Laserfiche WebLink
MITTEE NAME/ADDRESS QM,birleryNa/lamlm 1/D~6•.,.U NATIONAL PoLLVfANT DISCHAgDE EUMINATIOY SYSTEM (NPPESI Form Approved. <br />I ~ DISCHARGE MONITORING REPORT (OMRI O B o 2040 OOQ4 , <br />LYPrcLS tMPlrct C.ir~NLnATIUN are n7-/s/ ~~a~ 3U on-/II+ Tu ~N~~,. ~-a •~ <br />P U dIi ); 68 Approval e/Cpi eg ~5-31-98 <br />PERMIT NUMBER DI$CHAROE NUMBER <br />~:RAiIA f~U f~162b ~ F,V~FINAL lc3Tr <br />- MONITDfl1NG P M I NUn <br />1T'V CYPRUS .EMPIKE CURYLiKAT IUN ~ YEAR MO DAY YEAR MO DAY <br />LocnrioNCNA[L GU SIb2S ..FROM b ~ d~ ~o ~0 K'v4 NV l.ISCNArZGr. ,:+• <br />!, I ; r M I :. H A t L W . L U LL V n . G t hER AL M 6R ~isasn Ise-z3~ nbzs~ .:+~ !s6-a71 Ize-2sl 1343/1 NOTE: Rnd imwctiom betor eomDlainO this form. <br />PARAMETER l3 Grd Only1 OUAN I G : Only/ QUANTITY OR CONCENTRATION ND. FREQUENCY SAMPLE <br />131-371 ~ 146-53/ 15661E ' '?•+ 138-451 (16-53 15L6/ EX OF <br />TYPE <br /> 'AVERAGE MAXIMUM "[) I <br />_ <br />~ 1u11T11MU AVERAGE MAXIMUM UNITS <br />~'-' !ez-e]1 'OI~Y~S <br />161691 /63)01 <br />`L,L Li.~. i~TAL SAMPLE. : <br />>!'#w40i V4~tb~}4 irftM#i,. 1y <br />I :'. ~ ~.: L V C C/ ~ MEASUREMENT <br />.. <br />f U1 •d I U 0 ;: PERMIT; '::: ': '+IE##IkIiF?Ir.: <br />.: ,. ~^M:~##.~k$ 4>x *4* . ..' ~::.,KEPL'Fi~}~`':: UPj ilNAL FKL Y ,ZAa <br />rrL_ciVT oR SS YALUE REOUIf'IEMEMT: <br />~~ . <br />.i ,~~,.< ~; <br />!'~ ~, it A ,,,~ <br /> SAMPLE ~ <br /> <br />MEASUREMENT " <br />.n. <br /> ~.,. <br />;5 <br />: <br />. <br /> ~R~nl.31F3~EMEN7,; .. Y~: <br />.. <br />.: <br />°~~;'r.:.: . <br /> SAMPLE <br /> MEASUREMENT •, ~ " <br />.. ~' c;<'PE ~ IT ~'.' ~ ' <br />i: ~.": <br />~,~~> <br />:: <br />;:: ~ <br /> '~4UIR~MEN'Ia <br />¢.. . <br />7 , <br />i; <br /> .'SA PLE ; <br />"' MEASU(EMENT <br /> ;~<:PEAMiT.: ; <br />" Y~'" <br />. <br />-. <br />' ,. SAMPLE . <br /> <br />' ~ MEASUBEMEh1T ' <br /> ..... <br /> <br />... <br />,:.... <br /> <br />. <br /> <br /> SANIPLE <br /> MEASUREMENT <br /> <br /> <br /> SAMPLE-: ~ ~. <br />~~ MEASUREMENT <br /> ~...... <br /> .:.:;.. . <br />...: <br /> <br />~ <br />NAMERiTLE PRINCIPAL EXECUTIVE OF C~iL, I CERTI <br />AN <br />FA FY ~uxbER aENNTr Q):'aAw THAr (NAVE PERSORALLr EzAMI <br />MILIM WITH THE INFpRMAT10N SUBMITTED HEREIN <br />AND LA NED AHD <br />SED ON TELEPHONE DATE <br /> <br />1?ICIl3 rd tv11IIS J <br />; <br />' MY' IN~UIIY OF' THOSE I DII{10LAL9 IMMEDIATELY RESPONSIBLE FOR <br />OBTNNI G~TME INFOBBMMATIgj1 ~ eEtlEVE THE SUBMITTED INFORMATION 13 <br />T <br />T <br />ND <br />Ei <br />T <br />R <br />R <br />O ' <br /> <br />f <br />l l <br />l <br />t gUE, ACCUM <br />MpE <br />~ 1 AM AWME <br />HAT THE <br />E A <br />E:~~A <br />C <br />E <br />INCLUDING <br />SIGNIFICAHT"PENALTIES FORSUBMITTING FALSE INFORMATION <br />~ O q <br />~~70~070^L7~Y <br />7 27 <br />9 <br />_TIV IY!11l Rten <br />u <br />l fl3ger <br />e , <br />- THE POSSIBILITY OF RNE AND'IMPIIISONMENT. SEE 1e U.S.C. ! 1001 AND 31 I <br />T <br />O <br />EC <br /> <br />u.s.c.~s Iola. rEr/r:...w n.w .aroma .I.r dxA,W r..wrotroooo S <br />GNA <br />URE <br />F PRINCIPAL E7t <br />UTIVE <br />AREA <br /> <br />TYPED OR PRINTED <br />.n'sumuir,vn Harlp++lvrr e/blw•xremnNaW6rrra/ <br />OFFICER OR AUTHORIZED AGENT <br />coDE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS (RS/ersnce ss ettscemenrs narel <br />.EiILtAuLk yL;Li:iS LIMiI nAIYEJ FUR IOYkEL4NH PKE(.IF' ~_VI'L!vT-`.Lc 1.;,.SE PG IV, Fl;i? KE(il+IliLMr=nTS. L1L :. <br />„NC.4)[ ~rcAE SA19PLt ANALYSIS RE:IUlFtEJ ih Yi51~Lt SHE[N i~ ~.»triVtL). ,IkTRLY SAMPLIt.G I~ISTRl/CTlGN~-1.:.•.~, <br />EP Form 3320.1 LOB-951 ~ Previous editions meV be used. (REPLACES EPA FORM TAO •••~11CN MAY NOT BE USED.1 003 34 / y b I tV ~ I - l 3 I 1 PAGE i OF <br />