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PERMITTEE NAMEIADDRE55 prliLfrW'ryNrr'r.0[Illal (/DJQinnq <br />NAME (•`((I r;vS th+l'IKE (, ii r~rrJKAT luiv <br />ADDRESSN•P L dLIX fib <br />~ ' GRALG GL' b1625 <br />FAC[uTr GYNrtUS LMNi~it CCiki'JKATIIih <br />LOCATION (;jja 1(r ~u t5I6[h <br />aT(N nIGrAEL r!, LUULUWr t,cNtitAl Ml; h' <br />NATIONAL POLLUTMT DISCNMOE ElJMINATION 9V6fEM //NPDfSI <br />DISCH?R6E MONITORING REPORT /OM9/ <br />y <br />PERMIT NUMBER .DIecNMOE NUN+eER <br />MONLTORING PERIOD <br />YEAR 0 bA r~ a YEAR MO DAV <br />FpOM 'TO- " <br />(2211 !I 3! fT llti271 28.291 /90.31/ <br />Form Approved. <br />~ ;,t IHINc 6 (:, tiI°~~Y^~°~K;oaQ-oooa <br />SU+Sf( hr kPProvelexp~rpe05-31-98 <br />F - FINAL lL Y <br />fi I tv J K <br />NOTE: Reed Inetruetlone before complttlnp 1llb form, <br />PARAMETER 13 Qrd Onlyl QUANTITY Oq LOADING - <br />A. s Card Only) QUANTITY OR CONCENTRATION N0. FRECDOICY SAMPLE ~ <br /> 11653 51-61 .38-{6 4663 6461 OF <br />132.371 EX MALrsls TYPE <br /> AVERAGE MAXIMUM UNITS MININIUII~I"'~ AVERAGE. MAXIMUM UNITS let-ea /61-661 I6a7o1 <br />uli- AivU :,KtA~E SAMPLE !.#4h## /4 ~I;fpit! 440#4i1 #vM4p~~ ~ <br />O I~ U A L MEASUREMENT <br />nhUuv 1 U G PER.MIT.;..,. .. ,~~p,R,~i:iil:., '... ;:::.:s~.i`:;'::. i <br />~` ,. <br />~~~~` ~%'r:>iM:... .:.~i .:`:-: ..:'?'kall#~r;. +.°:`it <br />~FrLUCNT iikl;SS YAL'Ut :REOUIREMEN7 <br />NSL # <br />I <br />X <br />K " ;z. <br />, <br /># <br />• <br /> t <br />~ <br />:: ,: x <br />' # <br /> SAMPLE <br /> MEASUREMENT ~ . <br /> ;:PERMIT. ~ :. ~ ~. .. ,,:~ :....... ..: ..~... <br />: <br />.. <br />~ <br />` <br />~ <br />~ <br />:,. <br /> ~F(EQUIREMENT~ ~ ~ r? . <br />. <br />.. <br />.~. _ <br />. <br />?.:•.'`:. <br />: i::~. . <br /> SAMPLE <br /> MEASUREMENT <br /> ~~'.PERMIT <br />~ <br />~ <br />~ <br />~ <br /> ~REOUIREMENT: - ,.. <br />. ~ . <br />. <br />,.; <br />..,~~_~.. <br />.~'..;T;::. :'::.:,^:~ <br />.~..::;<. <br /> .: i <br />: . <br />:'Y.:.:: .." ...:."..' <br /> SAMPLE <br /> MEASUREMENT <br /> -PERMIT <br />;: . .. .~.: >.. .., <br /> .REQUIREMENT. ~~ ~ ... ... .. <br />`.. <br />. <br /> SAMPLE <br /> MEASUREMENT . <br /> .:'.;'PERMIT,;. ~:.: ~: ..,.., .. .,.... <br /> •REQULfiEME~J°G ~~.. ~ ~ ~ ~ ~ <br />:. .:, .., '~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT: 'r:. . ~ .. t:'ti ~..;..: <br />~ ~~~~ ~~ ~ <br /> . <br />.REQUIHEMfNS~~~~ . _ <br />~~ . <br />. . <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> .REQUIREMEN?~~: ...:. ~.: ~ ~ . ...... ..::... ~ .. <br />::. <br /> <br />.. <br /> <br />...... <br />NAME(TITLE PRINCIPAL EXECUTNE OFFICER I cERnFY UNDER PENALTY DF uw TNATI NAVE PmsoNAUY ExAMIN <br />AM FAMILIM WITN THE INFORMATION 6UBMITTED HEREIN; MO BA ED MD <br />SED ON TELEPHONE ~ DATE <br /> MY INQUIRY OF TNOSE INDINDUAIS IMMEDIATELY RESPONSIBLE FOR <br />i31c)lard ,JII~~S ORTNNING 1NE INFORMATION, 1 eEl1EVE THE SUBMITTED INFORMATION IS <br />TRUE, ACCURATE MD COMRETE. 1 AM AWME THAT THERE ~ME ~ <br /> <br />environmental MElnager SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLWINO +,Ij~Q ((]Q-~7~2 ] ?] ~8 <br /> THE POSSIBILITY OF FlNE MDIMPRISONMENT. SEE [e U.S.C.I 1001 MD9] <br />~ <br />BIONAT <br />OF INCTPAL E%ECUTIVE <br /> U.B.D. 1 [3[e, lAwn.A und,r N„r aaeu+.s /IMr +zAle. ~.+..W ro Jro,000 VRE <br />TYPED OR PRINTED .nl rnNUNVrr MpYiowrrM O/Mrw„n6mmel. rnl6 Y..~! OFFICER OR AUTNORRED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS /Rllerencs d/ sflechmenrs hl/el <br />~~11L:-a.ltc ~,;L,;:, Lli•I1( na1/tJ }':; i" iJ~Y!',~tiH~~ F`rct~lr' ~1rt~v(-~i.t i.q.}t p~. LYF (-L. ~i riLdvIHEMtNT S. uiL :. <br />~n~a.,c onAo ~a;'.r~Lt alvaLr.~ts Ki_„uIKtJ IF Yi;,IuLE .iHc.:_2+ i5 U~.icriJcU. 1F.Tr2LY iANYLI.+G 1NSTKUGTILNS-[.i..~, <br />4~ <br />EPA Form 3320.7 108-95) Previous edi[ione may be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE U8ED.) p U 1 Jv+ / 961 U U 1 ~ 1 s 1 I PAGE 1 OF <br />