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~- <br />PERMITTE ,4DDRESS(lncltde Faciliry Name2ocatipn ifOfferenlJ <br />NAME <br />r - .yi, rl x. rncp~np-rnry <br />ADDRESS ~ ~ „ ; ,; _ _ n ~ 01, .`.X <br />~.~r1~ .nY t, ., <br />CnA: : :'0 `ll h26 <br />FACILITY <br />LOCATION <br />6 T'CK: P.G-r:llP :p - V4?Rt- V.C. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ <br />DISCHARGE MONITORING REPORT (DMR; <br />(2461 If I' 9J <br />^~nn~ TI ~ nn•~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />-iw <br />FROM <br />(2P21J (22231 R - (262]) (2&291 (3P3/1 <br />Form Approved. <br />OMB No. 2040-0004 <br />Approval expires 05-31-98 <br />c fTr•>1T N~c~. <br />NOTE: Read Instructions belo~ c elating lhls form. <br /> (3 CeN Ony) QUANTITY OR LOADING (9 Cold OnyJ QUANTITY OR CONCENTRATION NO. FREOUEN SAMPLE <br />PARAMETER (46-53) (59.61 38-45) 46-53) (54-61) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS <br />mza.T) avaLrs/S <br />(64-68) <br />6570 <br />-`•ULI US, ;LTAI SAMPLE ... •`Itrv $L; rtry;t844 .'tnrt:^:w ~ T9) <br />;; I ; : n L y ;~; ~ ~ MEASUREMENT <br />1U; '`, 1 U U PERMIT #4QRRV 4Rpr 01Ca ##i Q4##w,~ pc'p pa"! b(p ~ x• ~BLt ;~A~~.= <br />F rrLl'F'. 'T C.°. '~`.~`+ VCi.°j REQUIREMENT '1 P')'R A~•°s' TTf A °r/1 ¢p' " <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT d;. <br /> REQUIREMENT ~=*-~y _ ~?;-,,,~ _•.. 1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,F~°.' ~ j - '' <br /> REQUIREMENT - ~`% --- <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~'~ - <br /> PERMIT d ~ " `~ <br /> REQUIREMENT ' '~-! <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />"' ~ <br />~ ~ ~~ _ <br />- " <br /> REQUIREMENT R ~ ~}.v4" <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT " <br /> REQUIREMENT " <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />PERMIT I <br />` <br />REQUIREMENT ~ ~'~ ~+~" '"~~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERS <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HER ONALLY ExAMINED AND TELEPHONE <br />" <br />EIN; ANO BASED ON MV DATE <br />Richard hlilis INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPON <br />THE INFORMATON. 1 BELIEVE THE SUBMITTED IN ~~ <br />SIBLE FOR OBTPINING ~ / <br />FORMATION IS TRUE, ~ / '~ _ <br />/ <br />ACCURATE AND COMPLETE. I AM AWARE THAT TH <br />Environmental Manager PENALTIES FOR SUBMITTING FALSE INFORMATI ~'/~ ~ ~ / ~/ <br />ERE ARE SIGNIFICANT <br />ON, INCLUDING THE - 70-87O-27t2 <br />7 2B 99 <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE IB U.S. G. 4 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> 900 entl w <br />(Penetlias antler Nose smMes may InchMe fines up Ip ET0 <br />§ 1319 <br /> , <br />. <br />tl OFFICER OR AUTHORRED AGEM NUMBER YEAR MO DAY <br />TYPED OR PRINTED 5yesrs.) <br />mmimum,mpnsonmpnl of beMSenamonlhs en <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ne/erence all anacnmanrs nere) <br />~_°'PTLF:A6LF 5?LI'': f.T":^ •.I I7 F'1 ~"Zp >1C1fe~'0'?q p~?MTi' %-V c..••_ccr T~A~Tr ^^ The ••~n ;~c~n~nrlrpgw5~ f`T!. . <br />'~kCA±r' 45A^ °1°=L'' A4PLY`;Lq ^E~IfTt.c~ Tp 7T5T~r•c rc:vcq ..- (~A.-cnpc~~ .tc..•orV ^r••nr~•.,- r,••.'T•q(It"TT!1+1:-?~.^.n,r <br />EPA Form 3320-1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NO7 BE USED.) PAGE OF <br />011?7/Q~ ^(rl ?_+, c'~ <br />MONITO RIOD <br />YEAR MO DAY YEAR MO DAY <br />•I~ -~,, O ~~ nF~ ~~ <br />