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PERMITTEE NAME/ADDRESS (Include Faaliry NamdLrx'arian i/Or/Jerent) <br />NAME <br />TkAFPh9 P.Idi6C~ iNC. <br />ADDRESSI 6 A P P E F P 7 h t <br />P.L;, dox tr!7 <br />FACILITY C k A I G C U i, 1 t, L S <br />LOCATION <br />ATTt1; ~. GCNUCn FFTF6_, P.+tS/GEb *Gr. <br />NATIONAL POLLUTANTDISLHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONRORING REPORT (DMR1 <br />(1461 (17~ 9) <br />c <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM C G C I C 1 TO C t 3 1 <br />fzo-zn (zaz3) (s<.zs) rz6-z7) (ze~z9) (3a3p <br />Form Approved. <br />OMB No. 20400004 <br />! I •N C F Approval expir¢s OS-31-98 <br />(SU66 bi) <br />F - Fib/I t'CFA1 <br />EGHC 17 1C CIF CLLCh <br />~~= nc CI`CHA6GE 1~1 s:z <br />NOTE: Read Instructions betor mpleting this form. <br /> (3 Cerd Only) QUANTITY OR LOADING Id Card Onry) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (d6-53) (Sd-61) (36-45) (46-53) (54-61 <br />EX <br />of <br />TYPE <br />('~-3r) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />70 <br /> (62631 (64-63) 69- <br />)IL AYC GR5ASE SAMPLE ori4;xva ( 94) ~'Xe=t >}L v>:tr,.vq :?4Lt t~6 <br />I S G A L MEASUREMENT <br />4066 1 U 0 :,`;' :- c ',m: .- J t9~1 ~`)pii~~ltR I <br />~ <br />~ ~ <br /> <br />+ <br />~ ~ 301,.- red. <br />~Lt~! <br />IS 1 <br />.F'YIUF.IiT GROSS YlL E - E~- '- AC=O `~ <br />" <br />?*~'~ ~+ <br />~':~;~ ~ iK~ - '. <br /> MPLE <br /> M REMENT <br /> <br /> w.. , <br /> <br />~~ . <br />SA <br /> MEAS R~MENT f ~' .t4 <br /> uS_t <br />... <br /> SAMPLE <br /> MEASUREMENT <br /> ' a. . <br /> ~~ - <br /> SAMPLE <br /> MEASUREMENT <br /> ~ + <br /> FI~~ tENt` ~. ~ <br />. <br />~z~. <br /> SAMPLE <br /> MEASUREMENT <br /> .'~ ~ i . ~ <br />~~; <br />, <br />K -~' . <br /> SAMPLE <br /> MEASUREMENT <br /> N ...w _: T <br />,S 1 ~ <br />0 <br />1 <br />< i~3 f <br />~ .. ~- <br />t q.~ <br />~ <br />~ <br />S <br /> <br />t• <br /> <br />~.. r <br />lr 1 >.P r <br />1 <br />~ - . <br />_ <br />NAME/rITLE PRINCIPAL EXECUTVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM fAMIL1AR WITH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY EXAMINED AND <br />IN: AND BASED ON MV TELEPHONE DATE <br />INQUIRY OF THOSE INgVIDUAL <br />IEV <br />YHE 1 <br />MAT(O <br />'r BE <br />F S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />fiE'$UBMRYEIY INFORMATION 15 TRUE <br />E <br />/ <br />~ <br />N <br />OR <br />fl, <br />L <br />tvr. GOYdOII PHteIB ACCURATE AND COMPLETE. <br />' , <br />T <br />I AM AWARE THAI THERE ARE SIGNIFICANT <br />E NFO <br />M <br />LION <br />T <br />D <br />N ~ ~ <br />/ <br />/~...~~ /'./~- 97D-82(~-44U1 DD U4 Z] <br />- PENALTIES FOR GUBMN <br />RN <br />POSSIBILITY OF FINE AND IMPR <br />PL881 ent A0L8 ex A <br />, INCLU <br />G FALS <br />R <br />I <br />G <br />HE <br />ISONMENT. SEE 1e U.S.C. 4 1001 AND 33 U.G.C. <br /> <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />4 1318. (Parreai99 under lhase stefura5 may inclutla tines up to S*0,000 and or, <br />TYPED OR PRINTED muimum rmpnsarrrrent o1lx31w9em6months ene5yeers.) OFFICER OR AUTHORIZED AGENT <br />NUMBER ' <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA ONS (Re/erence all atfaChmenls Aare) <br />TSB L TCTAL IRCN L1CIT5 YZLL BE YAIYED, A11D SETTLEAEILE SCIIGS IIPIII AFFLIFD FtR <=ICYF.,7URF FFECIE E~Fb1- <br />StE BURDEN CF PHCCF FtQU3EE~!!FNT`. UMDEEi~I.A.3. TLS !!tMI1ChIbG - I.P.3. CII b GGEE_E - SFE ].F.l.iC). <br />A orm 33 -) P evlou edi to a n 0 I A 0 USED.) C C C S.1 / C C C I l I -1 E i 4 PAGE < OF Z <br />