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PERMrTTEE NAME/ADDRESS nndid.fae+bryNaw/laau« IJDjQr.mr) NATIONAL POLLUTMT DISCHMOE ELIMINATION SYSTEM 7NPDESI Form Approved. <br />NAME ~ DISCHARGE MONYi ORiNG REPORT IDMRI ~, Q No, 20 -0004 <br />(,Y;~nL.S thI'i^:~ C~kI LKaT1uN n-/el r;~asl _r 7•i.+._ ~ T_ ~ ~q.,..~ °'P <br />ADDRESS N !:~ „~, )t b„ ~ ~~ ~ PProvel expveii 05=31-98 <br />JU bI< .YM ~~4-' <br />T lItJ1 L ~ GU tlIoL6 PERMIT NUMBER. ascNMGENUr6BEp r - F I i.HL <br />MONITpRIHG PI~D M 1 V J n <br />FACILI <br />; <br />• <br />~T <br />CYP.~tuS E~MPI~et CUkPLJKaI IGN <br />YE MO DAV - ~ VEAR MO DAY <br />~ Y <br />LOCATION <br />CKAIu CU 51625 'FROM 1 U ;~' 8 03 31 {",.ir hi, Iii~ChAK~~ M+'<' <br />aTTR M[i;hAEL W. LUULL'Ha VEN Kf4L ML~lI d74;t1.772-231 f7t75/ !76.27/ f2e-2Sl f3a3r/ NOTE: Reedimwetiorobefo eompletinpthbform. <br />.: PARAMSfE{L l3'6rd onlpl OW, <br />~ ~NTITY ~ n/yl UANTITY OR CONCENTRATION N0, FREOUENLY SAMPLE <br />77~' ., <br />/32-3 <br />a <br />~ ~ <br />~ q b3) ~ <br />~ l5<-61 ~' <br />~ <br />' -151 14531 l5aefl EX °F <br />s TYPE <br />, <br />• <br />r .AVE E - ~ r. rMAX~INIUM . NIT `~ tNIMUM AVERAGE MAXIMUM UNITS s2-611 ~6el f69-]Ol <br />., tL ahU GREG r sn .:• #fllif+~* q #~r##M>.• .. , ..«• ;. :•+~#.• <br /> <br />„~ <br />Y L~L,AL - MEASIJREfylEtll`1' ~,.,. ~~ <br /> <br />. <br />ov~b0 1 U"~.~'1 ~~5;.~~.?~Rls!.{~r:; ~ . <br />:...•' ~ ~::;.":.'; ~ <br />:':.: <br />~::~:`~ <br />:~~~~+~ .~ i 111 <br />ldl~!IF.' <br />~` <br />>:: ~:.'~:4*iI$O':~. <br />' ~~.~~s~M#41yt~#: ~ r<tl~: l+iGtl. ~I~Uii.t <br />ttt-LJchT VituJS VALI}t REOlIItfiEA/~ .~ >. ~;. . ,. ,.. ._ <br />. <br />. <br />: <br />~ U . <br />. <br />. <br />i;:;'~~, . <br />: <br />~ ~ ~ ~..: (:##tir <br /> SAMPLE <br /> MEASUREMENT <br />.. ~'' <br /> ::. ~:r'~:;PERMIT:...;a : ,.,.. <br />~ ~ .. ~ ::. 4. <br />` <br />t ;..:. <br />~ . <br /> UIEIEMEF4T> <br />:REO : ~ ' ~ <br />; <br />, <br />: ~ ~ ~ <br />::: ~ . <br /> , <br />..,... ~: ....: . <br />. <br />~:. ~>:: ... .. y,., . .. <br />~: ~ .. '. : ~ ..: <br />. °'n. <br /> SAMPLE ~ f, <br /> MEASUREMENT <br /> <br />' <br />REPbIREMEfr%! <br />::, . ~ ~: <br />.i „ k ~ ~ <br />~ ^:'.: -~:. <br /> SAMPLE, . ' "'~~ <br />. ~ MEASUREMENT ~ '~ "~ ?~ <br />,~. •.:. <br /> <br /> ;F~IIt11FiEMENT? <br />,., <br /> <br />.... <br /> <br /><: <br />...::....r <br /> <br /> <br />::...~... <br /> <br />. <br /> SAMPLE; <br />~..~ MEASUREMENT <br /> <br /> • ,, ... <br /> SAMPLE. <br /> MEASCUtEN1ENT <br /> ,. <br />:.. ~ .. <br />~. <br />. <br />:: <br /> <br />: <br /> :. <br />~A~~l]11IiiAM~Nt? . <br />..: . . , <br />,... . <br />.... <br /> ~~,~~ SAMPLE" <br /> MEASGT7EMENT <br /> r- :. <br />,- <br /> <br />: <br /> <br />> <br /> <br />,:: <br />:,,: . <br />NAMElTITLE PRINCIKAf,EXECUTIVEOFFICER IcERn <br />A Fr UNDER PENALTY dF <br />MIDM WIM THE <br />NFO LAwxNArINAVE PERSO <br />ppMMA <br />ON SUB <br />TTED N NILLLY ExAMIN <br />ERDN <br />MD BA ED MD <br />SED ON ~ TELEPHONE DATE <br />_ I1 <br />: <br />I <br />M ~A <br />MI <br />MV INOIMflY OF THOSE INQLUI UAlS IMMEDIATELY REBPON4B LE FOR <br />.,I ~ <br />RIChaYCI MIIIS OBTAININD .THE INFORMATION, I BELfEV~ THE SUBMIFfm INFORMA <br />TRUF.ACCURATE AND COMPLETE. 4 AM AWMf THAT THE <br />IN <br />IGNIRCAMT PENALTI 9 FOR SUBMITTINp FALSF INFOflMAiION TION IS <br />RE ME <br />CLWING <br /> <br />1 <br />l <br /> <br />E IIVIYOf1Me11t8I M8fli) Y .. <br />S <br />iMEPOSSIBIUTY OF fME AND IMPRISONMENT. SEE Ie.U.S.C.l 1001 <br />AND 3x <br />I( <br />CIP <br />T <br />RE OF PR <br />L E <br />ECU <br />NE E.I7 <br />\\ 870_27 <br />/ 4 27 9(Z <br /> <br />TYPED OR PRINTED u.s.e. f Isla. rFwvm'.. u,v.. 6rw mane mry rncxd. 6«s w ro T IO,000 <br />.ndamu'imn iro+ism+r+r e/brw«n 6moneY. rM6 y«nl B <br />LNA <br />U <br />IN <br />A <br />7f <br />f <br />OFFICER OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAV <br />COMMENTS AND EXPLANATION OF aNY v1oLA7 wrvs /Reverence sn errecnmenrs nave/ <br />,tTTLcADLt SJLILS LIMIT wAjVtU fUK IOY12F24TiF{ P12Ei:IP tVcs+T-Ste i.A.it Pv IYa FU*; KEvtUTREMEhTS. u1L v <br />„R~aSc uxAd SAM/Lt AfvALYSIS RE6UIktJ IF VISIULE SHELh IS iiri~LKVEU. vkTdLY ~AMPL[NG INSTRUCTlL;i+x-1.:..0. <br />EP Form 3320-T LOB-95) Previous editions may be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 ~ ~ 3 bS! 961 U01' 1311 PAGE I OF <br /> <br />