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PERMITTEE NAME/ADDRESS Okiri FxWryNw/1<eana 1/Drdi.w1,q NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDESI <br />NAME ~ , L Y' ~ ~ ~t w', / ~ DUTCH=R6E MONITORING REPORT /OM9/ <br />ADDRESS 11.°X ~.LK tlIy£ !' 700 4U6 00 U <br />~ " 4 ~y ~i $. V I St'd' r ~ 127r) PERMIT NUMBER DISCHARGE NUMBER <br />Y-='~iTtl4 7yc.v. V e / `.y--y}y+~' LU 4~ 2; <br />FACILm _ MONITORING PERIOD <br />LOCATION y t; ; C') N 5~,,.v~ Co ~(LE.v ,. C D ~ 1 0 H L FROM YEAR MO DAY TO YEAR MO DA{ <br />A'T T N : '°-"-~ ; F: N E R rt L M : R . /~a~ll nz~31 /14x61 n~~n vaact cansrt <br />Fonn Approved. <br />(, rlJ?F; UFT '(•^ ~••IyTOMBrNo. 7~040I0~04 <br />(~119P Sp.) APProvel Dxpire~RS05-31-98 <br />F - FI'IAL 1 k <br />Nrwok <br />NOTE: Reed Inetructloro betas comotetina thM form. <br />PARAMETER !3 Grd onryl OUANTRY OR LOADING q Gro Ontyl QUANTITY OR CONCENTRATION NO, mEOUENCV SAMPLE <br /> H6-631 /Si6! 138-~51 l~653 /$0-6F1 DF <br />l3I-371 EX ANA <br />rms TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS L <br /> rsasa/ 161-681 /6¢701 <br />LC')U i'Plil'.,°. 4iI!P. A^ SAMPLE ;eap40G R30Rt# ['fit`+A::O 0:.•`.Cni' ( 27) <br />C (: k I 0 0.1 r' i A i 11 MEASUREMENT <br />'P A'13 d 1 D U PERMIT: : ,: <br />.. .. ;:. Ltd.??Lo~.C.:,.. <br /> <br />. <br />: <br />.. ::.7Lf~ycOYr': ? ' S 4: <br /> <br />S~O.fl":::?.::' <br /> <br />»S.g>~~;: <br /> <br />; ~:.~.'+`s &;ti~R~::~~ <br /> <br />£R <br />- <br /> <br />~~ <br />'~' <br />:')L:,~~~. <br />CRAf <br />.. ., I <br />:'FFLU •T „R~SS YF.,,II REQUIREMEN7~ <br />~..: ~.~~:.~ ~:~~ ~ .. <br />~ .. ... <br />.:~ .:: ~~:.~.~..:~. .:.:. <br />.:. ~~::.~~:::~::~.:~:~~~' <br /> <br /> <br />.. <br />Cv#t : <br /> <br />::...: <br />~~`~~#r' <br />~~:~ ::~~~:::f~A~~LIt . <br />:~~:~..~::~.:~~~..`~::::.::~ <br /> <br /> <br />.... <br />~~:`:..;:..::~: '.~:~:~~.;~::~~~. <br /> <br /> <br />....: ..:. :.:......::... <br /> <br /> <br /> <br />v e. T :... <br /> <br /> <br /> <br />.. .... . <br /> <br /> <br />:. <br />: . <br />L''SU STRT`!P. 9548 ACI SAMPLE .;`t`LT .^•SC 07aC C? 0; 401~t O~tfppa ( %l) <br />PI"E'I'!i :LAS MEASUREMENT <br />'1'A`rb:' L U D ~::~::~::PERMIT ~:::: .... IA'Tt6~S4'i:: ~.; x:?~?RRC~C~::.. <br />~ 'RRt: ::1~!'13~:a; ~:::~; :.'.-: :~~."'.!~I~yk~Yr?' ?r:ir~`..~~:~I!:~.1M:~.~ <br />~ <br />c Z'~' ~. ~~~R~)::T' 4:!'{AH <br /> <br />-.FPLiIE"tT ;ROSS YR1.'J !.REQUIREMENT <br />... <br />.. :. .. <br />,. l4M'~ ~Yi~.L~~il". - <br />:: ~.:" . <br />r;.:~..~~.:;::~:~;~.:~~::;:. <br />.,. . <br /> SAMPLE <br /> MEASUREMENT <br /> ~~:~~:PERMIT ~.:. ~ ~.:. ~~.. ... .... <br />~ ~ ~~~ <br /> :.REQUIREMEN.7~:. .. ~ ~ ~ ~~ ~ ~ ~ ~ ~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ ~~ ~ ~ ~~ <br /> :REQUIREMENT <br />.. <br />.. . <br />... <br />:.. <br /> SAMPLE <br /> MEASUREMENT <br /> ~:~.. ~:. PERMIT. ~ . .. ... ... <br />~ ' .. <br /> REQUIREMENT: ~ ...,: .. ... <br />:.::.. .:.. ~: ~.:: <br />... . <br /> SAMPLE <br /> MEASUREMENT <br /> PER <br />MI <br />T: <br />~:~: ~ . .::... .. ~ : <br />: ~ : ~: ..~.: <br />:: <br />:~:~":r <br />- ~ ,;:::7": ~ <br />.~2:;: <br />:C~c~~~ <br />~; <br /> , <br />, <br />. <br />.. <br />REQFIIREMEIJT . , <br />. <br />.:. <br />.. .. . <br />. <br />: <br />.... <br /> SAMPLE <br /> MEASUREMENT <br /> :;~...:PERNIIT :~~ ~~ . .... ... ... <br /> :REQUIREMENT,: .. ,. .:~.. ..; _-.._ <br />.:: .~::_~~_ ~ _:, <br />- - - - ~ . ~.:.,. <br /> , . <br />NAME/TETLE PRINCIPAL EXECUTIVE OFFICER I CERT <br />AM FA FY UNDER PENN.TY OF <br />MIDAR WITH 7HE INFO UW THAT I HAVE PERSONALLY E%AMIN W AND <br />RMATION SUBMITTED HEREI <br />ND B ~ <br />~ TELEPHONE <br />DATE <br />~- "YY ~ U~T N; A <br />ASED OM <br />MY INDUIRY OF THOSE INOINDUALS IMMEDIATELY RESPONSIBLE FOP <br />OBTNNING THE INFORMATION <br />1 BELIEVE THE SUBMITTED INFORMATON IS ` <br />/ <br />/ ~ <br /> . <br />TRUE <br />ACCURATE ANO COMPLETE <br />1 AM AWARE THAT THERE ARE ~ <br />~ <br />l <br />• <br />I M w n . <br />/ <br />G . <br />. <br />SIGNIFICANT PENALDES FOR SUBMITTING FN <br />SE INFORMATION <br />INCLWING ,~ ' <br />~ <br />th ar h . <br />, <br />THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 1B U.S.C. E 1001 AND ]] I <br />BIOMAT 303 '7 70 - qu41 5 $ 0 4 I y <br /> u.S.C. ! t ]tB. IPrWCY. wWr s»w mem. rn.Y icAnO. Fiwa Iq ro 1(0,000 URE OF PRINCIPAL EXECIlTNE <br />TYPED OR PRINTED .rwnmu:ro.tt hYwr'olnwrt o/ernrw.+s menors ms s Y.vs/ OFFICER OR AUTHORO:ED AGENT CODE NUMBER YEAR MO DAY <br />_J .4.~~.•[. A. ~,,..or...ti.=.,;. ~.,.e.,P!'PAIL,'_.~F,,. }a: o~.~.n •~1^~.~~~~ ecnn?- L"tiP -. ;TFTT.....I('a F. D~TtIT F•^?T. .T: ~r. ., - <br />T' <br />L;'T.IAL P.) S'+' 7F rF:ST ~)R:~°fS"iF ,9Y'I A.^'ACR 0:'1TC Tr17.I('T'*Y ~F_i' '~`F.('~la'^ c7n~ TO r)t;g. .-..tl,i;... ,.~r rrL <br />INP.'IYN tITI .tl MIIST q/ CVUT TA OUl- <br />EPA Form 3320-T 108-951 Previous editions mey be used. (REPLACES EPA FORM T-40 WNICN MAY NOT BE UbED.I ~~ 7I 7 / y 6 71 I l- 1 1 .~'. 1 PAGE ~OF <br />