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PERMITTEE NAME/ADDRESS pnclude Focil,ry Name/Locanon fDgerenrJ <br />NAME n;,l r r,ti <br />ADDRESS E ~ - [. Y ' i `I -. " ^ M o T r>( <br />i' . 0. is 1 !: f ^. <br />CRAIG "n nTF~S <br />FACILITY <br />LOCATION <br />ATTN: AG':OF"~' Vr ~^'. 7. T'. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) <br />DISCHARGE MONITORING REPORT (OMR <br />rz~16) (n~;P) <br />~~~~~ 1n'~ ni ~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 9-9 O F 1] TO 9 r1 ~ F ~^ <br />(sas7J (22-13) (2925) (Nr2l) f2&Z9) (30.31) <br />.. ~« <br />(~ ~r. .~~ <br />Form Approved. <br />OMB No. 2040-0004 <br />Approval expires 05-31-98 <br />"• ,.; rr,_.;~,; ,.~ Ve.. a ....r... <br />NOTE: Read Instructions befo ~ ~ leting this form. <br /> (3 Certl Ony) QUANTITY OR LOAD - (a Cord Ony) QUANTITY OR CONCENTRATION NO. FREOUEN SAMPLE <br />PARAMETER (46-53) (54-61J (38-45) (4653) 54-61 EX OF TYPE <br />(32a7J AVERAGE MAXIMUM S MINIMUM AVERAGE MAXIMUM UNITS <br />162G3, aNALrsls <br />rs4-s6 <br />ss-~o <br />`.i'ILI Dom. r~,TAL SAMPLE ['3nr: C:k r,"^.phr~ ..:. y... ,t¢ r zT <br />U I^ S O L Y F.1) MEASUREMENT <br />77195 1 7 ~ "PERMIT {tYJlbRRC ttp¢1X7r4 ': :'r - Op t ~;`R1rOtTRt`~ !f 'f2F~R*1.L T TP.LY .R4P <br />kF°LI'`''~T i:n'le~ qe(..: ~AEOUIREMENT r.;:grF ~~ ~~" ~ <br />ittP, Ar +r,rr <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :; 'a`" <br />- <br />~ ,"', `. _ , <br /> REQUIREMENT - ~" <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT "" ~ A" '7( " <br /> REQUIREMENT - "- ~ ~-~~ ~-- :.+x -" - - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT `^`.};, ~'~. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ". ~ <br />a " <br /> REQUIREMENT " <br /> SAMPLE <br /> MEASUREMENT <br /> -PERMIT ~ ~ ' - - e ~" - <br /> REQUIREMENT ~'" <br /> SAMPLE <br /> MEASUREMENT <br />~'~" <br />PERMIT= ~ - <br />REOUIREMENT ~ - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE <br />., <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MV <br />^ <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING / ' <br />Richard Milis <br />h <br />O <br />SIGNIFICANi ~J ~~G(f <br />A E <br />ACCURATOERAND COMPLETE~E AM AWARE ITHAT THERE <br />~~ <br />~ -~~-' 7~-$7~-2712 <br />Environmental Manager PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE 7 28 99 <br />POSSIBILRY OF FINE AND IMPRISONMENT. SEE 1a U.S.C. 5 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> 4 1319. (PenelHes antler Nose 54Aaes may include lines up m EI0,000 erM a OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED maximum impnsanme,ad belwean6monHU and Syeers.) <br />GOMMEN 15 ANU EXPLANA I IUN Ur nlvT vIULA I IUnS (Nererence an anacnmanrs nereJ <br />,..TTLrk:+L;i "DLi'•C L.T"I", p11IVF.rY F(1~ )17YOa^goa n?;Lr. pP: _•-rr Tar.'a :, r- r~rr r•~•: ::cr1.1IA~.~pHgc nTr r <br />;ri`:A:,c r..Aq SR"'~L` Af+/.S.YSTS ~-.ni2CD is' V7sTBL^ cr;~-r: T- r:, ..,.,Y~ ~ ..-,T~,T., ~ehnT..,F~rlt.-..Rltr+rr)Y-_r~~., <br />a <br />EPA Form 33241 (08-95) Previous editions may not be used. (REPLACES EPA FORM TOO WHICH MAY NOT BE USED.) PAGE OF <br />