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PERMIT'TEE NAME/ADDRESS p.d.pFrulyNwWGocnlon dDd4..N)
<br />NAME KEFitt ~7SL ~JMP'A ~. 'i
<br />ADDRESS :~ A rl a r, I r+ E
<br />P.U. 8~A 773!/`.1
<br />STEAMB~Lf SPi;I":l ~u 9J.1!
<br />FACILITY
<br />LOCATIONMn LLBN ,'J i ;L'JJ
<br />
<br />NATIONK POLWTANT DISCNMGE EtlMINATON SYSTEM (NPOfJ`/
<br />DISCN~R6E MONITORING REPORT 1OM91
<br />~~9R;D031 vUti A
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM J 1 '/i J 1 TO ~: 'J~ ~ i
<br />!1610/ l11-231 !24151 !16171 018-191 !30311
<br />PANG F/TRTfj
<br />}' - FINAL
<br />Nf, ~.]
<br />NOTE: Rssd instructions bslors eamplstinq this form.
<br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !~ Grd Onryl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMP
<br /> !46531 1546!/ !38-05 !46531 !54611 EX OE
<br />l3I-371 ANUrsls TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITB rei-e]I l545B1 !89-70
<br /> SAMPLE ~•t;:r,+:r•1 ::s:t'=~:: .-.. ( 1J)
<br /> MEASUREMENT
<br />~~,.. '; .. PERMIT '. L:R ~~7"G';F :r t~rAsCP Iz
<br />~ l:: v, 5 {: •FP+:; :+ .D °~liLY '°.j"Il
<br />L J .., . r :- . ~. i U A L J :': REQUIREMENT ~ '. '7+3 ~3 ! T: if ~ ~ .tJ ti M A 8 i ~' G r.'
<br />_.i :.i v'~F .. ", :. .: A!L': SAMPLE +:}G7i;1 Kc};qh+ ..F :: Li :;::. .. :}K: ( ~r')
<br /> MEASUREMENT
<br />.U~45 1 l~ r PERMIT #4KT04K= +}4+F}?Ya R +`0':I p+. •sG+~:t ~ +:KiNG R Ci*:5 Z '~>1~E/ ~ ~IiAP
<br />`. F'F"LG [. '+. ~i i.; :i Yr1 L'i _' REQUIREMENT ':-:4+Q DAILY ~1< °L/L ttOKTB
<br />i L A t, :' ~ F I r.:; L' SAMPLE .. ~ ;r r::: r: p r. ~ ?: is r . ~ . >i p ( 19 )
<br /> MEASUREMENT
<br />i .]:I .11 I D ~~~PEAMIT ~}SY rA ': ;r K:;4 K' ' .. :+S+:: G.:::: :. ~:: K: r,: I ~ f C1:??I?+! iRAS
<br />' r :. J t i f ;; fl 0 5 •. '_ i! °; RE~UIREMENS ~ ... i A.: L Y ° v / +, ^ L• r
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<br />-. ,. -~ F 1 L X U i ' ~ .. SAMPLE ~ i i) ': ~:.; ., ~... .... ': :: ~. ;.. ,, :.. .,
<br />/ ~ "i n r: iL T IS E N T i' :. " ' MEASUREMENT
<br />..,~IU 1 D O PERMIT )I/TIa V1l L. 4G: w1--e~Jr?? .}6C~},:.,. ~~:=: .. ,. ... - ~ Irk-~./ '1 A':
<br />~.i i LIJcNT „pJSS YdL~,'!~. REQUIREMENT .30 JA.. .$~r`(`r~.-~ DPIL'f "Y. "r' ~ ~ .. aI•/,; q';~
<br />::i. A U 3RP F SAMPLE .YR }ORP ( 4J)
<br />r :.•;1AL MEASUREMENT
<br />.~l Jlib L !'~ J PERMIT J+,'+:T :=.:j ~EG')F: Y F;._j a;~=L:-.. .:I; ',. :,Y =t;: ::L K=,',: L r :jC E:/ 'DUAL
<br />;~r:.J ~':i 1' ~:+?',3 YALUE 'fiEQUIREMENT jtis; "Ax FC='J K="~:~': M..7!+'!4
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT
<br /> REQUIREMENT
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT
<br /> REQUIREMENT
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENUTV OF L
<br />AM FAMILIAR WITH THE INFO AW THAT 1 NAVE PERSONALLY EkAMINEO AND
<br />RMATION SUBMITTED HEREIN; AND !ABED ON TELEPHONE DATE
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<br />dSOhard A• IT1Qfl BOll OBTNN MUGRTNF INFORMATION , II /BELIEVE ME SVBMITTED INFORMATONOIs
<br />++iQe r1e91d®Il{. SIGNIFICANT GENALTFIES FOR BUBM RING FALSE N ORMAT,ION
<br />iNC"uDl""NC ~ 9'TO ?23-4338 Dl Dt1 11
<br /> THE POSSIBILITY OF RNE AND I
<br />C
<br />7 f e
<br />1
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<br />MPRISONMENT. SEE IB U.S.C. 1 1001 AND 3] SIGNATURE OF %ItNCIPAI EXECUTNE
<br /> .
<br />U.S.
<br />1
<br />. /MiYe
<br />, up,r ewe mnma nI,Y N+cA.O, l,Na y, ro s 10,000 AREA
<br />TYPED OR PRINTED war m,.TLnun I+wNOmNnr W e.wwl a nwnMa rM s wral OFFICER OR 4UTHORIIED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANT vIULA 1 wns rnersrence en errecnmenro oars!
<br />.: LaAr, L.- o~:..~` _t' aE..:'L Yn' 1D-'fn 24-d3 PF: ..:Ii~ ~r i~... ., ,, .~ : I; F; ;p .. I I,
<br />Au': :..+.~. '., 1 -; _'~-AT _., '.tiA~c"t: ?; !' r'LF,'I DU' !-I-?`•'.
<br />EPA Form 3320.1 108-951 Previous editions mey bs used. lREPLACEB EPA FORM Td0 WHICH MAY HOT BE USED.1 ~ 3 J r / ) 7 l 11 ,' - L ~ ` I PAGE + OF
<br />" ~ Form A ] Troved. -~ - -
<br />T r) C A R^,QB+K°A ~rO4P, iD4~4E
<br />A novel a it 0 3T=98
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