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PERMITTEE NAMEJADDRESS (Include Paciliry NanNLocation if Di$ereny <br />NAME -'?41U5 T"' .' - ". <br />ADDRESS'1 .; Yc 3 ~,~ 7': ~ ~-'~t' ,r .~ ... n;- <br />t. <br />~'.,;LRw~O^ -~ ,,015 <br />FACILITY <br />LOCATION <br />qT-".. 'G. ..(~ ~','T,"v~ 'r•D;rS•II ATtiP <br /> (3 Caro On <br />) <br />0UANTI <br />PARAMETER 5 <br />3 <br />(54-6T (3Bd5 4653) 54-8/ EX OF TYPE <br />(~~~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNaLY513 <br />6&70 <br /> (ea63) (64fiB <br />;~Itv6U(.':I~:':.T° SAMPLE r'~'"'..F:: rF3~rt:k r~y....~.. ( ~ i1 <br /> MEASUREMENT <br />UUU40 ~. II 1 ., <br />.-.PERMIT= C 4>D!i <br />~ ~~PAP#' Y..; ;. 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C. #t 7! <br />'~Jr. <br />Rot ~ <br />f "; <br />NAMERRLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF L <br />AM FAMILIAR WITH THE INFORM AW THAT I HAVE PERSO <br />ATON SUBMITTED HERE NALLY EXAMINED AND <br />IN <br />AND BASED ON MV TELEPHONE DATE <br />~ II Ii <br />Ri <br />h INQUIRY OF THOSE INDNIDUAL <br />THE INFORMATON <br />1 BELIEV ; <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMITTED INFORMATION IS TRUE <br />c <br />arn <br />3 , <br />ACCURATE AND COMPLETE , <br />I AM AWARE THAT THERE ARE SIGNIFlCANT <br />,~ <br />~ <br /> <br />' <br />!R nBn BI' <br />P! <br />I <br />° <br />r <br />t <br />i ~' . <br />PENALTIES FOR SUBMrI'TING <br />FALSE INFORMATION <br />INCLUDIND THE ~/ <br />970-870-27}7 <br />o /Y ~, <br />~% <br />lm <br />1V <br />T9 <br />rl <br />T <br />7 <br />. , <br />POSSIBILfTY OF FINE AND IMPRISONMENT. SEE 1S U.S.C. § 1001 AND 33 U.S.C. _ <br />SIGNATURE OF PRINCIPAL EXECUTVE . ~ ag IN/( <br />TYPED OR PRINTED ~mumM~rnme ~ 6eMeen a ~h~i en)tl 5 ~ r)~ uP b 510,000 entl n <br />Pd Teen.! OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />UVMMENTS ANU CAYLANA I IUN UY ANT VIULA I IONS (HalaleDCe all 9[IHCDY/IBOLS fI6YeJ <br />T ~.: r... _ r•.}P~ elT~ ".;i, •9~.t .~ fir: ,..r L'~~'~.F i'lf Tni (Ll' t'1 ~} T"~~.T ^'~TY T^ is 1^_~~n, '1 r(_y~> .gyn.. ...p n-•nm <br />_ ~ CL=. .T :1°U. SPA' T. r.:!e ~; 11r, nOr RSR?~Y ~P nD~OP a°~'3i"-.. :.yn UTi. r-~T e`..~p_,o~ rn nT•'r 'l" F/ t'C^~. <br />•orv nr n ns•-. .u.. e <br />EPA Form 3320.1 (08-95) ~ Previous editlons may not be used^ ^ ^(REPLACES EPA FORM T•40 WHICH MAY NOT BE USED.) PAGE OF <br />NATIONAL POLLIfTANT DISCHARGE ELMINATION SYSTEM (NPOESf Form Approvetl. <br />DISCHARGE MONITORING REPORT (DMR~ OMB No. 2040.0004 <br />(2-161 Or- 9) `! ~ ~ . , <br />~ ^,~ ^ ~ 7t c tl r, ~ rt L „ Approval exiles OS31-98~ <br />PERMIT NUMBER DISCHARGE NUMBER n _ •••e• •.~~17 T7 <br />MONITORING PERIOD ' T'- ° ~ • -' "~ " ~ T^ °'!' "t ° ( ~^^ c o~ <br />YEAR MO DAY YEAR MO DAY ~ ' <br />FROM ''7 •" TO 'to -7q ~n ^Ra v- ~. ~,.:r e~7~.. i i t: r.:~ <br />(zar) rzs~za) tze-ss) (zas~) lsaz9) (ao3r) NOTE: Read Instructions bef leting this form. <br />TY OR LOADING (4 Certi Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE '~i <br />