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PERMITTEE NAME/ADDRESS O.eYJ. Fsdln N~/Gerulu UDle....q <br />NAME 'Lh nL'i'~-i~. °'.~1t;IhV, I;IC. <br />ADDRESS r ~: A /= f tf r i I, F, <br />P.O. iiClr. 1.°7 <br />CRALL: <br />CO 0125 <br />FACILITY <br />LOCATION <br />..n: li. GO°L::t. t'iPbi-S, rKE.S/SEA ~.Ga <br />NATIONAL POLLUrMT DISCNMOE EUMINATON SYSTEM lIYPOf$l <br />DISCHARGE MONITOpINC REP011T IDMRI <br />12-161 17.19/ <br />c~0~32115 f.n< v <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO ~ ,; <br />124211 /22-23) 12~-151 126271 129-29/ 130-311 <br />Form Approvad- <br />F C G 7 F L F' TES ? I N (,D^'1~L'T~R- 7~~0;(~04 <br />(S L c F ~ 4) APProvel,e>~I, ae.b5-31-98 <br />F - F7DAL 1 <br />~INCP <br />vNOTE: Reed Inetruetllxr bet«e eompletinp this form. <br />PARAMETER (3 Grd Onlyl QUANTTY OR LOADING 11 Grd Onryl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> l15-531 (50-61 138-15 /16531 (546! DF <br />l32-37/ EX <br />Murss TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS If2-eJl (61-581 (63701 <br />L \,)V 5T r.'T h. E. 4~t7 }I (i LCI SAMPLE ;I:=k:`: .;: a+::G#': ,±~'.. ;1 i:X:}::a::f ( 73) <br /> <br />.: :.hIOUA PHSIA <br />MEASUREMENT <br />~~0 / <br />l di'.ftl 1 0 (1 ~ PERMIT ~~ #CE<~La~t<~t= ~ ~#ri~l3c.°-~'f if ±::} j~Q~ ~ 4ALd~>ti ~ ~ s'f tll .i,~3:r ~. F. !t- T3LY t~:~f~.H <br />:. F'FLUEtiT .; F'U5 i CALU REQUIREMENT ~ ~ ~ ~ #4:::# M.~: .pAtUE - ~ <br />~ CPR <br />'.!. 71. 5'CAfn:; 96Hr' AC; SAMPLE :::##4Ch #:}#!,r (s ;r - OY. C4#d '.}tf,:O AI{: ~ 233 <br />i ,'. ;: P d A L t 5 MEASUREMENT ~ ~Qv ~ qtly <br />~'IUC 1 ~ 'Q ~~ PERMIT..: ~ ': rr41R r0. ~.: .:.. aaaol?z~ . O#~ ~ :~ I~4 r>Q>t.~x ~. ~ ;.-~A~~4~~: ~~'~: E't- <br />,.r'r LUBNT CFO55 VALU .REQUIRENIENT~ ~. ~ .~ ~~: i~1+009 dip: ~~g71.i~UE~ : '. ~ CENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT , <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ <br /> .gEQU1REMENT ~ - <br /> SAMPLE <br />- MEASUREMENT <br /> . P.ERMIT~.~ ~ ~ ~ ~ ~ <br />~ <br />~ ~. _. <br /> REQUIREMENT ~~ ~ ~ ~ <br />~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ - <br /> REQUIREMENT ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ' <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERn FY unoeR PENALTY of Lww THAT 1 NAVE PERSONALLr E%AMINED MD TELEPHONE DATE <br /> AM FA MILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON <br /> MY INQUIRY OF THOSE RIDIVIDUALS IMMEDIATELY RESPON9BLE FOR <br /> OBTNNING THE INFORMATON, 1 BELIEVE THE SUBMITTED INFORMATON IB <br />{i. GOLdOR F9C61'e TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME <br />SIGNIFICANT PENALTIES FOR SUBMITINO FALSE INFORMATION <br />INCLUDING `~ 70-824-44U1 98 4 28 <br /> , <br />THE P0651BIUTY OF NNE MD IMPNSONMENT. SEE 18 U.S.C. E 1001 MD 77 {RiNATU1IE OF -RRYd-AL EXEL'VEIVE <br /> w n-~S <br />'~ <br />n <br />~ <br />.N <br />~ <br />~ a <br />s s'~ ~<'° ro s I o'DDO <br />F ~ AREA <br />TYPED OR PRINTED s <br />nR <br />l ww/ <br />.u+n.n <br />a e <br />« <br />mon <br />.n <br />yu.al OFFICER OR AUTHORRED AGENT COQ NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IReterenn sll sMSChmenfs hqN <br />+EE I.A.2, FP 7-9, Fr;: U3gAIL~ OF ilSST PROCP,DUEB. nF.P:~2T LCSC - `4ATI°~I('AL F"]~T ESTI°h'T;; 4'HICF. L` <br />,.E:nAL TJ 50.". 'JF TE~2 :riL;ANISflS, AN7 AiTACN ACUTE IOYICI~Y TEST PFFCF^ F^PC ?0 L"+F. CGPIF,S OF AL1, <br />~'~ VI'n9, PC C ~C F 1 1/ <br />EPA F«m 3320-1 (08-961 Pravioue editions mey be used. (REPLACES EP ORM T-40 W H AY NO 8E US .1 u ~ ~ ~ 2 3 / 9 P C 11 3 -10 5 fi A "' 1 F ' <br />