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PERMITTEE NAME/ADDRESS (lid. f.neyNa•/ls.non yny6..,v/ <br />NAME Jt.;:c:,A ~ ;'.L .. "~f`Y <br />ADDRESS ~ }i A + I. F. J <br />IIAYGhN <br />CO aib33 <br />FACILITY <br />LOCATION N. 0. Y U .. D C D Li 1:, 3 C <br />d S l )! 7 ~• ~ li v C F.: / 4 ~' r J C~ I L Y, f, L I i .1 ~ t A ~.r ,. <br />NATIONAL POLLUTANT DISDNARQE ELIMINATION SYSTEM f/JPDE$) <br />DISCHARGE MONITORING REPORT IDMRI <br />11-151 1 /7-191 <br />f C'J I:UL LCi COQ <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY. YEAR MO DAY <br />FROM '.l TO ' <br />116111 172-231 114161 116171 178-79/ 130311 <br />Form Approved. <br />I.. ;I ••„ }, ~ 1 APProvel1e~piros~05.31-98~ <br />- FIF+.I <br />YThCF <br />;'vC tar !`I SC!:AIi(:L- I_ I .. . <br />NOTE: Raed InBwcllorq M}orB complBtinp 1hiB form. <br />PARAMETER !3 Gird Onlvl QUANTITY OR LOADING 11 Grd Onhl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> 146-531 I5/-6'I 138-ISl /4653 /566'11 OF <br />137-371 EX <br />ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 16169! 164661 16a7o1 <br />r'L' SAMPLE ~. ..::a?t: ': 'IF". ,. ( ':I <br /> MEASUREMENT ~- ~ C <br />~- ~,. ~ ~ <br />GUvI: 'J i 0 0 PERMIT ;<.a;: ,t+afi :: tY :..-~. .. t.5 ~ ••. ~ • dY LY I': <br />il <br /> <br />r i'iLi. =:1: ~; tlL7 i 7A.LJt <br />REQUIREMENT <br />:. <br />MI M~~; lICP <br />N{';I•~~- . <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 /> REQVIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF UW THAT I NAVE PERSONALLY E%AMINED AND <br />AND BASFD ON <br />MILIAR WITH THE INFORMATION SUBMITTED HEREIN <br />: TELEPHONE DATE <br /> ; <br />MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br /> OBTNNING T11E INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 19 - w <br />~ <br /> TRUE, ACCUMTE AND COMPLETE. I AM AWME THAT THERE APE <br />SIGNIFICANT PEHALTIE9 FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ~ Y~ <br /> , <br />THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 1B U.S.C. 1 t001 AND ]] BIONATURE OF PIUN AL E7(ECUTME <br /> V.S.C. f t]tB. lMrleiF /tlr N•w mama nIFY ~IFAId• 01wa Iq m 510,000 AREA <br />TYPED OR PRINTED +MO. nrrinun inPrlaalnMnr of arw•rrFmonNard6F•va/ OFFICER OR ALIT ORRED AGENT CODE NUMDER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /RBJersnce s// Bttschmsnts here) <br />L_.~ LI`li: +ILi. `~`.~ P.iIV~. L%.A !:~ "r:TTL%.7cL:- 57LL~S LIY. is ..7F~I°f ~CF <=1~YrF "I~~ T.+i•: IE~ Cy`: !.T, ~: ., <br />_c~:Li:A~'..: ::ILIi15 LIYtII' ~nIV::D FOP >1JY'tF:49i. :C;? ~Vti';T ;CFJFCT TC TI}R^.:. CF rJ~i'r' Ih I.A.=. ... . <br />. !I.Ai.-5:..' i.f•.1~. TIC. r[`, /:l~r..~ara - n-I- <br />EPA Form 3320.1 LOB-95) Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 ~ .. ~ ,, ~ ~ .~ ~ 1'J 3 1- I S 1 3 PAGE , OF <br />