Laserfiche WebLink
<br />PERMITTEE NAME/ADDRESS pmMd.Frdlry Ns.+/Lar+Ilw l/Oldvap <br />NAME ji "' :' ~ IJ 1 - _. <br />f' <br />ADDRESS 'IIN 6S 1,?:v .~nC~', -: '.~z~; 1., ,z <br />'100 `':- T '_. "... Ci°'jL°. <br />BFGLF:.~^~ ,) a.nt~5 <br />FACILITY <br />LOCATION <br />T~~u; .•;,.,y- f'L'^LF-~i. G- <F.I. n"NY <br />NATIONAL POLLUTMT DISCHMOE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONRORING REPORT (OMR1 <br />lI-I61 I77-191 <br />':'tnU27li4 "''" <br />PERMIT NUMBER DISCXMGE NUMBFA <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM Y 7 ... ? TO ' ' ' - ": <br />1161/1 l11-131 !14151 /26171 l18-191 !36311 <br />Form Approved. <br />. . - ~ - - +-lOMB1No-a 2040-000~ <br />r _ . 1, ,.) Approval expi{es OS-31-98 <br />,T r` <br />- NOTE: Read Instructions bolo I co latlnp this lorm. <br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADING !4 Grd Onlyl QUANTITY OR CONCENTRATION ND. FREQUENCY SAMPLE <br /> 14653 !54-61 138-051 !46531 154811 <br />EX OF <br />TYPE <br />(32-37/ MNYSI9 <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s2-s]1 !84881 /69-701 <br />r' ::r+ I~~ CDRh!I I'- Ci: SAMPLE ( .', 31 .v."fc=~ .. ... ~-+.t;•^:.: <br />3 .t i' T P. ~ . :. ' ' : `i ' [ (. r. ' T MEASUREMENT <br />UGiD I. G PERMIT HEI>J')!' 4ZPDR",' t>r`=tfi~.t' '=i:vri#` .^~.-::'=" 1 gnrLY :?IS"'•: <br />FFLU r.,'.' Gy.iSS VALU REQUIREMENT ?^49. '!V:? DAILY 1"•% NCd #;~,'t <br />:i!.`L1D7s v'Li'AL SAMPLE e:~~G::+r 4t~:## .-.'}R#:: ( 7q) <br />I ~:I CL-J F : MEASUREMENT <br />16247 i G '! PERMIT 4#x### ##O:L`R+F ~#f 4•'sRtO-# RFnOR'" RFpnR? )l~ix:°~ .RA? <br />:FFLi]L'N'f iF""i dA[,I)s REQUIREMENT t}#YY 3D^? AVS DATLY MT ~:/I. 'TOF?T° <br />~ilL AX'U I;I(~'-~ SAMPLE .....r,:::: ( 44) „-.'-r:t,: i::~;A,;.. ..~,~..r:.^ <br />i :i ' A L MEASUREMENT <br />,ul'6.5 I J 7 .PERMIT .'=sCk~C-. RFPC)F'.T L B`_~=1 3;`:;-;~;iL ~;;~;t(ae: ,:::t~::^::~ r :~, c.~IcI <br />Y 'iSf.14L <br />-'''^LUNNT Gki;" ''J A.L f) ~REUUIR,EMENT TM~$.r w,11t yD_U t:~A ~. - <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 />NAME?ITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIM WITH THE INFO UW THAT I NAVE PERSONALLY E%AMINED MO <br />RMATION SUBMITTED HEREIN: MD BASED ON ~ TELEPHONE DATE <br /> <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR , <br />kichard °l:ilis OBTNNINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br /> <br />' TRUE, ACCUMTE MD COMRETE. I AM AWME THAT THERE ME <br />90NIFICMT PENN TIES FOR SUBMITTING FILLSE INFORMATION <br />INCLUDING <br />r9 <br />2712 <br />0 8 <br />7 <br />95 <br />:5ana er <br />Environmental I , <br />T <br />100 <br />F N <br />E <br />E 7 70- C 9Q <br /> . S <br />THE POSSIBILITY O <br />NE MD IMPRISONM <br />N <br />E 1B U.S.C. f <br />1 MD ]] SIGNATURE OF PRINCIPAL EXECU7NE <br /> U.B.C. 1 1]10. 1PI/Wtl++ uM+r eMr NNro+ m+Y hcA~4r r+w+ IO ro J10,000 AREA <br />TYPED OR PRINTED +M Ormvmun inplaa+IwN e/Mrrwnemonrh+Wby+ra/ OFT7CER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRelerencs s// ettschmenls hare/ <br />'I'. ~ SNrn cC ;°' rF)^"!,'7r• F~r 'J+ ? 'It 7l: n?1°(-*T,11, LL ~T - ,•-L• tTn~~N~..v ~~ -.7"' T',T, T.v ) ~ J,.r <br />i T ".~ I,' <br />. .GALS - F~;:. ~. .. v~+ r. .i "C\IT.,k i'i~ - _ 1M:.Fy.. IY S^`?'T,^!•I ~0 nc nt mrvlFT,° P• ~• <br />EPA Form 3920.1 108-851 Previous editions may be used. (REPLACES EPA FORM T~10 WHICH MAY NOT BE USED.) n ~.. ~ ~ ~ D ~ r• ,1 ~ 7 _ T ^ T ~ PAGE ^ OF <br />