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LL)~PF12. v~-ilr'ErtATItJhS <br />NATIONAL POLLIfTMT DISCNMOE EVMINATON SYSTEM /NPDESI <br />D18CHARGE MONITORING REPORT /OMRI <br />l1-161 l17-191 <br />J- 995 001 a <br />PERMIT NUMBER DISOHMGE NUMOFA <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM 9d UI U1 TO yd J•) 3v <br />1161/1 !11.131 111-151 116-171 118-19/ !343/1 <br />Form APProved. •' <br />PUNA 4-RUNUFF iU IQc~~:"t:D~,Dno~o~ <br />SUER SE APProvl Gx.7PM705-31-98 <br />F - F 1NAL <br />M 1 f+U k <br />444 i~[,r U15GHAK Ut 444 <br />NOTE: Reed Inettuctlone before completing this form. <br />PARAMETER (3 Grd Ontyl QUANTITY OR LOADING (4 Card Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> 1IE531 154-611 138-051 (46-53 /546/1 GF <br />131-371 , EX <br />MALr51s TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 161.691 (6q-68J 169-701 <br />)h SAMPLE 44#444 444yA4b ~ <br />? v/?4V~•Y ,/ <br />7 <br />7 12 <br />G% /' <br />' <br />' r~~ <br /> MEASUREMENT . /u-i <br />j <br />.. 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W>Mt<.@'~Y;a91 ... .:. REfdUa:T ..Y <br />: .S 1 iyPlirt:r4•W 44~•i1.4:M.:.-. .;::;l~cliNlA.iN°6::.:N i•4+Y <br />~ <br />F '': .. :.; <br />~EK <br />IdA:~ <br />- - ~t\ <br />_Fr~UtNl unu~5 yALuE REQUIREMENTS <br />.. <br />... ......... .::... ::. :.. <br />........:....:::.. :...,.:. . <br />:~1'Tti~S:t:~. .t'IAx~:~. ' <br />r:i U .. <br />:: ~~: ~: ~~:.:..:.: .~:: ~ <br />:... ..~:":.~:: <br />:.~::~ <br />44x44 <br /> <br />~~ <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERTIFYV9DER PERUTr of LAw rHATrHAVE PERSONA[Lr EXAMINED MD--- - - - - - - - "- -- - - - TELEPHONE DATE <br /> AM FAMILIM WITH THE INFO RMATON SUBMITTED HEREIN; MD BASED ON / <br />I <br />/ ~ ~ ~ f ~ ' -\ ~ / J t • I . ~ " + ( MY INDUIRr OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IG ~ <br />- <br /> <br />`~ / TRUE. ACCUMTE MD COMPLETE. I AM AWME THAT TNERE ME <br />SIGNIFICMT PENAlT1E5 FOR SUBMITTING FILLSE INFORMATION <br />INCLUDING ~,/~L/-~~~ .-t~'y~(~.~~ fir' ~~ <br />~ <br />'~ <br />~(~ <br />~1 <br />` <br />I ~'=- ~ I • " , 7~ <br />f ~ <br />-, .~~. <br />. THE POSSIBILITY OF FlNE MD IMPWSONMENT. SEE 1B U.S.C. E 1001 MD 33 SIGNATURE OF PRINCIPAL EXECUTNE - <br /> U.S.C. f 131e. (hrr>a uM.r fMS •orvna rrl.Y ~1~. film ,q m S 10,000 AREA <br />TYPED OR PRINTED ans or nra:rn.n:npira+lnlrrr of MrMwn 6monlea W 6 ywal OFFICER OR AUfHORRED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANAIIVN OH ANY VIVLAIIUNS (MB/e/BnCe 6//efteMmenls ne/el <br />TSS t. iJTAL IkLit+ LIMITS HILL riC HAtVt.), ANU StiTLLaaLC. ;JLIUS LlriIi AFPLIFU FJh 1vTn,~tinr. ~':~cL:lr' LYcyi- <br />SEc. tlUKUtN JF PhUUF nt~J1r~CMtNTS U1+UEK I.A., P. ti. 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