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PERMIT7EE NAME/ADDRESS pneL4 FsWry Naw/Lerauar UDllFraO <br />NAME CL,~It.LdiiwY-1 CURL CUMP.IEY L.Y. <br />ADDRESS CULOWYO tlINE <br />5731 STATE tlIGtlMAY 13 <br />lSE~KER CO R1641 <br />FACILITY <br />LOCATION <br />- PRP;T Il 6'AT <br />NATIONAL POLLUTANT pIBCMAAGE EDMINATION BVBTEM /NPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />7-161 117-19 <br />r~r. r:RSf~f 7 Ells ^ <br />PERMIT NUMBER ~~. iDISCHAAGE NuNtBER <br />MONITORING PERIOD <br />YEAR ~ MO DAY 4 YEAR MO DAV <br />FROM q D Qi l~Y~TD 9 8 C 3 3] <br />!267/1 l22-731 /17_•151 '- 126771 l28-191 /363/1 <br />Form Approved. <br />OMB No. 2040-0008 <br />STCEES CC.AL LUA DO'II/r ~,I.n4 a <br />Approval expnes 05=31-98 <br />(SUER NW) 12345 <br />F - ~IXI.L <br />!!INOR <br />. NOTEN Ra d InitnletlorRieCbalors baTnplat nQ thie form. <br /> <br />PARAMETER !3 Grd Onhl QUANTITY OR LOADING <br />~ T Grd On1Y1 QUANTITY OR CONCENTRATION N0, FREDUENCr SAMPLE <br /> , <br />!46531 !546/1 <br />- l3B-051 l0653J /54571 <br /> <br />EX <br />OF <br /> <br />TYPE <br />l32-371 ~ ~„~ ~ ANALras <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is7-sal 164551 /59-701 <br />)IL ApD GtZ£ASE SAMPLE 'vr:^tk4t: ( 94) OCan>r1 8A9%triA A9LC,C ~ !/_ u <br />( <br />VISUAL MEASUREMENT Bpi ;; 'rl Lr~ <br />l406t1 1 U 0 PERMIT' :yr,:-;.;Nv;r.. ) ;. ~ <br />~~ ES=1 ?c?: Y.=.+6A,'t ~~4~:tX.L'r: t .=y;: 1 EEKLY `I3 UAL <br />L. ~ ~ <br />,.FFLUENT L;ROo., VA UE REQUIREMENT ~ ~~ ~~ ~ ~ <br />f. ~,r X71`; Cc s' `^;"^ :: ; a+xLr. <br /> SAMPLE <br />- MEASUREMENT <br />~ <br /> PERMIT ~. .~:, <br />. `. <br />~ : <br />~ - <br />~ . <br />c::::, ..... .:. <br />~ . <br />. ~ <br />. .. . <br /> .REQUIREMENT : . <br />. . ~ . <br />~ <br />: ,. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ '~~~ <br />.:. <br />: <br />. <br /> REQUIREMENT '~ .: ,::~:...+. ~ ..,. .. . <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT ~ ~~ ~ ~ . . <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ..PERMIT ~ ~~ ~~ ~ <br />~. <br />: ~. ~... .. .. <br /> <br />:~ <br /> .. <br />REQUIREMENT . <br />~ ~ .. ~. :.,.,:,..~ : <br />.. ~.. <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ PERMIT~~ ~ ~~ <br />~ <br />~ <br />~ <br />~ <br />~ <br />~ <br />~ <br /> .REQUIREMENT ... : ~ .. ... : <br />.. ~ .. <br />. . <br />.. <br />': .. <br /> SAMPLE <br /> MEASUREMENT <br /> .~ ~ PERMIT .. <br />.. <br />.. ... ~ ~ ~ ~ ~~ <br /> <br />~ ~~~ ' ~~ <br /> REQI,IIREMENT ~: ~~~ :.. ~ ~~~~~ ~ <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERTI <br />AM FA Fr ugpER PENN.Tr of <br />MIDAR WITH THE INFO uw THAT I HAVE PERSONALLY ExAMI <br />RMATION SUBMITTED HEREIN <br />AND B NED AND <br />ASED ON <br />~ TELEPHONE DATE <br /> ; <br />Mr INQUIRY OF THOSE IMDIVIDUMB IMM WIATELY REBPONAB LE FOR <br /> <br />OBTNNING THE INFORMATION, I REDEYE THE sUBMITTED INFORM <br />ATION IB ~ <br /> TgUE, ACCURATE MID COMPLEEE. I AM AWME THAT THE RE ARE <br /> SIGNINCANT PENMTIEB FOR BUBMITTING FMBE INFORMATION <br />IN CLUDING <br /> <br />,-7 ~ µ,, ~T~++, , <br />THE POSSIBILITY OF RNE AND IMPNBONMENT. SEE 1B U.S.C. 1 1001 AND ]a <br />UTNE <br />F <br />E <br />E <br />~ 7n G 'I <br />n V ~ I -r+ <br />~ <br />~ n <br />~ U <br /> r~ ro rI0,000 <br />r~ a <br />a <br />6 SIGNATURE O <br />PIIINpPAL <br />7( <br />C AREA <br />TYPED OR PRINTED ..e nrnu <br />irlun~ <br />s r.n manes rN <br />~iral OFFICER OR AUTHORIZED AOENi <br />CDDE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/ersnce sl/attachments here/ <br />5E2TLBAHLE SOLIDS Litli'f APPLIES UNLY IP <= 10-TR, c4-HR PR6CIF i9ENT IS CLA7-.EC. IP CLA=1! APPROVED HY <br />>1;iCD, TSS E IROK LIRITS MILL NOT BE APPLIED TO REPORTED MEA°DAECEII-`--SEE I.E.lA, PG L{...i~D I.R.1D, FG G. <br />EPA Forril 3320=7'108-951 °Pie"vidue'editidna'may be used.' ~ ' ~' /REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 ~" PAGE OF <br />~a_ ,,~,,,-. pOC3Cl47]114-0913, 2 <br />