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PERMITTEE NAME/ADDRESS pndiAr FwWry NsWfaerlon <br />NAME KERB C]AL ~JIPANY <br />ADDRESS „A R R C, I N E <br />Y.J. HJC 773157 <br />STiA'.P]Ai SPBI9:;i <br />FACILITY <br />LocanoN y A L U t G <br />R; P~.t ..:_liiGC 'J_ VA t'T'F'j„]k <br />.p .w__, <br />~. ~Tr~w~~e;xn•~u!! n9l~Tnwny n~~~. <br />-_--__~_ _ <br />_-- ~__ _ ~.trw~~~~P.~~.~ <br />- _-r- <br />¢i.wr) ,t <br />_ <br />NATVONAL POLLUtANTOISLMMGE DIMINATIO~~'STEM~INPOES/ FOrrq APPFOVed. <br /> DISCHARGE MONITORING REPORT IDMRI <br />a-191 r/7-lsl <br />POND ,:/TRID rf0 CAG~B~r~oAZ=oa~-oooaaR <br /> <br />~DG95003I 007 Approval ex I e%0 -31-98 ~ <br />(SUDR 9Y) i[~~~ <br /> PERMIT NUMBER DISCHMGE NUMBER F - F I FJ A L <br />' <br />`J DI~jY7 _ <br />".INOR <br /> MONITORING PERIOD <br /> YEAR MO DAY YEAR MO DAY <br />.J :1013] FROM it v 7 To YY Ui JL '<~~ NO DI~CHAN~? )R <br />) °`~~ <br />d f I..' r = a _ nmu r~z~sl null vs-~n nasal r3o-3n _ <br />NOTE: Read Imtructiar baton eompbtlnp this form. <br />PARAMETER l3 Ard On/YI QUANTITY OR LOADING !4 Grd Onlvl QUANTITY OR CONCENTRATION ND. FREQUENCY SAMPLE <br /> 146531 (50-911 139-451 /4653 r5I-5/1 <br />EX OF <br />TYPE <br />132-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is1.s31 ~MALrsls <br />194-9e1 rs9-701 <br />r':1 SAMPLE ;=JR.r;t 3+~:F.Z;:: :.ir:: #r,: ( I2) <br /> MEASUREMENT <br />.,.lu„U 1 0 0 PERMIT. : . r~iYlb"J4` ;l:.~ao Y:~a{: 5.5: ~suu~ # 9eD ' F:E1(4Y 'NSTP9 <br />._FF'LUt:Gi !;RJSS VALUE .REQUIREMENT : Xry4p !SI.SIt(J1tl lFAi:.!ltiCl... $0 <br />~ULIDSr ~4:TTLEAHLP, SAMPLE SCF3GRC 8:034: aJa::Y:~ u:tX #."- ( 25) <br /> MEASUREMENT <br /> <br />7~;u5 1 D 0 <br />PERMIT... <br />CO0040 ~aa~araE:. aao saao>a~ ~luao.'ti . 0.5 .. .._ I <br />t:. <br />J E/ RIB .:.~ <br />~FF'LI1ZIi'L :;ROSS VAL'1£ REQUIREMENT pp4a DAtLI :nz nL/L YoN.r~ <br />JIL AND ::iBASE SAMPLE 0704?? r.:~zlg;t{= 4:=Fr.Ra 1:44 44 ( Iq) . <br /> MEASUREMENT <br />JJ~ol 1 0 D PERMIT .:.44714x .YJ°t4 r? +0; +TGIYSsOr rs>r4{t t. IO' ONSIN iRA9 <br />.i F'FLUh; "7f GRJSS YALJF' REQUIREMENT aCCa ~ ~AA'I~LY ?iY R,/L ~F. JTt <br />r LJIJA LN C'ONDl7IP JR SAMPLE ( 03) x~'{:4+~~ +r +={r '+`-fi •. ~4#': <br />:'ri .{U 'rRa4Y KEN :' r+LA~r MEASUREMENT <br />10070 1 ':'~ ) PERMIT ~ ]I?TLJJiAL ~ ~ AEPJRT 00}3{<~ 4;t:=4 G #CtaG'L:~ _ 0'.: {: !i C~/ 'NS ('A:"1 <br />c:FF:,Ui:flT ~yRJS`; VALJ? REQUIREMENT 30DA Alli 'DfiILY !SX RCO v?+{' MJNS!i <br />JIL AND GREASE SAMPLE ::R~{=4a ( 91) .xoa~z=• =:G9 ~'° 4#-3{=~'~° <br />V I~ J A L MEASUREMENT <br />h4UL5 1 0 J PERMIT ?040. ;ix REP3RT Y E~=1 (r R•%;fC=v 4>~4# A #tT#G4YF : r~o{: I H~F./ I5I1AL <br />cF["LUt:tJY ;,ROSS UALt1F. REQUIREMENT ,ENST TAR NC=D ;:4R "FONTS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT - ~ ~ - <br />REQUIREMENT ~ ~~ <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />I <br />M WITH THE INFO <br />F LAW THAT I HAVE PERSONALLY E%AMINED AHD TELEPHONE <br />RMATION SUBMITTED HEREIN; MD BASED ON DATE <br /> AM <br />AM <br />LI <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />Riohard A. Munson OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS / /~ <br /> TRUE, ACCURATE MD COMPLETE. I AM AWME THAT THERE ME <br />INCLWING <br />SE INFOMIATION <br />F r <br />~/ pp~f <br />C <br />4 <br />Vice Presidaft , <br />SIGNIFICANT PENALTIES FOR SUBMITTING <br />AL r, _ I J~ '2} <br />rL1 ~ 1D D5 <br /> THE PoSSIBILITY OF FINE MID IMPRISONMENT. SEE 19 U.S.C. f 1001 MD 33 ~ SIGNATURE OF PIIINCIPAL EXECUTIVE <br /> U.S.D. f 1318. lHNIrN. wWw Taw .anrnw rrrY YcN.de rne. w ro S rD,esD AREA <br />TYPED OR PRINTED erN ermuinun irU+lwrxn.'rt elewweensmmNaW SYwaI OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS rRSrerence sn srrecnmenrs oars/ <br />-~~tCTL£AHLG 3]LIDS LLAIP aAIVED F'OR 1J-YRA 24-1R PbF.CIP ~YC.t.l ~UnJc.:P IO 9URfr'.N ')F Pk~7DF RE~UT.9Et1Ch*5 I'1 <br />PART I.d.1.D, P. ti. Sl'Jkl7~AT2R 99HaGE'7ENT PLA'i DUE 1-1-~9. <br />EPI+ Form 3320-T 108-951 Previous editions may bs used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 0 3 4 9 / 9 7 D d 1 Q- I ? S D PAGE I OF <br />