|
-,
<br />PERMITTEE NAME/ADDRESS pnCiIdIFK6lry Na.a/Les,nw l/Dl~ernq
<br />NAME. (.1F~n~~ ci'!i'l~,t l.ur,.=l:rtaTlUv
<br />ADDREg~~ i. JL, X. be
<br />s .i
<br />f~ L,kAlo CU :i7r.J
<br />FACILITY LYr+KUS EMNLrC lUl(Y u:CtiT lLi IV
<br />LOCATIONLnAL~ (,v HIGl~
<br />wT{!r r".ILriAtL ... LUUL::n. t,tNEr(AL MG:t
<br />NATIONAL POLLUTMT 019CNMOE ELIMINATION 6YSrFM /NPDES/
<br />DISCHARGE MONITORING REPORT (DMRI
<br /> 1-161 /7-191
<br /> i ,. 141-. ::I
<br /> PERMIT NUMBER DI9CHMGE NUMBER
<br /> MDNIT.O IOD
<br /> YEAR MO DAV~, EAR MO DAV
<br />FROM ~ 1 0 99 v: ~:
<br />116211 /7 -731 (11-15 ~ 176771 (7g-791 (3o-311
<br />Form Approved.
<br />OMB No 20,40-0004
<br />. • .. .. .r i~~ )1•. T„ LL11 wf.J K
<br />/I`p~rovees`puee 05'31-98
<br />7-. r'1 II YI 11 ~JY l
<br />r flnt,L
<br />, LIVUK
<br />' < ~a.~tscnakct
<br />NOT :flaed Instruetiorr before co plstlnp this fam.
<br />PARAMETER l3 a.e oD(FI QUANTITY OR tOADINQ,: a and on(rl' QUANTITY OR CONCEiNTRA ~ ' NO, FREDUENCY SAMPLE
<br />
<br />l37-371 146-531 /56611 ~ ~ l3g-I5 /4653 5661
<br />EX OF
<br />TYPE
<br />. /
<br />AVERAGE MA7CiNIUM ` ~ .,.
<br />MINIMUM AVERAGE MAXIMUM UNITS /amem MALYSS
<br />/µ6g1 /6.?70l
<br />„1L aNL ~RLA`JL SAMPLE .. {. ;, ;.,. ~. :1
<br />~ ,~.,,;
<br />#~IIF a,}1r.
<br />ti<M~
<br />M~• ~ . ~,
<br />yI~uAL
<br />MEASUREMENT
<br />s -
<br />L4U:;Li I V U ': PERMIT :. Q/A41V ii se
<br />~ ~ :. ..~~..
<br />>o;`.;~~~~~
<br />t5 1
<br />.:?t?~4!~~F+sh
<br />~a.~~vik~~~~':
<br />,J„{
<br />,,
<br />3":!.. t*a,a
<br />.,
<br />;ryL.~L/~~
<br />r L:i1;~F1L
<br />f} LUt2
<br />N
<br />T
<br />7S YALUt REQUIREMENT.
<br />.
<br />.
<br />- .
<br />.~ ~.
<br />` ;^`as
<br />~ - ,. ~r
<br />:: T:'$~„ .
<br />~ ~
<br />'
<br />"
<br />D
<br />T:
<br />r
<br />u
<br />I,J
<br />L ,
<br />.
<br />. .
<br />,:. ::.:
<br />...:::.. . . .
<br />y,
<br />,
<br />:
<br />,
<br />N
<br /> SAMPLE
<br /> MEASUREMENT
<br />a
<br /><
<br />..,.:.
<br />~::~.~:::~PERMIT. ~~~
<br />.... ~<. t:.t::~~ ~..::.
<br />
<br />~ ~ ~~ .~.
<br /> :REQUI.fiEMENT: ~ ... :. .. ..:~ ... .:......... . .. .
<br /> SAMPLE
<br /> MEASUREMENT
<br />. ~ ~~~ ~ PERMIT . ' ~ .. ~ ~~ ~ .~~~
<br />
<br />~
<br />~~
<br />'v.::
<br />`
<br /> REQUIREMENT ~ ~
<br />~
<br /> SAMPLE
<br /> MEASUREMENT
<br /> .. ~: PERMIT: ~ ~ ~ . .~';i,:v:
<br />~~
<br />~
<br />~~ ~ ~~ ~~ ,.
<br />~~~~
<br /> ~REnU1REM.ENT ~
<br />m ~~^
<br />~
<br />:,. '
<br /> SAMPLE
<br /> MEASUREMENT '
<br />r
<br /> ~
<br /> HEnUIREMENT .. ~.. :.: :•: ~,: ~, .... ~ ..~ ...
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT~< ~~:
<br />.... ~~ ~
<br />...:;:: ~~~"~~
<br />e: i"`::.:~:..:
<br />~
<br />~
<br /> REQUIREMENT
<br />.. ,. ...
<br />~
<br />~ ~ ~ ~ .. ~ ..
<br /> ~ .. ... . . ~:.. .. ...
<br /> SAMPLE
<br /> MEASUREMENT
<br /> :; ..
<br />~
<br />.
<br /> REQUIREMENT'
<br />::.. .. ......,:: ~.. ~~ ~ ~ ~ °'
<br />... ....
<br />.: .:.w~ ..::...:..: .., ....
<br />.. ..
<br />~ ~
<br />..:.
<br />..:
<br />.:....:.
<br />~°i::::.
<br />NAMElTITLE PRINCIPALEXECUTNE OFFICER I CERTI
<br />AM FA FY UNDER PENALTY OF LAVi'SNAA I,NAVE'PERSONALLY E%AMINED MD
<br />MILIM W1TN THE INFORMATION "SUBMITTED NEIIEIN; MD BASED ON
<br />
<br />~ TELEPHONE DATE
<br />Richard A,Ills MY INQUIRY OF THOSE INDIVIDUAL9~~ IMMEDIATELY RESPONSIBLE FOR ~
<br />~
<br />,
<br /> OBTAlNINO THE INFORMATION. I BELIEVE. THE SUBMITTED INFORMATION IS
<br />T
<br />ERE ~
<br />~-
<br />'~~
<br />~
<br />
<br />Environmental Manager
<br />TRUE, ACCUMTE MD COMPLETE. i AM AWME.
<br />HAT TH
<br />ME
<br />INCLUDING
<br />SIONIFICMT PEMAtTIE9 FQQpp 611eMITTINO FALSE INFORMATION /
<br />~ ^ ~
<br />~
<br />~
<br />As.
<br /> ,
<br />THE POSSIBILITY Of RNE AIID IMPNSONMENT. SEE Ie U.S.C. 1 1001 MD ]] __ ~
<br />- gIONATURE OF PRINgPAL IEXECUTNE
<br />~~
<br />~' ~
<br />~
<br />
<br />TYPED OR PRINTED U.9.C. 1 1 ]1 e. //NrNA4, uM,Y rM,r ,Yron, <N,Y hcA,d, rxw, ye ro S IO,OpD
<br />.rey ormvMun Ynp/er,rwN P(bnrw emunN„rq 6Y.va/
<br />OFFICER OR AUTHORIZEII AGENT
<br />cODE
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRsierencs sll attachmsnb hare)
<br />:cTILcAJLC SJi_i.= Lint( ..,:1JtU fL,n IUYr.F~4r<< r<~Li<' :.Vi,~(-;~.. ln.1.11 i'~ 1',. hL.r, ,<~aUI~FMFM1TS. L,il ~
<br />uf(Lw JL unAn ~AMrLL :: `~aLY~IS KL~UI KtJ iF 'v15luLL ~n_L,. I; I,,; yL;<YEU. .K 7nt.Y ~a MIL i~.L; L;a;TRuGiliJh S-i.:.. ~F
<br />~,.
<br />EPA Form 3320.7 (08.96) Previous editions mey be used. IREPLACEg EPA FORM T-40 WHICH MAY NOT BE U6E0.1 ~ ~ L 7 9 / 901 U U l ~, } 3'11 PAGE OF
<br />I . .. _.~. lil J .
<br />
|