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PERMITTEE NAME/ADDRESS p.rL6 FxIGry Na./Ler.nar UDIC•.m0 <br />NAME CYr'.~;f- .. -. ./=/,L°~ 7AL ~7/?F. <br />ADDRE65 M L ,a~~ ~ ~ r ! '. l 'r '7 f• r 4 r ~. ~ M• ~ !`! ~ q <br />FADILITY <br />LOCATION <br />~. T ' ~ : 'A' 7 '• :i " S v r ( p . ; t •i r+ i . l- A P : y <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />1T-161 l17-191 <br />~~nn271~1 ncn e <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ~~ ~ TO "~ '! ~ <br />/J2J/1 IJJ-J31 /JLJ51 /]6171 /TB-T9/ 13Q31/ <br />Form Approved. <br />. • ~- ~ •• ~ r ~ ~- ~.OMBINo~2040-0009c v <br />~ APProvel e~IPirOS OS-31-98 <br />_ c- •,r <br />,r,~, <br />/' <br />'~ NOTE: Rud InaWCtlons belw co IQtlnpthis form. 6~. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !4 Grd Onlyl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> y6531 15L-611 !38-451 1IB53 154-611 <br />EX OF <br />131-371 AHUVSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 1sT-ssl 154-sgl 159-701 <br />I I~..i JA iJCnL SAMPLE rC'>:~".~ *r'Y..`-.Y #'.: h#.:.;#-. ( 17~ <br />(y ~ r. a) MEASUREMENT <br />i.'.~i'J r] 1 J .. PERMIT t?'k': O:Y ". ~t'~rG'.t ~ k####f. Tyr <br />. " n ~f lNr'F/ tnq~ <br />"?.UENT ;r '17 i5 iB,','lh REQUIREMENT X: Le;: .X ~1!iA AyC nA LY "X hI"/L YL7It R <br />?Lys IK G~N~~'7: ,. SAMPLE ( J3) YF4#C;r# x,.n##': :k :!._;....: <br />~;,,;~ Ty, ~T,.^•~~ al,n•I°' MEASUREMENT <br />~OCSC 1 7 l PERMIT 88PORr PTIDt'1~1L a~nar.# ar: ~a## ~~##;s~. , YA- EERLT -NSpa.d <br />F'^'iUE.'~T G?~i`; '+'ALfJ :REQUIREMENT ~OOA 1lBG !3.12Li Nt[ I: D ~ 3r;# <br />7i, 4A3 .:f .`: &. i" SAMPLE ,... x.. r; .;: ( :)~~) .. :##."-== ;. Y.;f.s.._... .. ;... r... ~. <br />V i ~ L' A L MEASUREMENT <br />,~LU56 1 U PERMIT .;^-.r;:? Y FS= 1 ..#.....: :tA..,....~_ w.`fi#?r : ' . .- c;!r L° 'IS°J.~T. <br />-.7FLU1•'h': U': 7'r JSI, frL REQUIREMENT INrap !rAX VO=~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> pEQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENN.TY OF <br />AM FAMILIM WITH THE INFO LAW THAT I HAVE PERSONALLY EAAMINED AND <br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE <br /> <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR , <br />,` s <br />fir <br />hs rd ia~IIS OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />. TRUE, ACCUMTE AND COMPLETE. I AM AWME THAT THERE ARE <br />SE INFORMATION <br />INCLUDING <br />NIFICANT PENALTIES FOfl SUBMITDNQ FN <br />SI <br />~'~ <br />'r <br />7 ' <br />B7'1 tai ~,~lane oer <br />~'f1V~rCf11^ , <br />. <br />G 970- 870_'"712 S ,' 98 <br />• THE POSSIBILITY OF RME AND IMPRISONMENT. SEE IB U.S.C.11001 AND 7] 610NATURE OF PRINCIPAL EXECUTNE <br /> U.S.C. 1 1 ]10. IMWdrA rwW~r nr.r. AIANnA nrr A,cArdA A,.s w ro t 10,000 AREA <br />TYPED OR PRINTED .nsunrrAm.n MFdaawlAJr orMrwAxl smanerA rW 6 yAVA/ OFFlCER OR AUTMORI2ED AOENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erence al/attscnmsnts llerel <br />... -'h~2:S LT.•i :. ~ env T;?r T~?.~} ]~_"pf. '4 ~'L' ~^:~f1° (I,'1 .,' r ~ r~ ,rDLv n,.Tv r^ i- T Q-`"r ~1{-.,p .. .^r- - . <br />..-i ~.LAI~{(:.• .i ~:° E 9r [•~ iRr r:d ")"~'r :1 '• 7v'1^c tF' r'T^, aon ~ ^rf C 'r' _ •--. ~~ ~ r ~' <br />r <br />S+"~•I Y -] 'Dr f r vDl,O ~^T+! T•r-'rn•[^^T^Y T_ „!nr'tTV n/ <br />EPA Fwm 3320-1 108-951 .Previous editions may be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED,) ~ ~ ~ , ~ ^ ~ ~; i „-/ _ 1 ~ ! , PAGE _ OF <br />