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PERMITTEE NAME/ADD`RESS pw.Lb FsWry Nrr/Lor.um dDljTlrAl)
<br />NAME Tk?11F I'`; !; `i'.I •,~ F - ,;,
<br />ADDRESS T H A~ Y L ~' ?~ ,
<br />P.'J. !I 1'! 7
<br />CR.;.I, c~~ elegy ;
<br />FACILITY
<br />LOCATION
<br />ATTM1: Y. .,.i •;P~" p'. r: Fes, PRES/GEN
<br />NATIONAL POLLUTMT DISCNMOE ELIMINATION SYSTEM /NPDESI
<br />DISCHARGE MONITORING REPORT IDMR)
<br />1-161 /17-191
<br />::00032115 CU_ A
<br />PERMIT NUMBER DISCHMGE NUMEEA
<br />MONITORING PER100
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 1 TO _
<br />/)!l)rl O)-0.il UI-)FI /)A.)]I ORJOI /M3II
<br />Fprm Approved.
<br />CISCRAAGE ?0 COfd~EIpU~L°~oooa
<br />(S U P R ~ ~,) Approvelle~p~r~g-OS-31-98
<br />F - FrlAI
<br />MFVCF
<br />fifiq NC DISCHARGE ~y~/ '~'~'~
<br />NOTE: Reed Instructlorls be}«e~ eom'Mtlna Mw 1«m.
<br />PARAMETER !3 Grd Onryl QUANTITY OR IOADINC 11 Grd Onryl GUANTRY OR CONCENTRATION ND FlIEOUENCV SAMPLE
<br />137-37/ 1~6-531 I54-61I 13Ba51 !1653 /51-61J DF
<br /> EX
<br />MALYSs TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !67.69 /56-5E1 re9-7Di
<br />, II SAMPLE ;~``-C#A# 4Araba# r,t t.:lfiC ( ]Z)
<br /> MEASUREMENT
<br />
<br />~Ut.UU 1 0 U PERMIT. #aap#.o CtICCtuptk: 44# 6•:~ O.Ctfi#t: 9:0 E.EK
<br />I.Y INSi
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<br />.; U t; P E N D E 0 MEASUREMENT ,.
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<br />( 25)
<br /> MEASUREMENT '
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<br />(AS CE) MEASUREMENT
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<br /> MEASUREMENT
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<br />e:FfLUENT GRASS VALU 'REQtiIREMENT
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<br />]'RdU T,-A1 N~N1' !'L.4N MEASUREMENT
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<br />- PERMIT REPORT 4EPOR'L t!gtb>`4 bfi'4..5 4Qt4#t+ rtr:` *EhLY .NSTA
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<br />FPLJEt/: ~F.~S:, Y~LII :FEOUIREMENT
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<br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER I cERn
<br />AM FA Fr uNDeR PENALrr of LAw THAT I NAVE PERSO
<br />MILfM NIITH THE INFORM NALLY EAAMIN ED MD TELEPHONE DATE
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<br />Gordo
<br />P ATION SUBMITTED HEREIN; MD EA
<br />MY INDUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIE
<br />DETAINING THE INFORMATION, I EEUEVE THE SUBMITTED INFORMA SED ON
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<br />id SIGNIRCMT PENALTIES FOR SUEMITTING FAISE INFORMATION
<br />INC LUDING
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<br />t 6 General Hans •r ,
<br />THE POSSIEILITY OF RNE MD IMPNSONMENT. SEE 1e U.S.C. 1 1001 MD 37
<br />
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<br />TYPED OR PRINTED
<br />U.S.C. E 731 e. /PwWIM• mM IMr mrtm• m+r ~~/ rnrs w ro 5 /0,000
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<br />..;., o TOTAL 7RON LIMIT-~ WILL 9c 4AIYED, AND 3ETTLE!18£L SOLILS IIM]T AfFLIFD FCB C=l0Yk,24?i? P&ECIF k:VF.Ni-
<br />k:i: BURDc:N DI' PROOF HE,~UIkE'1iNT5 UVDEn I.A.3. PERMITTCE OUST T1RF All 9EASCNA°LE MEASURES TD REDUC'. PR
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<br />EPA F«m 3320-T 108.951 Previous editions mey be used. r (REPLACES PA FORM T-40 WNICN MA NOT 8 USED. U U C U S / 9 7 ] 211 ~ I Fi IJ G PAG lOF Z
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