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PERMITTEE NAME/ADDRESS Qud~4 P.eWyN~w/loeurm UDrQfwmQ <br />NAME LTf'rti,~ ~htr'1t;c l.l,n~u<NTjL,tl <br />ADDRESS P LJ DUx bb <br />`ty-[KA1o CU iilb26 <br />FACILITY GYPnuS tN.llk~ t;URPUIZATIUn <br />LOCATION~rtAl~ CG 8L015 <br />::ilw t11ChAtL h. LUDLUn/ ULNEKAL M~jlt <br />NATIONAL POLLUTMT DISCHMOE Fl1MINATON BYerEM N-DESI <br />DISCH?R6E MONITORING REPORT D 19) <br />Fongn Approved. <br />..,~ in ~'/ r~Il-71n T„D^P~.,t, ~OaR-0004d <br />~UdK tin APProv a puss5531.98 <br />~`U 4 7 <br />PERMIT NUMBER DISCHMOE NVMBEII F - FINAL <br />MONITORING PERIOD M I NUN <br />YEAR MO DAY YEAR MO DAY <br />FROM TO ~ b A#i~yU DISCHA*uu } <br />1167/) lZTg31 ( (I I1F771 17+-7lI l3L3/I ~ NGT Rud Instruetloru befw Do Plstlnp this form. <br />PARAMETER l3 Grd Onlyl QUANRTY OR ( ADIN6 OFrd Ontyl QUANTITY OR CO TION NO, R+EDVENCr SAMPLE <br /> <br />137-371 4ti53! 51.81 '~ 38-AB X6-53 6FBl <br />EX OF <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lea-e» MKYBIS <br />1~.BB) 16s7D1 <br />N SAMPLE #4#*## 4}4#*# 44+iF441F 1~2 <br /> MEASUREMENT ~~ <br />UiJ4UU 1 U G .;:":PERMIT. ~.:.~:~.. <br />.... .. ... r' ~.##?14'MJK~}: ~~~.,i6 YFM+R?f?f }}# ~~ ,':;°ti :..:,~'i::;:: <br />~ <br />~ ~. ~ 1~y y y <br />T.'T1R 1.~'Y.: t.. <br />/ ~ U ~ <br />~;:i <br />Iii1f~WTJI~';i :. <br />.: <br />i,~~~~. <br />~FFLUCnT akU~S YALUE :REGUIpEMENT ': :' .. <: .. .. #4#q, ...~;.. <br />~Y;. : <br />.... <br />(q <br />~~.:..::'~ <br />~ <br />~ r 'M : <br />~ . <br />:J.:..'.: <br />.:' .. .. .. .. ... . <br />.. ...::~ ~' <br />~LLIUSr ~tTTLEAoLE SAMPLE f@#a~k# -0•}+F#}.k **!'# zyj <br /> MEASUREMENT <br />l.. 'r ~ 1 U 0 '.:: PEf3M1T tTF tN k tlrl3lk ~ H~ P *~}~it * <br />~ a a # ~>C11N1:.:::.: ~: ':..:.I~g6~~~~~:1r~ `. ~ <br />~ .::.... <br />~ <br />~V~:~~ <br />a5 <br />~ :: ~.~:~;.:: tC ~~r ~ ~ ~: <br />cFFLUL.frl ~KUSS VALU :REQUIREMENT: .`~ ~ :: ~ ~~. .:~~ <br />.. ., ~ <br />#404 :.:a::'.,~' <br />,... <br />_~'~ <br />::~:.....; . <br />.: , <br />. <br />. <br />.. <br />.. . <br />..... .... .. . <br /> <br /> <br />M L . <br />. . <br />TL ANU Gr2EASE SAMPLE ##b}{•.} n44tP*V ,Fp4#~ - #*#**# 1~ <br />rrtcu;. ~xTtt~UKAV MCI MEASUREMENT - <br />ilLj70 1 0 ~ :.:.'PEF(MIT: <br />." .~4t(+*$* ~~.j-I#>M+i+k# #i• ~~+N y1~+r} <br />~'~~:: '1!!~##~!"~' <br />: <br />) ~. <br />~ <br />~. <br />iT; <br />1 <br />~~ ~ I3E'k~fH +iC~ <br />*$ <br />~ <br />FrLUtNT tiKUSS VALU . .. <br />,,..:. .. .,, ~ <br />;: ~ <br />#44t< .. <br />; <br />zz;: <br />.~ . <br />:. <br />.~ <br />~ <br />;~ ;.::: ,.. <br />,.. ., <br />. <br />. <br />. <br />.. <br />:: <br />~ ~~~~ <br />5 . -;~t;43I <br />ttG/L . <br />G 'N:T :. : <br />: <br />; .: <br />>.. <br />Lunf 1.+ I.'UNUUIT pk SAMPLE i:3 44@t~l ~-~ •#v4** #}#4t4 <br />ThKL TK~ATf1ET.T PLMN MEASUREMENT <br />7 LV .: , v 1 O U ~ : ~.~ . 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PERMIT:.;.';;: ~..~ ~~.; - ... ~ ~ <br />,. <br />";:::' '"?ks' ~ ~ ".:. ;:~.:.... , , .. <br /> <br /> <br />.ft~OUl(iEMEN~:. .. <br />...~ .: <br />~ :: ~: <br />. ,.. <br />.....~. <br />... <br />:..:r:~. ~.. .. . <br />..:... ..... .:, ~.. <br /> <br />~. <br /> SAMPLE <br /> MEASUREMENT ~ - <br /> , ;... <br />.. . <br />• ~F(EIIUIREMENT:.. ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ -' ~~ <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~~ ~:.:PERMIT:: ~:..:.: <br />~ ::~ ~ ~ ~ <br />~ ~ <br />~ ~.. ~ ~. ~ .,.::.. <br />~: .. .. ~ . <br />;:...:.':... <br /> :REOUf~iEMENT~: _ . ~'. ~ ~, ~ ~ . ... ~ .. .... ~ .. <br />- <br />.. <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER 1 cERn <br />AM FA Fr unoER PENALTY of L <br />MILIM WITH THE INFO Aw THAT I NAVE PERSONN.LY EXAMIN <br />RMATON SUBMITTED HEREIN <br />MD BA Ep MD <br />SED ON TELEPHONE DATE <br /> ; <br />MY INQUIRY OF THOSE INDINbUAL9, IMMEDIATELY RESPONSIB <br />LE FOR ^ , <br />) <br />~`;ICtl:l rci IVIIffS OBTNNING THE INFORMATIONS I BELIEVE THE SueMITTEb INFORMA TION 18 ~ <br />/ <br /> TRUE. ACCURATE MD COMPLETE. 1 AM AWME THAT THE <br />SIONIFICMT PENALTIES FOR 9UBMITTIMO FALSE INFORMATION <br />INC RE ME <br />IUDINO (' <br />r.~vironmelTtal A1ana P.r <br />~] , <br />THE POSSIBILITY Of FlNE MD IMPRISONMENT. SEE 1B U.S.C. 1 1001 <br />Mp as v <br /> <br />eIONATURE OF PIIINC16AL EXECUTIVE <br />197 ~ g7 ~-Z T ~ 2 <br />7 <br />z 7 <br />9 <br />TYPED OR PRINTED U.S.C. 1 tats. IMrd.• uW.r rA.~ mam• u.y fICA.W ~ • ~ ro r10,000 <br />.nexm.Atw.n knprlnN+wtrNMw.FnBmenlA•.neBpFra) OFFICER OR AIlTHORI2ED AOEM CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rderencs d/ ettechmsnts here/ <br />i~llLca~Lc SuLivS LI.~1I rtAlVcU FUk IUY;tf24n.1 Y3tLlr' tVc'+1-~tL [.N.3r PG IVf FL'It rtt'dUIRC14ENTS. LlL ~ <br />..ntl ~t L.ZaB SArI+'Lt anal rs[S flEUUlktJ IF YI SIdLc yNctN IS LnoL~YLG. akTRLY SAMPL INL; 1NSTkUCTILN ~-I.i-. ;f <br />Wit. .. <br />EPA Form 3920.1 108-951 Previous editions mey be used, (REPLACES EPA FORM T-d0 WHICH MAY NOT BE USED.1 UU L Sv / Y o L J U 1 ~ 131 I PAGE I OF <br />