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PERMITTEE NAME/ADDRESS (Include Facilil)• Name/Location if difleaenll NAME _ ~S.ItI +-.'I,T-IrL ~ O A-ir ~IK7 F-11~Y~ - - - - - - ADDRESS~(~~~~~~ __________ - -1-231-5-4iO-U-7r' ~- e' !(- $41-D-L:~ - - - - FACILITY LOCATION ___________________ NATIONAL POLLUTANT pISCHARGE ELIMINATION SYSTEM (NPDESJ DISCHARGE MONITORING REPORT (DMRI (?-l6) (I7-19) PERMIT NUMBER n~sc HAacE NvuecR MONITO: - ERIOD FROM nINUR (SORB NY) Ftpfi~ap~roved. F- T I N A L oMS No. 2oao-oooa UO,yESTIC aA~?r~valle~cpl~g~~~tL~ SPGS NOTE: Read instructions before completing this form. - (J CatJ Onp') QUANTITY OR LO (4 and Only) 'QUALITY OR CONCENTRATION FREO U NCY PARAMETER (46-S.T) (54-611 (78-45) (46-SJ) (546// NO. EX G F SAMPLE TYPE !J?-77) AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS (F]~I) ANALYSIS (bifi8l (69-70) dJU ~ S-!,DAY (,) (l ULG SAMPLE MEASUREMENT 'i6#~#a- '.r#r##4 . a1 `la~J ~ / ~ ~ ~ 19) O ~/9 //- L "/[tD y . V (] 31 D E U U ~eMfT - ~~ ' s >~~ lsL. ~O ~ .] ~~ .)` ': ~ ,SFV ~E~~:r ~yr~,. s; ~Ikil~~.;= ScC PRC T REQUIREMENT C, - > : ?:x ~. SULIU~, TOTAL SU:iPENDED SAMPLE MEASUREMENT +J ax fa %l Y:4:~ >r#t##d ~ ,~ 66 a ( 19) 3 ~ _'rali v 5 3 U E 0 G i~ERMIr ~ ~#~uR~ - >tr##SRb# # ~::.f ~~ A~ -- ~ ~ ~t ~ .. ~ ~p' SLC RIO PR CM REayIREMENr ! -. ~x~x 4e~ s s~ ., FLi1M, ZN CONIiUIT OR SAMPLE ~ 'r 3) ##~#08 G'#4#00# #o4x#1a~4 13 TRNU iRdA1 l1EMT PLANT MEASUREMENT ~ SVVS~ E V V •"•.',PERMIi~ •~~S ~EPOAT KtY~~. ~" r`~:11TT!~'r i sf'F# ~E~i~ ^,"k'~1~,: ScC OL PNC C PLS R.€QUIREIA~NT A 1! 1 Y I ~ ~:.fi 3:'.'. '<i~ ~,~ y `t; 'z^, ..' . :xV## JLIFORH, FECAL L N L RA L SAMPLE MEASUREMENT >rvY°x;=r• ><:t;x~~x;, #~I#### ~~ ~ G r 0 ( 13) O 3/ ~17m~ 7vu55 E u ~ ~ ~~ER'IT ;. ~ :.:>~aa,aa>~+ >a#s++~ac >x:::: ~###a.~ ~ / 114'E>~.~.~ ~8. SG' tl OL RC CqP RE~uI~M~yr. , Ix:xa:: ~>tl' BUD S-uAY PERCtYT SAMPLE ~'~+ur~xl ,.:~>;1+~ >40##0# ####am ( 23) O J/ ~ I ~ dE.70YAL MEASUREMENT / UU ~ G C d1010 ~ 0 0 p~RniiT '" #'+610#+01 i#OOaRO~I >a:x~ S 'itbf!MaO. Er:- AAClD y i'EdCEN d"170YA REQ),Jlli!EM~Nr: : k :c~~x# ~ _ .N ~ SAMPLE MEASUREMENT ~ pERM(.T ~ RE~UTAFMf.NT ~ I J I-- ~} . - =s',.r. m ~~-.~k .~ " '.c L 5 r ti s 3 ., -- ~. . . i^ , ,- SAMPLE MEASUREMENT ~ERMkt' ~. . :'~., ~,, ~, ...~. ~ ~ ,. i~ " ~' 9EE7)JIRF+M~~~ ' ,- ~ } .re ,.~ ~ } „~i :i~ - M1 ~ tY.::.. NAME/TITLE PRINCIPAL EXECUTIVE OFFICER Uw THAT I HAVE PERSONALLY ExAMwEp PENALTV of I CERTIFY uNDER TELEPHONE D A T E AND 4M FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND B45ED 'Richard I~Ills ON MY INQUIRY OF THOSE INpVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. 1 BELIEVE THE SUBMITTED INFORMATION IS - ` iRllE ACCURATE AND COMPLETE 1 AM AWARE THAT THERE ARE ~4 97Q-R7Q-27~A 7 2R 99 environmental Manager SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATON INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE ~8 USC 4 IWI ANp SG ATURE PR CIP LEXECUTIVE TYPED OR PRINTED 33 uBC. 4 1315 IPenalnes undo These aumres mar include ^nes up m 110,000 and or manmum im0~sonmenr N ncrueen A momhs anJ s react 1 OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAT COMMENT ANO t1lYLANATIVN Vh AnT vrVLnllvn-~ Irterrrcn[c nu armummuu .mrc/ jU UAT AYG IS NIGMk.SI 10GTBLY AYERAGE~DURING PERIOD dEPUHTEU. OIL b GHEA;iE GRAB SAgPLc RBQUIHED IF YL$iBLE SHEEN IS OBScRYEu - SEE I.8.1.(C). EPA Form 3320-1 (Rev. 9-BB) Previous editions may 6e used. (REPLACES EPA FORM T-40 WHICH.MAY NOT eE USED.) PAGE OF ,~,, OOU75/950214-1301 1 -,, .. . __ a ..tea. ~ .. ~ .-. - -.:.4_ _ ~_ _ .