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PERMETTEE NAME/ADDRESS pwdrdrf•.WryNwJLar•nen IJD~nnd NATIONAL POLLUTMT DISCNMOE ELIMINATON SYSTEM /NPDESI NAME ;, • ~ r _ ~ „~ .~,_ „- ~ ~ ,_ DISCHARGE MONITORING REPORT (DMRI • P;~9<c+~•r¢- !1-/b) 17.191 ADDRESS R-°. ~>i ~; L,( ~L7F, r~nnnn nA nnT T u a ~?:• u ._- ~ . • o i ./ u Vy3 S, U 1St l.! ~ 121 PERMIT NUMBER DISCHMGE NUMBER 1 FACILITY •Y~M,.'F-iV ~ ~ ^ U ~'~ L `U ~~ S(02;7 MONITORING PERIOD ~it _r ~• .~ - ~ u.~z c r r ~ YEAR MO DAY YEAR MO DAY LOCATION + ,; S 7.., Y o ~ y FROM TO ~.r• CpaA~~ ~ 1 CU~Ft 73 - 07 v? pa 'i(1 A C T i 7 7 •, t>-n r__ u r. • u n r n r E ~ •.• _~ n c l E •: D- !10.11/ I27-731 !II-I51 176-77/ 118-191 13630 Form Approved. OMB No. 2080-0004 "L!IE :iATFD Tn nUugErnCc, a ~•~ Approval explre60T5v31•-98 (SUP,R SF.) 17.105 , F - FrvAL •rNnP NOTE: lttt~inetruellone befwe•EbihlDetinp this lorm. PARAMETER I3 Grd Only QUANTITY OR LOADING !1 Gro On1Y1 QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE !46531 !54611 !3B-t5 1x6-53 (51-6/ OF I31-371 EX V919 MA TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e7-t~~ L I646e1 !$9.701 ?4 SAMPLE Crak53k O^.Fat~y "<CCgfpfi ( I2) MEASUREMENT . UU1'1'J l D ~ .. PERMIT:;.. :.: aaaaaa~ . ~ . ...g~R7la~RR ~ k3 ~ ~.... .. ~ ~~~ ~ .f7" . .. .... . b>r~#a~~~~~: .~. ~~~~~ : ~:.~ ~ a ... Y ~~~a~4KS Tl ]"91ST F P Hf' "' :'Nri n. f REQUIREMENT ... .. ~ ~ ~~ ~.. ~. ~~. ~ ~.:~ ~ .: f-YF :. .r. r "I'w. . :.::'ua ~~.yprT16~' cn . ;t.ILI O':, P )TAL SAMPLE cagaax Pazaa: .:gig-".-'kg's ( ] 9) 'i.fiPc: ": L)':D MEASUREMENT 'JU5 II) 1 D U ::: PERMIT :: : ~.gga;$aF ~ .' ~ CitsCO:4~ ~ ac-^ ~ G#gPtl. ~ TS~.: ~ . ~ .'i~i3:. .. ~" ~ .f~ I ~:C p ~ RA F:PF.. .. _ REQUIREMENT. .: .: :... V : . . . LN').4, T'''i;,L SAMPLE yxkyfi,^- k7:aR aC kkrk S:h' ~_ 19 - (75 PF') MEASUREMENT ^T ~~ U1JJ~ 1 ll i ....'PERMIT .. M '. ~aa.rg.rz ... .:..GO,ta~4.gl ~. . a., ~ ¢fy '~ ~ ~ .: .. 9:l:/ e;RA*l .REQUIRE ENT.: ~ .. . ,. 1?II. !1H:J ;SF.ASF: • SAMPLE ~• ~:GG a a: gg:rt.r ~tr.;:vk;t ( 10) - MEASUREMENT ~ l'J~ll1 1 D (1 pERMiT: .. ME .. gaavaa :. : rtkOr>XReFf ::: kG. IsFklkaliku '~~~ari3. .i~.: 'U~wI" L"4kn REQUIRE NT ... . .. .~ ~ ~~ eM~ IR~Y Nr r ~ T rL)'I:• rv ':]vDeLT '~? SAMPLE ( 03) ....^g•:•: '.ir'a'=qy': p¢'r-^rr_+- _ C i1 :t U '1 H F' A i A F. 'I 7 [/LAN MEASUREMENT . ',r)')',') l 0 I ~... :' PERMIT.: ~ U N .. R~Ir.ITR.T.. ~ ~ ..... .. ...?iP.P[URT. >z:a+srm#~ Elr.Sr;i!j 4II~1i!:#a~~r:. ~ ~ .rn. S FP9S ~j IR^'rv- Y:Fh' ':R~'T" I' !TENT IREME T. :REQ . .. ... ""3 p: -~ r" ~. :. tY I~Y~..K.T-~ ~ .: ..:. ~ ~ :.~ ,.: . . .: :~ ~~ ,. . .. . . E, . Yk'Y s . ~)IL A90 :i'E~SF SAMPLE CCG~Taa ( qq) qt `. 4Lfi-':. g:;:g~+cr• ,-t~:r-•.rp V I ~ U A 1. MEASUREMENT 94Obb I U U ~.~:. ~'RERMIT. ~..~ ~ 'f Ra+X LY.O.:.:. ..."~.~.P..I'.08 7.' Y.`-]=1 ~~FL~3c*x ~ ~ka4o#~.. ~~~4i c~+.~':.~ ~~ ~~E; P~FL y Y7if!~` ::FF1. F7T :R7^S Y+1 L'11 ::FlEQUIREMENT: . "f ,"_O ~ .. . SAMPLE MEASUREMENT PERMIT ~~ REQUIREfiAENT NAMElTfTLE PRINCIPAL EXECUTNE OFFICER I CERTI AM FA FY UNDER PENALTY OF L MILIM WITH THE INFO AW TNAT I NAVE PERSONALLY E%AMINED MD RMATION S BMITT TELEPHONE DATE 3 LQV ( ' U ED HEREIN; Mp eA9ED ON MY INQUIRY OF THOSE INDINDUALB IMMEDIATELY RESPONSIBLE FOR OBTNNING THE INFORMATION, 1 BEl1EVE THE SUBMITTED INFORMATION IS ~ ~ . M TRUE. ACCUMTE MD COMPLETE. I AM AWME TNAT THERE ME SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING '" ~ G n A 1 ~ N rT 4 f , THE PDSSIBILITY OF NNE MD IMPRISONMENT. BEE 18 U.S.C. 1 1001 AND 7l y -F O ` ~ " - 4"ly "~ 1 TYPED OR PRINTED U.S.C. 1 1310. IPwWw• unlr rhrw Fblun• n,•Y ~~• rw• uP ro t 10,000 .ns a~m•sinun hradmnx,r oYNnr•x, t.r•nnu.nstr.ra/ IONATURE OF PIIINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAV rnuueurc •un evm •u.r.nu ne ..~.. ..~..~. .:.....r ... _.______ .-__-_ CODE {U OAP AVF?A':F IS GC :"°SP ^'1xTYLT 4Y,. Oil°[`lu prl?IOP RRPO~?Fb. 0[L °• C?EASE' - 'F`F. T.^.1.1~, T'• o, EPA Form 3320.1 108-951 Previous editions may be used. /REPLACES EPA FORM T30 WHICH MAY NOT BE USED.) PAGE Of O~OOR/961277-12J1 7