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PERMITTEE NAME/ADDRESS Ond.b fscNlry NmWfaenon ltDldi.mn <br />NAME l,T^, I ,. _L ~ t CLhL C. -.; . <br />ADDRESS MIh`: 1F"! ''•i~v T7,F L ~GKM A;`. FK <br />9IC+) -,SST 'iPiE~AL CIRCLE <br />FACILITY Eh~L' '-T ::LI .I Ci.i uLi X55 <br />CYPK~..:, '(A!.~A V>LL~Y CCAL CGriF. <br />LOCATION <br />aTTN GkEt, ~_ L.nl I(F:2_ I Ff. at f,"lUAl~el <br />NATIDNDISCLHARGE DMON TORINC REPORT IDMR1pDES1 <br /> 1-161 i1-191 <br /> f t'nn ~7t~: n.1G <br /> PERMIT NUMBER DISCHMGE NUMBER <br /> MONITORING PERIOD <br /> YEAR MO DAY YEAR MO DAY <br />FROM 98 OL OL TD 98 03 ~i <br />!?6111 l11-131 174151 116-171 l18-191 (36911 <br />CN~'L:h[C HET <br />Si19`2 Nii <br />F - F S'~aL <br />1AJ(]R <br />Form Approved. <br />I [ S T I o~1e rrD. 2oao-ooona <br />ApprovBL e><p~i ~Se105-31-98 <br />#aa Nfl DISCHARGE "^•'' <br />NOTE: Reed betruerlorn belwe oomplstln0 fhb form. <br />PARAMETER !3 Grd Onlyl, QUANTITY OR LOADING Is rird Onlvl QUANTITY OR CONCENTRATION NO. FREOUencr SAMPLE <br /> 46-531 !5461 l38-I51 14653 646/ EX PE <br />l31-37I MALYSIS TY <br /> ~' AVERAGE ~~ MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ref-sal 16e-58/ 169-701 <br />ick-FfCT ST!+T.:E: 7JAY SAMPLE <br />E ..~d####. #i###~ IO~ #fi###+ ####r## 23 ( <br /> <br />Cltr; CtRILivA-liii!A <br />MEASUREM <br />NT > U Q G~C3 <br />TCP38 5 U A <br />af,;: :'PERMIT'.;k'.: <br />5 <br />:i::'::+ll!k~?4:~#:~:~`.~.: <br />:;'h~t~.#'! ?~ <br />;' <br />3 <br />a#ti• <br />:.:~ <br />::::~:: <br />Q.. <br />'~ <br />D <br />: <br />: <br />~..':. <br />':~~#{li iiF 7M <br />~I Ii~N'kiM?i!~ <br />::3 <br />.: <br />' <br />cR- <br />~:' <br />i~~Cr 1. Y~ <br />;'K i?~F9 <br /> IREMENT <br />REQ . . <br />:: <br />: , <br />. <br />. <br />: <br />. <br />: . . . <br />. <br />.. <br />:£p f N Rc r U <br />, <br />.... ~ <br />~, b## 3E~. .. T <br />kFFEtr Star/tE 7DAY .•• SAMPLE. 1+{!I>t## ~~~-##* <br />~ •##~## ####il• 23 ~ <br />~ <br />-HR 'PlMEFHAIi $ M}ASUREMENT~ ~ ~ IO O (Lf1G <br />TCPbt S J O 'k"-PER,~MI7s~:!s'i ;'::::: +~'~:4+II IIk i+.. .: `'~:SI!~ .~i~?~:. . M*# <br />~ "~: I~: K ..RED <br /> REQUIREMENT' <- ~ - ~ ~br '~ <br /> ..' SAMPLE <br />~•''~~~.; `' <br />' MEASUREMENT <br />.q.~ <br />: .. '' <br />, <br />..~."v <br />:;.:. PERMIT :a:. <br />,. .:: , <br />::: ~c: <br />r!,: <br />' <br />:.. . <br />t- . <br /> <br />.;w .i.' -.1'~i, <br />:REQUIREMENT': <br /> <br />..: <br />. ;. .. .. ,. <br />.: <br />: <br />.' ~!' <br />::, <br />i.>ca2Y:'''`Ml:~i~~ <br />... <br /> <br /> <br />' <br />: .. <br />~i~ <br />[fSw:.. <br /> <br />..'. <br />`~ -:. 1' c'... <br />r1> ~`-' SAMPLE ~ ~ ' , ..I; .; <.. ; • ~ _ f, <br /> MEASUREMENT <br />' iV-'4: e.J <br />[a <br /> <br />~ <br />~ <br /> <br />... <br />~ ....~. <br />- ~ :REQUIREMEN ~~~~ <br />' <br />' ~~'~ ~' ~ <br />~. c,r.,. .~ ~.~ .: .: <br />i:: :. : <br />:' <br />4 ~ 5 • ~~ <br />MEAS~~I MENT _ <br />1 <br /> <br /> ~.:,`. PERMIT ~... :~> .... .. . <br />: <br /> REQUIREME. T' <br /> <br /> <br />~~~~ !.`: ;tr ,. ., :: ~::~.::::.: ::. .. '..:. <br /> <br />.~... <br />' <br />': <br />...' <br /> SAMPLE~~-. ~. <br />~ <br /> MEASUREMENT ' <br /> ~~ PERNIIT~ P.?. <br />.,:..., `A' ~.: "r.;,.":;`:.:. <br />.. ....:.': ~ •'`:::a' :- <br />::.:.;.. sy...:,: <br /> <br />;REQUIREMEN <br />T: <br />..:' .., ,'.; ~:' ~ .. <br />.:... <br />. <br />~ <br />.. <br /> S :. <br /> SAMPLE <br /> MEASUREMENT . <br /> ~~ ~PERM77 .. .~~ <br />.. .. <br />~ <br /> REQUIREMENT. '~~~~ .: -:::.~.<, ~ ~ . <br />.. <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENALTY OF UW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE <br /> AM fA MIUM WITH THE INFORMATION SUBMITTED HEREIN; MD BASEp ON <br /> MY_ INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOP <br /> OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 19 <br />ACCUMTE MD COMPLETE <br />I AAI AWME THAT THERE ME <br />TRUE <br />9 <br />;:ir:hard t'IIIIS' . <br />, <br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSF INFORMATION <br />INCLUDING ~ <br /> <br />~ITVIYOtIf!+('Y1tSI N13 TI8CEBf• , <br />THE POSSIBILITY OF RNE MDIMPNSONMENT. SEE Ie U.S.C.11001 MD3S <br />gIONATURE OF PRINCIPAL EXECUTIVE <br />(97 \ -r -i <br />18/O~Z7iL <br />QZ <br />ZEi <br />96 <br /> ~ arse ~~'° ro tr0,000 <br />uw <br />~ <br />~ <br />N <br />fo <br />m <br />l <br />b <br />ym <br />TYPED OR PRINTED ai+ <br />Y.rfAa+nrrr et <br />n <br />ie <br />ir <br />. <br />r <br />r <br />w <br />yeral OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Re/erence ell sttschmsnfs here/ <br />S~~ I. N.4 FU TEST S':CCri~J~E, 4F1 RE.S'1LTS ;!F LETHALITY ;?iR[V3,T[.7NS =i`--. 'b=FFECT ~ l-.tCHTH 'a' ?:=y:!:,CI;;.TICN <br />Ucr:14nTIi;NS AS TirXICIIY FFT LCd;-iT :' FFfL AT whTCH SialiSiICALLY '~IvN[F CLEF IEiYPS:it` PEST s iai`.TH('E <br />EFYA'Form'3320- 108=961'''pre'vioue'editionB may bs used: • IREpLA:CES EVA ORM'T-40 WHICH MAY NOT'BE U8 :I • "~'" ^ ' ' '" " ^" -' • ' ' 'PAGE O <br />