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PERMITTEE NAME/ADDRESS pneYm F.elllryNur/laulm l/Dlpi.rnp <br />NAME -'Y. J~ ~ • ~ -+ - - ~ +~ <br />ADDRESS ~~ C ~( a'i i • -~ 3 ' •711 ^" r .~ <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTMT DISCNMOE ELIMINATION SVSTEM (NPDESI <br />DISCHARGE MONITORING REPORT lOMRI <br />IT-f61 117-191 <br />^~G^77;5'1 X111 Y <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM I'' U1 ~) TO 'Iti > Z" <br />ITO-T /1 l11-13/ IT4-T51 /16-T7/ !IB-19/ 130.3x/ <br />(~;'irv R;1 <br />1n + <br />Fonn Approved. <br />-TOMB No~2040-0004 <br />Approve4 expires OS-31-98 <br />' NOTE: Rsed Inetructioro belors completing this form. <br />PARAMETER 13 Grd OnIYI QUANTITY OR LOADING (I Grd OnlYl QUANTITY OR CONCENTRATION IJ0 FREQUENCY SAMPLE <br /> I46-531 1546// I38J51 146-53 15161 EX DF <br />13I-371 <br />MALras TVPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !eT-e71 /6468/ (69-701 <br />^: H'1'1?Gm ~~" 713v SAMPLE ^-;rxp~ r-At.g fra .^.~'r4'" I ~;~ <br />' MEASUREMENT ~ <br />/ I DO .. C "7t'2>1.1) <br />d ti .-. .~ .: P : <br />1 "1 i A J <br />1'CE'3G ~i 1' () PERMIT - ##S+S'U# .-~t:t t~'T YF 'C #.. '~'J~ ==`k-?+~#•:• x••;:••:tfi •eq_ I ITQI, R' 'R 'T;:~ <br />:ci: CJ.." " µ=L~a REQUIREMENT '".'=x "t.N VAl. tt° r'V'4'" <br />~I'FSC'." ::: r.r.>:, /'1AF SAMPLE .#T+.`•RS .:=0?#". .,.+;rt#,c wTa..y,.. ~ 7ZJ ~ <br />I iI P.;_ it ' ~ I E r, v .~ MEASUREMENT yIDU Q ~1 <br />"CPGC J 0 PERMIT r##-%xr ;thytk^# ?'k~ 111 ~ >b#~!ic'Y•. -vt #.Adk,` i ~Rn- r MQ <br />. LY ~.~• ~ <br />.R RF.'. <br />_ C7.`-~, ~ -t F,L7a REQUIREMENT ##?: Ky ~A1-!TF ~ rctl •I. <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENKTY OF LAW THAT I HAVE PERSONALLY EXAMINED MD TELEPHONE DATE <br /> AM FAMILIM WITH THE INFORMATION SUBMITTED NEREIN; MD BASED OM <br /> MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR /~ <br /> <br />~cichard Mllls OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />T <br />ACCURATE AND COMRETE <br />I <br />M AWME TNAT TH <br />E //! <br />~/n/ <br /> RU <br />, <br />. <br />A <br />ERE ME <br />SIGNIFICANT PENALTIES fOR SUBMITTINQ FN <br />SE INFORMATION <br />INCLUDING ^ <br />E/ <br />~ <br />Q <br />nvlronlT7ental itlana <br />er . <br />. <br />T <br />P <br />I <br />TYOFRNEMDIMP <br />It00 <br />EE <br />e <br />S <br />C 970~ 87G-2712 7 2/ 9g <br />g <br />c NE <br />OSSIB <br />U <br />RISONMENT. S <br />t <br />U. <br />. <br />. <br />1MD37 SIONATUREOFPpINCIPALEXECUTNE <br /> U.S.C. 1 t 710. fPUWWr utlr rMs mdnrr rrrrY ircAed~ fins ye ro S 10,000 AREA <br />TYPED OR PRINTED uqu•muLm.n impiovrwnt o/MMwnemprrAa rtd6 F.ral OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference sll sffschmenrs here/ <br />-~c' IrN.4 F"7+ T^tm Fv,t.. F.L.1 .'`:• FDP 23 i7 i.'.'. ~° L%T-FA[I'"P. - ..u <br />rrtr e.r Tnvc ~^ o„vv^ •-^O :)~~t •,,~n-,^rTr: <br />1/,. •.IYATI0+t5 ~' 01'n X?(-I'•I". $N; T,J a';L + --f'FL Am i/(rf r <br />,^0 Tci'^y`r1.LTV _ ,.. ,.^ hr r.! t. +. .. -;;TT <br />nnc^C cr -;T• ^•C4^ r•-.r ~ ucrr 7n^ r^'tc n^rer n,ec ~ r~• nmr _~ nn~~ n,m•--c ntr• <br />r r r <br />- <br />EPA Form 3320-1 108.95) Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) <br />- <br />_ <br />- <br />~ ~ <br />PAGE <br />O <br /> , <br />, - <br />„ + „ <br />/ -~ ~ ~ r, ., <br />n ~ n ) <br />