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~.IEIADDRES6 5nd,dvFxWryNaWLurrm pDlt7se,p <br />. 71VJ tA5T r'li~r L :.i~ ~~~ <br />FACILITY ~Yrht,S YA~'i t'H ti'a,.,L,_1 _.,KL ..u r . <br />LOCATION <br /> <br />NATIONAL POLLUTMT D16CHMOE ELIMINATON eY6TEM NPDESI <br />DISCFIARGE MONITORING REPORT (D Rl <br />1-151 17-19 <br />I .'.: 1 4 <br />PERMIT NUMBER D19CHMOE NUM6ER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 9.~ u l v 1 TD Y 1 .J1 •• 1 <br />!16711 /11-731 110.751 !16771 /15-191 !36311 <br />Form Approved. <br />OMB ~lo. 2040-0004 <br />„ i :; L- n A r ~ L F v A~piovel'etipirsa OS-31-88 <br />.. .n .+• ,. ~.. <br />- r.....~ <br />W ,+.. <br />NOTE: Reidlnstruetlons bslo oomplstlnp thb form. <br />PARAMETER (3 Orrd Onlyl OUANTITY OR LOADING !4 brd Only) QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> <br />l3I-371 /a5-531 154-51 <br />- 138-451 14653 IW-5/ EX M,~~ys TYpE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s7-s~i (54-551 159-701' <br />=h SAMPLE 4###tr# ~+44##v •k+?<!rMVr 1~ <br /> MEASUREMENT <br /> <br />t L ~ ~ ., 1. v ~ <br />,, ..,,::.. :,.... ,; <br />::; <'.!'?F.'1~.>MfK~ :.. <br />»: ».{r#f:~rl! `. ti€ <br />#+~ <br />?Ij <br />'::., ,. <br />st:: <br />:~': <br />t!:y:gt;: S: <br />~`~!±k; ..., <br />,::::~,::::;'::::>: < .. <br />'~.~i <br />3 <br />:..:: <br />:: <br />, <br /> <br />cts:L:Y:i <br /> <br />id.A~` :5.'i <br />_ , ~ <br />•- ~ .I r.u~ '/ LI1 ~REO.U,IR EN,~~~: <br />-:,:.,., ...:..ztex... ..~ ry. ,:.,-.:: °::~i°.,.;... :' ; <br /> <br />,~ T. .. .. <br />~;:~:; ~. .K :i( ~; ... s ...:, ...:. ~:: ~:; <br /> <br />.r ~.". 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"-::~ -.+k :. ,i +<I. . <br />.... ~~~'~ <br />~ <br />l .'~ , .~ ..:~, ,.. ,.,.:~' <br />?1r .. <br />.. <br />'~ V>h .: ~~. <br />''~i~> ? ,;•'y: '7 <br />' <br />';:;,31! ~~.~r~i? +j:.u:: ?. ;:`:``r'.:f'`:; ;:.Y.~,F ~. <br /> <br />,r i ~ <br /> <br />Ilia <br />:r <br /> <br /> <br />FfL1tfNT u u~~ VAWE <br />,. <br />;REQUIREMENL . <br />:,r.,:.. : .... ....:: <br />_ <br />. <br />, <br />ki:S, <br />....:... st':.,: ea.:x <br />:...:.. ::::. ...:...,., <br />:::. ....:: <br />k.t+:^!`.:;:'. a ,..,..-.. <br />...:.::.:: >.~ebr <br />.;::.,....: <br /> <br />~ <br />#x, <br />:.:........:.~ <br /> <br />~ <br />_ P+;e.•T <br /> <br />.>.: .,,:...:,.:..,.;:. <br /> <br /> <br />:$':;''L `i a!~A'7T:' <br /> <br /> <br />ty/L <br /> <br /> <br />t;tiT <br />. <br />, F:;T;,L <br />'+AhL''AhESt SAMPLE ~i1~>rl{.4# #iirv{rt< #'r4M#4 1•i <br />_ <br />itCllVE~gUtl MEASUREMENT ' <br />; <br />' <br />l1L[3 :~Y~ V G -',-:PE,MIT:., . <br />'.':~'llti: - 10+(tt?INY4?-..,.il: 4# ~:'.~~:g.:+F:fkih.~:~~~~~ ,::::~.....~~ .. <br />.FF~I,ENT ur.u;S YALUE REQUIREMEM1I7 ` c r#r}u e; ii.~A ~~ii 1's'S$~1.~' ~!k: 15411_ {Lil',Ilii <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cEAnly ;uNDEI `y1PENA~Tr of uw THAT 1 NAME PERSO <br />AM~FAMILIM WI H'THE INFORMATION SUBMITTED H NUIV ExAMINED MD <br />EREIN; MO eA6ED <br />ON <br /> <br />" TELEPHONE DATE <br />~~.~~y. <br />~ <br />%:i <br />f <br />'d . <br />MY INQUIRY OF THO6E .INDIVIOUAL6 IMMEDIATELY RESPONSIeIE FOR <br />OBTNNING THE INFORMATION, 1 BELIEVE THE 6UBMITI ED INFORMATION Ifi <br />Tfl <br />ACC <br />MTE MD COMP <br />E THAT THERE <br />E <br />ETE <br />I <br />M AW <br />E ' <br />!~ <br />~ /~}~~'~ <br />~ <br />C <br />181 <br />IY4L- <br />~iFF y U <br />, <br />U <br />L <br />. <br />A <br />M <br />M <br />SIONIFICMT PENALTIE6 fOR 6UBMITTINO FALSE INFORMATION <br />INLLUDINO , ~~ <br />l // <br /> <br />~il-onm®n1~114ana~ger , <br />THEPO651BNTYOFFNEMDIMPRIfiONMENT.6EE1eU.8.C.11001M093 _ _ _ <br />g10NATUREOFtNIINGPALEXECUt1VE <br />~97 <br />TE7O-2772 <br />OZ <br />~`~ <br />9S <br /> <br />' TYPED OR PRINTED V.6.C. f tJle. ((Nn(a4, uMr ewr mnrt„ m,Y Mch+eF hr, Ip ro sf0,000 <br />.,e erm„inunMM,omwnt olbM„n emmM„M5 y.va/ <br />OFFlCER OR AUTHORIZED AOENi <br />coDE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />a=vmmo. ~ a nnu LArLnnn I wn yr nn ~ r,v~n n~na mom. r..enc~ wi ouacnrnan.a nersF <br />,iL t bR€~1St - 5tc FtJitFttLiFt F/t F. 1. ~tFNiiLJ::7'tCTIC,i, L1`+lF~ ~L.L FL,.;T=...Fc: L/.r'„i,,~.1i.:LLY ~:,,.,L'.;L: <br />I~LF,~lS * FD'JF(~~it r1/. TUB r1uwlTLrii~ru - ~cL Gi.,HriEt.I 11r ]~CFlu:i ~A ul- kAF1J:.ALL, ~. J. <br />EPA Form 3320.1 108.951 Prevloue edltlona mey.he used. {REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) PAGE OF <br />