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PERMITTEE NAME/ADDRESS (lri•da Fr/4ryNrdlocm/m dDlffi.p
<br />NAME I:vP -, r. ~ -. .. .. ',°n.
<br />ADDRESS ~+ I;i ~ . r '. .: . , ~ ~ F ~ . -:.. '. 1 ': ~> ;
<br />FACILITY
<br />LOCATON
<br />i^°N: yD= T'- :~1.'-'}•F 4hi:?AL .4rYV
<br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM (NPDESI
<br />DISCHARGE MONITORING REPORT (DMRI
<br />11-161 l17-I91
<br />:JOQ27li'1 ^'1~
<br />PERMIT NUMBER DISCNAAGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM '.. Dd TO `~ "r ";
<br />11Q1I1 127-131 174751 /16771 l18-191 /3Q311
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<br />Form Approved.
<br />.•~OIdB1Nq•,2D40-0004. i
<br />APProv e~P,lrpe 05-31-98
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<br />`NOTE: Ra6d inetruetiolu before completin0 thu form.
<br />PARAMETER l3 Ord Onlyl QUANTITY OR LOADING 14 Ord OnlYl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> 106531 1546/ I3B-651 146-531 1546/1 DF
<br />l3Z-371
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS EX
<br />
<br />163.69!
<br />ANALYSIS
<br />(60-681 TYPE
<br />
<br />169-701
<br />L ?OA SAMPLE .-: Y;=aKe '~aaa>;, •t
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<br />Q 8
<br />P~:'AL Sr.C';'.~~ELE MEASUREMENT O/~~ D/IO
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<br />:: Z:iSJLVE7 MEASUREMENT p
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<br />JOF_ ER6 POTE'~ "TALLY SAMPLE aaa-a* a-:aa*•+ ,-x7A ( 1~)
<br />:I3.`iJLVF.D MEASUREMENT Q,OQTJ O/w I 3O j(j46
<br />.13;16 1 U D PERMIT :'"-Xa:;- SC/.Q# K. .`~` .C•"~+#"R x.77? (1.'.1 ~NnF;'/ :RFK
<br />.:'i'-i.UENT ri@(1S5 ~A Lr', REQUIREMENT -."-':¢ 3!11A 4V': ''A*LI~ t1I ~'~:/T h:'1S^. II
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<br />MEASUREMENT
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<br />'FP'. I1 L'l i' .;875- YA LU,. REQUIREMENT 90U'll AVG Pi.'a IL° ?FC KGD ~ :`•#3d
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<br />NAME7TRLE PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />AM FA FY UNDER PENALTY OF LAW THAT I NAVE PERSONALLY E%AMINED AND
<br />MILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE
<br /> MY INQUIRY OF TXOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR _
<br />{Zichard Mills OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
<br /> TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE
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<br />SIGNIFICANT PENN.TIE9 FOR SUBMITTING FALSE INFORMATION
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<br />970 87D-2712
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<br />CODE
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<br />YEAR
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<br />EPA Form 3320-1 108-961 Previous editions mey be used. (REPLACES EPA FORM Td0 WHICH MAY HOT BE USED.) ~ ~ f 1 ~ / •~ a r 11 I. 7 _ 1 ~ T 0 PAGE , OF
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