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PERMITTEE NAME/ADDRESS lI.drL F.edrryN~//locara dD~irwrJ NAME iCEyR C04L ~OMIr~1aY ADDRESS HARLt LIVE P.U. d~Y 173x57 STEen80A" SuRIMC; ~J BC~11 FACILITY LOCATION iYALDdh -~O 5oti~ +'t'1ti: G~'OdGS Y. 2A"t°it50i, 7-T~4 M;R. NATIONAL POLLUTANT pSCNAIiOE ELIMINATON SYSTEM INPDES) DISCHARGE MONRORING REPORT IOMRI 11-151 I7-191 C)~ 005 A PERMIT NUMBER DISCHARGE NUrAem MONITORING PERIOD YEAR MO DAV YEAR MO DAY FROM ~ 1 TO J UY ~ !707/1 177-73/ 11~-161 !7677/ 119-791 136311 Form Approved. POND E/TRIG TO CA~Y`ABJFL°A~P~~L~R (S U B R N W) APProve,e~:fj11~SOJi-31-98 F - FINAL [fINOR r$# NO DISCHARGE ~R_~ .~$ NOTE: Reed Inetruetloro before eompletinp this f«m. PARAMETER !3 Grd Ontyl QUANTITY OR LOADING l~ Grd Onryl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE /15-531 15451 138-151 46-53 1545/1 OF l37-371 EX ANALYSS TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 1e3.6J1 !64661 169-701 Y .. SAMPLE Y -. _ r##3;-# - .. ,e#$ $$ ( 'j-2~ .. _. _ MEASUREMENT ..U'JUO 1 C ~ PERMIT :: : s•':>x$,F,~. ,, .~k4R4>x.$ . $# 6. $.: #~~~ ~ . '9:0 SEltLI' >M~IT ..Yr LUENT ,"[7 :i Y 1LJ? . REQUIREMENT'. .... $~# 3I:MIittF6~. 1~A=IE1r1lF .. SU ':y .. ~JL D , Jt:1~J'~."A-JL'. SAMPLE +$~#$$' +'ti.`#R$$ $:v#~$ :~¢# $$ ( 25) MEASUREMENT ' JJ:~45 1 ') J PERMIT ~. ~ ~.: .: ~~~~';: .~:.~ ;:.:#9r.7i%L-.-~.. ; ?~F .. ,i~##:~~fF~,:~, b~~~#~#.'.#•..... .~~~'5~..~~~~ ~~~ ~ ~. ~~C.~t;' ~~pB :FtLUBNT J3Jii V~LJ~ .REQUIREMEN7 ;~ .:: :.;,':.,.:... . ;: $-'F~.i: :..: -.L; .' 1~IITLY !IZ' RLfL •' .: NDRf!! , : J L U ahi.4~iE SAMPLE YLv`~:<v.`.$ $„Y;:#tpt $##.~$$ r$# ,. ( 19) MEASUREMENT J3J~J2 1 0 0 PERMIT - •.+ ir. #$ ### $'.qc k$#$:;tl$ +`-#$#' r , SU OYTIY $~$ YiLUBN'J' oRJS:i Y:1f.J? REQUIREMENT ::k DlZ~Y M~ ?IG/L v$YT '!,J/, ~ •:~N!)J J:t SAMPLE ( 03) -..-~.-Y$:.`• :$r~ $$ ~,....-T '1 •tJ ?REef Nt;NT PL~'% MEASUREMENT ~;iJ~U 1 O J PERMIT JAT JNAL =REPORT ,^.~$x~# v+-~$ .. r$$~yF ,.,- 1 YCE/ 115TAN ~r:'LUENT ~kJii V4LJs' REQUIREMENT 30DA. A¶'v DAILJ! AE . l'1GD $$$# JSUYTfl , J1L TED ,i .( ~~., SAMPLE ~`n -r~$#$ ( 97) ~."vx#;: -:=$$ -.- #$$.''. .-~ J i v J A L MEASUREMENT ,14066 1 V ) PERMIT. RePDST E5=1 ~>z~TY #iv~ ~ =`~~k~:. = v- .r gCE/ ZSDAL :•FFLUBNT .; iiJ3-: Y4L'J8 REQUIREMENT .,:.. ~i I.~1.Si'>::8if NO=U $$~kY '.: 2lONTR SAMPLE MEASUREMENT ' PERMIT ~ ~ ~ - REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF L AW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE AM FAMILIAR WITH THE INFO RMATION SUBMITTED HEREIN; AND BASED ON Richard A. NIUJISOIJ OBTNNIONG THE N ORMATION,IIRBELIEVgE THE ~Sl13MITTED ENFORMATION~S Vice President TRUE, ACCURATE AND COMPLAE. I AM AWME THAT THERE ARE SIGNIFICANT PENILLTIES FOR SUBMITTING FALSE INFORMATON INCIUOINO' p 4 970 72 OL , THE POSSIBILITY OF RNE AND IMPNSONMENT SEE t3 U 1 1001 AND 37 S C 3gt1 3- D9 18 . . . . f tot A SIGNATURE OF PRIN PAL EXECUTNE U.S.C. e. l erlfir. uldr tlnr mNNa rnrY hcArdu fire ~ ro t 10.030 AREA TYPED OR PRINTED wwrn..bNm l~wl.wntNnaan..Nte.leduwsY....l OFFICER OR AlRHORIZED AOENi CODE NUMBER YEAR MO DAV COMMtrv I ~ ArvU [At'LAnw I wn ur nrv r vlv~n I was Innwmw sn suscnmmrs nets! 3~f'TLEABLE SOLIUS LIMIT RAIYEU.FOR lU-YR, 24-HR PRECIP EV£YT SUuJtC'T TO BORDEN OF PROOF REgUIREtlF.NTS IY .~3dT I. d. 1. D, P. 5. SPURyYATER !7ANA.;E!1M.NT PLAY DUE 1-1-~j. EPA F«m 3320-1 108-95) Previous editions mey be used. (REPLACES EPA FORM Ti0 WHICH MAY NOT BE U8ED.1 0317/970819-1254 PAGE IOF 1. r` ~.