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P[RMITT[[ NAM[/ADDR!!f (/nrlude FaNllty Nrnrr/Lorr/bn If diJJennT/ feAM[--- Y ~- ----~ CU ------ _ ___~- ' -__ ~c LOIiG ------------ PAerLITlf----------------- LoewrroN --, (, A. TALKER, --------- NATIONAL FO LLUTANT OIf[N11RGE ELIM IM ATION fYSTEM /NPDES, DISCHARGE MONITORING REPORT /OMRI 1/6 1719 1, ..~i~.u ... PERMIT NUM9CR orfcHAwcE NUMfrw MONITORING PERIOD YEAR MO OAy YEAR MO OAy FROM ~ y TO .. „i /704!1 17I~731 /14~1J1 /16171 118791 130.311 Form Approved. (~ ' r •) OM8'No.~2040-0004. - : _ ~. L Approval expires 630-91. NOTE: Read inrtructionf bsfo a completing this form. (3 Card Only) QUANTITY OR LOADING (1 Card Only) QUALITY OR CONCENTRATION FREOU ENCr PARAMETER (Ia-J3) (1461) (3813) (4631) (146/) NO. OF SAMPLE TYPE (32-37) E% /.NALYSIS AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNIT9 6761) (64681 (69-7pJ ' SAMPLE ~ :. ( ) ... -, // 1 ~ ) MEASUREMENT . .. -. r~a'PERMITs „" s'.p'i?°Ss Ye"~`~,'j•°a.° aa"c'y+~>Y&(+jg Kt"=d ~: ~~::: :w alfs®`«~ fe m'.@ '~IIR%s'g pg-~~g:. .a'q @f~~zwan »d®R » mma& ~TF ~~. }s #i'.t t..$aR ._ II iIU pEgU eME~NT' ER 6 'Ye•~.eeF»`- `I ~° ° >°9 ~qe»'.°s. n<, ' ° ~ 1 ' ,ffi. g@„„a~~P, ~a xM n'@ °aw,a~ ~a ®i ° S@t ca i'.." gyp ~ ~ m<' .s.. a " ~~„'o-,xz . .. C .. 9i y f r 9@ie ~ y II. n ,,: y.n• .°~ m." ~1,. :: ° &u'i YT ~, ii a 3 °6t *ahBJ$k'tAiw 'r ° `IJ '$9` x.96&Y }B°gn,ID _ J.,i JJ' -. SAMPLE O#fiSx4J 4;}{IV Q:J ( ~ .. ...e ,. .• ( y}~ MEASUREMENT ,5-.. 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Fi 4il y/l ~P ( ) :: t..,, ( - ) MEASUREMENT J 1 '.. °`~'PERMIT<" iaiY,'~m Y'atsde~,e». ° ~+v 5~j i~x:'~e~4 + ",q~p°sgi ~~~$~aY« z . •@f~.fte~s4~a'g ~r .°a,x:p;~~~x w," ~® k ` ~j'~'3 $ ° ~~ P~stl z ~' ~ ' % i l l. ~ YAL REO IREMEIV7" 'v° .'¢ i, e, , e ;` s<ID~ ay.@~ °~#$ , »",nrp».r s a `ID%.~@`' m ~® ~~ " " w< k .~ ~ ~ ° ' w@ 4 r~ . m a ~ '~ a r . p ~ UI. y $$, .~. p , ° :@, F ~ ~, . , m ° . a4° a : ~~93h°,:~ i. : ~,~ Q ?~5.~. •,! :l~~;>~~~< I~° ~ _.. r .lf .~^ _:L 9AMPLE ::+.: ~ A- QQr1:r:. ,I ) r o}{/Y,:;t a'v .~::yQ.., i ( !) r ~L, n 1. ).::.- r r' h •~ _. _ MEASUREMENT :J~_U 1 ' J I~"P,lRMITS~' .~ a::g~:^:#4xa(s ~e . m¢fy~~t~:'~>;:a .'v°' C~cc m®'~n~wv:.a:a~~3d ~`~'A'9d Y~:.P$e v4 o-a °v IDx ~ , °ae aa :ss f ~i~a A ~ , '° »'~k: '~L VGA'~1 'lb: REGLIRLM ENT. ° , aa$,: ~,°a~as~. ~m°°es ,a aaex@"x ~}:};. a ®e~a agg Vin.°.me .Og,ID.e ~a¢~:,®@.'q . » ~ 'a~'w`w~°rv"y A@~.' I~L e~` . s ~. Pte. e+~, a @ ~ 4>48. 7.J L , rf l,' 1 :E L. SAMPLE : , r• . ~ ( ) :: :}:i ::. ' 11 ( ~ r f (AJ r.:) MEASUREMENT I-r7 it l °p$EgMi7s°~' 's.~ ~B:Y~KBa a¢ ec~~.~~.3~A~o st`c ;:.p:; @~,a.:°~m. ~.~sb ~ ~ s a<. ~%a 6 ie " g x, ¢) Iff, ao-s sx ~~ 4 x., ° .."® b ~ = `..at '~ ~' a ~ ) t ' ' lt64111R'EM'EN:Ty A 8 x¢aaSia Blxse $ @'s s&#v8sa~ `S@ ;..~I.. ~»~ID»~a." _'s ~ , m. "®Y> ~ ' <a ~ ~>~s ~' 'T a ea ° g'$~ ~ ' ~° A ~ " ~~ . . h r I ¢¢@ a a. n IA ,g eaa » ~m ID¢a p $ i~K1~a ~j,~ 4x (°"~~. ./:. »e ~!~~ffi4f .a s NAME/TITLE PRINCIPAL E%[CUTIVE OFFICER I cERTIFr uNDEa rENwLTY OF LAw THAT I NAVE PEIFANALLr EIIAMIN[D •ND I1M iAMILIAR WrTH THE INFOPMATION SUBMITTED HCREIN I1ND MSED TELEPHONE DATE ON MY INQUIRY OF TMO$[ INDIVIDUALS IMMEDrATELY RESPoNSIBLE FOR ~ J OBTMNING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION ~ ,~ , j~ - `.;~harc) Mill IS TRUE ACCUPATE AND COMPLETE I /.M AWIrRE TNAT THERE ARE $IG ~/ / (// /~ NIFICANT PENNLTIE$ FOR $UBMITTWG FI,LSC rNF ORMATION INCLUDING ( ' ! / M r °wlro ~~~ crn- t i ` TnE PO$$IBILITY OF FME AND rMPRr50NMENT $EE IB USC 4 rCOI AND _ _ ~~ ~ n ~ 7n _ !1 -2'~Z 07 ~ nrlen _ .r „D$E 41319 rP.ruhr:. uM.r Mrv rtmut+x mev rnTludr / n )In an SIGNATURE OF PRINCIPAL E%ECUTIVE 7 J/U ~ rQ TYPED OR PRINTED . rn.n uV o.d nr ma.mmm rnr0•ur,mm~rr .•/MmwnAmunM.and .i.m.., OFFICER OR AUTNORIZED AGENT A A NUMBER YEAR MO pAy .... .. .l IV A 1 '. L - . _ I . _ F + A L r - . .. .. L l .. y ~ L _ ~ ., l r ' .. - ., .... - ~ . - r .. i_ LLYli.G/• - _• •.., 1.. ~ r _. .~'. .., t. .,i c.. i'J! I,. .. .. ~F ..__ .. .I ,.r __-_, _. ~..L. /, ll -• EPA Form 93241 (Rw. Y-88) Pnvloua ed~tlons maybe Lsed. IR[PLAE!! [PA'IORM T•40 WNICX MAY NOT ee USl D.I PA OF ~ _ _ GC