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PERM ENAME/ADDRESS R.dwy FrWryN~//aalm UDpw..tl <br />NAME• rb:t .J ^! '-hii '.S ~],'. a~: 'f <br />ADDRESSTE3i:Jk CREwK LOAUJ':T ~ <br />1tl4U HI;HYAY 133 ~ ~ <br />eeohlA ~o ~1i2ob <br />FACILnY , ` (.~ <br />LOCATION I1J J <br />ATrL: KELLY Pk1C7,Li;it. JPidArI0Q5 '! <br />NATIONK POLLUTANT OISCNAROE ELIMINATION SYSTEM /NPDE$1 <br />DISCHARGE MONITORING REPORT IOMR1 <br />17-161 17-191 <br />~ C):!70J2i i A <br />,y PERMIT NUMBER DISCHMGE NUMBER <br />N <br />~ MONITOR( PROD <br />YEAR MO DAY - YEAR MO DAY <br />`o FROM' ' TO JU .1 <br />e ' i t n29'il IDI-lsl !16171 179-291 130.3/1 <br />.-.rt~~• „ •_;, ~ ~ *- III IIIIIIIII (III III : <br />sss sa <br />F - r•I:+AL <br />'IFOP- <br />:~'<- M~ DISCHARGE ~__~ "0"''° <br />NOTE: ~ e~~instruetlons belwe eomp6tinp this form. <br />PARAMETER 13 Grd Onlyl QUA~ NTrFY ORL ~'F ~~,~ <br />' l4 fird Onhl QUANTITY OR CONCENTRATION <br />' Np, FREQUENCY SAMPLE <br /> 146531 I5I-611 't '; 11 ~ ~ <br />/38-151 N6531 I51-6 <br />EX GF <br />ANA <br />r515 <br />TYPE <br />/31-371 AVERAGE MAXIMUM NITS MINIMUM AVERAGE MAXIMUM ~ <br />UNITS' !sa-s!1 L <br />/64681 /159-701 <br /> SAMPLE G`.###. #i#?#;~ ;f ;:# ## ( 12)' <br /> MEASUREMENT <br /> <br />0400 1 U 0 <br />PERMIT...' <br />Y#LStki>< <br />{Falpi#'## . <br />r-';: <br />,.5 <br />iti,k:i# # <br />n.0 • .. . <br />EKKLY <br />NSZTJ <br />EFFLUENT :ROSS YAL'JE REQUIREMENT #.;,F# ;; ~;~~ MAXIt~Uµ SII ~:r. <br />'ULIU'i, TJrAL SAMPLE .-,.-. .-, r..~.-. "4iA334• ( 19) <br />U S P E N D'C U MEASUREMENT -{ <br />OS3U 1 D D PERMIT -^.•vi ~;=;= ;s ;<C#4# .. ::\:;: ?#6t'~'>~f7~:. <br />,; ~~ lp ft:Ef : igAB <br />FFLJENT 1ROSS YPL'J: REQUIREMENT . <br />; ,.,SODA VG DAILY nx M::/L '. N!'E+ <br />OLIDS, srTrL£AaL~; SAMPLE .... ~. ..,... aa#RO# #4# #'. ( 7$) <br /> MEASUREMENT <br />OSUS 1 0 U PERMIT `1;=t3#4 ,:rfiY: riA., xkgl f;~>k'::,' ~; #### # 4RS T N"E/ :RAH <br />FPLUENT ~HJSS YALJd REQUIREMENT 71.;:4 <br />~ <br />~ AILY- d' , !!L/L nar;Tn <br />1?JN, TUFAL SAMPLE ~.-.-.-.-. ,-.. ~-x~ ,-.:=##{_ ~ 19) <br />(A ii F F: ~ MEASUREMENT <br />1D45 t 0 .^. PERMIT :S=r#"'4 #G#### it:?t,: ###T~~'.''. ; eQ G~0 NCE/ +!iAFi <br />FPLUENT GROSS YALJF. REQUIREMENT '.1;;=.`- <br />~~ -;,,SODA : Yw . pALLI: :: !~S/L ;! 'p0.'NTH <br />L UkF.A E SAMPLE '•=4::Y`~% ~:'sG;' #4###'v`- #<.# 4C ( 19) <br /> MEASUREMENT <br /> <br />3S3Z 1 0 0 <br />'~~:PERMIT ~. <br />'+:_#? Hlt !!.... <br />.NYY`F:t~f - <br />.. 1~ II.... `` <br />Y#1fT~~M ' Jayy,~ yy~~ <br />''. Y-T.'M$~,'.Al,:, <br />1D ~Ryy * ~F <br />.flN'TYN <br />:RA9 <br />'FPLUENT GROSS VALJE 'AEnUiREMENT. <br />~ DgI:LY 8% M; L' - Dw'Mx <br />If, 1 ,- N J SAMPLE {ni 3) ?+_#•:::: -..## <br />## CY#$~;~M1 <br />PHItU rRcAT`IENr ~L0.YP MEASUREMENT <br />UUSU 1 D D PERMIT. )PTLOYA4 YF?DHT ~~r+<t=': vM4;< Ix :. ''##~k7«'.= - xt~ ~~xLY ;l15rAV <br />'FPLUENT GROSS VALUE fiEQUIREMEN7 3UDA AVp DAILY tt% 'GU #R#:. <br />F SAMPLE i 7# ##F-#:tv 44#rru ,-;:._ #G ( 19j <br />ISSULYE!) MEASUREMENT <br />70295 1 U U PERMIT <br />;. ## ,h-.# # i`•#R tt~°3'4''f fe <br />?(t;A~=#: <br />kL"P.QBZ <br />; <br />e';.'. <br />tRLY <br />RA9 <br />~FFLOF:NT GROSS Y0.L'JE REQUIREMENT. :.:. ,: ': ##.=s DAILY.;,: . MG/L . <br />NAME/YITLE PRINCIPAL EXECUTNE OFFICER I CERTI Fr UNDER PENKTY OF uW THAT I HAVE PERSO <br />D NKLY E%AMINED AND <br />AND BASED ON <br />E <br />E TELEPHONE DATE <br /> AM fAMIUAR WITH THE INFORMATION SUBMITTE <br />H <br />R <br />IN; <br />Mr INQUIRY OF THOSE INDIVIDUKS IMMEDIATELY RESPONSIBLE FOR <br /> OBTNMING THE INFORMATION, I BELIEVE iME SUBMITTED INFORMATION IS <br />~ <br /> TRUE. ACCUMTE ANO COMPLETE. 1 AM AWARE THAT THERE APE <br />INCLUDING <br />s1GNIFICAMT PFNKTIE3 FOR 9UBMITTIND FKSE INFORMATION x <br />,~,/7 <br />VV~~ f <br />K 1 I Y Fr f t z l e r ODe ra t i on s M , <br />THE POSSBIUTr OF RME AND IMPRISONMENT.' SEE IB U.S.C. F 100= AND 33 n n _ AK 7 7 1 <br /> <br />TYPED OR PRINTED U.S.C. f 1318. lPwWMF utlw IMw FnnmF +nFY 4•rAK~ ~ • w ro f 10,000 <br />rlsn nr.hwn Mplm~wr= W 6rlwwn snwreMW s y.Frs/ BIONA E OF Pail AL EXECIlfNE <br />OFFICER OR A HORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Referents s// attachments here! <br />S~rTLEAULE S7LID5 LI•.I1' APPLIES UyLY LF C= LJ-YR, 2U-9E PR.,Jlc ::Yt.1T 15 ^_L'1It"~L. IF CLAIp APFRJYEO ay <br />FI(jCD, T53 E IRJV LI°fIfS HILL .7T 95 APPLI'D TO REPORfEO '!F.ASJdLYILNTS--$ .: I.6.1A, PG.nS A8D I. A, 1D, ?S 7. <br />Y' FI r '1 1 4 1 - 1 _ ~~ ~~ <br />EPA Fwm 3320-1 108.95) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 PAGE <br />.ct 0115/970 254 1 <br />'k ~' :=~,::J;L--- -- '- - .~_.~.. .._,.._,. _.. ~ ..-.. -~_alt'J'i~al '.:.i..c::z ~. ~. ..~ : ". m.P~~E ._..... .- _ -_ <br />