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PERMITTEE NAME/ADORE65 pweYdv FrWgNw/Lecmar pDrp nr) <br />NAME KERN C]AL 7MPAPIY <br />ADDRESS MARK M I V F <br />(+. U. H7A 773'+51 <br />ST1.AtIH]AT ;P.iln;;; CJ a:i777 <br />FACILITY <br />LocATioN;Y A L U f: N ;: ~ G U J d 'J <br />A'lTA: ;;EJIioS V, PATfE.~t:;J'r, ":HE ;.~. <br />_ ~ ~ r ~• <br />NATIONAL pOLLUTANTDfSOAARGdE ON SYSTEM-! PD ~ ~ T-"~~ ~~~-'~FFa"rm /~pPronrsd. " <br />DISCHARGE MON170RINQ'REPORT IDMRI " " ' <br />lTa6~ n7-ESl- - ~ PO11D D/TRIYf Ttr`CR~hI41"!° ~ip4RA~Of4R <br />C]]R 00.7 ~ (SORB RN) Approve~eltPiropO '31-SB <br />PERMIT NUMBER DISCHMOE NUMBER F - FINAL 111 L <br />ONITORINGPERIOD NIkOR <br />YEAR MO DAV YEAR MO DAV <br />FROM ~ ill J TO db 16 1 ~"~x tlD DISCHAPf.P. ~ X ~ ~`-`~' <br />176771 /TT-T3/ lT4Tb1 /76.771 /T8-791 /36311 NOTE: Reed ImweNons before completlnp this form. <br />PARAMETER !3 Grd OnlYl OUANTITY OR LOADING !4 Ord OnlYl QUANTITY OR CONCENTRATION NO. FREOUENCr SAMPLE <br /> !46531 1546E 138x51 !46531 154-s El DF <br />l3T-371 EX <br />ANMYes TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !rT-s]I 164661 !64701 <br />eH SAMPLE .;: k;: ;:~: py#;;~:;: F#O :r: ( 12) <br /> MEASUREMENT <br />JJ4l1U 1 D 'U PERMIT ~ .~#fix;« #G•:G?# ;:#C ,.5 ~~. ~ ti#{i l% !r 9.0 P..F:KLY~ ;ASITU <br />EFrLU3h'f ,;ROSS YAL'JF REQUIREMENT :#r:# !lllk GUIS l4 yL.1 H - SU <br />SJLL US, :icTTLEA`iLc SAMPLE ..Y.:: :: ~ :tMF~` #OR#tki r.:#b ## ( )~j) <br /> MEASUREMENT <br />'7 U ~ 1 5 ! D 0 PERMIT <br />... .:r'-~~ <br />'.' r~ .- <br />; t•G.Gxa O <br />r,:r,.;: <br />#tr.~kAl$ <br />U91G>a # " . <br />U.a'.~ <br />St~EI .. <br />pf{~I, <br />t:FrLUENZ oR]53 YALUF .REQUIREMENT :#c- . <br />b: 1Y "!1"R tSL/L NI;1N <br />.JIL AND :, i1HA5l: SAMPLE ~. .. ~:r•=.^- :, ::C.t#;; :r ;!¢ Y# ( 1q) '~ <br /> MEASUREMENT "~ <br />J1~U1 1 U U PERMIT "r;;n;z~ .3 rl t,: (,; ;:{: 4 :',y+c ~~3~tp«.{: MG4fi # IO ~ { DVTIN :IlAH <br />'FFLUENT ::RJ$ i VAL'1F. REQUIREMENT #;:x DULY ["X NG/!, CSH2 <br />'LUJ, IN CJNDUif JR SAMPLE ( D3) 3YOi~v: t;:rt #C- .r#G::~# <br />LiiriJ THdATfl°,L'T PLA'iT MEASUREMENT <br />ODSJ 1 U U PERMIT PTI]NAL Rc:PJRT O~v=##u >:Li:;f4 # tt,:=#<<#>a A,~t t NCF./ NSTA+i <br />•f'FLUe:NT ~UR]SS YALJ REQUIREMENT 3UUA AYE UhILY !IX CGU ;:ar.;, !fONTH <br />)IL ANU Git °_ASL' SAMPLE °.`•7 FF?T ( qj) I::k#M::+i :'4# #: S=,^-;-•U-w+f <br />I :i U A L MEASUREMENT <br />~uiiG6 1 U 1 PERMIT rirGt3G REP~HT Y ES=I #t+a:4:u3: >:Lrit:i7 R #;xs<v#Tz s #.:: C 4Cg/ '.I57AL <br />FYLUEN'f pR75S YALiJc REQUIREMENT Ip1rT. BAY N7=9 ;:Rrki <br />:f]NTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME?17LE PRINCIPAL EXECUTNE OFFICER I cERn <br />AM FM FV UNDER PENALrv GF <br />IILIM WITH THE INFO uw THAT I NAVE pEASONALLY ExAMINED AND <br />RMATION SUBMITTED HEREIN; AND BASED ON . -... <br />~ TELEPHONE DATE <br />fierr...~ <br />[IMELLDII <br />Rlchfard A MV INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ~ <br />OBTNNING THE INFORMATION <br />I BELIEVE THE SUBMITTED INFORMATION IS ~ / <br />~ <br />/ <br />. <br />u. <br />Yioe pl•eStl~IIt , <br />TRUE. ACCUMTE AND COMRETE. I AM AWME THAT THERE ME <br />INOLUOING <br />SIGNIHCMIT PENUTlES FOR SUBMITTING FALSE INFORMATION , <br />/ <br />~~-+ yr,~p~ c <br />~-- 723-4Q2I <br />99 <br />Ol <br />05 <br /> , ! <br /> THE POSSIBILITY OF RNE MID IMPRISONMENT. SEE ld U.S.C, f 1001 AND 35 ' BIONANRE OF PIIINCIPAL EXECUTNE <br /> <br />TYPED OR PRINTED U.S.C. f late. IP,rrNY, uM,r N.. mrvn, m,r NrcA.J~ r,r„ rp ro S IO,OOD ~ <br />wwerrt,ru.e inprie.nl.+r otblw„n smo,W,war«r.l <br />OFFICER OR AUTHORRED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAV <br /> <br />r <br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS !Rs/rrence ell Bttschmsnts here! <br />1F,jP'ETLEAULE 5]LIDS LIyIr 4AIYEU Fla ID-Y R, 24-HR PRECIP dVEni i,iJDJ~::f i] HUitCEN JF P9pgF RF.;IUI°'9ti.NT` IN <br />r r.AIY,T I. d. I. D, P. 5. STJR,'IWATEN flANA.:EM.EkT PLAN PUE 1-1-73. <br />M , <br />EPA Fam 3320.1 (08.961 Previous editions mey bs used. (REPLACES EPA FORM 740 WHICH MAV NOT BE USED.1 0 2 8 fi / 7 7 q 81 9 - 1 2 5 U PAGE I OF <br />