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PERMITTEE NAME/ADDRESSp YL FrY1ryNw/locmrm r/n~Gnnp <br />NAME``~.. I„Yr'K;, .t Cr, r'I+lt L::Kf'uN.AT [Lh <br />ADO8E55 f' U ~U1( bG <br />.c~' crta[~ [L; tl1bLb <br />NATIONAL POLLUTMT DISCNMOE ELIMINATON 9YBTEM /NPOESI <br />DISCH~RBE MONITORING REPORT DM9I <br />~ ' 4 <br />PERMIT NUMBER DISCNMDENUM9ER <br />I~.li4 ~C Lh^71n <br />~UUri NN <br />F - Flrva:. <br />Formqq Approved. <br />T GA~ o~~~xpi~(rE~31-98 <br />iC~4~ <br />FACILITY L,yr~l,seMf IK~ CJkPU:~.dT[Uly ~ MONI TORING ERIOD r~1uuK <br />" <br />YEAR MO DA YAB- MO DAV <br />Y <br />~~ <br />LOCATION(,~a[V [U d1bZ9 FROM . <br />Yo :: v ,.u•;• nIL [scr+al<„~. 'rga <br />a i T h M I l n a E L n. L U U L U.. E u C Y E et A L v V K l1o-2 i1 122-23! ! E ~'~ 416271 (28-291 !36311 NOTE: Reed Instruetlons het s eom etlnp thls form. <br />PARAMETER (3 are on/rl QUANTITY Oh tOADINC - _ 7aOnh1 QUANTITY OR CONCENTRATION r ND FREQUENCY SAMPLE <br />131-371 (4663 5!-611 38.46 4663 164.8/ EX OF TYPE <br /> <br />AVERAGE MAXIMUM UNITS <br />MINIMUM AVERAGE ~ MAXIMUM UNITS <br />m1-sal MA1Y519 <br />164.681 <br />169-701 <br />~lL[Ujr rL,raL SAMPLE r,.p###y rt###,F .;a ##* [c7 <br />1 »ULVCL MEASUREMENT <br />/C,[~h 1 U v ~~:~~,;.P.EHMIT~.:~,... ..:..SfPA(YSF#.~ ..~.r,iakl!'t!#5i!:. rt## ~~:~~~~..~..~s=Y <br />: <br />'~ <br />~~.: <br />'<:..: <br />~ <br />: <br />' <br />''S%' <br />: [-i?!~''~i <br />;N~d:l.:~: ;;. '~'.Tt:B~:.K~.. ii„!~tY.. <br />cYFLUtNi fiHU~S VALUL- :REaU~REMEN7. ~ .~. ;.:~:: . .:.:.. .-~..~:~ ##~,p ~. . <br />.. <br />..:... . <br />.,:.. <br />...:..,. <br />. <br />. <br />,~ ... . <br />~ . <br /> SAMPLE <br /> MEASUREMENT <br /> ~:~'. :PERMIT .;: .,,... .: ...:5~?""?.:~.:: i; `'~:~ <br />' ~.::'~";i=;('.::',;::i~::~~~ <br /> ~F.,OUIREMENT~: <br /> <br /> <br />. .,. ... .. ~. ~. ... . ~~ :. <br />: <br /> <br />. .. .. <br /> <br /> <br />~ . <br /> <br /> <br />.:.. .... <br />;.;. <br />- .. <br />...:~. .. <br />:.:... <br /> <br />;'~s:.;;::~~:::'::~: <br />:.:..::::!:r::: ~....:.: .. <br /> SAMPLE <br /> MEASUREMENT <br /> <br />' ~R€nUIREMEPAJS ~~~ ~ .. ~ ~.. . <br /> SAMPLE <br />' MEASUREMENT <br />.. ~:: :~.. PE.RMIT~.. .. ... <br />~ ~ ~ . <br /> :REQUIREMENT ~... .. .... :. " . <br />.:.. <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> :.. <br />. :REQUIR.EMENT:.: . .. ~ ~. .~ ~ .: ~. . <br /> SAMPLE <br /> MEASUREMENT <br /> ~~~;:~PER.MIT;.::: :. . ~~ :.:. ~ .~~.~. .. <br />~~ ~~ <br /> .... <br />;REQUIREMENT' . ~ ~~~ ~ ~~ ' ~~ ~;'~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> .. EQUIR EMENSS •~,<;;: ~.;..r({:':;...:;';:. <br />.....,.... ~-.:..:;';..,.::: ~'~ r.... <br /> <br />.. ~ ~ .~~. ~.~....;...:.. . <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF LAW THAT I HAVE PER60NALLY E%AMIN <br />MILIM WITH THE INFORMATION 9UeMITTED HEREIN; MD eA ED MD <br />SEO ON TELEPHONE DATE <br /> <br />MY INOUIM OF THOSE INDIVIDUALS IMMEDIATELY REBPON9e <br />LE FOR - <br />Richard P:11II$ EVE <br />O <br />IP <br />NI <br />F <br />A O <br />S <br />ED <br />O O <br /> A000MTE <br />THE <br />TRUE. <br />AND <br />ON <br />LE7E. <br />AM <br />AWA E <br />TNAT <br />SIONIFCMT PENAL71E9 FOP eVeMITTINO FALSE INFORMATION <br />IN ME <br />E <br />CLUDING <br /> <br />' <br />Fnvirol-Im~ntal 1'!ana~er <br />- , <br />THE POSSIlIUTY OF FINE MO IMPRISONMENT. SEE le U.e.C. f 1001 MD 7a E OF PRINCIPAL EXECUTIVE <br />{I <br />NATU ~ 97 ~ 6711^ z 71 Z 7 ~ 7 9I <br />. <br /> <br />TYPED OR PRINTED U.B.C. E 177 e. (!N•IAM.. u~Alr NFr memA nrr AroAMr IMM. Ip ro t IO,OOD <br />mlxmrhwn Mpiovrwrr erafwrn emw+NFrM eYwa/ O <br />R <br />OFFICER OR AUTHORIZED AGENT <br />WDE <br />NUMBER <br />YEAR <br />MO <br />DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRsfsrsnes e!1 erfeehmsnfa here/ <br />~~ITLCAt.Lt SULILD LIMI1 WAIVEU Ft)K lUYI?PC4liii P,itl.[F~ r_V".T-~c~ [.A.~s r1r IVF f-[;il tZLwUIK~;iLf.[:i• U[L :. <br />~K~aSr i,KAB ~A:^Ir'L[ a;~aLYS1S KtdUliitU IF VISI~Lt Sri<<h IS t„iStnvtd. ~dhirtLY San~LIhG IvST~U(.Iluh~-I.[.o. <br />v.. L- <br />EPA Form 3320-1 (08.961 Previous editions may be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.1 J U L c tl / `!b 1 Ui/ 1- 1311 PAGE I OF <br />