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PERMITTEE NAME/ADDRESS (IM~L FrWryNaw/lasn« dDlpi.«Q
<br />NAME Kr_S:~ ::JAL ~DMPANY
<br />ADDRESS M A R [k '! I N X
<br />~.D. 9JK 773'1D1
<br />3't'cA'?[f)af SPRLy>; .'0 ilU111
<br />FAaury
<br />LocnnoNJALDEN CD HU43O
<br />a'rer+: seuR~ Y. ParrF;a~~~. YIFIE H;II.
<br />NATIONAL POLLUTANT DISCNAIIOE ELIMINATION 9VSTEM INPOES)
<br />DISCHARGE MONITORING REPORT (OMRI
<br />II-I61 I7-/91
<br />CD; RSU931 ULil /
<br />PERMIT NUMBER DISCHNlGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM !IV 1 TO U v JL`
<br />110.111 111-131 !14151 116-771 !IB-191 !36311
<br />Form Approved, '
<br />P:, fJD A/T9IB TU ~pOMB1NoA 7rO4O~QO4N
<br />~ Approyvd expir a 0~-31-98
<br />(~UBR 9Y) itJ+°~ .
<br />F - FINAL
<br />RItiC1R
<br />r NOTE: Raad InetrUeBone beforo completing thle corm.
<br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING 14 Grd Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE
<br /> M6531 1546/I 138-451 /46-531 I5L6II OF
<br />131-37I AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lsl esl ~6BIS 16g-701
<br />~N SAMPLE ~f_w~ ..., ,:;:-t -. ( 1.'1
<br /> MEASUREMENT
<br />'JJ;/[I 1 ~i J PERMIT .-+: `r ",l:J, -,,,-.`.?ir ~r E ":F^ ', Ij' %.t%i -':.:x `3 ~I. `: t: i:Lr ~'{.i i~~r
<br />;FTLJt'77 .,1:155 UAL+Jo REQUIREMENT ~;:t eIliI17UK. M4Z~ 'fUM S'J
<br />.IL1115, ~c°PLFA:,LE SAMPLE ~~• •r~ . ...x~ ,-.Cv;=~~ .,-~ .. ( S)
<br /> MEASUREMENT
<br />JUb IS 1 U U PERMIT S:t C: prCx "+--~v~S q r,: ~fi kLY~~ICr ~ ~~rPt tx O.S L ~Re~E/ ' :i?Aa
<br />~EFLUl;NT ,;N)5'i VaLJE REQUIREMENT ,;~Z DAILY '+Y !!L/L !lOaY H
<br />J AND .:~t~Aif: SAMPLE 4k~rS. ~'f;t3S". .~~::Y4# .•Crr Yt4 ( j9)
<br /> MEASUREMENT
<br />J3S~2 1 it U PERMIT r:-DRGk ,tfi;t~%G~ ¢ ;':•^ ~ir;;~uu #3;:« IQ f d11TI~i: '.RA~
<br />F'FLJENP ;i'1SS VALJF' REQUIREMENT {~;:v} DAILY f?$ Mt;/L G8N3
<br />J, ti i. JN QUIP JH SAMPLE ( U3) ~%~+F .^•;/-+~ i<v: !~=X``'"'c
<br />f d i{ U T ft.: a i `: n N T P L A N r MEASUREMENT
<br />>UJ~~ 1 U J PERMIT TPCI39tAL R~B3RP k1rgYGfi' V'FYV ;r ,;:;=?- .• . . ( :~j{,r(S/ NSPA'~
<br />iFFLUk:NT .:iiUSi VAL.JE REQUIREMENT jOJll aY3 DAILY 9Y HGJ `~~''' 1: -IIF„y.3iTy
<br />JIL ABU .. ,,r aSE SAMPLE ~: YSF; ( 99) ..-::~;=;: .. .. ~. ~,
<br />I .`i G A L MEASUREMENT
<br />i4Job 1 J D ..PERMIT +=aa><a:. R~P3RT Y ES=L foss#x ;c~:->x.# #~.=;:=% .
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<br />:FFk,Ue:9Y ;'lJy3 VAL!1£ REQUIREMENT I?iSY KAY NU=J ~ - ~ ~ !1$NSH
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT ~ ~ ~ ~ -
<br /> REQUIREMENT ~ -
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT ~~ ~ ..
<br /> REQUIREMENT
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />AM FA FY UNDER PENALTY OF
<br />MILIAR WITH THE INFO UW THAT I HAVE PERSONALLY E%AMINED AND
<br />RMATION SUBMITTED HEREIN; AND BASED ON
<br />~" TELEPHONE DATE
<br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR / ~ /
<br />Richard A. ['[UT15OT1 OBTNNINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS'
<br />E THAT THE
<br />E MEN
<br />~ I
<br />-
<br />~
<br />id
<br />t TRUE, ACCUMTE AND COMPLETE. I AAI AWAR
<br />R
<br />INCLUDING
<br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION ~~
<br />`„~y^
<br />~rJ/ 4
<br />e
<br />9~O 72 Ul
<br />en
<br />Vice Pres ,
<br />J t0pt 93
<br />3- 07 09
<br /> THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 1B U.S.C.
<br />AND ]] /
<br />81ONATURE OF PRINCIPAL EXECUTIVE
<br />
<br />
<br />TYPED OR PRINTED
<br />U.S.C. ! t ]t e. !/i.W14, uv,r N,r. ,berh, n+Y NcN,d, rvw, rq ro S 10,000
<br />wnm,rinln. lmprlavtweo/Mn,«n snwrdu rNSPr'.I i
<br />
<br />~ OFFICER OR AUTHORQED AGENT AREA
<br />
<br />CODE
<br />
<br />NUMBER
<br />
<br />YEAR
<br />
<br />MO
<br />
<br />DAV
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lReYersncs ell sttschmsnts here/
<br />:,~r:LEA.'Li'. SJLIDS LIHTP 'JaIYEU FJ3 LD-YR, 2J-'R
<br />pAy.; I, :f. 1. D, P. 7. SC:);iKJATER %A9a:,E9EdT PLAN
<br />PP.E~IP EV"c ~'C ~Ui.JE.:'T ; 7 911R~F,t: ;.F D^nfli ;'tiI=,'.'rcNTS ?"
<br />DUE 1-L-J3.
<br />EPA Form 3320.1 (08.951 Previous editions mey be used. IREPLACE6 EPA FORM T-4O WHICH MAY NOT BE USED.) PAGE 1 OF
<br />UZ 16/97 `f,1';- ~ ^r,s
<br />
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