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F'ERMITTEE NAME/ADDRESS(/r Y4 FaWryNsrlncanm lfD~imnr) NATIONAL POLLUTANT DISCNMOE ELIMINATION 9Y9TD.1 NPOESI NAME - ,. l K ~-~ y ; y ~ ~ C DISCHARGE MONITORING REPORT D Rl 17 19J . F ` Y f1-161 - ADDRESS NFI: °.LK eLVF. UU 9Ofy ^ !ID Y y 4 V 13 ~ Ill 5• V SST <r PERMIT NUMBER DI9CNIINOE NUMBER ., I MY'1'T`YN ~ t n v,t r : ~1-~It'491 F(U 2 37 MONITORING PERIOD FACILITY - , • .~ F YEAR MO DAV YEAR MO DAY LOCATION Y ug T.J p r ... Co a~r' :: D H L U 91 FROM TO A T'I' a ~ .1 `1i1~11 126711 l71-731 171761 !7677/ /79-191 /34311 Form APProved. '~ hCl'T° VF.T T°5?T`ItOMB~Nq. 7~8r4010A004 (S 0 H q g F.) ApProval~X~Ire~S05-31-98 F' - Fi~hL s I.ISIOR :^` Nn LT~0~1hP :t ~~ caa NOTE: Read Inetructiorn 6efwe eompletlnp this }wm. l3 GN OnIFI QUANTITY OR LOADING !<Grd Ontyl QUANTfTY OR CONCENTRATION ND- FAEOUENCY SAMPLE PARAMETER !<5-531 l5L6/ f38-<51 «53 fbs-61 EX of Ty'PE 137.37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rcts]1 ANAtrsls )6,~-Bgl 169-70J Lr:~:l S'fAPate t{yND F^ SAMPLE sD~FaxG aaaaa3 c~':vc: :~'>~~'%. ( 73) C F R I O n A :' !1 M[ h MEASUREMENT TA'.19 1 D 0 ~:..:~.PERMIT.:;..:., .:.: ~~C4dsk.`4A.4....: :::.;~::+a.i9-P'0~~.~: as:;c .2(St1:..,:.:.';...~' ~~::~.:~01~?O.e.At~.. .:~~~::..::jir.M~?..r.4c.~~: PF.P- '~: .'~ Yx~: r:~~Afi ?.PFI.UE'4'T ',itU55 YRL', IREOIlIREMENT`. . - ~ ,:r:t< ~~ ?~~.(r(~ CENT LCSO ETA PRF 4h1!^ 4'I SAMPLE `.O;eps aOpOD~ n'<44GC fc ~Y:C r': ( 2?) :'I*!"i+r!.1 L':S MEASUREMENT 'Y A'1F,~ l 0 7 ~::::::pERk11T...:'.: :~~:.:~~0!R'I)Ri+:G~~~` ~~3i:`~~##.>k.~0:::; .ptC :'1.afl:~:"::~::.'..:,C ,..~~~~.>11.4!c#a(!+~.~. :~:..Fx:{~ipiO~IRti::. F.'?- '!!:~ f.,~{{tp FFfL'J,":T :FUSS YALp !REQOIREFXEfJJ:. ::.. :.' ~.~... :~.:.. ~~..:~'::~~ PIRCO ~. ~~:'Y~~ (J•Q .::. CE~'T SAMPLE MEASUREMENT >':-PERMIT,.::. .. ~ ~~.:<.: ~. ~.(; :~. .:... ~:. .: ..'.:..-.~ ...:..:.. .: .. ~.~:~a':i.~:~.~:~ ?;:ly':':.: ;:><-; ;:~: ~:~:~~~. .. : : '. ~ :REQUIREMEN?~: ~ :~.:,:.,`. ~:. ~..:~. :. .. ..: ~~. ~:~ ~~:`~:rJ i:: ' . :. !" ~i!:'i;'<~:`',y~:~ SAMPLE MEASUREMENT 1 PERMIT ~ ~ yy\ /J ~ .. : . ~ ~REQUIREMENT~ ~ ~ ~ ~ ~ v J ~ ~ ~ ~ SAMPLE MEASUREMENT .. :: :: :PERM17:~,~ -~~: ... .. .. .... ... -. ., .. .. ... .. <fiE0U1REMENT~ ~ ~~ ~~ ~ ~ ~ ~~ ~' ~ ~~~ ~ .. SAMPLE MEASUREMENT PERMIT ~ ~ : - - ~ ~ ~' ;f1EQUIREMENT. SAMPLE MEASUREMENT .... .. . ..... :. ~ ~ REQUIREMENT( ,..T ..,.. ~..-r.~ . .. ......:. . . .:: ....... :.. ~. ~~::.. . .. .... .... ..:: -- ~ :.... .~:. .. - ~ ....~ .. NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERT AM FA IFY UND01 PENN.T- OF MILIAR W1TM THE INFO LAW THAT I NAVE PERSOMALLr EXAMINED AND RMATON SUBMITTED NEREIN; AND BASED ON TELEPHONE DATE x • M CV JA•L ( ` MY INOUIFIY OF TNOSE INDIVIDUN-9 IMMEDIATELY RESPONSIBLE FOR OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS h I `~ \l / G ' (.~ 5 ~ ~ \ TRVE. ACCUMTE AND COM0.ETE. I AM AWME THAT THERE ARE INCLWING SIGNIFICANT PENALTIES FOR SUBMITTNG FALSE INFORMATION 1l 3~3 ~ . w `N Q r A , 01 S ] 1 ~~~- quy I ~ O 1 0 0 1 r .C. ! 10 AND ] THE P059BILITr OF RNE AND IMPNS(INMFNT. SEE 18 U. IONATURE OF PFIINCIPAL EXECIlT1VE TYPED OR PRINTED U.9.C. f 1]ts. !AV/FY. uW er mmw. mrY ics.0. Fir w m 5/0,000 Ans armuirsnlwMt.AAn sANnm,wsYAral OFFICER OR AUTHORIZED AOENi CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS lReierance d/ sttec/Imenfs /Ieiel 5~'O L. A. !, PP 5-7, F7+ 1L'^AiL'i 7F' TEST p77^^pOR'. °EPnR? L"`.+0 - ~?lT7~CTret, ~I~:m r-; rr.ym ~.,:Trt T•- LF'P'•AL T~ ti'J' 'T F' >•:: 'ST '11, ~.: 1"I'i',g F '?"! AT'A::P ATII CF' TCT~ICI?y prq,. RrF'n?t q. a,wv .t. n,.c, °..~., _~ q!T. T r'P'1gMeT T~IY FF'ICP RC CU• 1~+ ~'De . EPA Fwm 3320.1 (08.951 Previous editions may be used. /REPLACES EPA FORM T30 WHICH MAY NOT BE USED.1 07 ~ 1 7 / 9 !- 1 21 I - T ,' .J ; PAGE LOF