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PERMITTEE NAME/ADDRESS preY~.Fru~yNf./LaeulanlJDlp~rar0 - <br />NAME Li.cr;uY FL!eLS CuAi.1 I:VC• <br />~ADORESS ~,;UIIIFILLU MI:a <br />lb~ ~. U(vIL"~ tlLVU.F aUI(!= 4oG <br />LAncnl,Vti ~ CU oaJ~~3~CY$9 <br />FACILITY .t ,IE r; i,Y FULLS GOAL. dNL. <br />LOCATIOr~L uh LiVC` CV CULLU <br />ATTIr JA!'IL~ T• l.I.L~Y'tif• YI'~~I~EXATILNS <br />NATIONK POLLUTMT DISLHMOE ELIMINATION eYSTEM NPDE$J <br />DISCHARGE MONITORING REPORT D~R1 <br />11-16 r1-19 <br />~.- ~ <br />PERMIT NUMBER DISCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM V4 '1 TO yY O <br />!7 2/1 111-731 /II-261 !7617/ 129-791 136311 <br />Form Approved. - - , <br />Approval e>fplreB Ors-31-98 <br />SJOri ~L lc]`+7 <br />"r - F i'idL <br />M il.LM. <br />'f+i'n` Nu 111 SLI'M~<'~L p¢iv <br />NOTE: Reed Inetructlane before eompletfnp thb form. <br />PARAMETER l3,Grd Only1 QUANTITY OR LOADING <br />~~ 11 Ord Only/ QUANTITY ~OR CONCENLRATION ND. FREDUENCV SAMPLE <br />~ 11653 !51.61 l38-I5 !1663 61-81 EX DF <br />, <br />137-371 • MALY95 TYPE <br />. AVERAGE MAXIMUM UNITS IdINIMUM AVERAGE MAXIMUM UNITS 117-6J1 !64681 169-701 <br />Jtl <br />~ -. SAMPLE <br />' ###4## #ie4*~•k ~ •~#ka+Y+ ~ <br />I ~ ' `~~~~~ <br />' <br />K <br />. MEASUREMENT ~ 7 u.=~Fr q~~ <br />V I V lJ 1 ~l Y : ~ <br />e .:.6 y... ~{+ y~` <br />.. '.y. ... ... <br />~ ...::.,... <br />pp y,j~'f 'r( <br />may. y <br />- .. <br />_ F r L L, L l . r ~ n s v a L tl t . <br />REQUJS.. ENF~.~ <br />..: :.::.:..:....~.~,ri..,.. " K..>... ;........ ~ <br />~:: ~.~^::'3l'<,~ ~:;r:,a.,~:: <br />:,.:..: >.:: _::..:,.:.:.:::..:.:. :. ::::...A; :.~~--.: ... <br />.:.:.r... ,....:...:.....:, o <br />c >,.;F .... .. <br />#t. N::. :;: ...,,. <br />..::>- .:...: ; <br />,.: ~; `:. <br />•~~~~ <br />~ , <br /> <br />:~.: <br /> <br />:.. ... . <br />~L. L.Ii,~. T,.IAL ..: SAMPLE - 44'#;t4iF ~ bbvbb'F bt+4#t~4 1-~ ~ <br /> MEASURENIEN <br />.. - - ~ r' ~ ~ <br />' ~ <br />lt,:,~ I tl F R, ,..:....: ...... ,w p <br />ti LUt:~T :,NL7S5 VALLE ,rRFzOl~~~rFf, : ~` -fix ~ew- >'1 „F 44# ~ ` A•^ <br />' <br />>LL:L.Sr ;~TrL AdL~ SAMPLE #bbiv!} rF>Mglbbi~ +}#•#rFb ~~ <br /> MEASCIR~MENT ~ ~ ~ ~ ! grRb <br />,G~47 1 0 0 ~~-fa:.:. ., <br />~ <br />` .. ., <br />~ - <br />a <br />I a~ <br />~. I~,IkT <br />: <br />fir', <br />i~Ai3 <br />_FrL.utr.T ~~as~ VAIUE ~iE4 <br />iRE <br />ENT <br />,;,: ::r~-!, ~3 <br />.:~y 1. <br />~ ~## . <br />.. <br />~1i3}?A ]1Yt; J. <br />Y. MR:. 1 L/ hITN ; <br />kLAr ILTaL '~ ~~SA. E~.'. _#by*4~F - #fb+G14# 6pi.+F4>4 <br />y <br />A :.i F [ MEASl7REMEN7 ~ ?~ 7 ~ r ~!~ <br /> <br />.... <br /><::.:.<~ . <br />x" <br />#IFIf <br />44#h!fs9F ;ak <br />44 .t:. <br />,:#:1!4.?S€lOiF'.::.:, <br />If:~ %j. ;:.... <:...:: . <br />.-:' • <br />~ «~'' :?: <br />:' <br />`;.:: <br />: <br />. "'° . <br />:: <br />: <br />k <br /> <br />:trLUtct.T ;,hLiaS +IAtt1E .e <br />:aUIRENIE• r <br />.~.u_,... ~ + ... . <br />~ l44 <br />(2. A <br />yt; . <br />.. <br />- A LX:' I1~E... .lV L , <br />T <br />T~P+rT`~i . <br />. <br />`; ..~: . <br />.lL. ai.U „ntA$E - SANJPLE ~ -' +4NdfbM 4brblir+k 4iFbbb+F #a•g•#v <br />19 <br /> <br />~•. <br />MEASUREMENT <br />~ <br />~ ) <br />'L/4. <br />Q ~, ~., n <br />„ <br />9'°~ <br />~~~z[ 1 0 C ~~:~peRir,.t~~ij};: :i;a*ia. :. ~..!F'M4kV!~~kr.i, Ai+ ':..~:b~.flij# 4. #.urk##.: ~. '. :. '..... <br />~: ` <br />~Llr~ ±ti4~` :. <br />rrLLcrlT TRUSS VALUL REQUIREMENT: '.,. ~ <br />~ 44{• IivST'::..ttAx: ~^4/L . <br />` .... <br />tstNT <br />~ <br />-Lu:.r l.r LI,NDUt K <br />~ SAMPLE <br />MEASUREMENT ` <br />- <br />"l <br />: <br />p~ 'G3 #M#64+Y N'rl ,r µ~:.. {.,. L•;,V ;: <br />E1 . <br />; <br />f <br />n~~ 1r,c:. Yh ENT FI.ANT (j-~) <br />J ~ <br />_ ~, <br />_ ,,i <br />s, <br />1(,J~i, a L Q >~...P.ERIG7lT•:~~':;.: ~~~~1•tL:~p.~:t~~: :::: ;:£z .'~~':.~:: :.. s.. ,. ~~~ ~$~fIg4+Mt~ ?P+:`#s.4 .:.~~s:F~rv iF : ,. ,. iti '-Ef <br />S.:. Y h~~A:ti. <br />-rrL;,L.'.l .,nE}SS V'ALJt NEQULREM~N7; '3"u.11.d;~:~4'~~I~~~~' ..~.~.~~r::~`.417r~: G„ ~.~ ~-. :. ~ .. ~~ ~ ;,,•:•~. . <br />. <br />~i~ AI. L. .,nLdSE SAMPLE rrd44rF4 y4 •ia4+Fti<q . . ?sl{•,. <br />'•, ,t•••+..,. . <br />r ~unL MEASUREMENT ~ (a <br />~. <br />~ <br />Ji• u~lye<Gi <br />;4„0~: 1 i- G !.PERMI.p`..:::, :;:!'Y..,. ~`.: ;. L'PCj~` ..T S 1 6#?8r~!iwm. rt&ty~k.Mr;• .t Mt:R<tir,, ~G Y:Y.1 ~ i <br />i V <br />~ <br />::M+~Li: } <br />1:;Ur~L <br />_Fr~L~l.l vkllSS 'skLUi: IREQUIR~trlEFlT;.i <br />~ :.,i;..:.;ci.:a:.:,';r' '. W-S~-6IA7X-'.c. U G '- ::Oi=4 . ___ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cEnn Fr unoeR PENALTY of LAw THAT 1 NAVE PERSONALLr EAAMINED MD TELEPHONE DATE <br /> AM FA MILIM WITH TXE INFO RMATION SUBMITTED HEREIN: MD BASED ON <br />_J l j~ <br />9 j <br />" <br />' <br />~ <br />~ ' <br />-J MV INDIA OF. THOSE INDIVIDUALS ~ IMMEOIATELV RESPON98LE FOR <br />OBTNNING THE ,NFORMATION, (BELIEVE THE SUBMITTED INFORMA710N IS <br />/ <br />( <br />L <br />~ <br />14 / <br />C 1 <br />-~li~ / <br />' <br />TRUE, ACCURATE ANO COMRETE. I AM AWME THAT THERE ME <br />sIGNIFILMT PENALTIES FOR SUBMITTING FALSE INFORMATON <br />INCLUDING <br />! ~ ( ,r `.r ~- <br /> <br />~ ~ <br /> <br />~ ~ <br />I~ , , p• ~ i „~ o , <br />THE POSSIBILITY OF RME MD IMPRISONMENT. SEE le U.S.C. 1 1001 MD 33 61GNATURE OF t't11NCIPAL EXE <br />T _ <br />1 / ! ~ T•' ~ ~ ~' / t" <br />t'~ <br /> <br />TYPED OR PRIISTED U.s.C. F 171 e. lMMe.. ~W dwr moms nlrY InFAM !w. y ro !x0.000 <br />s <br />irr <br />rn <br />d <br />h <br />i <br />lMM <br />a <br />W 6 CU <br />NE <br />B <br /> so <br />>n. <br />s <br />un <br />pr <br />m, <br />r o <br />wn <br />manna er <br />Y.er.l OFFICER OR AUTHORRED AGENT CODE NUM <br />ER YEAR MO DAY <br />VUMMCIV I.7 AIVV CAt•LArVX 11V1Y Ur g1YT VIVLAIIVIYJ IRIrelBOCe 4Ir eRlCATBOTS De/el <br />T _.. L I,,IAL IKi::: L1P'Il:r sl(LL :~~ ,.HIJt.u• .l:.L; iLi TLL At1LC SILiJ, '.I.°1T .rlui. .. I _, i.)I n.r_4:ir- r'^;-Lil' :_r~..f~ <br />`,<:. ~Ollr u~-n .;P h'LuuF r<r_~.ulriu4cM1T] ll:r,ii lr I.:I. js r, u. L,I~ .. ~^.~:. :,: - .,_~ i. _. .. ~. _,, ..,Y <br />=rt ~•., ,~ ., <br />EPA Form 3320-1 108.951 Previous editlona may tie ue ~ IR CEB FO 4 NICN MAY NOT BE USED.) PAGE OF <br />J., .. % . .~~ 1.4 <br />