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PERMITTEE NAME/ADDRESS pM:drFsdlryNa/Loeenw yDr~...p NAME LYPKU~ tMPlht CUrtPLi;<aT1~N ADDRESS P V B U X b d CRAB, GU d16Lo FACILITY 1,Yr'rtl,~ t~ir~1RL I.:JKt'UKATIIIN LOCATION L h )y L U C U d 10 25 ti}}fi r!1L,nAcL w. LUULUns ~cWERA{. MVR NATIONAL POLLUTMT DIBCNMOE ELMINATON SYSTEM //NPDESI DIBCH~R6E MONITORING REPORT IDM91 4' PERMIT NUMBER DISCHMOE NUMBER MONITORING RIOD YEAR MO DAY YEAR MO DAV FROM TO: ~ il0 116111 I11-131 114161 I1F:171 11B-191 !36311 Form Approved. I.NriL11ViL hL1 Ic ~T LOMB E~oT20460004 SUL!'K NK APproveleyrp~rpsOS31-98 F - F1N,iL 1G <f M I t:Uk #4ti' rVl~ .)15Cnllr?~~c <a# NOTE: Read Instruetlons bsf n com Istlnp thM form. PARAMETER !3 6rd OnlYl QUANTRY OR LOADING I~ Qrrd ontyl QUANTITY OR CONCENTRATION ND. FREQUENCY SAMPLE 146-531 15461 ~ 38-151 4653 /5F61 OF 131-371 EX MAlrsls TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS m1-esi 154581 159-701 ~. LFt~LI.T ~IaTKt 7DAY SAMPLE ~#>r### #i#t!# #V##k4 .,.,~;<r<{.y ~ L.Hn CGK1uGaPll i~la MEASUREMENT T LF'3C ~ U U ~ ~?.~ ":~P~,RMIT . ~ ;all i}i#I #~': : . 'I`#M.III',ft ili ~: '.: th*{• ::::'r:?~.~~,. ~l.lr~.~., ~ili?k #r#*~:: ~ : ...,##!'!k## ~ cK- ~~ tit~L ~Y~ }'IY'tt •. .li etc CU MMCNTS bLLL1n . . . :REQUIREMEN.T., . . , .:: ~ . .:~~. ~: . . ,. .~~.. . ~.. :,::.. *i<# : :~11t{::.~~.~.~ ~' `.. .;: . . ~ `cNT . , ~ . . xLFrLCT ~TATN.E 7UAY SAMPLE ##vl### +.<#4#91# #####+• 4##:•%~# r1 LhK P1rI~rHALr.S MEASUREMENT Cr/oL, ~ U 0 ,.: PE MIT:: :; 6##4ir# ##+?A it#. #;< ?lcii?F'k~!il: .: `##YI###.} ck- j:bt}:Y:.. ;:IFt}7 U ~tr IUMhLavTS tStLUw rREQUIHEMENT~~ ~- :~:: ~ .: :: ~: ~ . .~ #### ~Y:...'~: ,; .hN ` IS'~': ~ ~ -- _ : . . . . ... . , rrT SAMPLE MEASUREMENT ~..P.ERNi1T .. ..... ~ ., .. ~ :. ~ .. ... REQUIREMENT ~~ ~:~. ..: ~ `...~` .: :. SAMPLE MEASUREMENT ~~.~PERMIT ~.. ..: .. .. : .. ,. ~ .::: : .. ~ .. REQUIREMENT ~ ~ ~ ~~~ ~ ~ - ; . :.. ~ I ~:: ;a.... ~ ~•~ . . SAMPLE MEASUREMENT ., ~, PERMIT.:: ~. ~~ ...: . :.. :. ~ ~~ :~~. .., ~RE~QUIRENIENT~ ~ :~. ~ ~. :. .,, ,~~ : .. SAMPLE MEASUREMENT ... PERMIT ..:~.~~ .. :. .. .:. .. ....~ .. .REOUIREMENT~ . ~ : ~ ~ .... .. ~~ ~~ SAMPLE MEASUREMENT ~;~::.PERMI..;~:;:, ..~~ .... ,:.... ~......... `. .. ~HEOUIR.EMENT~ ~~:~'.: .~.,...:.:.~:~:~: .........:: ... :;.::~~:.. ...;:.::. . .. NAMElfITLE PRINCIPAL EXECUTNE OFFICER I CERTIFr IN/DER PENALTY OF L AM fAMILIM WITH iME INFOR AW THAT I HAVE PERSO MATION SUBMITTED M NALLY E%AMINED MD EIIEIN MD BASED OM TELEPHONE DATE : MY INOUIM OF TH08E INDIVIDUALS IMMEDIATELY RESPON8IBLE FOR r I•ICtIaYEI Il',1~t.~i ' OBTAINING THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATION I9 l kf i T11UE. ACCUMTE MD COMPLETE. I AM. AWME THAT THERE ME SIONINCMT PENALTIES FOII eUBMITTINO FALSE INFORMATION INCLUDING ..:tv ronmenta anader . T P 99 8 0 ~9]0 ~87~-Z7t2 / 7 Z7 9.. HE 1 1UTY OF RNEMDIMP1119 NMDIT. BEE 18 U.8.C./1001 MD78 O EIONATUIIE Of PRINgfAI EXEg7TNE u.e.c. L t77e. mnaAT.• uwr d....oer.•.rr AxAW wwa w m frD,aoo , TYPED OR PRINTED .ndwmubxwr irwrsNnrnr orarw..r srlNnn..nseF.r.l oFFIq:R OR AUTHORIZED AOENi CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rdsrsncs d/ ettechmsnts here/ ~cL. l.o.~ }-~: ~i .I:..l alL;, Ktr=UKf Lr.IHaLI lY U~..IVaT1L,N ., a~ ~.LFr=tli F ~~;.i O,TH/KtP RUi;UL.it;jn AS TUX 1~iTY . cri LL.r~~T -. cFFLUti:i Ai ~,i}Cri STFLT S1L,NiF JIFr UtTHLt~r TEST F. CL::•f;<UL ,v4S U3SEnVE~ u51tii+ TtST ChL~ ~ F 11.~J ::I nl r s• rr ..~~ r r~~ ,,. r r.l v I r cr.-~M Trn EPA Form 3920.1 106-95) Previous editions msy bs used. IREPLACEB EPA FOI1M T~0 WHICH MAY N B USED.) O J U 44 / 5 u 1 J U: - 1 j 11 PAGE 1 OF