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FEEANITTEf NAME/ADDRESS (1w Md.FsWryNs./Leruim l/D~..m) <br />NAAAE TERR04 ~nli:.{ ~~i?A`i'( <br />AD'oRESSTERROFREEK LJAUJU'f <br />" 1840 H'IIH~IIf 133 <br />PAONFA ,:0 B1t2d <br />FACILITY <br />LOCATION ~ , <br />I TTr! M'Y.1_T_y P2TT7. I.PD 9D POl 1iX/LI•.e rLk:I <br />NATIONK POLLUTANT DISCNMGE ELIMINATION SYSTEM INPDESI Forrn Approved. <br />DISCHARGE MONITORING REPORT IDMRI , I I - .r L :I ~ , ;,~ rt pME; 41o. 204R~004~ <br />!Z-f 61 !i1-191 ~ - ` ~ <br />")~9S4C29 UUi ~ (SU9R 'Ai:) APProveielr~i~~05-31-98 <br />PERMIT NUMBER DISCNMGE NUMBER F- r I Y A L GG <br />MONITORING PERIOD :fINOR <br />YEAR MO ~ DA YEAR MO DAV -- <br />FROM ~ `TO Vu ~O~~,Q DISCHARGE ~__) _><++ <br />r>c>n na_>m ra1Tr! tom` RNd Inetruclloro Mfon completing this lorm. <br />PARAMETER ! `~ 'OnlYl QUANTITY OR LOA /A GFd Onh/ QUANTITY OR CONCE ION ~ Np, FREDUENCY <br />of SAMPLE <br /> Ls-" 6-531 1546/1 • l38L51 N6-53 ~ 15d-611 EX NALy515 TYPE <br />133-371 AVERAGE MAXIMUM 5 MINIMUM AVERAGE MAXIMUM UNITS 16]-sal A <br />!64681 !63701 <br />~ EASE SAMPLE =~F#$# '1) ~R'0 G91C >k## ?# t'=~'.`-s`r -". <br />I S U l L MEASUREMENT <br />4066 1 D J PERMIT :~::,5#.9r': _ , <br />~,.. - Wit. . ,. g~L.lr ISUA[. <br />RPLUENT :.HaSS YAL;IE REQUIREMENT ~;~ rA;l NO=D ' <br />'y~:>.?:<`'?.:. iro ~>RIR# <br /> SAMPLE i -_; <br />~. <br /> ~ <br />. <br /> MEASUREMENT , <br /> ' PERMIT ~ :`':r: 'i.'• ' <br /> :REQUIREMENT ~ ' <br /> ,.:: <br />i. <br /> SAMPLE <br />~' <br /> MEASUREMENT <br />r ~~ <br /> -~ ~ <br /> PERMIT ~ .. H:: <br />.:. <br /> ~~REQUIREMENT' <br /> SAMPLE ~ <br /> MEASUREMENT , <br /> PERMIT ~~. -.. <.:a s•:: ... .. . <br />" .. <br />ir. <br />• <br /> :REQUIREMENT ~ . <br />i ' <br />~ ~'"~''~~ ~" ~ : " <br /> SAMPLE <br /> MEASUREMENT '-' <br /> :.. ' PERMIT' .. ... ~ ..::, :::: ~~ . <br />~ :.. ~: <br /> '~~" <br />~ •`::~: .. ~.. .. ~ .. <br /> ~REOt11REMENT ' <br />. <br /> SAMPLE , <br /> MEASUREMENT ,. <br /> PERMIT <br />' <br />O ~ ~ •%.` ~ <br />` <br />+ <br />~ ~~ ~ ~ <br /> UIREMENT <br />RE (; <br />. ;.gIY , <br /> SAMPLE <br />' MEASUREMENT <br />PERMIT <br />' ~ ~ ~ '~~ ~ ~ ~~ <br />. <br />REQUIREMENT' <br />~ <br />NAME/TRLE PRINCIPAL EXECUTIVE OFFICER I cERnFr UNDER PENAITr of LAw THAT I NAVE PERSONALLY ExAMINED AND TELEPHONE OATE <br />AM FAMRJM MATH THE INFORMATION SUBMITTED HEREIN: AND BASED ON <br />MY INDUIRY OF THOSE INDIVIDUALS IMMEDIATELY PESPONSIBLE FOR / <br />I BELIEVE THE SUBMITTED INFORMATION IS <br />NIN <br />THE INFORMATION <br />TA <br />, <br />OB <br />I <br />G <br />TRUE. ACCUMTE MD COMRETE. I AM AWARE THAT THERE ME ./ <br />Ke 1 1 Fr I t z l e r O e r M r SIGNIRCMT PENALTIES FOq SUBMITTING FALSE INFORMATION, INCLUDING <br />Y F P 9 THE POSSI&IITY Oi RNE MD IMPRISONMENT. SEE 18 U.S.C. 1 1001 MD 7a TT1 Q Q- S <br />E <br />Q <br /> <br />TYPED OR PRINTED u.e.C. f taro. /PYW'MI In4r tlN~ mruns m.y McAd. rr.. W ro t ro,aD <br />rprma"hNm AnArlvnwlr oTblwwremonNSW by.ral XE UTIVE <br />SIONA RE OF CIiAI <br />OFFICERO UTRbRIZED AGENT AR A <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND El(PLANATION OF ANT VIOLA I larva IF(nerenCe sn sTrscnmenfs nets! <br />3ETYLEAbLE SOLIDS LI!!Lf APPLIES OVLY Ir' G- LO-[i3, ?4-H4 PRC;~LP EY~ifi 15 C.L3I"fED. IT CLAIP! A-P3:)VED 3Y <br />YQCGA r53 °. IRJ:Y LI1Iii .(ILL NJT 9d APPLI?U PD REPORYr-.J 1EA~urclSrli.hl'S--S E I.3.IAe PG 5 AND I.B.1D, PG 6. <br />• ^r. c •~ T Il• t_ a <br />EPA F m 3320.7 (08-951 Previous editions mey bs used. (REPLACES EPA FORM T•40 WHICH MAY NOT BE USED.1 015 6 ~ ~ 7 ~'~ ij 19-12 5 u PAGE Z OF <br />- - --- -- - __ ~- .. ,..- ~__ ~_~. -. ~Y,~s. _ ... <br />