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PERMITTEE NAME/ADDRESS (1MIIII Fsmry Nswla[nllm l/DlDirrnQ <br />NAME l.Yl'~~.L,S tMi'Ikt Lu!:PL„~aTll,rv <br />ADDRESS FI.eU tlLX 6,7 <br />.CxA1c, <br />CU 8161D <br />FACILITY i.YPnuS EMP1kE CtikPtl~<ATiUN <br />LOCATION I,KA ltr l,Ll oIGZ5 <br />alll~ M1i.HAEL n• LUULU•e• ~tNEkAL HGk <br />NATIONAL POLLUTMT DI9CXMOE ELIMINATON IYHfEM //NP~ESI <br />DI6CHAEEGE MONRORING REPORT IOMRI <br />l1-IS I7-19 <br />PERMIT NUMBER •bfscHMDE NuAteeR <br />MONITORING PERIOD <br />YEAR MO~ DAY ~' YEAR MO DAY <br />FROM 0' Y ~ J •~ 3 <br />116111 l2I~291 /II-76 11617/ 119-191 136311 <br />Form Approved. <br />D.zoao-oooa <br />L ~UuLk NM PProve~e~'S4~'05~31-98 <br />I ~ 1 INAL <br />i91A•Ur; ~~~ <br />~"~* Vv iil:iCHAKt;tX '•'~'k <br />NOTE: Reed Inetruetlarr b on c pletlnp thb form. <br />PARAMETER Bard ontyl QUANTITY OR LOADING ~ vd onryl QUANTITY OR CONCENTRATION Np, FREDUdev SAMPLE <br /> 1663 I61-sl ~ 38-16 1663 ~ 61-61 <br />EX OF <br />TYPE <br />13x371 AVERAGE MAXIMUM i1N1 MINIMUM AVERAGE MAXIMUM UNITS rca-em MALY918 <br />!61.691 (69-70) <br />J1L Abu vrft A ,E SAMPLE a+}#+V ,} ###rk~ +4###d ;«.,(.{ {<+ <br />tf 1.,UAL MEASUREMENT <br />u40o;, 1 U U ,.PERMIL.::.:: ~fl.N;#+R : <br />; Q:. ".;:•:.'. t5 1 SIR+iT'~. <br />9i's :a5!!!aRM?-'~:> :::3?Y!:?l~:f/I~b::r #!F+ <br /> <br />.. <br />~~:~.~ <br />: <br />:~ <br />: ~~A ; <br />r ~!T -~ A <br />cF LUc f t,kOSS V Lit REQUIREMENT. <br />~ . <br />~.~~. ~. ::~ ....::::.. .. .:' '- . <br />:~ ..~.:~ .... <br />~~~~~~~" ..,~?<::-::.:~.:..::..?:,.:' <br />'" ;'.::~::~:~::::';::....;.~~~ ###•~ r ...: <br />~~ . <br />. . <br />_.::.; . <br /> . SAMPLE <br /> MEASUREMENT <br /> G; <br /> z:•.CP MIT ~:: <br />. E <br />R <br />, ~ ~ ~ ?'. <br />"" ` Ali ~~ <br /> , <br />, . <br />... :..::. <br />.. <br />:. <br />,. <br /> <br />,.: . <br /> SAMPLE <br /> MEASUREMENT <br /> ' PERMIT' -r ~ ~ ~: . <br />. ~ ~ tv:;`x~~s.~l ;:'<: :':'~~:: '.,:,:. .' <br />. . <br />: <br />~ <br /> REQUIREMENT .. . . <br />a"~.....~.. <br />::::. <br />~....:. <br />.. <br />... ..:j <br />~ <br />, <br />3« ::...:. ..:::: <br /> SAMPLE <br /> MEASUREMENT <br /> .. PERMIT'~..~ ~ ~ .~. .. ..:.... .. ~..: <br /> :REQUIREMENT. ~ ~~ ~ ~~~'~ :+~-~. ;.x :.. .:.:....:. <br />,. <br /> <br />,.. <br /> <br />,:.:.. .. <br /> SAMPLE. "0 <br />• MEASUREMENT ~ <br /> ~~:~~PERMI.T~:~:. <br />... ~ ~~ . :.. :.. . <br />,.: <br /> <br />:~: <br /> .. <br />.REQU.IREMENT~ .. <br />~ <br />.. .. <br />... <br />.. .. <br />. <br />.. <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~.. PERMIT::,....: , <br />~ .. ...... . <br />.:. ~ <br />~ <br /> <br />~ ~ <br />.. <br />~ <br />~ <br />~ <br />: : <br /> <br />. <br /> REQUIREMENT .. ~. ~ .. ... . . <br />.:. ~ ... <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT: ~. ~ ..~ <br />: , .. <br />.. ... <br /> <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />M F FY UNDER PENALTY OF <br />ILIM <br />H THE <br />NFO LAW 7MAT I HAVE PERSONALLY EXAMI <br />RMATIO <br />SVBMITTED HEREIN <br />MD BA NED MD <br />SED ON TELEPHONE DATE <br /> ; <br />A <br />AM <br />WIT <br />I <br />N I <br /> MV INQUIRY OF THOSE INOIVIDUAL9 IMMEDIATELY RESPON9e LE fOR <br /> <br />(IClli)f C: ~'V7.1~~5 OBTAINING THE INFORMATION, t OEl1EVE THE SUBMITTED INFORMA <br />TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT THE <br />NO FALSE INFORMATION <br />IN <br />TEB F <br />R eUeMITT <br />MT P TION IS <br />RE ME <br />CLUDING <br />n vi ronmaeta l /Y~u:lil[' er , <br />SIONINC <br />ENAL <br />O <br />I <br />THE POSeIlILITY Of HME MD IMPRI90NMENT. 9EE 10 U.e.C. 1 1001 MD 7J eION <br />RE OF <br />NCM <br />XECUTN 4 n T - ~ 41i <br /> us.c. E tats. mn.•e.. uWr m.. mrolrA "rr AaNdn m.A r ro t r0,000 ATU <br />PIII <br />AL E <br />E <br />E <br />NUMBER <br />YEAR <br />MO <br />DAV <br />TYPED OR PRINTED .nenmrxLrR.n hrMsmrnr P/Mww•sma+NArI/s r.val OFFlCER OR AUTHORRED AGENT COD <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rderenee ell ettechments here! <br />:;tTILtAbLc 5„'Li.,S L/Mli wa1YcU rLk 1GYK,[4Hk PKf=GIr'cVr_VI-~r_c. I.A.s1 Pu l1F t-;rt rit:WUTKEM~h7S. U1L :. <br />.,nLA;a ~i.Ab SA/9PLt ANALYSIS Kt~IUIIiLU it Y1~18LE SNEtI. 1S U;f Sti.VcD. L1k TKLY SAMPL I;~.G 1NSikUCTIGw;-1.l.. uF <br />EPA Form 3320.1 108-861 Pretrioue sditione mey be used. /REPLACES EPA FORM T~0 WHICX MAY NOT BE USED.1 U OU ] i / Y G I J ~ 1- 1 3 1 I PAGE lOF <br />