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~ - ~ - , PERMITTEE NAME/ADDRESS (TrV4 irwryNw'L•culon dDlC.m9 ~ ' f' -~ N~Y101•AL P6l1uiM7blscHMOE EOMMATION SYSTEM (NPDE~7 ~ Approved. •`onn NAME K E k l: ~) A L ~) ! P A N Y ~ -- ~ DISCHARGE MONITORING REPORT IOMR) 7161 I7-191 PJMD A/TRIB B No 0 0004 ?o caRBAa,.A~ ^4-~. r,R ADDRESS FI A K ri M t ;i ;. )„950037 UO (SUBR P4) Approve a qu a OS-31-9& ~~`•~ Y. 0. H 0% 7 1 3 4 5 7 PERMIT NUMRER DISCHMGE NUMBER F- FINAL __ S T E .1 r. H D P. P 5; 1; I u 3 S C O 9 U J 7 7 f1 I X,^, k FACILITY MONITORING PERIOD YEAR MO DAY YEAR MO DAY LOCATIONy AL"U b.N ^-, 9C118U FROM Y U J TO `ld Js 3 4~+%' NCi JI SC F'A HG F. ) JCx) '•"~ j :' I' :+ 7 G L J' ~ `- Y • P A T' E R ~ Ij , ! I N E R 3 R . l?4711 177-131 174-751 176-771 178-791 13431) NOTE: RNd Instruetlons bdon CompMtinp thu form. PARAMETER !3 a.d OnlYl QUANTTTY OR LOADING !4 Grd Onryl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE . !46531 15x6/ /38x51 146-631 164-61/ X OF 137-371 E MALrsls TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 117~s.T/ 161-681 169-701 t'H SAMPLE L:~Xr ~': F:•ORr# ::'fit: L:4 ( 12) MEASUREMENT :ivJ JU 1 0~ J ~PERMIT'~~: .. 4:%~AI Glx.O ~4GS%?43 ~ 4':4~ rJa rJ. 4'Yf+~ 'A Q,() :: 'E°. (C I.Y .NStTJ c[ ~ L'Jd"IT GR:lS~ YALUE .REQUIREMEN7 ~ ~ x040 ~~?I I~311 P4i311 ~.. t1 A~1S IlFU H..: Sl[ ~./LLU3, :.E:TLLF:A3LE SAMPLE GDrR4 4CR:s4 /AYvs^•4~ 44'k :iG ( 25) . MEASUREMENT vr~rJJ 1 U D : ~:::.: PERMIT.'.. .. 40t 010d.~~ ; '~~::~40tICROtAI. ~. 444 CgPk:kX~tk ~ $0141C:~Y~. 'Q'*,°~ ~. .~ ::.:' :;. ~~".F/:.~ ~R:~I1 ~r"t'LJENT GR)SS YALUE REQUIREMENT. <...::. .' : :'..?..:;. pip Lr rtx r,L/L Iyo14tN ::.::...:. :IIL ANU .^.itEASE SAMPLE 40G4GR 4a0Pa; as4a.::.:~ 4r~+ 'k0 { 19) MEASUREMENT ~~ :.f S:i2 1 0 D ~~ PERMIT 0p443p~ 04.x ~I~C4 :'4r. P40 ~.::. ;/%-t'••# 4 1,6 ~~ ~ I '{)tST I~N ~R.A~9 !'FLUENT G1Z046 YALUE REQUIREMENT A4t;r N DAII:Y .Y M:,/L ,~I:t ...%~, IM CDMDDirT 7R SAMPLE ( O1) ~, .-, :;+: ~. ~:+#4:4# i:i ilJ TREATlIE~~T' PLA.'.T MEASUREMENT .,UJSD I D D ~~ ;:PERAAIT PTIJNAL RCNORt 6F#V+t~:: C44fi 4 ~ Or3;.p4#~ I nCrt r 4CF/ 'NjjAN ::FE'LUENT GR73; VSLJP REqul"ENT 3UOA AYG DAILY NZ HGD +:~"':'` , "10NT@ 1L AND Gk&A i'. S9 PLE ter:+54 ( 7q) ,,,.. ,.. .C4 i:g r,->~Y;T :}Yf Y 1 :, U A L MEASUREMENT i4Uib 1 0 ) PERMIT .... 05`¢'31x91- . . .BEP.O~IT ~ ES=1 64aaS<=< <oY:~ 17: 44:i±+Gr4't < .~::?I: N;,F./ ItS',7AL i,FF'LUENT ~R)~~ VALUE <?EQUIREMENT~ ~.: ~ ~ ~ <I6ISr ..lS.i1X N0=0 ' 4*'k v "4DNTN - SAMPLE MEASUREMENT PERMIT~~~~ ~ ~ ' REQUIREMENT SAMPLE MEASUREMENT PERMIT ~ .. REQUIREMENT ~ ~. NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSONALLY E%AMINED MD , ^~ TELEPHONE DATE AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR Riohard A. MUf160II OBTNNINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 19 , j TRVE, ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME , SIGNIFCMT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING ?+y LSi ~ ~ '~~ [Yf Yioe President , SEE 1B U E PO BI ITY OF RNE MD IMPIIISONMENT S C f 1001 MD 7J' T S r 723-47u I r ! 77 1D OS . . . . H S I L SIGNATURE OF PRINGPAL EXECUTNE U.S.C. E 1710. lh+reM• Indr rMw mnrt•. m•E M¢Aw rn,• w ro 510,000 AREA TYPED OR PRINTED .osrnNUinun ArrArr'a~nwlr a/M+r•rlenNnNa.M6P•ra/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAy COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erenee Be eftecnments nrre/ ;EtTLEAdLG SOLIil3 LL'"I: wAIYCU FOR LO-YR, 2'1-tIR PRECLP EY3H1' J:it.JL:.T' 1'0 BURDBY OF °ROOF RE~UIitE'lfilt: IN rAdT I.O. 1. U, P. 'i. ~°5?~'M4:Eti ~1A9A"E:1"r:N*. PLA'1 DUE 1-1-79. EP/A Form 3320-1 106-95) Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) U 2 2 9 / 9 ~') 819 -1 7 ~ O PAGE 1 OF