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PERMITTEE NAME/ADDRE55l1~LFrYgNrWL•r•nr dDf~•..•p <br />NAME T 1{ A i f ~-..4 'i ~ ~. T ,' ; ~ ~ .', 1, . <br />ADDRESS 1' it A !' i' E ~r'. ~ . . <br />P.O. Hr!; __7 <br />CkAL~ C_7 =11 :, 2'i <br />FACILITY <br />LocAnoN <br />n 1'T..: M. ~GyDCJ rt F'!::'[`.r PRF.S/GEV nG3 <br />NATIONAL POLLUTMT DISCHMGE ELIMINATION SYSTEM /NPDESI <br />DN:CHARGE MONITORING REPORT lOMRI <br />l1-161 I7-791 <br />coo^32115 CUF A <br />PERMIT NUMBER DISCHMOE NUMBDI <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM L TO <br />116111 l11-131 111-161 !16171 118-191 !34311 <br />Form Approved. <br />F~dC ~1 Tn tl?F rraMRFNo.2040-0004 <br />(5 0 P R F ~ ~ /LPProvellexp~r~6505-31-98 <br />f - FILIAL <br />'TACT. <br />• SC DISCNAfIr-o ,~I(I :r; :;l <br />NOTE: Raed InetrucUorr before eomplatlnp thb form. <br />PARAMETER !3 Grd Onlvl QUANTITY OR LOADING !1 Grd OnlYl QUANTITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> le653 15451 !38-15 le653 154611 EX QF <br />l31-371 <br />MALVSs TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS az-sm !54581 !69-701 <br />- '•a -• SAMPLE .. 4C4 ( 94) ~'OIPAYlL dL000s '~JZitL+O <br />V I :> U A L MEASUREMENT <br />_~uo6G 1 0 0 AA17.::::: <br />. <br />9:.:... :: ~±tFF+FVL< <br />.. BEpGRT E~=1 a.esooa. 0.>CR?I:#;# A4>:~L~+X #e.x <br />:.: <br />~Elt <br />isUA <br />r'F'FLUeNT i;RUSS MAL'J ..... <br />$:~;. .,. EN#.; <br />,....,.. ~!? .,..; .. <br />:.; <br />:. ....:.:..:...:.. <br />::..INS~:.:1fItR:. <br />NC:O <br />~: .:... <br />.:. ;y: `:::.:. <br />.:><.:.:.'.:.:...: <br />a;A,<# <br /> <br />.. R4E ;; ; <br />~. <br />- <br />. <br /> MEAREMENT " , :~ ` ;' <br />- ~ :v ~ - f <br />~ <br /> : =e: <br /> REEF!! E .. .. . ~.. <br /> ., <br />~ <br />t~i SAMPLE ~ ~ ~ ~' <br /> MEASUREMENT ~i <br />~ ~~ ~ %••i <br /> G , <br />l <br /> PERMIT <br /> REQUIREMENT - ~--" -_--`-- ~ ~ - ... <br />~ ~ ~ <br /> SAMPLE ~ <br /> MEASUREMENT <br /> . PERMIT <br />ja..::.' <br /> REQUIREMENT ~ ~;z~~.;:F'~~~ ~! <br /> SAMPLE ~ •• .. ' <br /> MEASUREMENT <br /> .: PERMIT ~ ~ <br />r~~ <br />~ ~~ ~~ <br />- REQUIREMENT . <br />~, <br />~ ~ ~ .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . <br /> 'REQUIREMENT ~• - <br /> SAMPLE <br /> MEASUREMENT <br /> :PERMIT .:. ~ ~ .. ~ ~ ~ : <br /> 'REQUIREMENT' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDFR PENN.TY OF L <br />AM FAMILIM WITH THE INFO AW THAT 1 HAVE PERSONALLY E%AMINED MD <br />RMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDINDUN.S IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 19 <br />_ iL <br />W• GOrdOn Petare TRUE, ACCl1MTE MD COMKETE. I AM AWME THAT THERE ME <br />SIGNIFICMT PENN <br />TIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ~ /i'~ <br />President b General Rana 8r . <br />, <br />THE POSSIBILITY OF RNE MD IMPNSONMFNT. SEE to U.S.C. E 1001 MD ]] BIONATURE OF PIIINCMAL El(ECUTNE <br /> <br />~ U.S.C. F 1J1a. fP•.Wd.• urMr IMr rlluh• m•Y Y.[AIdI /Yw•W ro lIO,OW <br />TYPED OR <br />PRMYTED erN armuwxnr irpdEanwrr a/bnrrn enanduW 6Yrr•.1 OFFICER OR AUTHORIZED AGENT CODE AR MO Y <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRefarence all etlechmants heal <br />::,:; ~ TOfAL INGN LLF+IT.i A1LL k~ 4AIVF:U, ANU SETTLFABLF. ;GL ICS 171517 AiFLIF~ Fr-R <=l0YHr2UHA PP_°CIP =yF;I;T- <br />~d~: DURDP:N OF PROGF kFUUZRP-!1ENT5 UNDER I.A.3. TDS CORITOAIlC - I.P.3. OIL E 6FFASE - SEF. I.P.1•(U), <br />j0_;lAY_ AYERAGE 7S NTf.f;i+ST f4(]I.T4;tY aVF'Aaf_F 1171piMr DFp7n:1 OcOF'Atcr_ ___ <br />Epp Fam 3320-1 108-961 Prevloue edltlana mey be used. (REPLACES EPA FORM T-0O WHICH MAY NOT BE USED.) G Q C 5 6 / 9 ~ ] 2 I 1-1 6 u E PAGE ?OF L <br />