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:'t <br />~I <br />rtiNMITTEE NAME/ADDRESS p..rr.I. y.~,ery n.rul.u..nw II n~L•~n.o <br />NAME 7RAPPEP ^['TIMGF I'~• <br />ADDRESS TP.APFP.R P7'IP` ~ ' <br />P. D. 9^[ 1RT <br />CRS Li: GD 31625 <br />FACILRV <br />LOCATION <br />~TTMS W. (sDRD7N PEtF.BS_ PtlE./GPtl #IGR <br />NATIONAL POLLUTMT DISCNMGE ELIMINATION SYSTEM /NPOESI <br />DISCHARGE MONITORING REPORT /DMRI <br />!2-l51 /77.191 <br />n <br />PERMITNUMBER DISCNMGE NUMBER <br />MONITORING PERIOD <br />VEAA MO DAY ~ YEAR MO "DAY <br />FROM TO - . <br />/2x211 l22-231 (14151 726171 718-291 !36311 <br />Form Approved. <br />~ I H ~ R OMB No. 2040.0004 <br />(30ti4 R1i) APprovel aspires OS-31-98 <br />G;k6 n<O DTSCRaRf.P. ~~ ra"s <br />NOTE: R..d irLetruc[iorr t»lo wmpbtirp thk /orm. <br />PARAMETER l3 Grd On/yl OVANTITY OR LOADING !. Gld On/yJ QUANTITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />~ 1x6531 /5i-611 l3B-151 116531 151-611 <br />EX OF <br />TYPE <br />l31-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e1-e!1 ANN.YSIS <br />(51-58) !6&)Ol <br />OIL ARD :REA 51! SAMPLE Jzoaaaa (gad aaa+t<a:x waehaa o-#'SO C!r <br />Y I SO A L MEASUREMENT <br />B4Ub6 1 0 J PERMIT aas+~aa REPt1R? E5=1 a"~~ .?' rtri#~pA# ~a~kati~:' aa,= >. ~:' EEC <br />~ "`~."T <br />.~'C~"°tfiFA1 <br />EPPLUP.NT GRDSS <br />Y <br />S <br />L0- REOIJIREMENT R4x li NO=0 ~+^*~ <br />_ <br />_ <br />_ _ <br />SAMPLE <br /> N{Pt9S(1REMENT <br /> ''PERM17 <br />" R~'QIJIAEMEMT .. . <br />~- <br />' 1 SAMPLE <br />MEASUREMENT <br />,v/ <br />!/yj=/~C°!„IC <br />" <br /> PERMIT - <br /> REOUIREMENT . - <br />~ ~SAMPLE <br /> MEA!UREMENT <br /> .. PERMIT ~ - - ~ ~ "•?" ~ ~ <br /> <br />gEOUIREMENT <br />~ ~ <br />~ <br />~5i . <br /> SAMPLE <br /> I14IEA!iIIREMENT <br /> ''. FEAMIT <br /> OVIREMENT <br />"'" <br /> SAMPLE' "~ - <br />- ~ ~ ffiIEJLsUREMENT ~ ~ - ~ ~ ~ ~ " <br /> <br />. iFjEOUIREMENT - ... .. - .... ~ . <br />I . . <br />- ".. SAMPLE ~ ~ " <br /> MEASUREMENT - <br /> ~ <br />" REOUIREMENT ~ ~ "~ <br />NAME?ITLE PRINCIPAL EXECUTIVE . QFFICER I CERTIFY UNDER PENALTY OF~ LAW THAT 1 HAVE PERSO NALLY EXAMINED AND TELEPHONE DATE <br /> AM FAMICIM WITH THE INF01 1MATION SUeMITED M BIEIN; MD BASED ON <br /> <br />' <br />MV INOUIIIY Of THOSE INDINDUN.S IMMEDIATELY RESPONSIBLE fOA <br />OBTNNING THE INFORMATION <br />I BELIEVE THE SUBMITED INFORMATION IS ~~ <br />_ `~r,~- ^ <br />vy <br />•~' <br />- . N. GOrdOII PeCerB . <br />tTN CUgNG <br />SIGNIRCANT~PENN <br />TIES FOfl SUBMITTING FALSE MFORMATION I n o~F [ <br />97 V-v`~_~~O <br />~~ I. <br />D~ <br />~U <br />Preaidant /Gefleral Max er , <br />. <br />THE POSSIBILITY OF NNE AND IMPNSONMENT. SEE 1e'U.S.C. / 1001 MD ]] SIGNATUIIE OF P111NCNAL EXECUTIVE <br /> V.S.C. ! 1 ] I e. lPMW4r ullr Mw AbroNr AMY FrzA.HI rvnr W ro t 10,000 <br />TYPED OA PRINTED .rW wmwinvn irwl+Frlvunr vlNwwlemvnlAF rqb wrU OFFICER OR AUTHORIZED AGEM CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IHafersllce a!I sttec/lmsnp DetsJ ' <br />TSS f• TOTAL IITDR LT>K.tT± YiCL DE NAifP.De nR0 SET11P,d6LE SDLIDS LTMTT 11PPLTP.D PAR.<-]flTA,2gilA PRECIP £YPRT- <br />SCE BURDEN DP PPDDF 9;dIRP'4BIITS UMDER I.Il.3e TDS RDRIT~RIRG - I~!'1.3. OTL E Gl-EASE - S[E I.D.2.(~-. <br />rlvvwv vulvvna urvT oe vvvy. - - ~ ,mpr.n~rw vn rvnm rw rrwvn nln}.nya pc vocv.F PAGE E7F <br />DDDe7/9q a?I-IO.TP J <br />I ~ -~irr'.wA~Cnwn+.~rf~1,...r:.tr'.~..r~=- ~....~ ~~ ...; r~._.. J.,~...r,~.~. ~. ...~._ ..-_ -,~.. ~"r <br />