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PERMITiEE NAME/ADDRESS pkYLfrmyNawdfaa,aw Uo/]Fr.enl <br />NAME 'TF:RRJi+ ~(t~.!:Fi ~~$?ei;.Y <br />ADD~ssTERROK CREdiC L~AO'JDT <br />1840 NiGilYA[ 133 <br />PAOIiIA CO ~8142J <br />FACILITr <br />LOG710N - <br />Arrr: KELLY FRITlL°R, 7PSRA[ION3 1:,R <br />NATIONAL POLLUTMT DISCHMOE ELMINAT))ON SYSTEM INPOES) <br />DISCHARGE MONITORING RgP011T IOMRI <br />12-161 I7-191 <br />CUGB50015 <br />-^>PERMIT NUMBER ~NMGE NUNIeER <br />FROM. <br />12621/ /?2.231 tlu. /2 271 /2649/ !3631/ <br />Form Approved. <br />v;:": t.)N'. YI T^ NO~BJMorC 2040 :Q~'45N <br />{ S U ff R !7 C) APProvBl G ~1~705-31-98 <br />F - PIdAL 1 <br />!!INOR <br />,~°'' NC JISCaARGE ~x_~ #Y. <br />NOTE: Raad Inatructiona below complatinp thin form. <br />- PARAMETER l3 Grd Onlyl QUANTITY ORriOADINC '~~y~. d.Only QUANTITY OR CONCENTRATION NO, rAEGUENCr SAMPLE <br /> 1653) !5467 <br />~ l3B-I 106-531 !54611 <br />-EX OF <br />Y <br />TYPE <br />I32-371 AVERAGE MAXIMUM UNITS MINIM Nl. ~ ~ AVERAGE MAXIMUM UNITS ls2-ssl MAL <br />AS <br />/µ66l 169-701 <br /> SAMPLE vb7r~? 9rpG.## #:-'3 #'`. { 12) <br /> MEASUREMENT <br />ouoo 1 o J PERMIT av•-xx# 9:91IIr-R#E';:.. nl## r5>. <br />::.' :--.'"~ ::;:a.. #~ ~ 9.0 LEKLY .NSIT7 <br />FPLUENT 7RJCi5 YAL7 ~ REnUIREMENT ~pqt . <br />}f~~:.~~ <a; :,~;;;< ;. tfAx I:901" 517 <br />50 SF TDTAL SAMPLE ,ryt~, #R9:#R#: akC PO { 19) <br />USPENDED MEASUREMENT <br />OS3U 1 U U PERMIT 9#asa: .c:a~t<a 1~ x#a: 4.:: ~'%:">' 70 kCE/ 'R.AH <br />Ft'LUENT ;;dDSS YALULr REQUIREMENT .. YG <br />". DAIL '1X 9G L ?4JRTK <br />JLIU5E SE[[Lt:AdLE SAMPLE ::~'ac~aa +x;-xG~ OSG #~ .91## #' ( li) <br /> MEASUREMENT ~~ <br />0545 1 0 D PERMIT C::9:#»r :rp0,^-4,Y tAr:Y as;sa. s.;.~ .. p#4a. qr O,s NCE/ :RAH <br />FFLUEBI' „RD55 VALUE REQUIREMENT #:yC1 yt' <br />< ^• <br />'' <br />< <br />GAILY F!k <br />!1L/L <br />({ONFH <br /> .:: <br />: <br />. TD AL SAMPLE $~~r:: ,-YC?.kh P;F :- #4 ( I~) <br />(AS FE) MEASUREMENT <br />` <br /> <br />1045 1 U D <br />PERMIT <br />Ftr9:i#B <br />rF~kRfv " <br />~.-;: <br />~;t9>k <br />R: . ... <br />:~.~{~<.. `.: <br />6rf3. <br /># <br />BCE/ <br />'RA9 <br />FPLUENT GRJSS YALUB REQUIREMENT #Y~:Y ,~~~~A.:. ~G DAI.LI Rj MG/L ". !10lITN <br />ANU GRE 7F. SAMPLE ~%#~=`~ .-~+'L~s-:' 4#? *O +~::~% t# ( 19) <br /> MEASUREMENT <br />3592 1 D 0 PERMIT ru#d{F# ~R'k 91x# #.•O P#~x'. ~< >~#A:: >Q 1Q. .:.-.. ,; flil'jIYK. .RA$ <br />'FPLUENT GA055 YALUE :REQUIFiEMENT. ##;x DAIf;Y MX' MG/L d;"5 .GLpY <br />IiF DU DR SAMPLE { 03) #'IC OC ~ #4# #3 ,.;: ;::: ;: <br />HNJ TREATMENT PLAN[ MEASUREMENT <br />OUSO 1 0 0 PERMIT ?FIJNAL REPORT >'Akt ~ b!4#it". b zla~z~ a';. r.# ,~KELI ;ItSTAIY <br />'FPLUENT GRD55 VALDE REnuIREMEN7. 3DOA A.YG ©AILtF MX flGD Y### ~ °' '" ' <br />r 'A SAMPLE ~~ ,-aO:Y,r 7C +`~%:+ #G# 04 ~ jgJ • <br />ISSOLYED MEASUREMENT <br />0295 1 0 0 PERMIT ' ~ 4~r~ #i~ ~~~ ~ :*"POR7 ;!~'L[ RAB <br />FPLUENT GROSS YALUL REnu1REMENT ': ##oa DAILY MX MG/L <br />NAME/[ITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PEMKTY OF <br />M F <br />W <br />T <br />T <br />O lAW TNAT I HAVE PERSONALLY EXAMI <br />MITTED <br />0.EIN <br />MD B <br />RM <br />T NED AND <br />SED ON TELEPHONE ~ DATE <br /> ; <br />AMIUM <br />I <br />H <br />HE INF <br />A <br />ION SUB <br />HE <br />A <br />A <br />MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR ~~ `~ <br />~ <br /> OBTAINING iNE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />~ ' <br /> TRUE, ACCUMTE AND COMPLETE. I AM AWME TNAT THERE ME <br />SIGNIFICANT PEMALTIE9 FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ' <br />/ '~ <br /> <br />f_LLY FRITZLER Opera tons Mgr , <br />THEPOSSIBIUTYOFFNEANDIMPRISONMENT. BEEIOU.S.C.11001MD3a <br />~ <br />A <br />n7C p <br />Z - S 5 <br />O1 <br />O7 <br />Z7 <br /> <br />TYPED OR PRINTED u.s.c. s Isla. /PNWtl,. u.IM1r aI,/ mnm. cl.r Ndw, r.», w m sra,DDV <br />,nG ar na¢Amm Mp.iomrane N Mtw«n s nlanel, rw s yr:l BION <br />TUREO <br />dPA <br />EXECUTNE <br />OFFICER OR A HORI2ED AGEM AREA <br />CODE NUMSEfI YEAH MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRalerence d/ sffec~menrs Aerel <br />SB[TLEIBLL SDLIUS LI";IT APPLIES ONLY IF ~= 10-IRF 24-flR PRE.:L EYEt{'T IS CLAIiicf.• 7F CLiIl1 APPR7Vi:D dY <br />Y(~CDa',TS5 E IRON LI'II[S iIILL NDI 9E 6PPLIED TO REPOR[ED 9EA3U E!lGtlPS--S E I. H,lA, P6 5 AND I.B.lUF DS h. <br />wv r <br />~ <br />EPA•Fam 3320.1 108-951 Previous editions mey be used: (REPLACES EPA FORM T40 WHICH MAY OT BE USEO.1 0131 / 9 7 0 "15 4 PAGE 1 OF <br /> <br />MONITORING P RIOD <br />YEAR MO DA Y ~~ Y AR MO <br />D DAY <br /> <br />