|
PERMITTEE NAME/ADDRESS pnchrdcF~iliry n'ame2ocntion ifD~nq
<br />NAME BOYIJi `J~:~.?It5L:e5 Li'~ITr~
<br />ADDAESSBOWI}: NJ. ' Mi,,~
<br />P.U. H'IX '!°.J
<br />FACILITY P A U N I A :: 1 91 7' i
<br />LOCATION
<br />t10YIE C:' d1= ,~I
<br />A T.T9: MILLI4" A. ~6A~' )rJ._ "TNT C;^
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPfSES) FOml ApprOVOd.
<br />DISCHARGE MONITORING REPORT (OMR;
<br />z
<br />fe
<br />f r
<br />P OMB No. 2040-0004 ,
<br /> -
<br />y
<br />r !
<br />l
<br />- y I N 0 o ires 0537-98
<br />l
<br /> Approva
<br />exp
<br /> l n ~
<br />(`~ ~ `)
<br /> PERMIT NUMBER DISCHARGE NUMBER r
<br />~ Pi
<br />~IA!
<br />D '
<br />EL
<br /> , ~:
<br /> MONITORING PERIOD ~~ C F ~ O F F 7 r;? D S F R T' f. I L !' °.
<br />~
<br /> YEAR MO DAY YEAR MO DAY :J(
<br />FROM h Q U 7 0 TO rl O 9 '° Y l
<br />A •~ (` T c r q~ i f; v 7c r.:°
<br />[his form
<br />s
<br />n
<br />e M
<br />Razf) tzzssl IzazS) (zazr/ (ze-za) rJaat) NOTE: Rea lnstru .
<br />Ion
<br />befor
<br />eti
<br />g
<br /> (3 Card Ony) QUANTITY OR LOADING (4 Cerd Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER 48-53) 54-sf) (38a5) 4s-53) (54-8f) D( OF TYPE
<br />(~-3n AVERAGE MAXIMUM UNfiS MINIMUM AVERAGE MAXIMUM UNITS
<br />rsz-sn AW7LY51S
<br />(s4-sal
<br />69-70
<br />JIL AHD ~AEASt SAMPLE ~~ ~'=~=: ( 9H) ####~a '%.~##'•t t##~?S^
<br />Y I SU A L MEASUREMENT
<br />94Ubb I U O „.-fiMl'Cx". 96pgAt%kAl A~p~OE~F, E5=1 Ot+'It!InOtral 1M>t'#~
<br />y "~1,
<br />:; a## ;=t,-: !
<br />$1~i r ~',:
<br />EFFLUENT GFOS; 1ALU E i ,L. _t _ 't" ~ ,
<br />F.~ .. ,u
<br />/_'~" {./
<br />~_
<br />' r _ ~-s„
<br /> „ a .. ,
<br />:
<br />• SAMPLE ,
<br /> MEASUREMENT
<br /> PERMIT " '
<br />` r° =' , *r . i, r ^ ~ , ,~.~ , „ n
<br /> REQUIREMENT i' ~~ ' y ~ : t - 5 : ;~.'
<br /> , - + , ~,
<br /> SAMPLE ". w
<br /> MEASUREMENT t ~ -
<br /> ~
<br /> REQUIREMENT ~ - ~,.-~ - ~ ,. ;.
<br /> SAMPLE I ~
<br /> MEASUREMENT ~
<br /> PERMIT .~. r~
<br />,5 ~ ~~
<br /> REQUIREMENT - - _ - ~ ~. •=h. -
<br /> SAMPLE
<br /> MEASUREMENT -
<br /> ` ~
<br /> REQUIREMENT ~ k~~
<br />i '! "~
<br />~,> '
<br />+ . :
<br /> .
<br />, ,
<br />. SAMPLE
<br />MEASUREMENT
<br /> PERMIT .~ . x - ea Swx ~ .. ,Y~y _ ~,,,
<br /> REQUIREMENT f, (: -; ~-;'
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ~- [ x
<br /> flEQUIREM N1` ~`` ',~~,,,
<br />NAME/fRLE PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />AM FAM FY UNDER PENALTY OF
<br />ILIAR W THE INFORM LAW THAT I HAVE PERSONALLY ~(MIINED AND
<br />ATION SUBMITTED HEREIN; AND BASED ON MV TELEPHONE DATE
<br /> INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />
<br />
<br />/ THE INFORMATION, I BELIEV
<br />ACCURATE AND COMPLETE.
<br />ALTIE
<br />FOR SU
<br />M
<br />TTIN E THE SUBMOTED INFORMATION IS TRUE,
<br />I AM AWARE THAT THERE ARE SIGNIFlCArR
<br />G FA
<br />E INFORMATION
<br />INCLUDING THE
<br />'(H
<br />/ ~ ~
<br />~
<br />~
<br />~
<br />( PEN
<br />I
<br />S
<br />B
<br />IBILI
<br />F FINE A
<br />IMPR ,
<br />LS
<br />ISON
<br />10
<br />ENT
<br />BEE
<br />S
<br />C
<br />AND 33 U
<br />G '},
<br />-
<br />% ~ ~ y~ 1 l
<br />t
<br />,) t ~
<br />~/ /
<br />~J/ POSS
<br />TY O
<br />ND
<br />tt/
<br />tl .
<br />le U.
<br />.
<br />. §
<br />D1
<br />.S.
<br />M
<br />I
<br />l
<br />fi
<br />o0o
<br />d SIGNATURE OF PRINCIPAL EXECUTIVE / v M/ J
<br />M ~ Z
<br />
<br />TYPED OR PRINTED en
<br />§ 1319. (Pene
<br />ea an
<br />er Inese smtufes mey
<br />rnc
<br />ude
<br />nes up b Sf0,
<br />a
<br />menmum lmpnsonmenf o/5et.eenfimwxla end5yeers.) OFFICER OR AUTHORIZED AGENT
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXI'LANA I IUN ur ANT V I V LA I I V nJ (fielBlBnCO all BlmCnmOnrS n0T0)
<br />..97TLEABLE SOLIDS LIFIT APPLIES ONLY IP <=lOYR,2UHA PdF.EIP F.9J?NT Ii CLAI"^.7. iF CLdIH pfPA{!YPD PY 4~CD,
<br />,'I'.i5 E IHJd LI11IT5 PILL HOT 3E i1PPII;;D T6 REPORTED HFASUR3CF9Ti-5FE j. 0..2, PG 5 FO'J ":7ADPN OF PROGP
<br />FfA'korhl' 0-1 - ~ Pre a Itio' t b Ad.• "• EP CES' AY S .) ' ~ - • ~ • PAGE OF
<br />OOil~J/9~n112-t 222 -
<br />
|