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PERMITTEE NAME/ADDRESS n+eW4• FrleryNrr/Locenar I/O:~trnq <br />NAME TA.A Fk~F.K "I yi:+:, :'•~. <br />ADDRESS '1'RAPYEc2 N1'~1: <br />P.O. 80X 1_'!7 <br />C;1AIL; Co d162b <br />FACILITY <br />LOCATION <br />F. `: 1'N: W. i,ORUO!i PFTi kli, ?kE5/~,: 21: rGR <br />NASIONAL ~pt~US'ANY'p~5 AROE EUMINAAON Sr STEM /NPDfSI <br />- DISCE(2 R6~N1~ITORIN6 REPORT /OM9/ ^- <br />CDO <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM ., TO ! - e _ <br />114111 177-131 124-151 /76-771 118-19/ 134311 <br />Forth Approved. <br />ACUTE 11ET 4E51It7C~R'1~'M4•z9~h0O ° <br />(S U t» R 11 Y) Approval_e1:P~rae50 31-98 <br />F - FTC•AL 1L[ <br />NINCA <br />NOTE: Reed Imwetlorw before eompletMp-tltie lorm. <br />PARAMETER 13 Ord On1Y1 QUANTITY OR LOADING 11 Cord Onhl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br />131-371 11653) /54-61 I3B-451 (4663 164-8/1 EX OF <br />ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (47.63! 164681 169-701 <br />L~ TATiiE 4URn AC SAMPLE 4#0:#4 as###O OCAOt* ;;~q,yt,, ( ~]~ <br />CcdIUUAPNNIA MEASUREMENT <br />tar.jE3 1 0 U ?EaMiT a~1~i.ga. ,' a+baiiOl~Ltk 4ilC: 1Q(}. +R:a4t#~! ea.~:~A!~.. ER <br />- : 'TRi:Y RAS <br />LPYLUENT GROSS VALU. REQ l1EMENT '.; ,::. <br /> <br />~ tilrF9 :.~• <br />~. <br /> <br />~~ . <br /> <br />... <br />L.I:~U STA'Tt.F: 96yr. AC SAMPLE ;c#C#aa as#aaa ~ or:~0ao ~ aaaeaFr ~ 23) <br />VICEPNALf:S MEASUREMENT ' . <br />~. <br />1 hNOC 1 O D ~ PERMIT ~'#ilp.*#6i ;~:: ;..;... i7A~.-. <br />~.. ¢fir ~ #oa . .. <br />:.: ....::..::~':::r ~ <br />~ ;.:r*~il >C: ?~~~.: <br />'~ '-~`~'~h!!l1YAIRlY'.; ~ER~ `, <br />i.: <br />.:. .:. .:.. ,~~': ~~~R <br />cF'fLUBNT v8D55 VALU .REQUIREMENT :. <br />;' . <br />.. <br />:',;.: 104ir~ .. „1:.::'3:..<.:s<:::: <br />.:......:...:...: y <br />,;i .. <br /> SAMPLE <br /> MEASUREMENT ~ .~ <br /> PERMIT ~ ~ - ~ ~ ~ - ~ . <br /> REQUIREMENT ~ ~~ __. ~~ ~ ~~ <br /> SAMPLE <br />- ' <br /> MEASUREMENT ~j ~1`~ <br /> PERMIT ~:.. :. .: ..: ..~ <br /> <br />~ ~' <br />:~ <br />' <br />~- ... <br /> <br />~`=; <br />' 2" <br />~ - <br /> :REQUIREMENT :. ~: ~~ ~~. ::: .. <br />.. <br />:,.. .... : <br />: .. <br /> SAMPLE <br /> MEASUREMENT ~ - - <br />' -~ ~ PERMIT ~ ,' ._ ~ .. <br />.. <br />' ... _ .. <br />: :.. <br /> ~REQUIRENIENT~: : <br />. .; .^: <br />. .: .. .. .. ~ ~. "~:.:w..., ~ .. <br /> SAMPLE ~ - <br /> MEASUREMENT <br /> PERMIT ~ ~ .. .: ..~ .... ~ ~ .:.~.. :~...... <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />,.. <br />.. ..; <br />.. ~ ~~ <br />- REQUIREMENT <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I cERn <br />AM FA Fr UNDER PENALTY DF <br />MILIM WITH THE INFO uw TNAr I NAVE PERSONULV ExAMINEO AND <br />RMATON SINMITTED NEREIN; AND EASED ON .. T c'LEPHON"c DATE <br /> <br />MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPONSIELE FOR <br />1 EEUEVE THE SVSMITTED INFORMATION IS <br />OETNNING THE INF011MATION I <br />~ / / <br />J/~L ~~ '- <br />fie. ~i <br />' <br />W• .Gordon Peters , <br />I AM AWARE'TNAT THEME ME <br />CC <br />MTE AN <br />COMPLETE / <br /> TRUE. A <br />U <br />. <br />D <br />PresidenC S General Nano 8r SIGNIFICANT PENALTIES FOR SueMITrIHO FALSE INFORMATON, INCLUDING ]Q 2~-4~OI 9 1 S <br /> THE POSAEILITV OF RNE AND IMPRISONMENT. SEE it U.S.C. 1 1001 AND 33 fIONATUIIE OF PIIINCNAL EXECIliNE <br /> V.S.C. 1 t3te. dw1.b..1.teA• Nrr .r4nm, ntEr brhA, rneE w ro rro.DDo <br />PED OR PRINTED rM Ormuirx.n irori,awrrtt erbn...n 4nMdu W6vrral OFflCE110R AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPI.ANATlON OF ANY VIOLATIONS (Re/erence e!I ettschment3 here! <br />_:,. I. a. 2, .PP 7-9, t'GF; DETAILS ~'' T::ST PkUCdDU3E. REPORT LC°C - fTAT757ICAL PCINT ESTI~ATP. :HLCr' I5 <br />~t:I:nL TO 50%: OF TE.T uRGANIS~S, AND ATTACii ACUTE TOXICITY TEST AfFCA1 TO FY TC CN9. COPIES OP .4LL <br />~ I' ~ n <br />FPA Form 3320.1 108.95) Previous editions mey be used. IRE LAC • FOR O I AY NO BE SED.1 0 01 ] E / 9 A C 11 3 -10 ~ 5 A 1 F 1 <br />