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PERMITTEE NAME/ADDRESS p„irb FrWryNw/lceman dD!JJwn.p <br />NAME t'._.a .,Y hUc (,J L;fNLr LnL. <br />ADDRESS :, :.LInF (cL ~~ N(,^~ <br />FACILITY ~•,_ ~.,Y rU.L~ .,uALr l;r i-. <br />LOCATIONF L.. •~..:. 1.~ ~, t, .. .'emu <br />sll ,, ,.: c] T. !'~.. vr~t,i%crtll i.l,'. <br />NArIONDISCNARGEDMON TORINO REPORT /OMRI~ESI <br />2-161 f7-f9 <br />PERMIT NUMBER DI9CHApGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAY <br />FROM ~,; u'+ v i TO 'i.t ~)o ~;, - <br />l24111 l17-131 l1<-151 !?677/ 178-79/ !34311 <br />I P <br />' Form Approved., I <br />•' •.i h ii l ' ~ v I - . ~ i J ' ~IaAB No. 2040-Q~J4 _ <br />` pp7ovJl e><piFee 05-31-98 <br />., ...:~ .~ ) ,~.vJ <br />P h l a..~ 7 <br />~, I I ' <br />,.,,n •~ <br />NOTE: Rud InetrucUane twlon completing thb form. <br />PARAMETER 13 Q!d OntYl QUANTITY OR LOADING l1 0.rd Ontyl QUANTITY OR CONCENTRATION NO. FREDUENCr SAMPLE <br /> !4653 (5461 38.15 /<663 - 151-61 OF <br />137-37/ EX AN <br />4rm9 TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !eE-eal ' <br />!54681 /6¢701 <br />~r SAMPLE <br />MEASUREMENT y:aM{FYY {. +(a .%:<fia ;a <br />'7 <br />( <br />-~ ,. i'..:. ;. .; <br />J ~ i <br />` <br />/~ <br />I i <br />y <br />, <br /> ~ <br />,) T ~ I <br />; <br /> <br />,... . V V 1 'J L .. :'FcniviiT.'~.,'. <br />..... <br />~ ~~..A `Y 11'tktl:# :'~Y•'~.?}:#~~f. 9F M.; :'~;i~. ~ <br /> <br />:.., ' ~..F.d'{•'ti 'V <br />~ ' <br />I <br /> <br />rr LU(.~ I Vk ~~ ~ YAL. REOUIREMENF. <br />.: ~ .:. . ~ ~' ~ <br />. .:. .. ~ ~~ <br />.::.. .:: <br />i'VM <br />i`jt' <br />~ ~ <br />A 'H .: Fl ~: <br /> <br />~:. <br /> <br />~. ..~ <br />., L. 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YF, <br />u. -,~] W~ :REQUI EMENT <br />fl <br />.:: .; ~.. ~ <br />~ <br />,9~!J~1..~Ak,tr.. ... e <br />.. <br />l~~~~.~ <:> <br />'~(1 . <br />' 1' <br />r.?!"! <br />rxlx:~ <br />.:.+: <br />.,:::r .::: ..: ......:'<: ~:5 <br />. <br />S~i.': rT <br />i <br />:;r.>:';.') ;, <br />. <br />. <br />':`.~ ~:,. <br />':i~• <br />>: <br />. <br />{a>A4# <br /> <br />~:•::.;: <br /> <br />. <br />'..: ~' . <br /> <br />' <br />.ll l: I'.u t,Kl'ASE SAMPLE ¢{.$W#'V ~4 9!•*#M1<ri f+/#4+d~h {. r. (..~.: i. <br /> <br />i ~uwL <br />MEASUREMENT <br />~~ <br />U ! <br />t<I~~-.- J <br />UfSLL1/ <br /> <br />~ ..G~ a .. 0 <br />.,...:~A..:T....~... <br />. 'F~:.d"I`.... <br />~it.ftif~kT,:Y. <br />~ <br />-~ 1 <br />.:.!t!11~0.1#i -. <br />.. I}~?.F.ir.k,,.... <br />: #!A d'#Y11t?I .. <br />.t{a <br />Fr L4L?a) uRl)~$ VALUt :BE.nU~EME <br />NT~ . <br />:: ~s ;;t;:~.~.;':~.:•..:: ~:::~ <br />~-~ <br />1~ <br />a4 <br />~ <br />l~ ~~ <br />i <br />!k+li.# .. <br />_ . ... <br />:.. <br />.:.. <br />s ...:... <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER ~ I"CERTI <br />AM FA FYY u+DEn PENUTr of <br />MILIAR N1TH THE INFO uw rNAr I NAVE PERSO <br />RMATION SUBMITTED H NALLr ExAMINED AND <br />EREIN; AHD BARED ON TELEPHONE DATE <br />I~ My INQUIRY OF' THO9E IN DINDUAL9 IMMEDIATELY RESPONSIBLE FOR J' <br />~ <br />T l~, _. 1, t (~.~ LQ11!~/.-y~-. OBT/JNING THE INFDRMATDN <br />T ~ I BELIEVE THE 9UBMITIED INFORMATION 19 r -- <br />~ <br />~~ <br /> <br />I ~ <br />I <br />y RUE. ACCURATE AND COM <br />SIGNIFCANT PEN71Li~[9 FOR PLETE. I AM AWARE THAT THERE APE <br />SUBMITTING FIy9E INFORMATION <br />INCLUDING i <br />f <br />1C.- ~~(~ -- <br />-9 <br />;y <br />7 <br />7 <br />~ <br />-_-, <br />,,. <br />~i I (_, <br />f Y :` ~~1/~WI~ J THE POSSIBILITY <br />OF f7ME IWD , <br />IMPIi190NMCNT <br />SEE 1B U <br />C 1 1001 AND 33 <br />9 / / l :2 y~ ~ <br />-~ <br />_~ . <br />u <br />13t e <br />lP <br />S <br />C . <br />. <br />. <br />i <br />fiIONATi1RE OF PRINgPAL EXECUTNE _ / <br />TYPED OR PRINTED , <br />. <br />. 1 <br />. <br />r,MWr v,hr dl.~ mnrtr. ,n.y AxA,p. Mr..e ro <br />fD,ODO <br />.ndrmuim.n Ynp/AAmIrIr W errwrrn sw~meu ArM6 yrral OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />r <br />wmmcn I a nnu ur~nnn I Iun ur nm vlu~n I wrvo Irtererrnce en errecnmenra neTel <br />T~"~ r. ~L.iaL :r?U~, LlM1T~ L1LL tl[ ..A1VcLiF ANU ]LTTIt-:LCLc >-:L1JJ ~1;9:T .:it'L.- r.,r. ,.. ,~,n,i r ~._(, r-YLp.I- <br />Sh:- dl.nL t/, Vr f'r lu L. r:L~ui nEl'14 iv1] ;; ivJtrt trA. ~r P. O. J(L a .:., S;,c - ~r-c. ...~. i.~. _1 ,. _ .-~_ i. <br />r r~ t . r ~.~ - z <br />EPA Form 3320- 108-9 ~ Prevloue iSlonr mey be ue EPLACES F d ICH MAY NOT BE USED.I PAGE OF <br />.. ,. ALil~lll' °°~.. .. <br />