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_ _ ~ -~-r -_ - _ ___- _ _ ___ _ -__ „_. .. r_.__. - - - ~- __ ___.~ .-_ <br />RERMITTEE NAME/ADDRESS (Iwr1~1~F.cWryNwWfac.rrutfDls wr) NATIONAL POLLVTIWTt115CN.NOE ELIMINATION SYSTEM /NPDES/ plOVed. <br />~ <br />F <br />O <br />F <br />m <br />A <br />p <br />NAME 1ltAY1:: :i "I:rIMV~ ?i•"• <br />y DIBCNlAR6EMONITORING REPORT lOM9% ACUTE ~°T TF $T ,[ <br />1 <br />B <br />A <br />p,A <br />y <br />~ <br />7N sl-"-f~]`['~Oi ~O'Q004 <br />ADDRESS T R A E' ~~ }' :! ;' I I• F, C () O G 3 211 C ~ ($ U E n' (' w ~ ApprovelLawpUfl}b5-31-98 <br />L 1 <br /> P. C~ . L V R I '- 7 PERMIT NUMBER DISCHNiGE NUMBER P- F I A R L <br /> C: },:1i.: CG blf2!+ "TNCR <br />FACILm MONITORING PERIOD <br /> YEAR MO DAY YEAR MO DAY <br />LOCATION <br /> <br />' <br /> <br />' <br />" <br />FROM <br />TO <br />~ <br />'?'•`•3 '.C i~I:iCNAk w <br />!:E "" <br />( <br />p <br />r. 1 <br />i N C w . b G ;i R <br />. ti p ;: <br />j c } `i ~ el $ L J / is f ~: N i 3 lI67 U l17-131 l1i761 11677) 178-191 1363 q NOSE: Reed fmlwctlons lsOnp th5s form. <br />bdor <br />eo <br />PARAMETER 13 and Ontyl QUANTITY OR LOADING 11 and On/yl QUANTITY OR CONCENTRATION NO FREOVENCV SAMPLE <br /> /16531 !5/-611 I3B-151 146-53 I5L61) GF <br />131-311 EX <br />ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /F3.69 J61-66J !6&701 <br />..l ~l+ ETA I't!£ yfSHk A.C. SAMPLE #•'.r R'kOCF t-'.~GC4# dLAC'.~4 +v~=:~fi# ( ?3~ <br />Cr.9LODAPiiRIA MEASUREMENT <br />': A..".gib 1 0 D ~~ PE9M..IT ~: ~ ~ TJ#y?0!#O ~~ OE<91SL#4 <br />~ #L'.'# 1{}:Q ~ ~ IRe ><.a~a~r•~ .+a #: a~c~~s~ EH- ..~ T~RI. Y. ., ttAR <br />cFtiU%4T 7R055 YALU 'REQUIREMENT <br />~~~~ ~ ~ #Y;# ~~..~~: 1!1$~ ~ - ~ c <br />.. . <br />.. ~. SI.J :>TA 1't!E 94HR AC SAMPLE #,^-#LkC# bI##:R 1t rC9#>7 +~ Y+LC#40 ~ Zj' <br />PI'!EP:i.iLt:S MEASUREMENT <br />A;JGC 1 Q D ~:~. PERMIT;" #OfiF&#4 .. ISIRAII~.q$:.. #CY` 1~~~~. ~ ~: ~. ~.1.p 4;'.'4 #1P. -~. =;:: i5.>O 1C.>?$~4'~. ~', E~R~ .; Y <br />%I $A7~ <br />i.FFiUP.3T Jk055 VALU pEC1UlAEM.E.NT -` ` <br />#a## <br />rK ..Y11 CIE <br />.. <br />~oN . <br /> SAMPLE <br /> MEASUREMENT <br /> "PERMIT <br /> REQUIREMENT. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ .. <br />. <br />' REQUIREMENT ~~ ` ~ ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> ~. PERMIT <br />~ <br />~ <br />~ <br /> :REQUIREMENT ~:: ~ ~ ~ ~ ~ ~ ~ .:. ~ <br />, ... <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT. ~ ~ .. <br />NAME/TRLE PRINCIPAL EXECUTIVE OFFICER I CERTFY UNDER PENALTY OF L AW THAT I NAVE PERSONALLY E%AMINED AND TELEPHONE DATE <br /> AM FAMILIAR WITH THE INFO RMATION SUBMITTED HEREIN; AND BASED ON <br /> MY INQUIRY OF TN09E INDINDUALS IMMEDIATELY RESPONSIBLE fOR <br /> <br />W. Gordon Perere OBTNNING 111E INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE, ACCURATE AND COMp.ETE. I AM AWME THAT TNERE N1E <br />SIGNIRCANT PENALTIES FOP SUBMITTING FALSE INFORMATION <br />INCLWINO /~ ~_ <br />~ / /tle~~ 1 <br />7G-826-44UI <br />8 <br />4 <br />B <br />President/General Manager . <br />THE POSSIBILITY OF FINE AND IMPNSONMENT <br />SEE 1e U <br />S <br />C <br />! 1001 AND 3] <br /> . <br />. <br />. <br />. <br />S t10NATURE Of MIINCNAI EXECUTNE <br /> U. <br />.C. f 131 e. IFrWS. MW dMM AYerb. mry L.CA.dA rMM. y ro ! lO,p00 <br />TYPED ORPRINTED .n/orm.r:,wn~+wlemrxaan..rrrmonn,rvsyrra/ OFFICER ORAUfNORREDAOEFrt CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXYIANA I wn Uh ANY VIOLA I wrvs IRSrerencs N/ etteenmsnts nenl <br />~.LE I.A.2, .PP 7-9, FC[! Uiil'AILS OF 1'ZST PnOCBDUdi?. RF-PURT LCSC - tTATISTIC':LL nr11,T FSTI•.ATF wNICt I`. <br />LcCr.AL TJ SU.: OF TcgT UkGA;JISySA AND ATTACH ACUTE' 'CGICICITT Tf`_T dEFCFT FGgM TC I^'F. i'GF~IF$ GF ALL <br />cr e c w , _ <br />EPA Form 3320-T 108.951 Previous editions may be used. 1 E LAC ORM 0 1 AY NO BE U8 D.1 C C C 3 0 / 9 d C 113 -10 5 b 1 <br />