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°~°"t7TEE NAME/ADDRESS pwdrL FrleryNs+/Inculon //DIS.,..p
<br />~ DAKt2iD;F: ENER;Y
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<br />NATIONAL POLLUTMT DISLHMGE ELIMINATON SV9TEM INPOESI
<br />DISCHARGE MONITORING REPORT IOMRI
<br />lI-161 l17-I91
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<br />PERMIT NUMBER DISCHAncE NuwBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM ~ 74 ~ I TQ ~ b -
<br />126711 l77-731 !74751 !36771 l18-191 136311
<br />N SEDI PD 2 TO
<br />(SUER SN)
<br />F - FINAL
<br />MINOP,
<br />Form Approved.
<br />OMf~B~.2Q,40; 000 ••
<br />C AApprovel ekpires 0 - -98
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<br />NOTE: Rud mstructiorts e`fon com btinp this lorm.
<br />~ PARAMETER rd Oelyl QUANTRY OR LOADING !t Grd Onlyl QUANTITY OR CONCENTRATION ND FREOUENLY SAMPLE
<br /> ! 531 !54811 l38d51 !4653 !548/1 OF
<br />137-371 EX MALVSIS TYPE
<br /> A~RAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rs1-sal !84681 !83701
<br />Pd SAMPLE ::?X~r t;O:C^• ;r ;~A 4r~ ~ 12
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<br /> MEASUREMENT
<br />UU40U 1 0 D PERMIT ,;,;;::trr.r #G#trZiD ' v:,,r,- b.7 ;s#i# .~ 9.U e Y tlSI[
<br />2FFLUEN'f GRO54 VALU :REQUIREMENT #~C r w rr rw cn
<br />SOLIDS, [OrAL SAMPLE ,;;}ss;: .., ,. ,-, aAaxtr>s ( lg)
<br />SUSPENDED MEASUREMENT
<br />JUS:tU 1 0 ) PERMIT -;;;qss TYtxtrttr t a:~x s.aaa~~# 35 ~ 70 N:
<br />F./ IRAB
<br />EFFLUENT .; °S Y L REQUIREMENT .
<br />SOLLDS, sET.TLEAr;Lt SAMPLE ;:„trs7s ,.as: ~ ~;,w~;:s ;:aa as ( 25)
<br /> MEASUREMENT ~
<br />11US45 1 ~ D PERMIT ;c %'•x?3 ~¢{cR:i: -".-;;; :-RS,:v# :~'aIQL # r S INf-. .':/ ARAB
<br />(: F'FLUEtlT GRASS VAL'JE ~REQUIREMENT ~ yam;; ~j-' ~ MY Nr .M T
<br />Ik]N, TOTAL. SAMPLE ,:;:tr:~.x~; rrr~,r ~~., ~y
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<br />(AS rel MEASUREMENT
<br />U1U45 1 0' O PERMIT rrk¢trs ;XtrC?ss n-~• tr#~D ,0' K,0 INCE/ ;RAB
<br />E'PFLUEtl GROSS YA UF .REQUIREMENT ,.-~.tr Z/ r TiY x Mc T ~Enubu
<br />OIL AYD GR P.ASE SAMPLE 3RF0 ?r;s?±:;
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<br />( 19)
<br />.. MEASUREMENT
<br />U.JSli2 1 U 0 PERMIT 3##trlyp #5trsG9' 4^^-~ i~FCk#$ ###Ip # . 1.~ 'O NT i!V ARAB
<br />~FE'LUENT ,:ROSS YAL' REQUIREMENT #µ.. r r :+ ^r r ^c/~r
<br />tLOY, jN CONOU IT OR SAMPLE j) ,Y :;:¢ry. trkG =kt ;:;::k.~:::
<br />fHi711 rREATnENr PLFNr MEASUREMENT
<br />X0050 1 0 ] PERMIT ]PrI3!IAL REP [ s4YaCp tct4¢ :X 'Stk>r#>~# , I#:kG I IEEp:LY N.irAN
<br />E FPLUEtlT GROSS VALU .REQUIREMENT 30D 9G AI ~ #;=4#
<br />SOLI US, TO?AL SAMPLE sasas, racsaa astrcrr strc :kR ( 1q)
<br />UZSSOLYEU MEASUREMENT
<br />70295 1 0 U PERMIT a#s ~~tr~tr~ ~~; aatr>s~# trax# ~ REPORT rBLS ;3AB
<br />/;FPLUENT GR]SS VALU REQUIREMENT .. ~ ##6tr ..-~. Mr/T
<br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER I CERTI
<br />AM FA FY NDER PENALTY OF lAW TNAT I HAVE PER90NALLY EXAMINED MD
<br />MILIM WITH THE INFORMATION SUBMITTED HEREIN; µ0 BA9E0 ON ~ TELEPHONE DATE
<br /> MY INQUIRY OF TH09E INDIVIDUALS IMMEDIAT0.V RE9PON91BLE FOR
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<br />OBTNNING THE INFORMATION, I BELIEVE THE 9UBMITTED INFORMATION 19
<br />TRUE. ACCUMTE µ0 COMRETE. 1 ANI AWME THAT THERE ME
<br />SIONIFILMT PENALTIE9 FOR 9UBMITTING FAL9E INFORMATION
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<br />TYPED OR PRINTED uWwntrimrn MF+:ww,rrta NMwee~n.uNSYwral OFFICER Oq AUTHORIZED GENT CODE NUMBER YEAR MO DAV
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<br />COMMENTS AND EXPLANATIO OF ANY VIOLATIONS /Reference ell ettsehmenfs here!
<br />,ErTLEABLE SOLIDS LZ7I[ APPLIES O17LY IF := IU-YR, 2k-,9R PRt;:LY ~YEUT IS CL-IMED. If cL~IM APPRJPr:D AT
<br />,t~U. 2SS E CRJN LI1Ir5 NILL ROT 96 APPLIED f] REPORTED '1EA:iUkEtlENTS--S E I.B.lA, PG `i AND I. P.LD, PG 6.
<br />r EPA Form 20=1"108= reGior'sditio ey bb'rYelfd. ` ` ' • IREpLACES EPA FORM T~0 WNICN MAY NOT BE USED.) PAGE OF
<br />~ 0391/970B1U-1.535 1
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