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PERMITTEE NAME/ADDRESS P.d~d. FmWryNwWfocanm dD~..ad <br />NAME C'YP._,,~. ya'Anq VdL1,:Y '-nqL C'1'?P. <br />ADDRESS~tiTH' i ?,~:3 iltl :i U, ':$`!1`, ?/ <br />91;)'7 ,fir ~T.I-.. aL .. "L.. <br />FACILITY <br />LOCA710N <br />NATIONAL POLLUTANT DISCHMOE ELIMINAPON SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT IDMR1 <br />7-161 117-191 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM _/ ' ~' TO <br />!767/1 l71-731 !74751 !7677/ !1g-791 136311 <br />Form Approved. <br />.. r ., r ~ r .,~., T.)OMB•,No~2040-000,4.; ; <br />t ~- n - T, c „t Approve, expire3 05-31-98 <br />v T ~ .L T _ . <br />:~-• <br />1 <br />NOTE: Reed inetructiom before completlnQ th4 form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING H Grd Onfyl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> !46531 !54611 l38J51 !4653 15461/ <br />EX OF <br />l31-371 MALrSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !67.63! /µ6g1 169-701 <br />~J't.LC "BITTY SAMPLE ••. ,-.. ~ G-":!-b` '.::='.='-:": ( 2]) <br /> MEASUREMENT <br />UUf7 ~'/ ]. ~ PERMIT rt:k~C~R'X 'k .;: Rt#$•:' K *.:.~.` ,. •;: !::x::4:4 q.•nry ~+r ,n~^rr:~". f..; v I/l/ 1 T3I.T ':?."-~ <br />s F.`1,~1:'~ "P^';-. 7aTf1° <br />- .REQUIREMENT ^•:kG4 ^~.T .: r <br />R V <br />n ...., r ., <br />:v <br />r. <br />PN SAMPLE r. C•:T°.' .3:;-r`--:: .. ( ' T~ <br /> MEASUREMENT <br />JU4'JU 1 (` 7 PERMIT G~~x O:- ;:4#x;k ;} . >r•t: ;: 6.7 <br />- ... .-.. <br />... . ,.. . ^,r Lirv l <br />T ~'~R <br />':Ff',~c.'i 'sl`'r V4'.ll: REQUIREMENT :gip ~IF;jr~r vTTq.a - , <br />3JLID:(, D1'PL SAMPLE ., <a' ~::Xar -~{F:'; {:~:°.. ( tp' <br />:U'~PF.iL"~ MEASUREMENT <br />~i'i'17(1 (1 '' PERMIT ._.i,. r.yY nrXY4~' ., kYt~i:,~, ~rn~•. -.r...,- <br />' N~F~ ;VP~~ <br />y.Yu `,~,,. ~+TC '.nt: REQUIREMENT ;: ^.:;: ~. 30r5 ~Yr. ^tTI° <br />`*$ '1?. Mfl'3 N <br />~C2L1D5, :~;'PL SAMPLE ~~=.kF^ .,-:`:F-` '.'::rr,.:%- ( ~~ <br />iq[ip E,t -).: ,. MEASUREMENT <br />JU~30 1 U ,) PERMIT rr?G'kR ?`-#G?c:~ 4 7:k ~,.,:^:t,.r TS 7n ! YC£~ ;!t~' <br />EFF'Lllr^i'" :; F: iiS VP.L9!' REQUIREMENT aaa# 3[1E'n -,V' tlaT(Y `!'( •n :/T, !30;<tTN <br />iOLLDS, .~iTTL~0.'1,1' SAMPLE .. ~tp.a:,`- .~., ...''!": ( 751 <br /> MEASUREMENT <br />1054 J fl ~ PERMIT R+tSG'k4 Gr.RGm, M ;s~=; RRtr,.#~'` ^,cI~FT n.r i NSF/ -RPF <br />iS6 CUN`.;:TTS H°LO~+ REQUIREMENT ~-x# inn. ;n•- •."rTe >,y "f,/(. "i')Y°9 <br />OL S, -iETYLi'.A:iL~' SAMPLE +xG::~: t:!kG1~X ~#vyf': t ~~} <br /> MEASUREMENT <br />)U~'IS 1 0 0 PERMIT aY{:G#'•tCt "-GAG#r G~Z`s TrQ01tx4Q n.. n., ,,. ,rn;,m <br />! <br />N~.I' j <br />: R 4'1 <br />'-~`'LO°NT 17R755 YR LfIF REQUIREMENT ~ n-'.=Fa ~ ~ 71)!}; Tyr. haTTy y~ r. ,, ,, ,n at <br />?f <br /> ., ,. <br />., ` 5h SAMPLE .~~,; a; r'.a-~;~, .. p':...;r ... ,. '•':"- ~ ~ ~~ <br />(LJN E:i !'~!-:,°AV °: ^.'i' MEASUREMEN7 <br />D (1 J~Ih 1~ ~ ;1 PERMIT ~,. ~. .T'F ..GGI%-0I.,: ,, A~k k;k Kt:;r Y`.^- .~'r,:s: •'•:'` 1. t` C 7UTj't 'RR•, <br />E F Y L'J ° :.'( ~ F 7 ; ° 'i F L " ~ REQUIREMENT' *'=;:': <br />'*5': <br />'/r. <br />STNS <br />NAMERITLE PRINCIPAL EXECl1TNE OFFICER I CERTFY UNDER PENALTY OF lAW THAT I HAVE PERSONALLY E%AMINEO MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE <br />Richard A4(Ils MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />BT <br />T <br />R <br />T ~ ' <br /> O <br />AINING THE INFORMATION, I BELIEVE <br />HE SUBMIT <br />ED INFO <br />MATON IS <br />TflUE <br />ACCURATE AND COMPLETE <br />I IINI AWME THAT THERE ME ~, <br />oo <br />FsTVirorme;)tal 'hanager , <br />. <br />SIONIFCMT PFNALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ~ L-/ <br /> , <br />THE POSSIBILITY OF RME MD IMPNSONMENT, SEE 16 U.S.C. ! 1001 MD 33 <br />f 13te <br />U <br />S <br />C <br />fR <br />WS <br />l <br />6 <br />I <br />lw <br />F <br />tIO <br />P00 <br />SIGNATURE OF PIIINCIPAL EXECUTNE q r.~ n-? ~ t a ~ ~ R J ~l <br /> <br />TYPED OR PRINTED , <br />. <br />. <br />. <br />N <br />A ./. <br />.r <br />+w mltmr mFy <br />nc <br />. <br />vwr w ro <br />, <br />.ndwmuim.n irwfemwtr o/Mnrwn6mwNr Andb Ywnl <br />OFFlCER OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS ANU guru+nn I wn vl• wn, vlvLn I Ivno frtererence en srrecnmenrs nerel <br />qL=c'i:r},... LI`.I" c T'^F T;~:, I'OV ni_.,_ <br />r". gv~rL''F?Lr' S?LTDi (L^^ F1t~ tnnLT l"T't T=~ !c ^- . ,T F' >v;.,l,. <br /> , ' <br />lv .~. ~1? ;. ,- T.P.Z, °:. ?i, v!1{ ~i14 D.°9 7F vRnOF D'?;I°`yr+Imc~ r.r. ~ r`. _.-.. .. .. tt_.,. , <br />T^ <br />1N,~.-.v ~; .t •ePIT <br />1 urnr'~..rrd- rn; *Ut~nT~Y "-C"•'TrY ~r4' "/ <br />EPq Form 3320.7 108.951 Prevloue edmone mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 <br />_ <br />_ PAGE OF <br /> ~ <br />~ ,,, <br />~ _ ^ a <br />