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iMl I I E E NAMEIADDRESS llnrl~dr NAiIONAI- POLLUTANT DISCHARGE ELIMINAi lON SYSI EM (NI'DES/ <br />eo- nbmr/I urunnn ,/dJ/rrnU DISCHARGE MONITORING REPORT (UA/Rl <br />1ME_L.r-.L'[-If:Li-11a:.L:i 111'/LLL ~.11L.=-U1::i F.:::d~-- (1-161 (I7-I9I F' - FINAL <br />UREB51(~r ~~~~~~~r~•.~~L~_-- __ ^' ~ I 045 p~ SENAi:E TREATH ENT PLAIT <br />--L14.:L~111)------ 1(T ~.J 2?~i_- PERMI7NUMBER DISCMARGENUMBER <br />MONITORING PERIOD <br />CILITY <br />----------------- YEAR MO DAY YEAR MO DAY <br />CATION FROM TO <br />I MINOti RBLA <br />- <br />________________ <br />lZa7l) !11.111 !N-7s1 !I6-i71 17a-29) llalU NOTE: Read Instruellons belore completing this lorm. <br /> lJ Card Onlyl QUANTITY OR LOADING (I Card Onlyl pUALITY OR CONCENTRATION ND FREQUENCY SAMPLE <br />PARAMETER 146-J)/ (lI~611 /39-IS) (I6-131 !!I.6Il EX OF TYPE <br />(JI-I7l AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS <br />l61dU ANALYSIS <br />(6d~ba1 <br />~?a1 <br />( <br />6 <br />fl <br />JJ, ~-D6Y SAMPLE <br />MEASUREMENT $$$vv $L13:.",.$$ ~f$vvv~r` /, ,y/- <br />~~/ 2 <br />~ O I/~u <br />Y Li1F'.~,f7 <br />/ <br />', <br />{ <br />~ <br />Ilj <br />(LIJ UE u• (:~ I / <br />111J (; J J PERMIT ####:~ ; ##$### $#;: ######' ,;RSPOHT HEPOq!-~ YCE/. RAH <br />_ IiEOUIREMEHT' .$$.*.$ <br />)U, -U LLY SAMPLE $$'$+'<${-` ~r`'v`{-`r$$ #~r`##i:$ ~ / / O <br />C~~ <br />~11) DcG• C~ MEASUREMENT t 3~ <br />JJlu 1 0 ~ PERMIr ####~# ###JR#~. C## ##~#O#`,_ .;REQORT REPOBT~ NCB/: SAB <br /> REQUIREMENT.' r ~ ~$#i} + 1; <br />uLIG:;, T(,TAL ME sUREMENT $'v`%'fv$$ $::;'tL~$$ ####$# 37 <br />_l~ <br />/ ~ <br />I <br />/b~ O I/j J /'y71i~ <br />11 <br />1.4 <br />J~PEhDED 1 0 <br />f /J - <br />~53V G D U PERMIT #'*~#~#.; .##~~#~' ~`$# ..-i lpJp~j~¢#; '~.';$EPOHT~1 ,$EPO)~~',. <br />'I YCE/.. R~H <br /> PIEOUIREMENT ~ ~Z;$ , <br />./LI17.Ci, TOTlIL SAMPLE <br />MEASUREMENT $$$$$Y= Y$YrY$ +~'~$#$$ r1 <br />{ ( L~ <br />J ~ <br />O <br />~ U <br />~~~~ <br />J3PE <br />iUI:U o <br />I <br />J530 1 0 U PERMIT JQ#~#~~ :. #####~ ~ $## _;#####~`:% -:R$PO~T~'. =,''`:''RBP08~:. i eeE/. AAB <br />_ flE0U1TiEMEHT ~ $.,~$$ .I ?_ G N <br />LiJli, IN COt1DUIT OR SAMPLE <br />MEASUREMENT ./1 <br />Q0 <br />~O~ ####$$ ###~## ##$C## <br />O <br />~h1~ <br />11ItD fNtATtlL''NT PLAY J <br />7 / <br />uuSJ 1 0 L .P P~R~M <br />" tb1R .'t;;',P) ~, ~;.AEQORY ~~ ~~~~'~:'~ Y~~~~1k ,~`,. ~ <br />r ~N~,.r3# #_ ~#~ :~ ~ THE I,'~ /STAY <br />r- <br />~o IH EHT , # <br /> SAMPLE <br /> MEASUREMENT <br /> PEflMIT C .1. tj' ~ ~ ~ <br />l- <br />t "; <br />- <br />•~ <br />' <br />' ~,, ~, Y~ <br />.. <br />•,[T T 'TN7,acE <br />~ l ( i -,~'r <br />~ ~ '2.Id' .,, i;r~ -y a, <br />' <br />~ I <br />~` ~ I:, :~ I. <br /> fl@4UIflEMEHT, 1 <br />. <br />; <br />ti <br />- ~ 1; .,ry <br />r.^ :R.t7 <br />•K'^y'•~It.'' • <br />, 'r~ ''',I' ~ ~ <br />I ~ 3: 1 <br /> SAMPLE <br /> MEASUREMEN7 <br /> PERMIT' .: <br />- ~. i 5r. f%: ,_ ~ ~ ~ i ,. :::c Iii .i.?.l'.;',nJ ~~ ~.. <br /> REQUIREMENT ~ ,. L. - . <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER 1 CERTI FY UNDEfl PENALTY OF UW THAT I HAVE P ERSONALLY E XAMINED TELEPHONE GATE <br /> <br />~ II // // <br />/ I IyJ 01 ~y ~ -1_/Y Q'F`• `L <br />( AND AM FAMILIAR WITH THE INFORMATION SUBMITT <br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATE <br />OBTAINING THE INFORMATION. 1 BELIEVE THE SUB <br />IS TRUE, ACCURATE AND COMPLETE. 1 AM AWARE ED HEREIN; AND BASED <br />LY RESPONSIBLE FOR <br />MITTED INFORMATION <br />THAT THERE ARE 610 <br />I n <br />/ 1 <br /> <br /> <br />/'t <br />S-g ~ <br /> <br /> <br />~Y <br /> <br /> <br />/ <br /> <br /> <br /> <br />I <br />( <br />I_. NIFICANT PENALTIES FOR 6UBMITTINO FALSE INFORMATION INCLUDING <br />' 3~3 Ia / 7d- lD <br />~ <br />J U rnr ~ <br />r~al'l, ~' '{` 1 IWt AND <br />THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE la U.B.C. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED JJ U S.C. { 17IY. (Prnabh nner. Mm amruln ~n.r Induae Qne aP ro Tla,DOo <br />rndo•mulmum lmpaonmrnr a/6rl.nnd munlhr and 7J'rrrrl <br />OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAT <br />OM MENT AND EXPLANATION OF ANY VIOLATIONS (RrJrrrnn allaflxhmrnu hen/ <br />nFLUEhE SAt1PLf:~ yU5'P BE COLLECTED, ANALYZED E REPORTED HUNTHL! REGARDLESS OF YtlETNER AN EPFLUENT <br />ISCIIAiiGt OCCII~tS. <br />PA Form 99Z(~1 (RSV. BBB) PlBVIOD4 BdIIIOn9 mey t7B USBd. (REPLACES EPA FORM T-10 WIIICH MAY NOT BE USEO.) PAGE OF <br />nnT~~iann~~~-]~u~ 1 <br />