T40 WHICH MAY NOT BE USED.) ~ „ ~ 7.T ~„ ~ II ~ ~ _ T n T ,. PAGE ~ OF
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