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PERMITTEE NAME/ADDRESS llnNude NATIONAL PJLLUTA NT DISCHARGE ELIMINwTION SYSTEM (NPDES) <br />Faoi/iq' Name/(oralian ;r d(rr~,~n+l DISCHARGE MONITORING REPORT (OM11R1 <br />' <br />' <br />, <br />NAME__ _ _ `, <br />_-~•_L .S t-~~.1~~--- 0-161 (11-191 T.l 7TTr'v Tl Y• rK. P[1 P/: 4 <br />~ <br />YTR? <br />ADDRESSVr w L' "I N'' "^G 3100F~ (t'11 <br />A (S"4R 5$) Form Approved. 1'f T4 fi <br /> <br /> <br />.. <br />-- ~ n - ~- ~ ____ _ <br />~ ~~ ~ ~*~j ~ ~1O PERMIT NUMBER `E <br />VR <br />.ER C ~ C ~ 1(A , OMB No. 2040-0004 <br />e <br />se,• ~~ ~~137 <br />{ ••rv.ln Approval expires l0-31-94 <br />__-- <br />-_---- - <br />? ~ <br />~ MONITORING PERIOD <br />FgcILITY <br />----------- ------ <br />-- YEAR MO DAY YEAR MO DAY ~~ <br />LOCATION-'S.-n~~ ~~Y~~~t1O-~,(.Y FROM ~ ll l .l ~ TO V tll ~'l'r 4n ~j S~f~ ~?~4 1~~1 ~QQ ` <br />' <br />' - ~ ~' "" - <br />A T <br />i F : r ~n-v l r17-lil r>4os+ /'6an as-'vi / m-+7. 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QQa{[ - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERnFV unDER RENALTV of LPw THAT I HPVE PERSONPLLV Ex PMINED <br />TTED HEREI <br />PND BPSED TELEPHONE D A T E <br /> <br />S~ rA UdAl/ ANO AM FnMILIAR WITFI THE INFORMATION SUBMI <br />N. <br />ON MY INOUIgI OF TIQSE INQ'VIDUPLS IMMEDIATELY RESFV' NSIBLE FOR <br />OBTAINING THE INFORMPTION I BELIEVE THE SUBMITTED INFORMATION IS <br />1 TRUE PCCURPTE PND COMPLETE I AM AWARE THAT THEFE ARE <br />T <br />F <br />M <br /> <br />LNI ~r w.l ~"1. N F Og <br />PTION INCLUDING <br />IES FOR SUBMITTRJG FALSE IN <br />SIGNIRCANT PENAL <br />THE Ro551G1LHV of FINE PND IMPRISONMENT SEE 1e UsC 4 1001 PND <br />35 use 4 1315 (Prnalrirs undrr ibcsr aarums mn' inrlWr (mrs up ro <br />51 NATURE OF PRINCIPAL EXEGU IVE <br />~O~ p <br />'Q <br />V <br />TYPED OR PRINTED 510.000 and nr nn omum imOnsonmenr of brrueen 6 mon~hs end ! sears s OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference ell ellaihmen(5 here) <br />~~~. ,.:,. 'd?'4LT~ ~R':,aN[- mn_;rN° tN"7AL [ ^P 7°:;N ~/?B f'4/l~: F.~:ir1L,.~ r~rr .;1 ~~_.{ ..:,.I 8 Vjry >.~ <br />Q'iF. DM"-I.".4, np 17-11. GPAP SA!^L° iNAL•SjS fJR OIL ,REASE R?2~1T7R~ I? VT_;I'L' I~'3v T¢•A85'e4Y°~ - <br />-^~ r n t~ y~ccm Rr MT Dr~~I~S TI`CG ~C tTT TtlCn Tu ~ f• 5 ~r~ r ~ __ <br />SPA Form 332O-t IReV. J-B8) P(CVIONS I?dl1i0I1S may t1C Used. (REPLACES EPA FORM T-AO WHICH MAY NOT BE USED.1 PAGE OF <br />