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5 - ! ~ ,..7.µc r ~ ~, ~ ' PERMITTEE NAME/ADDRESS (lri,b FxO,ry NsWLxenen./D~im~p NATIONAL POLLVfMT_DISLNMOE ELIMINATON SYSEEM rNPOESI Form Approved. ~ ~ ~ NAME Etvck6Y- Wr.LS l.'...ALF 1NC• --- _DISCHZR6E.MONITORINO REPORT IDM9f jTJ~ ~-NINI HtTR- T10MBtN~~2040-0004 --1 1 APProvll ~xpti~05-~1-98 ' ADDRESS yUU THE /ELL 1^ ~hJt 00003b595 U'S A B . K jt SU i jG5 S• UNII.t~ GLYu•F SUjTE 46V PERMIT NUMBER DISLHMGE NUwBER f - FINAL LAfctHUilD CC ot;21D-J4tl9 PII'~.iR MONITORING PERIOD FACILITY EN'ttt~Y (=UE:LS ~uaLF INC. YEAR MO DAV YEAR MO DAV LocnnonlELUR~i~CE CV tlvd2G FROM U1 U1 i}1 TO U1 Uj ~i may!' Ni, U[$CNAnGE ~ 4au w T i rv d A n c 5 T. C v J r L H, . Y E' - U N E k A T! G N 5 !76771 l77-731 !74751 !7677/ l7a-791 !31}311 NOTE: Raad instructlotn balora completing thu form. PARAMETER !3 Grd On/yl QUANTITY OR LOADING !~ Grd On/yl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE 146531 l5a871 138-461 !4653/ I5d-6fl OF l37-371 EX MALV515 TYPE AVERAGE MAXIMUM UNIT_S_ MINIMUM AVERAGE MAXIMUM _ UNITS /67.69! 164-aBl 169-701_. __ ~1L ANl1 ~~:L w~E SAMPLE }(. tF 1r4q yy 4+}+}~Rp +•y44+118 +}~#111#M ! I JUAL MEASUREMENT ~ - ' )hVfib-- L 1: U :-,.:-PERMIT.~:,:~:~ .~:~~tlliri!iC:y,+FI : ~ Y. ~~K~fi:~ :~ ~:~ ~:: ~S 1 ~'t.~?4#.~~~.'~.:.. ...~:kltltt*Sf#~i:;~. :~~~.i!!!k:!N:~k:#'~:.!? 6RIV ~ ~ w.i'R:LY ~S~f:31~~. I __ _FFLUENT URt,$S VALUE :,REQUIREMENT . . 1 . - . .: :. . :.:Y~Si1=:'~>~~ :: VL7 U ', '.: (.}:}fa . SAMPLE MEASUREMENT ~ .~' `":PERMIT.:. ..:.u._ ii: ~ a':'':".: ,.~~k~.:;;~...: i.;j~.;:i : '.w:%i:>':. :REQUIREMENT' ... . ,.~: ... .. ~ ~ ~~ ..... .... .. SAMPLE - ~ MEASUREMENT ~I w ~ REQUIREMENT ~ - ~ ~ ~ ;;::.. ~ ~ ~ ~~ !~ ~ ~~ - : : • - ,.... k y~f , ~~ ~ ~ - SAMPLE. _. . _- ,_ ~'- G' ~-~^'"- " '. MEASU~MENT _ ~~ ~ " fE IT R GUI EMENT :.:: ::::...: .... ... ~~ ;: ~ ~ ::..-:~~.~.~:: :~:u:".:: :. .:: .. .<.s~~..:..~.... :.. :: ~ ~~ ~::~ ~:.. .......: . SAMPLE ~ ' . MEASUREMENT ' ~J ' :, ,. ., '~~~ ~ PERMIT: ~. ~~. REQUIREMENT. ......... :..: ~: ~:::~ :..~ ~.: ..: :~:;~::.~::~:.%`~~:.s:..~~::': ~' :. . .......::................ ::: .~ :..:: :.:::: :.. .. ... ~ .:~ :-:.. .. :..... .. .... ~ ..~~..~::;~.:..::~::::: ~ :::::~.::.: ~.;;:x ~.::: .: : ::::::::.:: :: ..:. ... F ;6n~ ?ij SAMPLE - • MEASUREMENT ~ , Fz:cc:PERMIT..::: a ; ~:a: .~ ~........... >:g~l:.::~:.y. •. ._.. ,. :REQUIREMENT: `: : • ... .::...:.:.:°::.: ::::.. :.:: •:,:..:.:.;:.;...::::..:.: . . - - ~ MEASUREMENT "-.~ REMENT ...... ' .. NAME/TITLE P~) ~ GIPAL EXECUTIVE OFFICER I CERTI AM FA FY UNDER PENALTY OF lAW THAT I HAVE PERSONALLY ExAMINED MD MILIM MATH THE INFORMATION SUBMITTED EREI TELEPHONE DATE + ~ ~ H N; AND BASED ON M I I Y I ~ ~ ~ t A~9 }~1C..1'16~~ i '•S /•~/ L ``~~ •~~ ~L R Y NQU OF THOSE ~INDINDUALS IMMEDIATELY RESPONSIBLE FOR OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS f _ ~ ~ ' TRUE, ACCURATE MD COMPLETE. I AM AWME THAT THERE ME SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING '. ~ ~ ~ sY _' / ~ ' ' + '' ~. _ C t ~ ~ j ,_; / ~~, _ -{ ,: -f- , THE P055181UTV OF RNE MD IMPRISONMENT. SEE is U.S.C. E 1001 MD ]1 _ _ ` ' I f ~ ' ! ~ ~ ~' ~ "- `~ ~ U.S.C. E t ]1P. !lMWOi• wHw N•r abAn•• m.r ilcAr4• rn•a Ip ro t 10.000 SIGNATURE OF PRINCIPAL EXECUTNE _ ; TYPED OR PRINTED rM Or m.iimn inltrlotnwtt ofNMwnemmdlaWSr••zl OFFICER OR AUTHORIZED AGENT AREA CDDE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erencs ell efrechments here/ i55 1~ta"fpTAl I:~GN LIM1T~ N1LL tlc tiA1YiOF Ar~ID StTiLEAuLc SJLIUS L1HIT .AS'PLIr.J FLi. IOYRr24Hti kRE: lr' LYcNT- SEE ,~i~pOEN uF PkOJF ktWUIREHtNTS UNJEk I.A.~~ P. 6. OIL L oktASt - 5[L I.a.1.C. . 30 DAY AVEkAGt I S utr1N~(• 11 AIT Ul v 1UC n+l l., t' CtC inrt"a-~ nc TCn cc. F r' 11 EPA Fam 3320-1 (08.95 ~ Previous edin'ona mey tie us~ - ~ ~ ---(REPLACEfi'EP'A FORM 40 HICH MAY NOT BE USED.1 PAGE OF OQ 111 ~9G0 ~ 1 Q~ X92 ~ ~, ; I. .. - _ -. -., ,