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<br /> <br />EERMITTEE NAME/AUORE55 p.ern. /wile. m.~~.: ~ .vier .r nmr..,.~, <br />veME TAAPPt.R !17ii~G~ 7Y C. <br />ADDRESS TNAPPPR RI~IP. <br />P.o. sn: ITT <br />CRAL6 CD 91625 <br />FACILITY <br />LOCATION <br />ATTtl; Y, GORD7R P4TftaS, PRES/f.BM /16R <br />NATIONAL POLLUTMT DISCNMGE ELIMINATION SYSTEM INPDESI FOEm Approved. <br />OISCMARGE MONITORING REPORT lOMR! OMB No. 2040-0004 <br />l2-161 17-I91 MTF!Op <br />(3^PR #V) ApDrovelezpirse05-37-98 <br />PERMIT NUMBER pSCHMGE NUMBER ~ _ ~1 KAL r•lc~~ <br />MONITORING PERIOD ^TSCN{P,r'f 70 C6Ti]TF GULCR <br />YEAR MO OAV YEAR MO DAV J . <br />FROM - ~ TO kk+k 11'1 CT SCR~ftC.E f ~J ' eY~4 <br />-l20.2i/ !72.231 -ltd-151 !?8-371 l28-191 !30.311 NOTE: Rud instrucdoru belore 6o-mpltlinp thu form. <br />PARAMETER !3 G/d ONYI QUANTITY OR LOADING <br />' !d G/d Ontyl QUANTITY OR CONCENTRATION NO, FREDUENCr SAMPLE <br /> !d6 <br />-531 15L8I1 !38.!51 !!6531 ISd-81/ DF <br />r32-371 EX MKrsls TYPE <br /> AVERAGE - MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !dz-sal (8d-6Bl 169-701 <br />PR SAMPLE k!¢dOkC1 - A41t llier•< y¢1rkg4 ,~ ~ 7~ <br /> MEASUREMENT <br />UU4UD I D U PERMIT txs#PRQ bS##R9 4kk g;.f ` ate~aal#o' : ~~0 <br />~ <br />~~~ +; <br />~~~~ <br />"~`~ <br />f'FFLISEBT..i=R~SS._ VRLU. REQUIREMENT <br />__ lpkC '~ <br />:-:-i-. ~ <br /> SAMPLE <br />~ ~ N1EA:iUREMENT <br />~ <br /> PERMIT ~ <br />_ <br />~ <br />- .,., ~•~ - ~ <br /> <br />.. ~: <br /> <br />~ <br />~ <br /> <br />~: xp- <br />~ _ <br />~ <br />.~: <br /> REOIJIREMENT ~ i . - /: <br />' SAMPLE - ~ ' <br /> MEASUREMENT ~ ` <br />` <br /> <br />- :I <br /> PERMIT /~ <br />~~ d :• ?~;.; <br />. ~ REQUIREMENT ~ <br />- ~ x Y <br />~. .. <br />.:, ~~'' <br />.~ .. ~ <br />.. .~. ''` <br /> SAMPLE <br />~ ', <br /> MEASUREMENT ~ ~ t ~qq~ <br />b~ <br />~ <br /> PERMIT .. <: ~ ~ . .... ....: :....:... <br /> REQUIREMENT <br /> SAMPLE dl i ' <br /> MEASUREMENT _ <br /> PERMIT y <br /> <br />: <br />~ F{EnUIREM~NT , :. ~ <br />. -. <br />~ t" <br />~~ <br />~ ~:js'r.;"~.. .. . <br />: <br />~ ~ SAMPLE ., <br />, <br />~ . <br />. <br />~ <br />~ MEASUREMENT ~ <br />~ ' <br />• ~ REKNIT ~ ~ - ... - - a..~. -., <br />~ <br />~ <br /> <br />~REQUIFSEMENt <br />~ : <br />:.~:i,'~"' <br />~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ <br />~ ~ ~ ~ .~ ~ ~ ' <br /> REQUIREMENT ~ <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF L <br />AM FAMIUM WITH THE INFO THAT I HAVE PERSONALLY FxAMINED MD <br />TION SIIeMITTED HEREIN: AND BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE IM DUK9 IMMEDIATELY RESPONSIBLE FOR '/ <br /> OBTNNING THE INFORMAT BELIEVE THE SUBMITTED INFORMATON IS ~ /C <br />1d. Gordon Peters TRUE, ACCUMTE MD 0 <br />SIGNIFICMT PENAlTlE9 FOR E. 1 AM AWME THAT THERE ME <br />SUEMITTING FALSE INFORMATION <br />INCLUOINO ~(~f <br />910-824-4401 <br />99 <br />D7 <br />14 <br /> THE POSSIBILITY OF qNE AND I <br />u <br />C <br />! tatY <br />S <br />IP <br />Wtl <br />M . <br />HIISONMENT. SEE 18 U.S.C. f 1001 MD a] <br />N, <br />r mam <br />YrA <br />W l <br />ro 570 <br />000 <br />BIONATUIIE OF M1MICNAL EXECUTNE <br />OR PRM <br />TED . <br />. <br />. <br />. <br />,I <br />. <br />. <br />M u <br />w <br />ee, w <br />, <br />. ^IrY <br />I <br />TYPED rw u~ mAYinun im~lewwir PFMnr„n a menusW a wv,l OFFICER OR AUTf10R2ED AGENT CODE NUMBER YEAR MO DAY <br />MVMMCNIJ NIYV ~^~~r..r,.v.. ~~ /.... •~~~~..v..r/I.oro, orlu, ell ellellllll,IIIi II.I./ <br />T55 G TOTAL IR:7K.LTnI'!"- wtILL R~: ~AITEpF ILMD i£TTLRA6EL 5'1T,I6° LT.'rIT A,^PLT'7 FDR <=T~TTr•~~nlly nr•rrIP F.4t'9*- <br />5}•a BUflDBtl `.)F PRDOF p£]UTAF"18NT.°+ DIDZP. T.Ae3. ?FftffITTP.E !'UST T+IRF. !1f.L YPfinll~RLF PF4S'!1'cr mn RR.OUC° ni; <br />na~Tlja9~u?~_dn~~, <br />~_ <br />I <br />