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f <br />r• <br />PERMITTEE NAME/ADDRESS p.a:m frYlryNwr./Lecana dDlO.nm) <br />NAME CvusU~ '71"!'•t Y~LL~4 '7AL ~)rP. <br />AD+4ClESS I`•7 '!:7 }, ~r1 cn,,.l:u~ _p.t,~ r-: <br />~l,IS r:t:'r •II+1 `-rpL ~T;r_Lo <br />FACILITY <br />LOGTION <br />NATIONAL POLLUTANT DISCNMGE ELIMINATION SYSTEM /NPDESI <br />DISCHARGE MONITORING REPORT IDMR1 <br />!1-l61 17-I91 <br />C 77:.7177 ~~~ v <br />PERMIT NUMBER DISCNMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM - - ~ TO ~' ., '.. <br />!]0.]!1 !]]-031 !]6]51 OR-]]I /]R-001 !3!}.?rl <br />Fonn Approved. <br />^ •+ ;, ..., r r :~ m ~ - ~ TOMB No:.2040-0OO~R <br />(" n ~ ^ rl,^ T~ Approval expires OS-31.98 <br />r. _ cTecT 1 <br />. _ ~ ,., ., <br />L~ <br />i <br />NOTE: Reed irntructloru belorereompletinp this corm. <br />PARAMETER !3 Grd Ontyl GUANTRY OR LOADING !1 G.d Onlvl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> !4653 (5461) l3Bd51 116-631 154-611 GF <br />132-371 EX <br />ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 1E]-691 (54-5g1 169-701 <br />:.: e~•~r .r,•;-r:, lnar SAMPLE r, ..77 »Fi:»^': <br />:`y}- C ~_ •. -;~;, ,._ p'i `. * q MEASUREMENT <br />ZC.1:,. ., 0 7 PERMIT ...~":F :z:kfi~C,- -.. 3f'""7L'I' ~..qFx-._ ~......~., ,_ I a•Y <br />'T i. n <br />.7'! <br />'i :::; CIjP;' S tt TL~'A REQUIREMENT GIfi!:c11ryh <br />I <br />' F.FFEC', .i: 4T3': TDnY SAMPLE i=S#~p? .i ~~:;: >::;: :... ., ~ -`7~ <br />H' C° l T 7;' 6 P'1 ^ I' MEASUREMENT <br />I'CI' 3;1 . U U 'PERMIT. ':¢ik rF'k 'f s`-h,~„•»:~•v,= v : .. a ^P()'--'." ;tt+,t•y••: `'-- r ;T NLY 'Qr^:1'- <br />i?E Cf)": ;,-}T: qc[,~p REQUIREMENT - vy ytT''"' r'. :• <br />CFPLCT 3i'P~:' 7riaY SAMPLE .. ~'t»;: ;; ~~~t•: '. •.. ,,-i-1; ~ -. ~~ <br />~ilN ?I° ~ Nt! 1L?S MEASUREMENT <br />1'r_PhC - U '1 PERMIT *.ta'f :t:f .,•Or Y•:' . ~ ~ ^P7',T ... -.'•': ;" - T?I <br />Y ..T„ ;1 <br />SCE CD^. :STi ~i'L7d REQUIREMENT r.Y » ~I ~r~.•.n ~, . <br />'FF`_r -iTA TN' 7D4v SAMPLE '.a ;:4 ;r»;L r,-»»t::;r r: ~: ;y -:..:' -• ( ~~~ <br />mil Fl PIS-~y?L'.c MEASUREMENT <br /> <br />1'C'P~~C U 7 PERMIT ,..:`5»:k •':al>rtr:~r,~ r C':t pp •+^ <br />~ <br />32~ CO."I "1 9'TS F'L'1': REQUIREMENT .;:t 'T 'I q~T"v . .rT <br />fOIICi^Y, SAMPLE ~:aa;:»h .-»'7~w.~ ;,::;:;:: <br />{ - ~? <br />~esloe~P(r:re ~;{s'ONT. MEASUREMENT <br />lnjfl P U I? PERMIT +=YX>k Xp ,I:fivR%r ~+ {c',-:: DnT,nn•n „~~.x±_;. ::::}r,-:t:': r T <br />iE6 CDR ^1P.HTS P°LJd REQUIREMENT : r:};: ;I YI'^,E.r*~ TOY"" ' <br />T ICITYf SAMPLE .»,'t4D3 r:~',`-": :'s :':fos;.,:,, :: +. ~.,. ~... <br />( 2G) <br />-~: UI ODAPHN (!1 'y 37 NIC MEASUREMENT <br />-11126 ~ U (# ~ PERMIT ~ OfiP#.L~4 r;t44m^.• : :t:t^ 5 ^tinnT ~: :}:4^,: i,-°- '.`-tS ~t4# ( :s :,nHr m•. T <br />!' '(tid P7'; <br />~',$ CO"'vYUTS r5L0y REQUIREMENT .. ';~ Y.S i,!'~ . <br />C'JA t, 1't, SAMPLE .. ~.-.. ~s.,,y.....; .,: <br />PI`IBPHALt:S ~H?7NTC MEASUREMENT ~ <br />J1'11.H U PERMIT 'X,....~ ,.»C-^ # ,^. r ^pQnr <br />4 •!.:;r:;: <br />~ <br />.- `>G'}: f <br />:I' `,r <br />YPr v <br />•.t .e p7• <br />.. .'0• .I ~.... _ "!'L]9 REQUIREMENT ~ ..c ,r .. <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENILLTY OF LAW THAT I HAVE PERSONALLY E%AMINED MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HER <br />MD r TELEPHONE DATE <br /> EIN: <br />BASED ON ^ J <br /> <br />~~[I,i]I'(j iY~I I(5 MY INOUIgY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE <br />ACCURATE MD COMRETE <br />I AM <br />WME <br />T r/ , <br /> <br />1 <br />~ / <br />` <br />/ // ~ <br />(~/ <br />A <br />I_nvironnental ~ wager . <br />. <br />A <br />THA <br />THERE ME <br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING , <br />/ <br />±/ <br />/ <br />' '" •" ~'~ <br />~ ~" <br />9i~ ~ ~ n-~? ~ ~ <br />~ <br />~~ <br />~~ <br /> , <br />THE POSSIBILITY OF RNE MO IMPNSONMENT. SEE 1B U.S.C. 1 1001 MD 3B _ <br />610NATURE O <br /> <br /> <br />TYPED OR PRINTED <br />0.5.0. f 1]10. flbWtla uWA. eMw mllm. rnrT I:trAiW fn.a tp ro f IO,OW <br />A'M <br />i <br />l <br />l F PRINCIPAL EXECUTNE <br />AREA <br /> nmu <br />,W <br />nun <br />wmw,r efaw.«,e„Q:sm,.lwsr..R/ OFFICER Oq AUTHORIZED ADENT CODE NUMBER YEAR MO DAY <br />., <br />: <br />::-• .. .o <br />, <br />_. <br />_ <br />~ <br />r <br />u <br />l <br />i.F'.U <br />,~:SI ^,n .,cpp,Trc~ vCf"Tr,. <br />91'P RT I NF; ',° f Y <br />i)LT~ <br />FL11,dP , <br />F <br />L^.y <br />AL?+'v U^':r7~ +r. ~ .~.,..~. <br />e.Y +t'I^.r ~TF^'iSrir'ESLvc ~"-;: .T;. <br />f~ - --•- ,~ <br /> <br />:. .,. ~, <br />- r: .. _T -. ,„ <br />I~:r~ -~:-;^ ^~nr w,-w. oe+• T--7q ,rCT N- TtrP ^lr.c n.,n T1,._I ~n,. _ ._ <br />EPA Form 3320.1 108 851 Prevloue edmonB may be used. (REPLACES EPA FORM TaiO WHICH MAY NOT BE USED.( ~ ~ ~ ~ _ f,, , „ ~ ` ~ ~ ~ PAGE I , OF <br />