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PERMITTEE NAME/ADDRESS Oeeb4 FrdgNaWfocenen JDlp+.ae <br />NAME'+CY?SUS v, .:.n, ~„TT .~ ... .~ ~'14r. <br />ADDRESS y.S S i.+~ ..r, + ..{". .. , <br />y;. ,,k~.. ^~ clliri <br />FACILITY <br />LOCATION <br />,:TP,. YDRRI$ •'C?.~'r+ ;!:kckgL G.*`IY <br />NATIONAL POLLUTANT DISCHMGE ELIMINATOR SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT (DMRI <br />l7-161 17-I9/ <br />;o:z~t~a r,~- ~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONRORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM S L I TO `1 `• I -) <br />120-711 l27-231 !14151 126-271 178-791 !36311 <br />Form Approved. <br />.- ~' T• + •~-t V :t ~ ~ryOMBINo,~2040-0OOA~. ;• <br />+ Approval expifeg 05-31-98 <br />r. - •.At, <br />v,. ..~, <br />NOTE: Reed Inettuctiau balae o ktlnp this corm. <br />PARAMETER !3 Grd On/yl QUANTITY OR LOADING !4 Grd On/vl QUANTITY OR CONCENTRATION NQ FREDUEMCY SAMPLE <br /> !46531 154-61 l3B-051 !46-53 /5I-671 <br />EX DF <br />TYP <br />131-371 ANALVVS E <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e7-sal !64681 169-701 <br />iRON+ TDTAL SAMPLE .-.. ~:Y!: rtr.i: ~ Y, „ . ( lq) <br />(q $ P c) MEASUREMENT <br />''1•x'15 'i n n PERMIT avtS}»r .auba>n ... kh~nn-: gaon!?T ?^onuT S IN~P./ SR>!(? <br />;F,F. CDn^+EhT$ ySL~~M REQUIREMENT ~:;,xa ~nnA AY^: nA7LY Kx H(:/L !47NTY <br />IkOY+ 'L'JTAL SAMPLE ::,}.S#G:k ~SR,}.t:;r t'?#-•:TO ( Iq~ <br />(A $ F c 1 MEASUREMENT <br />1':vS 1 D- 1 PERMIT 'S r,-9Yn6 :~ROr~YJt 4Yx S~#~=:~ 7,5 7.~ c Nr_Ff ~~$A8 <br />•. F~'L(1 F.FT GRASS YA LC S; REQUIREMENT ?tFdR l9nA AP^, SIT Y kY ~~ L 1'I(1N k <br />''LUi1F I;1 CDNn!IIT (19 SAMPLE ( ~3) ><:Yt+xeA «~x;,,~} ,.~A.,wn <br />A;;7 TREAT..*.YV" ^t,p t,' MEASUREMENT <br />7L?,i~1 1 0 '? PERMIT P.RD~?T PT27NRL :s~n:~a r~~•~a:+: ^:k t;:#=.* k+:- F.P..vLt NSTAV <br />3F~'LUdNT GR't-` VgLpt REQUIREMENT jOn4 1Y:~ DAILY °7I "!C;^ 0"'°'' <br />JIL 0.KD ".iBEA i° SAMPLE ~:~rF:r ( 34) #3-'a:k': '~~°'='P,~` >`t"•''t`• <br />I _: I; A L MEASUREMENT <br /> <br />'•'1lfh '1 <br />PERMIT <br />t`r <br />Y <br />=^.I <br />S>`#'~"'= .•-A A}}} <br />.. }-y L <br />Y.•~.i,:±: A~~... <br />F>:;VLY <br />IYrt)A.f. <br />'FFLU2N~ CP.~ .S '1RL('° REQUIREMENT IT15T MAX NO=O -°~°'~° <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEliITLE PRINCIPAL EXECUTNE OFFICER I cERnFV uNOER PENN.Tr DF <br />AM FAMILIAR WITH THE INFO uw THAT I HAVE PERSONALLY ExAMINED AND <br />RMAnON SUBMITTED HEREIN; AND BASED ON ~ TELEPHONE DATE <br /> MY INQUIRY OF THOSE IMDINDUN.S IMMEDIATELY RESPONSIBLE FOR <br /> <br /> <br />Richard hlilis <br />OBTNNING THE INFORMATION, 19ELIFVE THE SUBMITTED INFORMATION 19 /!~~ <br /> TRUE, ACCUMTE AND COMRETE. I AM AWME THAT THERE AAE <br />SIGNIFICANT PENALTIES fOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />9]O 8]Q-Z 71Z <br />1O <br />1S <br />9$ <br />Environmental brans Er , <br /> THE POSSIBILITY OF NNE AND IMPRISONMENT. BEE tB U.S.C. E tOOt AND 3] SIGNATURE OF PRINCIPAL EXECUTIVE <br /> U.S.C.E~ata. Inws+uler n.~mnm+m+r heF.4+ae.+wroJlo,oOO AREA <br /> <br />TYPED OR PRINTED <br />wwnv..i.ll+n ini+lsnn.nt ele+:w.+n 6nonn+rW6yrra/ <br />OFRCER OR AUTNORI2ED AGENT HUMBER <br />CODE YEAR MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRsferencs sl/ attschmenls hare) <br />:+i~PERN ATc: Li"IT~ c7T m-i$+ [`i .^.Y .. _ ~; "TL~".4 it t.c 57LLn`-~ (Ln^ F ~ E~ r~r~pT,Y •~.;TV rc (-_ ? f!-v: 'tr r _ .. <br />IS ~LAI`iLP. ~::c I.A..-'F P: IH+ F.^~' 9U30^V ~c DRfTr~ or lnrpc wvr^-~ nTT t-^^nc.-_c;-r p^.n+..~7T° n'/t ~. <br />INraiY ca+tpr re~^ r acnnumTN- TucrG~l -m rr+u T_c-, r•o L•nmr n7 <br />EPA Fam 3320-1 10&-95) Previous editions may be used. (REPLACES EPA FORM T<0 WNICN MAY NOT BE USED.1 n ^ ~ II ~~ ~ ~ n r ry ~. T- t ^ T ~ PAGE _ OF <br />