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.~ PERMITTEE NAME/ADDRESS RM,6 FeHBryNa./Lx•non dDlBi.wq " -~~- 'F'ATfDNA1~DLfiU17WTDISCHMDf EL1MINAnON SYSTEM~FST-~ ISCHARGE MONITORING REPORT IOMRI ~-~ ---~-'~---~-~'- ~~~- ' ""-". J~4P[Pved. A~aR $ o i° NAME K E R ii C J A L ~ J h P A !1 Y ~ r1-1s) 17=1s1 @ORD E/TRIB Tb'CR, A ~ 0~31-98 ADDRESS NARR~ 11INF. 'Cy SDU37 ~ (SUBR NM) BI e x [i ApprDV lLJly ~ [2 . 0.- B D X 7 7 3'1 j 7 PERMIT NUMBER DISCHMGE NUMBER f' - Fl Y A L STBAgRJAP SPRL7~5 ~D 3D't77 MINCR MONITORING PERIOD FACILITY ~' YEAR MO DAY YEAR MO DAY LOCAnONN6LUr:N ::J RUl3;l FROM n V 1 TO yb 1[ 3 44C: tiD D[SC`lAR:°. (~ ( t`^~` A : i N C (~ t: U $ G f Y • PAT .* E.4.7 7 d , k I N G •: ~ ~: • 114171 /11-131 114151 /16171 118.391 !34311 ,- NOTE: Rssd Instructions baton eomplstinp this form. !3 Grd OnlYl QUANTITY OR LOADING Is Grd OnlTl QUANTITY OR CONCENTRATION Np, FREDUENCY SAMPLE PARAMETER !46531 150-61 138-451 146-531 !546/1 EX OF TYPE 131-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS la-s~) ANALYSIS !64681 168-701 I rl SAMPLE ... . r. 44•%:4;• ~ 4i:: #r ( 12( MEASUREMENT UOJU.) L U J PERMIT 4a44x4 ~^44~u~x~a .~~ uaa 5.5 ~ A14s1A'A X' 9.U ~ ~ ~ r".RRLY :NSI1'U r_ F' r' L U $ ii T J R J 5 5 Y A L J c REQUIREMENT ~ ~ ~ O 11k 71 ! L.6i N~U ~ ~ ~ N X f! .1q~. ~.iLIDS, Sr;1'I'LEFf'L:: SAMPLE :: :: V::^Y G4444~`. 4441:N#+ C<'v'-d {t4 ( ~5~ MEASUREMENT J07uS 1 U D PERMIT rr.34t:t ^^:4~.4 ;: :`4 43hY O.tiO .: . LItF44 -O ~~~...: ' . ' ... ~iCi+/'. 'e {!.>~$ ct't'LU~NT ;,HJSS YALJF: REQUIREMENT :;+}p? ~ IE. °t~l[ L/ - 11~ JLL AND +I(EASE SAMPLE t~'tR::kt= ,`•~:i=:k4~:: 4444C~ #{rq ;t4 ( 19) MEASUREMENT J3 jtl2 1 U U PERMIT R4 Ylk4S ?k:=is 4:s p L';t•:: 4;A ~s4G:X r3+Y4# # I~~J ~ ~ 0{j~'f Tl[ iRAB ~FPLUEN2 ;;RJ55 YAL7c REQUIREMENT vat=x UAC• K$ ~,;/L G°N. rL'JR, IN CONDUCT Dn. SAMPLE ( D3) ~~`::`+::::. ~~`-' 4..~ ..•'+•`: I II .tU fRiA J'R J;NT /`LAST MEASUREMENT ~JUSU 1 0 J PERMIT 1PTI:>!JAL r'.FPCRT C4-'s44sk x+::43 ~ ^r~;~r+rr ' YA'"- t NCFl IiSPAN .ePLIJEN`1' :;RJSS YALJF; REQUIREMENT 3DDA lV;i 3ACLY slK ruL` ~ %t`3 NL1N?R IL ANU :;KEASk' SAMPLE ir:rkPk ( 9J) 44:~%'. .:i:r . .t ~t~: J 15 U A L MEASUREMENT 14Uub I U 0 PERMIT 4CtC 4~~4 xe~DSr 'f t: ;=1 CR3vr,: AY SL ~kk Eif 'x .: aru~,TS•o ` '`:;::% S 13~E/ Z~fjAL. :.FFL'JENT oF.:15S YAL'JE REQUIREMENT IN5T '!AY hO=J ~'^43 170NTR SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT - .P..ERMIT :REQUIREMENT ~ - TELEPHONE NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CEflnFY UNDER PENALTY OF LAW THAT I NAVE PERSONALLY EXAMINED AND AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN: ANO BASED ON ' DATE ~OL__J Ae MY INQUIRY OF TNOBE IXDIVIDUALB IMMEDIATELY flESPONSIBLE FOR ~ _ /// /1 4161Y ~~n OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 19L / /~ / yL TRUE. ACCURATE ANO COMPLETE. I AM AWME THAT TNE11E ME ~ ( '~ 72'r472I Y6~a~t 9GNIFCANT PENALTIES FOR BUBMITTING FALSE INFORMATON, INCLUDING V~~ PJ G 99 Ul US - THE POSSIBILITY OF NNE AND IM%IISONMENT. SEE 1B U.S.C. 1 1001 AND SS ~ EX E rR.wn• uw u.. mrvM• m•r SrzAA• r•w• w ro s fo,000 E t Bts s c u BIONATURE OF RIINdPAL ECUTIV i AREA TYPED OR PRINTED . . . . •n/ormuYm•e irrpr',NVrNnr a/bM•Nr s monllu W 6 Y•va) j OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Reference ell sttschmsnts here! S.E~,'~TLEABLi SOLIDS LL!7IC 11AZYED PDR 10-YR, 24-RR PRBCIP EYE9a SUt,Jh.:T TD 8U4U£N OF PROF RF:,JUIP,F.9E.VT5 I!I PART I.B.1.0, P. 6• iTJltf!WATER MANAuEtlENT PLAN DUE 1-1-J9. s. EPA Fotm 3320-1 (08.951 Previous editions mey be used. (REPLACES EPA FORM Td0 WNICN MAV NOT BE USED.1 p 3 0 t / 9 7 G 919 -12 5 U PAGE i OF