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PERMITTEE NAME/ADDRESS BMiL FmdlryN~/Lec•Nm UDd4.•.p <br />NAME (,fr'K V'i ~Mt'1K~_ LUr F'UKaT I~+lr <br />ADDRESS N L JLX l.G <br />~ftkatc, i:o alcz6 <br />_ ~' <br />FACIrITV CYPnUS tHl'Ii:E CU+tI'UnaT1l;N <br />LOCATIONLjtHlu (, lI b1bL5 <br />~7 frv M[.:HAFT 1 li(;l liw. Gt vFkAt Nfk <br />NATIONK POLLUTMT DISCNMOE ELIMINATON 9rSTEM (NPDE$I <br />DISCHARGE MONITORING REPORTPORT D~ <br />3-181 17-191 <br />' 4 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAY <br />FROM - TO y <br />U6 r ~ J31 l14J51 /J5-J71 l18-I9/ l3P311 <br />Form Approved. <br />_.. :. ;' l .t _ (:.J +r i LOtu~g11i10~2440.0004~. <br />kpprava axplise 06-31 ~8 <br />~U uti iv .T •L3~t <br />F FINAL <br />MIM1Ok <br />iav~f Nu Ji ~~nArtvF 6#a <br />NOTE: Reed lnstrue0me before a pbtlnp tbb form. <br />PARAMETER l3 ON Onlrl QUANTITY RLOADING~ ~ 11 Ord OnlYl QUANTITY ORCONCENTRATION N0. FREQUENCY SAMPLE <br /> 116531 1545/ (38-15 '- H5-53 1545/ <br />EX OF <br />MALr515 <br />TYPE <br />l3Z-371 AVERAGE ~~MAXIMUNI UNIT$ MINIMUM AVERAGE MAXIMUM UNIT$ reJ-sal /54551 153.701 <br />~LLI~S, Tt,TAL SAMPLE 4+b#### •bfi##r #####f 1 l <br />u1SjtJLVtu MEASUREMENT <br />f (:L')~7 1 U 0 PEAMI.T. .'.. <br />~,; :~:~~)Yi!'f'(r'.~!~1~ ~~ :~~ ...r]!$!1>tlf}# ##+~ ~ tb r~+rl~r~;~.:;: ~::.~:1+;:~'~'C1~T:: {i~~: ~'t~~1`l>1I.. ~ ~~. ~~~'^: ~: Y.~~ .:t;a G. <br /> <br />.FhLUtN ~k SS V LUt . <br />REQUIpEMEN7~ <br />.... <br />~ ~. .. ~:. . ##v# .. ~;''..,.'.G":;:'°~ii:,: ::~. ...j~..r~~~~.. <br /> SAMPLE ~ ' <br /> MEASUREMENT ~~ <br /> ~. ;;' PE .MIT..; <br />, <br />,~ <br />~ .. <br />.. <br />. .. <br /> <br />REQUIREMENT' . <br />~ <br />:.:. <br />...,. <br />.:: <br />.. <br />,. <br />:V :.. <br />3: <br /> $AMPIE <br /> MEASUREMENT <br /> ~.:PERMIT~ ~ ~ ~ :..:.;:.;:.:r": <br /> <br />.REQUIREMENT: ». <br />.. ~ <br />::~':<y ;.'. . <br /> SAMPLE <br /> MEASUREMENT <br /> .. PERMIT ~~ . ~ ~ : „ : :;.;: .;.. <br />~ <br /> Ii~EnUIREMENT ~ ~ ;; <br />~" . <br /> ; . <br />: <br /> ~. SgMPIE <br /> MEASUREMENT <br /> <br /> F~EQUIREMENT' ~. ~~ ~ <br />;. . . <br />..'~`. ':~" ~~ <br /> <br />~... <br /> SAMPLE ~ ~ ~ ' <br /> MEASUREMENT <br /> h: .. <br />.. n. ...:: <br />... •:: <br />. . <br /> :REQUIREMENT: ~ :; . .:...::~: .:.i:: .~:~y;. ... <br />:.:.: <br />.., <br /> <br /> <br />; <br /> <br />, <br />~ ~. <br />,.:w~ <br />~• ...:. ..... ... ,... :.... .. <br />.. <br /> SAMPLE <br /> MEASUREMENT <br />PERiMIT,..:.:~..~ ~ .. .~. .: ~ .. ~': <br />~.::~ :.,~,.~~: <br />. <br />... ....... :...:::...:.: .: . <br />~ :,.. <br /> <br />.... ~ <br />:RE UI ~EM <br />;:: ~; <br />.;. ~ :~ <br />g ~ ~ ENT; : <br />~ ~ ~ <br />~ <br />'' <br />. <br />,~ <br />.... <br />. <br />t <br />:. <br />. <br />~... ... ....::... e.: ,::.:::::. ~.. .:~..: ..,.:... .: <br />~ .. .: <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER' I cERTFr UNDER PENKTr of uw TNAT I NAVE PEnsoNAµv ExAMINED MD ~ TEIEPHfiNE DATE <br />AM FAMILIM WITH TIE INFORMATION SUBMITTED HEREIN: MD BASED ON <br />Mr INQUIRY OF THOSE INpIVIDUAL9 IMMEDIATELr RESPONSIBLE FOR f <br />~ <br />~ <br />~ <br />r, <br /> <br />r.. <br />I I'(1 MIII$ OBTAINING THE INFORMATION, I eEUEVE THE SUBMITTED INFORMATON IS ., <br />~// <br />J <br />/ <br />1' <br />ICTT <br />~~ <br />L1 <br />. <br />a <br />I <br />TRUE, ACCURATE ANO COMME7E. 1 AWME 7NAi THERE ME <br />/~~ <br />r- SIONIFCMT PENALTIES FOR SUBMITTING FALSE INFORMATON. INCLUDING ~ ~ (oryQ 8]Q-~]IZ <br />e <br />i <br />l ~ <br />11 ~ (? <br />.:ali~c; <br />~nv <br />rcnrnenta <br />r iNEPOSSIBILITYOFRNEMDIMP11150NMENT. SEEIBU.S.C.11001MD9a <br />CUTIVE <br /> t rate. lMWd•• uld•r N•r• ,awn• m•r IxAN• IMw• w ro f ro,GDB <br />c <br />u <br />s SIGNATURE OF PIIINgPAL EXE <br />TYPED OR PRINTED . <br />. <br />. <br />•M wmulnwnErlp.iswn•m oIMMwM animCU rNSr•ral OFFICER OR AIFFNORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION Oh ANr vIVLA I IUNS IFre/erenee a/i srrscnmsnrs nsrsl <br />rLuw LlIMIi Ar'PLits I,. L.LvC(ht0 hLun Frt~o-l U:,'3F OL[ L .024. .,TL- ~ U~cASt Vi2AO SaMPLr. 0.`iALY5I5 :<L'a.,l1c~ it~ <br />YI~loLt ~HctN IS L!nSchYtU. v;r~TrtLY ~AMI'L1~tiU lySi~I,CTIL;i~S-I.i:.ur tai; A. - <br />EPA Form 3320-1 108.961 Previous editions mey be used. /REPLACES EPA FORM T~0 WHICH MAY NOT BE USEO.1 U V U LL. /'~ O 1 U U 1 ~ 1 S I 1 PAGE . OF <br />