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PERMITTEE NAME/ADDRESS (Include Facility Name/Localion IfDi$emN) <br />NAME <br />ADORESSRO~I H ND. ^ i F `, <br />P . 0. E:0 % ti ~ J <br />FACWTY PAOMZA C7 ~i1429 <br />LOCATION <br />Nt)YIF C!1 N7LL7Fl <br />NATgNAL POLLUTANT DISCHARGE ELMINATION SYSTEM (NPDESI FOfm AppmVOd. <br />DISCHARGE MONITORING REPORT (DMRI <br />e <br />' OMB No. 2040-0004 <br /> Iz-'6/ l <br />/ <br />T- r [ Y n P ires OS-31-98 <br />A <br />l <br /> exp <br />pprova <br /> <br /> <br /> PERMIT NUM ER DISCHARGE NUMBER ~, <br />- F? <br />F <br />T1 <br />: <br /> kP.L ,L <br />1 <br />D <br /> MONITORING PERIOD !! 9 C P G O F ~ R Tn D E F R TRAIL ~~'Pi. H <br /> YEAR MO DA Y YEAR MO DAY <br /> <br />FROM <br />O1 <br />M <br />O <br />1 TO <br />r17 <br />n7 <br />77 <br />.,va v'i <br />~T <['RaU! __ <br />"T+ 1 1 hx: Y: <br /> <br />PARAMETER r <br />(32371 <br />~~IL ANp Gfli'RS-'- <br />'~I_,UAL M <br />1~+1~bb I o c <br />~c~ <br />• <br />T !:. "' ti F. ; H (~ztl t2azsl (za-z s1 tzuzT/ Ize-z91 r30a+1 MV I C: NBBO IDS[NLRIOn9 DBiOLBL9rflpl9il09 uns wmi. <br /> (3 Cevd Onyl QUANTITY OR LOADING (4 CaTtl OnN1 QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> 48-53 54-61 (3845 48-53 (5461) p( OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />!sz-aTl auaLVSIS <br />(84-BB <br />B&70 <br />SAMPLE f~LYS#fi4 ( 9V) ~#?#;•', :t##':'`+.' ##Y.•-:x,. <br />1SUREMENT <br /> y,.~. <br /> <br /> <br /> <br />SAMPLE <br />1SUREMENT <br /> 3a:. Y~ ~ <br />'1 <br />~ • <br />4TI ty <br />+ t ~ t <br />~ ~~~ . ' <br />4r~ <br />~' ~~ v: <br /> {g <br />SAMPLE <br />4SUREMENT ~ ~ /~ ~ F- I. <br /> / ' .: r <br /> '' 'k ' .. _ .. .'. <br />SAMPLE <br />SAMPLE <br />~ ', <br />it i . <br />SAMPLE <br />E. .. <br /> r~rtNTIF:'- <br />~ <br />E <br />) <br />M~ <br />` ' ~- <br />iri- <br />I } a <br />`- <br />:'" [ %S .' <br />i i _f.~ ~ -P.3 <br />'~ a. L1L~ <br />'- <br />' 4.i 4 ~ G <br />` <br />-I <br />" <br />^, , <br />t- <br /> R <br />OI <br />IRE <br />fi1 <br />- i <br />, <br />; . <br />.k <br />;. , ~.: •.~ .~ , <br />+ <br />.- . <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WRH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMfTTED HERE NALLY EXAMINED AND <br />IN; AND BASED ON MV TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPON SIBLE FOR OBTAINING <br />~ <br /> THE INFORMATION, I BELIEV E THE SUBMITTED IN FORMATION IS TRUE, <br /> ACCURATE AND COMPLETE. <br />ALTIES FOR SUBMITTIN I AM AWME THAT TH <br />G FALSE INFORMATIO ERE ARE SIGNIRCANf <br />N <br />INCLUDING THE ,~ ~',~. ~/ ~ ~ ~ <br />~' ' i~ <br />• / I _ I~~ , <br />PEN <br />POSSIBILffY OF FlNE AND IMPRISONMENT. SEE 18 U.S.C. 61001 AND 33 U.S.C. <br />li <br />tl <br />5+0 <br />000 <br />tl <br />d 61GNATURE OF PRINCIPAL E%ECUTIVE I~I i.1 ~ a <br />TYPED OR PRINTED nes up ro <br />en <br />e <br />, <br />a <br />rt o/~fw~eel~r 9~~ t~ ene 9u <br />maL um~~pnmer <br />YT~J OFFICER OR AUTHORIZED AGENT <br />nnnF <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments here) <br />_~LTTLHAtiLt 70L[Di LIt'I.* A^I':,L~i :).'.`LZ IF <LDYR~24HR PRECr? F.Y~VT j~ rL.4Z!!F7. 7° I-LCIC RPPHOYF.D 'Y 4(1CD~ <br />:~j~S t: Zit~IN !.I^'1".'S NII1 +'~3i -1 E: F.~'PLIF:D '('0 REPORT°D h°ASUR['!7Ey?S-;eEfF T.~A.T. °G r' FQE P!1RDFN CF PYOGF' <br />EPA iOT~11E~ a Q1 (OB-9~ PrevfoDS edltlons met not be'uSed. ~(RE CES d T Y BCIU~eu.)• " ~ PAGE OF <br />^ nnn7~7/OFln117-1777 ' <br />N <br />