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PERMITTEE NAMFFJADDRESS (include Faeillry Nmne/Location iJDi$ecrnq Nq
<br />NAME COLUYTO CDAL CCMF'9'tT L. P.
<br />ADDRESS~OLOi1T0 N;NE:
<br />5731 STRTE:IfI6NYAY 13 "~"~"~~`
<br />FACILITY i'Sr EKBR ~ ~ CO A154L ~ '
<br />LOCATION ~. ~~,
<br />FROM
<br />ATTN: J. D. HAPt;ON_ r.Flrf~Ie t,AMar.vv
<br />E MON TORING REPORT (DMR; ~ DES)
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<br />ABER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />Fomi Approvetl. ~ ° g
<br />^' 7 M (? R OMB No. 2040-0004
<br />Approval expires OS-31-98~
<br />(SOAR NY)
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<br />' (3 Certl Ony) QUANTITY OR LOADING x j(4'C`eid'Onty) QUANTITY OR CONCENTRATION
<br />~ NO. FREOUENC SAMPLE
<br />PARAMETER (46-53) (54-Bf) ; _ ;~ ' (38<5) (48-53) (54-61J EX OF TYPE
<br />(32J7) AVERAGE MAXIMUM UNITS MINIMUM ;. AVERAGE MAXIMUM UNITS (64d3) ~~ g15 69-70
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<br />SOLIDS, TOTAL SAMPLE O#~',~~'-' #~:=A'v# ##09~# `
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<br />SUSPENDED MEASUREMENT ,.
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<br />00530 1 C 0 ~, FERMIrx +~+
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<br />OIL AND GNP_ASP, SAMPLE ~+~#m=: ####s~k R#i#!:a sa~4b:#a ( 191
<br />FREON r7(Tk-GRAY rETA MEASUREMENT
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<br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I CERTI
<br />AM FAM FY UNDER PENALTY OF
<br />ILIAR WfrH THE INFORM LAW THAT I HAVE PERSO
<br />ATI
<br />N SUB NALLY E%AMINEO AND ~ TELEPHONE DATE
<br />
<br />INQUIRY OF THOSE INDNIDUAL O
<br />MITTED HEREIN; AND &ISED ON MY
<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br /> THE INFORMATION. I BELIEV
<br />ACCURATE AND COMPLETE. E THE SUBMRTED INFORMATION IS TRUE,
<br />I AM AWARE THAT THERE ARE SIGNIFICANT
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<br />J , 1l. N f yhA PENALTIES FOR SUBMITTIN
<br />POSSIBILITY OF FINE AND IMPRI G FALSE INFORMATION, INCLUDING THE
<br />SONMENT. SEE 18 U.S.C. ¢ 1001 AND 33 U.B.C. /~ ~{
<br />SI LIRE OF PRINCIPAL EXECUTNE "1 ~!~ Y~ ~S I /~
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<br />TYPED OR PRINTED 4 1318. (POnBMias under Ihese s
<br />maximum impdsonmenrofbenvee mtutes mey inolutle fines up fo 310,000 rntl or
<br />nBmorrths end5yesrsJ ~~•! ~ ICER OR AlliHORlZED AGENT
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />.. ~.~~~. ~ ~ w... Un~r,. ~ wlv yr w.. vl~l~ l lurva (nererance arf arracnmenrs nere)
<br />SETTLBABLE SOLIDS LIMIT APbLIES OBLY IF <= 10~TR
<br />Y~pD, TSS E IRON LIMI75 PILL AOT AE APPLIED TO R
<br />N.B PfIP,CIP P.Y£!•T i5 CLAI`IP~. IP CLAD APPROYF.D AY
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<br />WHICH MAY NOT BE USED.) ~ PAGE OF
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