Laserfiche WebLink
PERMITTEE NAMEIADDRESSp L4 AeYiryNaWLevane"rJDIQF.nrJ <br />NAME '~! .. .. ., F [. :.':I'. '~n ~( <br />ADDRESS i"""~•'~ ~~ <br />FACILITY <br />LOCATION h A (,, : ;. - , 1 , ~~ J <br />' .i <br />NATIONAL POLLUTMT DISCHMOE ELIMINATION 4VSTOA /INPDESI <br />DISCH? R61E MONITORING REPORT IOMRI <br />_ 117-191 <br />Ct'~. . u "e21 CO" 9 <br />PERMIT NUMBER DISCHMGENUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />PROM i tl L II l TO C ~ _ <br />nr.~n in roe ool ran_ofI <br />Form Approved. <br />,...,: ~ u ; _ ,,. ,OMB No.+2090-0004 •~' <br />(51.! F P. A w ~ APP/ovel,axpirD8~05-31-98` <br />1 L S 4 ~ 1 <br />r _ rlrrl <br />YCKC~. <br />NOTE: Rasd inetrueNone before eompletinp thu form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR L ING !1 Grd OnlYl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE <br />131-371 106-531 15x-61 l38-~5 !46531 15b611 <br />EX DF <br />TYPE <br /> AVERAGE MAXIMU ,UNITS MINIMUM AVERAGE MAXIMUM UNITS !e:-s3/ MALYSIS <br />l6 <br />F <br />-6 <br />81 !69701 <br />1 :. d ~. ; . - L : ; . SAMPLE ~ ~ r. r::} <br />~ ~ ' <br /> <br />v ] ~ G ? v <br />MEASUREMENT ~ <br />~ ~ <br />~ ~ ~ ~ ~ ~ ~ ~ v / <br />- <br />7 <br />1 / ' <br />U <br /> 1 l S <br /> : , • ' Sa S~ t` -'. ; ' - . -5 . ..} t . , . ' k: ° F I <br />f '/ ? :; i' 6 <br />' F .' i. J k. , i .; F O S = 7 6 L : I . REQUIREMENT I: : <br />y ~ . <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMERTTLE PRINCIPAL EXECITTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF UW THAT I HAVE PERSO <br />MILIM WITH THE INFORMATIO <br />TT <br />S <br />D NALLY E%AMINED MD TELEPHONE DATE <br /> <br />i ~,~ V, `~ <br />J G` 4. e ~ <br />~~ N <br />UBMI <br />E <br />HEREIN; MD BMED ON <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION <br />I eELIEVE THE <br />BM <br />TTE <br />F _ <br />-'-~ ~~ <br />. , <br />SU <br />I <br />D IN <br />ORMATION IS <br />TRVE <br />ACCURATE MD COMPLETE <br />I AM AWME THAT THERE ME / <br />~ <br /> <br />II <br />it <br />~ <br />~ . <br />. <br />SIGNIRCMT PENKTIEe FOR eUBMITTNO FALSE INFORMATION <br />INCLUDING ~.~ <br />r <br />~ r <br />C~(J <br />( <br />I <br />J(, <br />p~. ~( C ~ J I J ^• t ~ ~ , <br />THE POSSIBILITY OF RNE MD IMPNSONMENT. SEE 18 U.S.C. E 1001 MD 33 <br />610NATURE <br />F y <br />~ `>' J 1 <br />1 O f <br />G <br /> <br />TYPED Op'PRINTED U.S.C. E 13 t s. Oblrb~. Iw10•r rMw .YNhs nI•Y MICkW Fxwa ye ro S 10,000 <br />..anmusm. <br />i <br />/b <br />a <br />! <br />S <br />% O <br />INCIPAL EXECUTNE AREA <br />NUMBER <br /> I. <br />srnlAVro <br />rown <br />roma <br />. rO <br />rw+ <br />I^wr+l OFFICER OR OR12ED AGENT CODE YEAR MO DAY <br />my u cnrcnnn I wn ~r nnr vlvcn I Ivno Irtererence sn srtecnTnenrs nbe/ <br />.'7. ~ 1:. i.ir.l"..", n: LL .. ,. +A1V'~L` .. .ii.~iL .i`L ;')i.I:'i ..! .. !F'L:'C FlF <=1';YG `LI, p•- .. <br />:. .:TLL 4" :1::i vi hl P':, ~~ > '{ t C c ~+ c cr <br />ALJ;.J F':]'. iV 3, .. 'l :,. rtr: I Vi• ~ lrJ .., `f cI,L'O!r OF PM.t'U' 1` !. .. <br />1 1 1 1. L V n/ r, r. -~ F ? . 1_ i CI = M f I '. f '^ •. ~ e T S :' 1 1 <br />EPA Form 3320.1 (08.95) Prevloue edlbone may be used. IREPLACEb EPA FORM T30 WHICH MAV NOT BE USED.) .. PAGE .OF <br />.,ccchi~~I~?t-.x,13 .. <br />