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PERMITTEE NAME/ADDRESS (lwdrb f.cdryNs.a/Lx.Nm pD~) <br />NAME TI<r,6 rt' "I:•I'"e jti<;. <br />ADDRESS T E A C' Y[ y a I .; F <br />I'.tl. nll.( ] "] <br />CKAIL: <br />CO dl'.lr, <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT d9CNM0E ELIMINATION SYSTEM /NPDESI <br />DISCHARGE MONITORING REPORT lDMAI <br />11-161 17-191 <br />000032115 i A <br />PERMIT NUMBER DISCHARGE NUMBQI <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM - TO - <br />I101II l12-131 11415/ !1617/ l18-I9I I363T) <br />Form Approved. <br />FC h C A `_ TO !10 !i A l~!"~Ek1'1°~:.Zeao-oooa <br />(S U F F A .) Approval lexpl{~q 05-31-99 <br />- FIAAL <br />"i~CF <br />Nr r*.:CHA ~f.~ ~~~~ <br />NOTE: Reed Irutructiorn ltefore completlnp thu form. <br />PARAMETER 13 Grd On(yl QUANTRY OR LOADING Ia Grd Onlyl QUANTITY OR CONCENTiiATION ND FREQUENCY SAMPLE <br />131-37I !/6531 151-6// 138-~5I !46-63 /546II EX OF 7yPE <br /> <br />AVERAGE MAXIMUM UNITS <br />MINIMUM AVERAGE MAXIMUM UNITS <br />1E1d91 ANAtrsls <br />lµ68) <br />169-701 <br />L n .., ., .: SAMPLE .. -...-. ( 94) rf C;a :t' OSOS`%.•t ;~!'=#'~ <br />~/ <br />r I.7 U A l MEASUREMENT /~ v yr}h0` <br />•.x065 i U 0 PERMIT. Xt>rr~~r-7'l_t. .~ 3E.P~4RT ~ Ei=1 .#.~Grt4#'HS D03'3~:? ~ ~~ Ax9YFk4. :1:Y.e: : ~~.~.ALY VISUAT <br />r.F'cL111iA1 ,ROSS YALU REQUIREMENT ;. ' ; IN5't:a!AY'. NC=O rfo~a . <br /> SAMPLE <br /> MEASUREMENT <br />. <br /> :"=:: :PE: MIT.' . <br />. ..: .. .[ .~ ~::~ <br />. ' ~~.~~. ~.~:?; ~ _ <br />. <br />~ ~ ~ ~ .~:: R': <br /> . ... .. <br />cREQi1~9EFAENT <br />~;. <br />~ <br />, <br />~` <br />~~ <br /> . <br /> SAMPLE <br /> MEASUREMENT <br />. ~ ~ PERMIT ~ ~ ~ ~ .. ~ .. <br />"~ 'REQUIREMENT ~ - <br /> SAMPLE <br /> MEASUREMENT <br />- PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> :REQUIREMENT ~ ~ ~ ~ ~ .. . <br /> SAMPLE <br /> MEASUREMENT -• <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDEii PENAITV OF L AW TNAT I HAVE PERSONALLY EXAMINED AND TELEPHONE DATE <br /> AM FAMIUAfl WITH THE INFO RMATION SUBMITTED HEREIN; AND BASED ON <br /> MY INOMIIY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTAINING THE <br />NFORMATION <br />I eEUEVE THE SUBMITTED INFORMATION 19 J~ i~_ iJ _ -_ <br />C <br />Y <br />^- <br />/ <br /> <br />Gordon P~tere <br />W , <br />I <br />TRUE <br />I AM AWARE TNAT THERE ME <br />ACCURATE AND CDMPLETE ~ <br />/ <br />~/ 70-824-4401 98 i 28 <br />. . <br />. <br />SIONIROANT PENALTIES FOR 9UBM11TIN0 FALSE INFORMATION <br />INCLUDING <br />President/General Manager , <br />THE POSSIBILITY OF RNE AND IMPN90NMENT. SEE 10 U.S.C. 7 1001 AND 79 {IONATURE OF PRINCIPAL EXECUTIVE <br /> u.s.C. F t 9t e. r1Me'tiF rslw c.« .core.. mFr 1neEMF M.. w ro F 10,000 <br />TYPED OR PRINTED wornc..h.An lnp/Aemlenr erbwwrsnrmela ends rAeal OFFICER OR AUTHORELED AOENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRdwnce d/attachments herrl - <br />~',>> b fOT:EL IRON LI'!IT:i vILL q.`: IeAIVF.;iF AS L; :,£TTL£B.t`L'c SILICA LI"1T AfILlE.r, FC5 <-1DY3r2Ul1E VF:'CIP l.YEr,p- <br />±i:c SOF.USh f>F' Pf'QC!' R~1UIdE".E'dTS UN~R:1 1.A.3. PtIICITTiiE "UST TAPE ALI FfiASCFF.EIF t':EASpEc` ';G f;E6UCL 71! <br />1:1 I~CD&OAii ['E LITR FEST +:GMT ~_at CT ICES - ~7f: T_A_5_ 'P ItC MO-T'Tf FT Rr, - T D ? <br />EPA Fwm 3320-1 LOB-951 Previous editlans may Da used. IREPWCEB EPA FORM T-a0 WHICH MAY NOT BE USED.! C 0 0 Z ~ ~ D T 1 211.- L 6'L F PAGE LOF <br />