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PERMITTEE NAME/ADDRESSp irLFrrGry Nsv/Loemlm pDlp...nq <br />NAME ALA t. ~. P. ~JiL (,v~~~'~1'~f <br />ADDRESS L i ` ~ ^ ~• r . <br />aAl.ICn <br />CU '31077 <br />FACILITY <br />LocnnoN d H Y ~ `: `; L:11 01 F. 311 <br />ATi::. v. ~Cil ~~ _+t., GS.; ....AL .`.AVAGBh <br />NATIONAL POLLUTMT DISCNMOE ELIMINADON SYSTEM /NPDESI <br />DISCHARGE MONITORING REPORT /DMRI <br />/7-151 I7-191 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ~ TO : C <br />17611k l11-131 !74(51 !16771 !IB-191 130-311 <br />Form Approved. <br />., • _. .. , } ., : y0Aa6No.f2044000/i <br />~ - .. ^ A _ ~ APProvellexpir~;-OS-31-98 <br />P <br />` - F:AFL <br />Yl ~C. <br />NOTE: Rs6d Instructloru bslae complstinp this form. <br />PARAMETER !3 Grd On/yl QUANTTY OR LOADING . !I Grd Onlyl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> !06531 15461 1. 138-s51 ls6531 154511 EX V <br />n <br />l37-371 ys <br />M <br />L TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /63.691 /5458) !59701 <br />r:T SAMPLE <br />MEASUREMENT ,.': rt:f;: ;r ::::::; ~:`. ~ <br />~ <br />~~ <br />~ <br />~ ~ ~). <br />( ~ ' <br />~ I/ <br />~ <br />7 <br />~ <br />r <br /> . ~ J CJ <br />I ~ <br />k <br />LU4L:J 1 i ') PERMIT ~r::t+s ;l f- .=.;k y,'r <br />..- <br />„ . <br />.-, 13.5 ~ >;IC: t,'a... .t.~ 1hCl/ "~GIT I <br /> <br />:, <br />tFFLUENI .,FU _°~ ~Y .}LI', REQUIREMENT t:, rr <br />RI NIlIOTI »E. rr;~ <br />~ I _ L, <br />'f U. TH <br />L•_'A, I.. CL'L :)U1 i I!: <br />' <br />• <br />~ <br />" <br />^ <br />' <br />' SAMPLE <br />MEASUREMENT t~! r <br />D <br />( <br />I L <br />C~ p I s <br />C~ ( 03) COQt'''-: f,f{e%': ': .. ~) <br />~ <br />~~ <br />1 <br />i ::.u T <br />.:. r.: <br />: <br />:1 Y.. <br />. <br />L A <br />i . <br />/ p <br />,.-r - ' Q .~ <br />:,UU`.'~,i : 1 ') PERMIT ar;pO~T :)~?I7?~AL R4C8$~ r»:>>~:;~ ,t~;,,.; ' lyC:./ C':'!'A.:. <br />cFti.JLh: i;h'ii.: 'lnl.~" REQUIREMENT jVGA AYG D?ILY !9% tt:,r. •I,7•.T:, <br />U L NL ,h`:h:i `. SAMPLE •. ~ ( ,+':) %"?r; .; .. r,:fr: •; :; <br />~ I~ ~ <br />V i _; ~.:.3 L MEASUREMENT i5 <br />ULJt.b 1 ~i PERMIT ..-'., :', i'v P,i E"`.-I =;t;: r:y r.. 9y1 iL>~t: +; f-X:k {: •: t!;CL/ 'i$.I P, !, <br />': tLl1 LtlT -: I:;i.>:~ "r.LU REQUIREMENT I+~"P IiAS A~= 'k ~~':~~ +'Ji•I':i <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 /> l.. ~ <br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY UNDER PEMAITY OF L <br />AM FAMILIM WITH THE INFO AW THAT I HAVE PERSONALLY E%M11NED MD <br />RMATON SUBMITTED HEREIN; MD BMED ON \ TELEPHONE DATE <br />! <br />,~ (. y v. ~ ~ ~1,,'1M O~ <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONABLE FOR <br />OBTNNING THE INFORMATION, I BEl1EVE THE SUBMITTED INFORMATION IS 1 <br /> <br />1 <br />1 <br />r <br />~ TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME <br />9GNIFICMT PENAiTlE9 FOR SUBMITTING FQSE INFORMATION <br />INCLUDING <br />~ ~r / c <br />may <br />p <br />[J <br />/ [ <br />~ <br />/ <br />I <br />~ <br />I <br />r ~ <br />' , , <br />N ~ <br />1 O <br />~L/ L li ~ <br />1 \ CX <br />/J <br />U~~ I THE POSSIBILITY OF RNE MD IMPNBONMENT. SEE 1B U.S.C. 1 1001 MD 33 <br />SIGNATURE OF NgPAL E%ECUTIVE .J / - <br /> u.S.C. E 19ts. lFIIIWWF MMY rIMM mans .RFr ic4N~ rr.FAW ro s 10,000 <br />TYPE RPRINTED wnmMrirlvn lnpdmtntFntW awwnsmanTF Andb rural OFFICER OR HORRED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference sl/sttschmenb here/ <br />..... LItiI( b:Ll. .+t .,IY_G d:.U 53TTLc.aE•LL :JLI:.~ LIYiT +.=.,,?K.' FCT <-jr~F _.. *:Fi:'f 4Y~.T ~'~ <br />,. _ <br />~...iLEAI:L:. ;JLI:S LI°.iI ei?Y~.~ E'J.( >17Y'+., 7.1:9:, F' IECI`r ;;Y E'1?' rt".]r'9 *C .,. !f: `; CF Fhi.GF i'1 I.F.:. GII <br />;. ;fFAS V-'; ~~ i.h_1- m^,~ xnNrmna TN :-c cc T- _t_ <br />EPA Fam 3320'1 108-961 Previous editions mey be used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.1 PAGE , OF <br />Or,cP.S/971031-1513 <br />