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PERMITTEE NAME/ADDRESS 8,.iidr FrWryNw/laeal,a IJD+1J+..^q <br />NAME :~i:,•..r .. ,I r. .. -i"'~'L',F <br />ADDRESS D:, .i .+:. ':1 i' <br />h .4tv-~: ~U `71J 31 <br />FACILITY <br />LOCATION n ~ ] .' ^. G .. ~. L'. ~ .1 <br />.4 'T Y;.. .,. ;)UI' .tap. ~c,+~. 6~ A''.y <br />NATIONK POLLUTANT OISCNAAOE ELIMINATON SYSTEM (NPOESI <br />DISCHARGE MONITORING REPORT lOMRI <br />l2-161 lI7-191 <br />'LG )C0~1] gnu <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM U++ U TO <br />nmrrv^ _,ei nucl n69]1 128-291 !36371 <br />Forth Approved. <br />' ~ ~ T '::Q.,MB No x$040 000. ~ .. <br />! ..I .. r ~ ~~ ~ APprovalLezpirps OS-318 <br />- - FIt`n1_ <br />"InCG <br />NOTE: Rsed Nvtructlom before completing this lorm. <br /> 13 Grd On/YI QUANTITY OR LOADIN ~ !~ Grd OnlYl QUANTITY OR CONCENTRA ION NO, RIEDUENCr SAMPLE <br />PARAMETER /16531 !546/1 ~` !38-151 !16-53 !5461/ <br />EX OF <br />TYPE <br />132-371 ~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (61.6]1 AHALrsls <br />reseal !e.¢7o1 <br />.. t:".;ii JPrSTSx' lJaY SAMPLE ... .. -.. <br />~ .,:y`} ( ;3) /, <br />f <br />i. !:: C r. i? [' i U h P ii ?~ I .4 MEASUREMENT /' <br />U (. w <br /> <br />:l~'J, .. L PERMIT <br />. .... <br />.,,..... ,: :riAt`:k <br />r... <br />.. 1~. 3 A>D f, is}<. <br />.. <br />:'::, .-. '[; ?;_ "r'L~~ 'F:3 F. <br />.. r. .. •.v'Y. ,+T~ f;~;,r ,7 REQUIREMENT rr;:;: +,, y6L0E CEkT <br /> <br />:-. !'. r. ,.: : h?N °. TitA Y <br />n., rf~ '. ,,ttF.Lc' <br />MEASUREMENT <br />. u:frt3? <br />} U O <br />.. <br />Z ~;) <br />U p,~T <br />'/!V <br />G~.v~ <br />1:: ~'!~_ ., 1 J PERMIT ;x>:cr r,. ;: r,: .-. .^,.::x rA #L~: L%. ~? C.'. ~: il:SY,: >t :x 2ltxifi :; ,- "F i{LY 'i'k:, <br />. '.. •~ v: ~ ! ':. ~.'C `, ° ~ L ~~ : REQUIREMENT R L:S ;: :". t: V d I [f F ". `: T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMERITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY UNDER PENALTY OF lAW TNAT I HAVE PE0.50NAlLY E%AMINED AND '~ TELEPHONE DATE <br />AM FAMIUAfl WITH THE INF00.MATION SUBMITTED HEREIN; AND BASED ON <br />Mr INOUIRr OF THOSE INDIVIDUALS IMMEDIATELY 0.ESPONSIBLE F00. <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE. ACCUMTE AND COMPLETE. 1 AM AWME THAT 7HEAE ARE <br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INF00.MATON, INCLUDING ~ (~ <br />Q <br />THE POBSIBILITr OF RNE AND IMPRISONMENT. SEE 18 U.B.C. 1 1001 AND 30 <br /> <br />~ ro i1O <br />~ <br />a <br />x SIGNATURE OF PR dPAL EXECUTNE <br />AREA <br />TYPED OR PRINTED MMM^ 6manNaind Yeval <br />~ <br />rd>m..0lwr:ww~isn+wl~ ~r <br />o/ OFFlCER OR A HORIZED AGENT <br />CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !rlererence en srtscnmenrs here/ <br />EPA Form 3320.1 108-s51 Previous editions mey be used. (REPLACES EPA FORM Td0 WXICH MAY NOT BE USED.1 Q ~ ~ I~ ll / C 7 ] 0 3).- 1. 'j 1. < PAGE IOF <br />