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FewMlrreE NAM [IwooweFB (lncludr <br />Facility Nome/LxF(bn iJdiJferenfJ <br />'G}:v LG NUrrJ L:. ..L.:J <br />~wclurT___ <br />LOGATIOM --------~ -----_ <br />. . T -_t _ -----. ] 1 E ..---- <br />NATIONAL FOLLVTANT OISCNARGF [LIMIN II TION FYFTCM (IVYDE.SI <br />DISCHARGE MONITORING REPORT /DMRI <br />1-/6 1719 <br />:.V..).J1S4 li0i ?. <br />` PERMIT NUMY[R RlscHwncc nvMSu <br />MONITORING PERIOD <br />YEAR MO OAY YEAR MO OAY <br />FROM ) V -l J _ TO - - / .r 1 <br />.»v. nw xl na_>n na.>ol .mm <br />A J L ' Form Approved. <br />(~ Ur N :~ ^) OMB(No 12040-0004. <br />F - t 14 P. C Approval expires 6-30-91. <br />NOTE: Reed instructions before camDleting this form. <br /> (J Card ORIy) QUANTITY OR LOADING (~ Card Only) OU ALITY OR CONOENTR ATION FR EOU ENCT <br />SAMPLE <br />PARAMETER (16-SJ) (J16f) (JB~J) (16.77) (J1'6f) NO. <br />EX OF TYPE <br />(JI-37) AnwL rsls <br /> AVERAOE MAXIMUM UNIT6 MINIMUM AVERAGE <br />^ MAXIMUM UNIT6 67fi1) (61btl f69-IU) <br />KJ iI 6AMPLE v r . ~}:(-fp <br />,• %} }:}¢'µ ( ) it :k •'.: i..i:; ~ <br />r '7 U <br />Z ( 1y) <br />O U KAt3 <br /> MEABUREMENT D/ <br />1 <br />.J:L.L L. i::.IJY ri@A,:Li 5 <br /> <br />,17,7.1 r• 'J U <br />".~ <br />R <br />°~T~"~"• <br /><~%~'aMlyc L°r.V4 sIjI <br />{:rl- <br />e,~'~SYi~"•a <br />1°~L4 ~`=°'n <br />q DA <br />m <br />'~(•{r~)trk a°l. • „fS <br />yam!°J~3`~ w <br />4~~ <br />', <br />:~ <br />:. <br />~. <br />- P£ <br />M7T <br />ft6putREM ENT e <br />' <br />: <br />. .°°u <br />:° , <br />' <br />~ <br />° <br />~ <br />b" a <br />tt <br />'~~' <br />° <br />" <br />-~~ <br />" <br />•" . <br />' ,% <br />9 <br />~'G „w <br />•, <br />x <br /><i <br />t;~ <br />~ <br />' <br />' <br />;° <br />_ <br />.iLJ <br />iiU 5 VALIiL " <br />m <br />M~ - <br />~° ~#G+ „Iq. <br />°z . <br />I <br />~-~,~ <br />,, <br />~ + <br />aela <br />g <br />) <br />i <br />- <br />. t <br />Il./L : <br />. 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MEABUREMEN ~ l„ <br />. <br />- <br />1U 1 L i `°;, <br />ERMIT: J <br />°s ~si{; ~'V'F3.isnr ;#~'~~.',R~.,X`i''"~ <br />~ _i:~-. .,fGP.~a~r''~b'~." ~n <br />~~ a~+` <br />` <br />a < °9• <br />i A~° y <br />~G~P.T. <br />~ y <br />g <br />i~ <br />u..3k.g <br />y... <br />' <br />" P <br />kawRfMExir r> 's~ s °1 . <br />; '•h <br />, <br />° ~•;y<, m , <br /><, . <br />'"s"' <br />~ <br />"'~ <br />= , <br />n <br />~` <br />~ <br />' L u ,g <br />~ftSN <br />°` . <br />VALtJE <br />LJhtiT GBC: <br />,r ~ <br />~it. <br />° <br />5 5 F a 7 <br />.~~" <br />+ 6 <br /> <br />. <br />.° <br />n <br />~. <br />~e <br />° <br />, <br />' . <br />; <br />, <br />y,7 7: <br />. <br />i~, Y.~1 <br /> <br />••,. x <br />- <br />i <br /> <br />~ °.. <br />>,I •~n:: vS L'1 ate..'.. <br />^ #a <br />~~ <br />6AMP4TE v-c 3: iT )~i~>~1::fn I ) <br />l . <br />; <br />~ <br />- <br />J <br />,' <br />F r <br />M ` 1.3r Q / <br />~A~ <br /> MEA6UREMENT ~ <br />.r~GVcHAESLE ~ <br />: 1 Q <br />1 iT,,°. <br />`„PERM <br />~ <br />x ~~~.5~,(¢{~,~x~.,°°,~ , °i~,~'8Yd6``°°-°iY <br />" ~[I e.~.G~>:.~°$x, .~:,~''.°.~ $F`~%.' <br />~ <br />~ 0. ;~7~s~Q,F'°L, _°~ <br />~ `~'i:~'L'Y AYI$~aq.a, <br />_ <br />. . <br />%LuEhT GAOSeJ Y;,LIlE . <br />.REOUIR6M'f Ni <br />° I. :Y'"'N sss %• <br />%~" x ##00 m ~+ ~' <br />W s <br />~ <br />r-,~~~;:aL'«)(~3#~`° a <br />; <br />,'(~~A,°°Y°4!)[°' 1.;/L m <br />~" <br />~ <br />~ <br />IN COt+D'JI; UA <br />•' <br />]i, SAMPLE ( LJ) -e akii :~i r. ~:-Yi%: rr-.'% ( J ~ <br />. <br />, <br />Lh[:U TREA^..b::N'L PLANT <br />MEABUREMENT <br />Or <br />- `C d <br />IIJSTA <br />IJJV 1 G U °~P'ERMiis /^~ <br />F<,~Yx~PF <br />°Af ~ <br />''° y r <br />''e <br />~Y.,':t <br />"f°~IQ <br />#' <br />` ~'~y~a'?'t-cPo ,~a~$."'..r :~ <br />~+°a. a~a'~,'#~v~.: '~ilV .i W <br />~".s~f' <br />Sr,B 'fE bL'i~>~'1 <br />x <br /> <br />teLUENi UbOSS VALU:~ f3ERU1REM,eNT9 <br /> <br />° •- f <br />. <br />4 <br />a3.~41~d~•.>k1FUIx , <br />. <br />~ <br />F <br />•t3~i`ll;,i•"YL°it,'. <br />Y,.;:: , <br />' <br />'~~~%% ° ~ <br />:.L dHL -,: EASE <br />6AMPLE #####~ ( y4) ##];r'<-r, f##### >c=#u##u ( ) <br /> <br />O <br />I <br />fA <br />S <br /> MEABUREMENT O . <br />JE <br />f ~LML 1 <br />n <br />b L G G <br />" <br />' `-F• <br />PHRMJT «, c,~ Y..~~II~~ <br />°,~~V'Yt <br />'w'fex °."s <br />°sic <br />ss Ej=1 ;~a'~~~x •°N~i$'e"' <br />l <br />'- <br />~'+Si,~ '°~~,~e~v?fe,G±-a a'i l.: L~II N~ ~~S~{Y~$ <br />?W <br />i'.. tu <br />_ <br />L <br />' . <br />sISERUIR6MfNT. ! ~ <br />a <br />.° <br />,y <br />~ <br />l ~ <br />% <br />:' <br />= <br />=O `-s s' x <br />, <br />< <br />".'3.p <br />° <br />a <br />` Pau' <br />° <br />stl ~s~e <br />' <br />~+Y''# ° <br />s:' S <br />«' <br />LUaKT uhOSS YI. I.J <br />;i r ;I <br />[~A <br />t <br />.: <br />X° IJU xa ~ <br />~ ~ <br />x <br /> SAMPLE <br /> MEA6UREMENT <br /> ^"PERMIT.° 'fix. <br />R ° '° <br />~ ~~ a a. <br />„ <br />a <br />p .A a <br />' ..m~° <br />' <br />n <br /> 'RCOf11REM•BNT> a <br />° <br />' s <br />) <br />' ~x <br />a ° a~ wp <br />ax <br />'~g °ea °'a ~ ' <br />b s <br />~ ° <br /> ° >y <br />S . <br />e `s . <br />°% r < A ~ ~ <br />tt <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' CERTIFY UNDER PENALTr OF LAw THAT I HAVE PER60NAUr [xwMINED <br />•ND AM FAMILMR WITH THE INFORMATION SUBMITTED HCREIN AHD BASED ~~ TELEPHONE D A T <br />E <br /> ON MY INOUIPY OF THOfi[ INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ~ <br />/ <br /> <br />"ills <br />:Icltarc' ' OBTAINING THE INFgiMAT10)1 1 BELIEVE TN[ SOBMITTED INFORMATION <br />E ACCURATC AND COMPLETE I AM AWARE THAT THERE ARE SIG <br />TR <br />+ <br />: IS <br />U <br />NIFICPNT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING ' I n <br />_ I 1 <br />0. Cn^C Er <br />r_rlt ~ <br />L:rtvircr <br />THE POSSIBILnr OF FINE AHD IMPPISONMENT SEE 1B USC f 1001 AND (971 )i7~,-L 7 <br />I7 l ~ / ~ <br />I <br />. <br />3J USC t I]19 IP.nPUuo uMn 1Arr uamt+n na erludr /m. uy n. tl4wu SIGNATURE OF PRINCIPAL EXE UTIVE <br />F <br />TYPED OR PRINTED ord... manmum mmn.^•rmn11 .,/Lmvnem.mlA.Pnd.i ,.ar.., OFFICER OR AUTHORIZED AGENT ARA NUMBER YEAR MO DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS (Hr/nrnre nll Wmrnmenu nerq <br />i. t.:tt!Bi+I';. LZY.!~_:A -.- -.ii -'. =_'L'[L~rt.Lc ~Ui,l.._ (Lll.; Et.F) =e Ll vi•r_.L -'_:' ~- ..-Yr,F c4-LR r.::. L.IP ,5 .•T :. <br />,.....1:'1fsL. 5_v i....'T ~~ _., ::1C r'!:..7:~, p4• _.;;;L,F 6~Kl,Iitr.aca\L,. L; LL .. _:.aA.>---...mac PuJ',. .._':~ t/. -.. _, <br />EPA FOrm 3320.1(Rw.9-!B)PrwIOUB editlona maybe used. (REPLAC[e vA FORM T-.o WHICH MAY NOT e[ueeD.r r_ V _ Pw6[ of <br />