PERMITTEE NAME/ADDRESS P.d~d. FmWryNwWfocanm dD~..ad
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<br />ADDRESS~tiTH' i ?,~:3 iltl :i U, ':$`!1`, ?/
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<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
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<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
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<br />1054 J fl ~ PERMIT R+tSG'k4 Gr.RGm, M ;s~=; RRtr,.#~'` ^,cI~FT n.r i NSF/ -RPF
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<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
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<br />SIONIFCMT PFNALTIES FOR SUBMITTING FALSE INFORMATION
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<br />THE POSSIBILITY OF RME MD IMPNSONMENT, SEE 16 U.S.C. ! 1001 MD 33
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<br />EPq Form 3320.7 108.951 Prevloue edmone mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1
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