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PEjIMITTEE NAME/ADDRESS pwrbAFacNiryNawf<rmen dD~i..np <br />NAME TEt<iLUk =Rf.i:K ~DR~ANY <br />ADDRESS 713 siHOR ~RGG~S LUADJUT <br />s 1l34U HI;,HNAY 133 <br />YAOtrIA <br />.U d172i <br />FACILITY <br />LOCATION <br />ASTR: KELLY FRITZLER, UP=iiAiIUNG T;H <br />NATIONAL POLLUTANT DIBCHMOE ELIMINATION SYBTEM lNPDES) <br />DISCHARGE MONITORING REPORT IOMRI <br />1-161 /I7-191 <br />c~,ysDD2a uo <br />PERMIT NUMBER DIBCHMGE NUMBER <br />MONITORING PE 100 <br />VEAR~~ O DAY YEAR MO DAY <br />FROM TO s <br />116 '..731 /II-15/ 126-27/. 128-29/ !30.311 <br />Form Approved. <br />5 P: D I P :11: U Y? T 7 a one&Mq{ 2oao~wp5 N <br />(S U t! R '>i C) APProvd eILJ~IrP~ OS31-98 <br />F - PINAL 1[ <br />tfINOR <br />NOTE: Reed Inetructlorn be}ore completing thle form. <br />PARAMETER !3 Grd On/q QUANTITY OR LO /4 Grd Only) QUANTITY OR CONCENTRATION I,IO. FREQUENCY SAMPLE '~ <br /> l46-531 1546// l3BJ51 lOG53 I5I-511 <br />EX DF i <br />132-371 MALVZS TYPE I <br /> AVERAGE MAXIMUM UNITS. ,~~ MINIMUM AVERAGE MAXIMUM UNITS !s7-ss~ /µ6B1 169-701 <br />L ;,Reese SAMPLE 'kaaaaa ~ L} aaaaaa a{~c a{< ~':~:<~::::: <br />VISUAL MEASUREMENT <br />4066 1 U U PERMIT 4~sa'aaa• .`:;:?k~.PORT Y ES=I a:aaaOa:::. €;: a~aa.~a. ~ raa~{:> EErLY rISDAL <br />EFFLUENT GHD55 VALUE :REnu1REMEN7. I`IfST .Nd~ NO=U <br /> SAMPLE <br /> MEASUREMENT <br />~. '~ <br /> :~ ..PERMIT. ~ . ... ~ .. .. <br />~ <br />~ <br /> REQUIREMENT ~ ~ ~ 'w, .: <br />..~:~::. ~ <br />~~..... . <br />.. <br /> .y e ." <br />,... .... <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~~ <br /> <br />.. ~ ~' <br /> <br />..:. <br />.. .:. .. <br />.... <br /> REQUIREMENT. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~~ <br /> REQUIREMENT ~ . <br />,:.: ..~. <br /> SAMPLE <br /> MEASUREMENT <br /> .. ~ PERMIT ~ ... .. ~....,.:~.:., ..: ... <br /> iREQUIREMENT ~ ~ ~ .~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ .. <br /> `,REQUIREMENT ~ `~~~-. <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .. ~ ~ +"' .. ~: <br />~ <br /> HEOUIREMENT. 'Se <br />~ <br />NAMElTITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF <br />MILIM WITH THE INFO LAW TNAT I NAVE PERSONALLY E%AMINED MD <br />RMATION SUBMITTED HEIIEIN <br />MD BARED ON TELEPHONE DATE <br /> ; <br />MY INOUIIIY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ~ ~/ <br /> OBTNNING THE INFORMATION, I B0.1EVE THE SUBMITTED INFORMATION IS <br />' /.' <br />J ~ / <br /> <br />KELLY FRITZLER <br />OPER MGR TRUE. ACCUMTE <br />MD COMPLETE. I AM AWME THAT THERE ME <br />51GNIFICMT PENALTIES FOR SUBMITTING FILLSE INFORMATION <br />INCLUDING ...~ ~~ <br />, , <br />THE POBSIBIUTY OF RNE MD IMPPoSONMENT. BEE 18 U.S.C. 1 1001 MD ]] // <br />SIGNATURE OF CI-A4EXECU7NE 7O 9a9-SE55 98 07 23 <br />TYPED OR PRINTED «Nwmu.nvn /~rwYanwROrMMANr 6 orNa~ ~ r ~ ~ ro ILO,OOD <br />yAVA! <br />OFFlCER O UTHORI2ED AOEM AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference s/l s(techmsnfe here/ <br />~ETTLL'ABLi SDLIUS LI"Ii APPLIES OY•LY IF C= 1D-Y'rt, JU-H? ?Ro~lr L.YENI iS CLAIf"F.G. IF CLAIM APPROYrD AY <br />Mv;;UA TS5 $ I9D9 LI!1IT5 4ILL NDf 3Z APPLIED TJ REPOniED 7F.d:,Uki:/;a:l1'i5--5 E I.B.lA, PC 5 AND I. B.lf. FG 5. <br />571TWMY eTI+A MA UB :RY CYT DLAN R~4 ~_1 _u 0 <br />EPA Form 3320.7 108-951 Pravloue adlnone mey ba used. (REPLACES EPA FORM 7.40 WHICH MAY NOT BE USED.1 PAGE <br />OF <br /> 2 <br />OI, D 8 ~ 9 7 U fj 1 0-125 4 <br /> <br />