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PERMITTEE NAME/ADDRESS OwVd. FwIGgNwdTernw, 1/o10Era9
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<br />NATIONAL POLLVTANT DISCHARGE ELIMIMATON SYSTEM lNPDESI
<br />DISCHARGE MONITORING REPORT IDMRI
<br />1-I61 l17-I31
<br />PERMIT NUMBER DISCHAIIGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM :, 1 li 1 TO ' " ~
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<br />Form Approved.
<br />.: - ~ ~ • ~ -OMB No;,20p1}0004
<br />y - ~ APProvelle><pj5es 05-31-98
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<br />PARAMETER l3 Grd Ontyl OUANTFFY OR LOADING /~Grd Onlyl QUANTITY OR CONCENTRATION NO. FREGUENCY SAMPLE
<br /> !46531 !54611 ~` !3R-O5I !44531 !546/1
<br />EX GF
<br />TYPE
<br />132-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rez-en ANUrzs
<br />I646B1 169-70I
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<br />NAME7TRLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENN.TY OF LAW THAT I HAVE PEASONALLr EAAMI NED AND TELEPHONE DATE
<br /> AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON -.~
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<br />G 4 L~ I ~ ~~ ~'Q S MY INQUIRY OF THOSE INDIVIDUN.S IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATION
<br />I BELIEVE THE SUBMITTED INFORMATION IS
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<br />I AM AWME THAT THERE ARE
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<br />'] THE POSSIBILITY OF FlNE AND IMPNSONMENT. SEE le U.S.C. E 1001 AND 37 E
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<br />ArM anMin,un i,pivnwrr oFMMwn6mpnU.AM 6Ywn.1 610NATURE OF PAIN AL E7E
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<br />OFFICER OR ALIT RI2ED AGENT AREA
<br />CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION Uh ANr VIVLA I IunJ l/fel'erence ui erracnmenrs oars/ '
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<br />EPA Form 3320.1 (08.951 Previous editions may be used. , (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.) ~ ('? ~ G 5 / 9 7 ] 0 ~ ] - 1 ~ L ~ PAGE 1 OF
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