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PERMITTEE NAME/ADDRESS pneb4 FrWryNaw/faeuurUDgrmq NAnoNAL POLiUTMi pBCNMGE ELIMINAn4N SYBTEM INPOfSI <br />NAME K Ek k C D- L C D't P A N Y - ~ ~ DISCHARGE MONITORING REPORT IDA1Rp <br />12-I51 17-191 <br />ADDRESS t1AR'R nINe CDC8500 1 <br />P. 0. d D I. 7 7 3 4 5 7 PERMIT NUMBER DIBCHMOE NUMBER <br />SPcAMBDAT SPRltiri CU 30J17 <br />FACILITY MONITORING PERIOD <br />LOCATION r1ALJtiN CO 9DY k0 FROM Yy~ MO DJY TO YyR Oy DjV <br />A:'ia: .; ti. .]n GP Y. DATPtr:P.,~9_ "T4F M': a. mm~n~.~alr~u51 nbnnng-15113x311 <br />' ~ -~ Form Approved. ~- ' <br />POND F/'PFIB 70 CI~~I^Rel~°j.~F04.R-00.048 I <br />(SDBR N4) PProva C7LLj05~31-98 <br />F - FIXAL <br />nINOk <br />tiro NC DI~C!:A'iGe: ~X_~ tax <br />NOTE: Reed Instruetlane bef«e eompletlnq thin f«m. i <br />PARAMETER 13 Grd Onlrl OUANTfTY OR LOADING !4 Grd Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY <br />' SAMPLE <br /> /46531 154611 /3BJ51 !x653 !54611 <br />EX OF <br />TYPE <br />l32-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 153-s]1 MALYSIS <br />!54881 169-701 <br />Pli SAMPLE 'r:+~. :rR atRCxt 4';: rk .- ( 'L ~) <br /> MEASUREMENT <br />DUJJJ 1 D U ~ :PERMIT . tORpxO xx~.a#a~ ~ xr'=x 5: S' >syli=r: # 9:D ~~ .~ ~-' ~$.~.&b:Y I~~~ <br />S~IT~D <br />cFrLJF:Nf SRJ55 YALUE ~REQUIREMENT. ~: ~~~ ~ ~~ ~ #*A7r y~[N~llUn.~ .~ ~ ~~ ~ R~AYIIJ ~CI~~ SO ~ . , <br />r~ <br />. <br />SJLLU:iF SLTPLEAdLB SAMPLE ;.taxax RxRxx# aVrG',Ftt ;irt# #t ( 25) <br /> MEASUREMENT <br />JU~4i I D U ~; :.PERMIT.. .x#C~'~'.OS #:~~~: :.. ~: R[FLt.~F ¢:#~~. #,yD ._. Li~.OyR+}4 ::. : .. i4dk~ ~~. D:q. S~...... .~.:~~:~ ~. C.E~/~ <br />: ~~~Ifi~ <br />GtFLU::t1'f SRD35 VAL'JE ;REnuJREAAENT '. ' #ttt DAI 1' ?i_ nL L `` . <br />`)lOxtl!' :. <br />UIL AMU (: ti°ASE SAMPLE txOFaPa h'vx4xn S-i~ir:=TC tft# #t ( 19) <br /> MEASUREMENT <br />J35d2 I 0 0 PERMIT 4'9+RRRx +%#:Y 9r 913 #tt taxxrx ;:#n# # : la C ONTIN :RAB <br />tFt'LUENP uBD55 VALUE REQUIREMENT %r .'tx ~ DAILY I'S 7( hi/L ~ofiPZ' <br />e'L,lli, IS DNDUIi UR sAMPLE ( 03) 4<=ru#:: -.::# ttt •-.Yt::'% <br />f H:~iU 7HF.pTI'IEaT PLA.+If MEASUREMENT <br />~OUSD I <br />5Q.'. <br />ya PERMIT PrIDNAL REPJf.I xv;rfj.34 #i; +:R # t'S-k9tis# r +;:.',::` S 11i.F/ ~li$jAli <br />~, <br />,,1L <br />ISFF'LUBYI!gI. ~S iIALUr: REQUIREMENT 3UUA dVv DALLY KX n^,D ;°;te} n7tiTk <br />JIL AND G SP SAMPLE :+?3GO ( ~1) ?~3RL~#+. YYS tt t~ii;~-:;'.` <br />Y I S U A L MEASUREMENT <br />U4UD6 L 0 J PERMIT t+=C10~ff ~ ~:•::.RBAz?.Hr~ I ES=1 a#x:~fr CT ;: 51'f x4~ # ~~ni<91sf9r it = r'; r: t .H~E/ 'I$1AL <br />::Fr'LU°!iI GRDS ~ VALUE fiEQU1REMENT :~.N$I'':tIAX NOzD ~`~;~.`• *DN?8 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ .~ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT .: ~ ~ .. <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cean <br />FA FV UNDER vENUTr DF <br />MILIM WITH TXE INFO uw THAT 1 NAVE RERBONALLr ExAMweD MD <br />RMATION SUBMITTED NEREIN; AND BASED ON - _- TELEPHONE DATE <br /> AM <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY REBPON4BLE FOR / <br />) <br />4i_~n <br />Richard A. IIMU <br />OBTNMINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IB <br />T <br />E ME ~~ <br />/ <br />~ <br />/ / <br /> HER <br />TRUE, ACCUMTE MO COMRETE. 1 AM AWME THAT <br />INCLUDING <br />BMITTING FALSE INFORMATION ( <br />_ <br />' n nt <br />~O Q2}$721 M <br />77 <br />ID <br />DS <br />Vice Praaitiaat , <br />SIGNIFICMT PENALTEB FOR SU <br />THE POSSIBILITY OF RNE AND IMP11150NMENT. BEE 18 U.S.C. ! tOQt MD ]] ~ ~ <br />/SIGNATURE OF PRINGPAL EXECUTIVE <br /> <br />TYPED OR PRINTED U.B.C. ! t ]ts. lAHrreM1r utdr ews mtvna nlrY i¢prdF hlra ~ ro t 1G,000 <br />.td ormv:.wnlnwlsmwtr or e.rw«nsromdu.nes Yrral <br />OFFICER OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA( IONS lMSrersncs en artecnmenrs nsrel <br />S~TTLEAbLE SOLIUS LIri[' wdIVEU POR LU-YRF 24-HR PREC[P EYEI.i iUuJEl,f IO AIIRDEN OF PROOF RF,OUIRF.SEt:TS IN <br />PA~tT I.tl.1.UF P. 6. SlDrin~'ATfR nRNA:,t'7ENT ~ LAN DUE 1-1-79. <br />EPA Fqrm 3320-1 108-961 Previous editions mey be used. (REPLACES EPA FORM T40 WNICN MAY NOT BE USED.1 0 3 2 9 / 9 7 0 319-1 2 5't PAGE I OF <br />