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('ERMITTEE NAME/ADDRESS prl,b7xugNew/lu.n,n dDyG.a~p <br />NAME UYF'KUS LMF'[rZL (,,,hrLKAfIUN <br />ADDAESS N [~ tlUX bd <br />~ ' cKA[~ <br />LL slate <br />NATIONAL POLLVrMT DISCHMOE EUMINATON SYSTEM (NPDES) <br />DISCH~R6E MONITORING REPORT (OM91 <br />4 <br />RMIT NUMBER ~~DISCNMCE NurABER <br />Foml Approved. <br />.~I:l4 ~' uN- i i.Y TGAavr~O~e~e~xp~fd5-31-98 <br />sUeF; nN 1zl~, <br />F - F1naL <br />MONI <br />FACILIir LYNKU$ ckF'IKt CIJKr'U'K.ATIUN TO INO PERIOD M 1 NUh <br /> <br />~ <br />LOCATION ~ ~ YEAR MO DA <br />L,KAIu CU N1o25 FROM y MO DAY <br />Y -" YEAR <br />~'7Q y i 06 30 ~ti# hJ uISCHArcGt u~~ <br />AIfN yllHAtL Ai• LUCLUnr t;[NEKAL kGI< IYO-1llIT ~3)lj 1 116-771IIB-191!3691) NOTE: Reedlnetruetlrnebefonc p tlnpthbfwm. <br />PARAMETER 13 6rd Onlrl QUANTITY OR LOADINO'• Grd Onlrl QUANTITY OR CONCENTRATION ND~ FREQUENCY SAMPLE <br />I3I-37I /16-53 51-6/ 386 /16-63 51.87 EX, OF <br />TYPE <br /> AVERAGE MAXIMUM U • MINIMUM AVERAGE MAXIMUM UNITS IsTei MALrsfs <br />!61.681 169.701 <br />1L AtYL untASL SAMPLE 4~Ofiu~ y4 r Ri+f"~xY# 0{, it#uu {~P4[~%A ~F <br />V DUAL MEASUREMENT <br /> <br />04wL 1 U 0 <br />.~:~PERMIT~~. ~: <br />.~.~#~~~!:11.;~: <br />. rr :.<ar <br />:: <br />.'.:.;.;':`:~:~;:. <br />Ej~:: <br />'$ 1 <br />~,'. ... .~. <br />~ <br />.. <br />~ <br />:. <br />~~~~`::~ <br />~a. <br />>~ <br />` <br />~ <br /> <br />~rrLUCnf UTtOSS V4LUE RfSQUIREMENT~ <br />:. .:::.:. . . <br />. <br />.... ~.. <br />5.~.., ..~. <br />0 . <br /> <br />~.~ <br />«:~ `.:;:~::t :::::. <br />:..... .. .,..;' :.. ... ... <br />: <br />.. . .. : <br />: <br />~ <br />. <br /> SAMPLE -~ <br /> MEASUREMENT ''sl' <br /> ;;: <br />,,... <br /> <br />x„ <br /> ~: EQUTAEMENT~ .. ~. ..... .. ~ ~ ~~ :.:5'~::[k'`a :~ :::::... ..:,.:.::, . <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />REQUI <br />REMENT :;:: ... <br /> <br />..: ~ <br /> <br />.. <br />~, . <br />::ne..: . <br />.:....:...:. <br />: : ~ " <br />:~ <br /> ~ <br />. <br />. .. . . <br />. <br /> SAMPLE <br /> MEASUREMENT <br />- <br /> ~.~:~PERMIT ~~ <br />:.:: ::. .,wxv ...::: <br /> :REQUIREMENT ~ <br />: <br /> <br />. <br />:,.~ <br />:: <br />:; <br /> <br /> <br /> <br />:::: . <br />. s~_. i .;~Y <br />:..~..~~. <br />, <br /> <br /> <br /> <br /> <br />: <br /> <br /> <br />:. <br /> <br />.. , <br />., <br />.. <br />: 4....: <br />.>: <br /> SAMPLE <br /> MEASUREMENT <br /> :~~ . <br /> ~:REQU.IREMENT ~ .. .... <br /> SAMPLE <br /> MEASUREMENT <br /> -.. ~ PFiR.N11T::. <br />~ ~ <..:.. <br />~~ .... <br /> .. <br />~REQUTAEMENT, <br />~ ~ ~~ <br />~ ~~~ ~ <br />~ ~ ~ ~ .. <br />~.,. ~ <br />~~ <br /> SAMPLE <br /> MEASUREMENT <br />: <br /> ~~~.:. PERMIT;:' ~.~ ~. ... ~~~.:. ~ :..:.~ .. .. <br />~ <br /> ~REQULREMENT~ .:< ..;:. .... <br />: <br />: <br />~:.. : <br />...: ~ .~ <br /> .. <br />.: <br />NAMElTRLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENKTY OF UW TNAT I HAVE PERSONALLY E%AMIN <br />AM FAMILIM VJITN THE INFORMATION SUBMITTED HEREIN <br />MD BA ED MD <br />SED ON TELEPHONE DATE <br /> <br />F;1Clli?YCl MIIIS ; <br />MY INQUIRY OF THOSE IMDIVIDUAL9 IMMEDIATELY RESPONSIB <br />OBTUNINO THE INFORMATION, I BEl1EVE THL SUBMITTED INFORMA LE fOR <br />710M IS <br /> <br />e <br />l h' <br />E <br />t <br />r <br />i TRUE, ACCUMTE MD COMPLETL. I AM AWME THAT THE <br />SIONIRCMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />IND RE ME <br />L INO <br />I9i ~8]Q-Z7T <br />] <br />7 <br />T <br />51 <br />r~nrn <br />.anag <br />r <br />llv <br />n <br />a , <br />T <br />SS <br />B <br />OF <br />O <br />9E <br />B <br />C <br />0 . <br /> HE PO <br />I <br />ILITY <br />RNE MD IMPMB <br />NMFNT. <br />E 10 U. <br />. <br />. 1 10 <br />1 MD D3 eIONATURE OF MIINCRA <br />RfE <br />E <br />XECL <br /> U.S.C. 1 7 G7 e. IP,rrltl,• uW,r M•r moms wrr AxAgI 6n„ W ro s x0,000 L <br />R <br />TYPED OR PRINTED ArII wmuMun MnpdAOm~nt of Mnrwn a nlmN, W s rAVa/ OFFlCER OR AUTHOg12ED AOENi CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS [Reference e// ett~chmenfs here) <br />;LTTLtAoLt SOL1uS Llr.1f nAIVtU Fhit 1JYKf[YrtH P2ECIF• cYttJT-~cI_ 1,A,jr Pt; 1VF FCK ~LVUIKtMEIYTS. L1L .. <br />uktA~t t;KA:i SAMF'Lt AnALYSIS KcUU[I<EU IF 'JIS[dLl Si~tcfY IS UdStr:V.L'. :ikTr<LY SAMF'Ltl+v INSiRUCi[UNS-[.l-.nF <br />/. <br />EPA Form 3320.1 108-961 Previous editions mey be used. (REPLACES EPA FORM T•40 WHICH MAY NOT BE USED.1 U U L 05 / Y 6 I U U I - 13 j I PAGE lOF <br />