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~- <br />PERMITTEE NAME/ADORESS pnclude Facility NamrlLocorion if Differenq <br />NAME C.vp;li- .. vpT 9.- rrF.~a^. Tr.. ~.] <br />ADDRESS ~ ;, . L" t ^~ v n; r Y <br />C~ 4i'; ^I' aI F,75 <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDE5) <br />DISCHARGE MONITORING REPORT (OMR~ <br />(2-161 (IA 9) <br />~~n 1711"1~ nnq <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ~ ~ ~ ~ !11 TO ~ ~ ?' Z ^ <br />(zP2/) (?z 4J) (1aP5) (t6-zll (zB-271 (00.J1) <br />...qr, r. <br />r.-rr r, .. . ~,1 <br />Form Approved. <br />OMB No. 2040-0004 <br />Approval expires 0631-98 <br /> <br />+~rp <br />~ ~.. .. T.. ~ 4TT rT..rq F.irV <br />. NOTE: Read Instructions bei plating this form. <br /> (3 Cerd Ony) pUANTITY OR LOADING (4 Card Ony) QUANTITY OR CONCENTRATION NO. REOUENC SAMPLE <br />PARAMETER (4s-53) (54-er (3e-45) as-53 (sa-er <br />EX <br />of <br />TYPE <br />(32-37) AVERAGE MAXIMUM UNRS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> rezm) 64.68) 69-70 <br />~; r)LI:) `• .^TLL SAMPLE :rR~pr-, p?r::4~- "t:~~n / ~11 <br />liI3cDLV:,'I MEASUREMENT <br />7U:.'l'r ! J ? PERMIT- OttC406 $9rOLORRT. v: ••• ~[~# <br />` <br />~ ,;,~ri°T R' TA{tffikL ' *~LY .nl!~? <br />P:F'F!.(IE!7T G.??"~ VG: •,' REQUIREMENT ~ =~~ t:,•.;. "mot'= <br />~ "" ~ ~ w -.-pry M .. ~ <br /> SAMPLE <br /> MEASUREMENT <br /> ~PERMIi - ~ ~ <br />~s <br />~:? j ~-- <br /> REQUIREMENT .a;~.=". - - _ ; <br />. <br />- - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT- '~ ;r; ~; -°.=Ax ; <br />~" <br /> REQUIREMENT ,~'. <br />-, <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT --:->'~ f <br />o "i-- . - <br />'~ -'~'' ` - <br /> REQUIREMENT t ~ ~' r, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~"` ' <br />~ <br /> SEOUIREMENT -~ ~~'~'~,~ y~~`-=n"' <br />~k ~- - - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT- ~ x ~~~•- - <br />~ `"~"-~~' <br /> REQUIREMENT , k~'''^ '=~''~ <br /> t: <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br /> <br />~ <br />~ <br />~ „y- <br /> REQUTAEMENT - -- -k, ;-. ~~- <br />s.,. F:''; <br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY UNDER PENALTY OF UW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE DATE <br /> AM FAMILIAR WITH THE INFORM ATION SUBMITTED HEREIN; AND BASED ON MV / <br />~ <br /> <br />Richard ~WIIIS INOUIgV OF THOSE INDIVIDUAL <br />THE INFORMATION, I BELIEV S IMMEDIATELY gESPON5IBLE FOR OBTAINING <br />E THE SUBMrtTED INFORMATION IB TRUE, / i <br />-~ <br />f <br />: ~ <br />/~ <br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />E ~ <br />J~ <br />, <br />/ r <br />97O-S7O-2712 <br />7 <br />2H 9 <br />Environmental Manajer PENALTIES FOR SUBMITPN G FALSE INFORMATION. INCLUDING TH _ ,,._ <br /> POSSIBILffY OF FINE AND IMPR ISONMENT. SEE 18 U.S.C. 4 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL E%ECUfIVE <br /> <br />TYPED OR PRINTED 4 1319. (Panettiw under Naze s <br />maximum impriswmem or beNree mnrtas may /nclutle rina4 up N Sr0,000 en0 w <br />nBmonNa and Syava.) OFFICER OR ALRHORIZED AGENT <br />NUMBER <br />YEAR <br />MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />gFrmLp.M1nr: -ir:"r• L'°.* ,,.Y^^ F7° )l.UToa77'}~ nac(-Ta ..Y.-..,,_..~. T. S. ', r rVe r~P ;`PnrTTAFMFyT". f'.T'. ` <br />GRLiSF. SftAP ;'t~^[. ~ RKALy>I" cr'; 1TP!:~ IF VT'IE.Lc curt. r^ ~,n~^vnrn, *,.v eM~1,Tef. TpGTR"^°In`J-_t~.-~n <br />EPA Form 3320.7 (OB-95) Previous editions may Trot be used. (REPLACES EPA FORM 7.40 WHICH MAY NOT BE USED.) PAGE OF <br />^^~141g90a~-,523 <br />