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PERMITTEE NAME/ADDRESS p.,i•s. FrslnA's.'ta.,lo.VD,p..o.n <br />NAME' i fB?. :' J+L:.. Y i'i)aL (:17 Y:f :`,Y <br />ADDRESS ~n ll'i.~ ~ CA?lYf`V r~Fif <br />FACIUTV („'A'r '.+ YA1. !."Y CaF 1, i'~`'trA ~'( <br />LOCATION <br />NATIONAL POLLUTANT OISCNMOE ELIMINATON 9VSTFM (/VPDE$) <br />DISCHARGE MONITORING REPORT /DMR) <br />17-161 /7-191 <br />L'f+004(• '7 JQ <br />" PERMIT NUMBER wscNARDE NtWeEA <br />' l !+ ` 1- U I I / p MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM U •} TO I! 1.. <br />176711 177-731 174751 !16.771 l18-191 !363/1 <br />Form Approved. <br />;'.'. f1 PfJ In (1 !",~'+,r *I.oM~Np. 2G~0-ooQ4:.~ <br />( ; U I C 'r 1') APProvel'e>~p~rge.05-31.98 <br />F - F1`:RL <br />~If,~:, <br />NOTE: Resd instructlQRe before eomplatinp this form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING 11 Grd On1Y1 QUANTITY OR CONCENTRATION }.1D. FREQUENCY SAMPLE <br /> 106531 15461 I38J51 !9653 /546/ <br />EX OF <br />TYPE <br />137-371 ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rsa-sal /64881 169-701 <br />1'd SAMPLE .. .,-.: rt;:.pA^+} ... 'k,.`:`-:: ( ' 2) <br /> MEASUREMENT ~'L ~ _ <br />I ~C' I/~~~ <br />U U'I'}J t U II "PERMIT x:r SS C-+ar„ :xc~##'.cC ~. C::r. {1rS. ~4t+fi 4'r3` "eT ~.O ~ ~ . ,.NP}•l. tl '."; ;?..; <br />'. c`"Li; C"" ..; rt r, ~; .] Yf.L"• REQUIREMENT ~ ~ -^-4# ~ ~tSLiIIN)1)?I: ~ .l"AK~r wri'! ~ `•L' <br />;vi.l~~_-r 'TnL SAMPLE .:c'.r?r?'C ...-i'*:: :c'1;L`ti:.`•d ( l9) <br />•} , ,, . ~ .) MEASUREMENT - <br />,l~i-: ~~; L U U ~~ PERMIT 4:zGtt9rfi~.~:" <<:x¢t~# R'~^ ~~#lR+PF#~~ ~. .35 ~ ~ ~ "~~q' ~;'>T'/ ~".k;;s <br />'. Y.'i, Il r: ?!`" +,RD'<:; Y~.LC- fEQUIREMENT pl r:fifi ~ ~ ~ ~3 `34d ~AYG' ...~r~A~LL~T ~""K i1;/1. !10 kT~. <br />- <br />..i!.I~SA .•TTL•-A=L' SAMPLE .r.~c:x x=.xcr:?:r xa#?:#, .Cfi.:"# ( 25) <br /> MEASUREMENT <br />~,1 (~': 27 i /: li ~ PERMIT ~ +:4G 4SF~. .~ #O~#fY#.w Et .~.; L`.ti#i.i'"J ~ 4#fi0~4C~. ~ ~:t*~~".. ~ <br />.. <br />~i:`~~ <br />~ ~'~ •.l'./ ,R"~1'! <br />'°;'LG E:',: .; P'l';~ YRLII" REQUIREMENT _ ~ ~ pl^r,.fi ~ . <br />, <br />. <br />;~Y}}j; '"~`ii~'~'X NL/f. .'1')11'N ~ <br />,~:IVA :'~: 1L SAMPLE .^.r;;~:Y ¢',`-~:4 t::x ;:rgrp;: 7~` ( ^, a) . <br />(' ~ F ' ) <br />MEASUREMENT <br />' <br />11 .4S i U II PERMIT "=4C1S$91 t4"•rLr~~ R"'.: C::c#~!>Ot)01 `erg 7"r O'. N~:~/ TT 'I" <br />.~ ~(, 1'~;.. ~" :3:)5:; X81 '1 :REQUIREMENT ~ #;: -:;t :. 3QD!!. `. ~.q•~+ '~S~AILT" My ±+:/L '.. ~. .tt~i~"]'. <br />.l L ,'. ti . . ^ AiY SAMPLE ......- . .CoX:::k trt^-o(:tr4E ,-'.-'Q#^;: ( ~, <br /> MEASUREMENT ~ ' <br />' 3'. I.! I Lt U .. ~ P.ERMIT ~ ••4'S~G;t:~ ~ ~.~ 1F,".ts64<! .. RL: .' "~~C>~OY:# . ~ #71Y.:;O.YY.79 .: I.:}'Q ~.. ..~,.:.... ..:... *.O.kTI. GR^-` <br />;, i;: '; ;; R45~ V 4 LU " ;REQUIREMENT ' #### <br />,,.. ... <br />~ <br />~ ,Z.k'S'~"IFA X Kt;/L .' :Xe~NT " <br />i ~' CCTk DU I? ~}il <br />r':-,., SAMPLE ~ ~ (I3) ~#'.:4R:r. u}rt <br />4:+ <br />- <br />C ,.-.. .'. !' <br />F <br />•• I ' c ~ i BERT i1Lh `i MEASUREMENT _ <br />. <br />r"1.,"iJ ! 0 ;t ~ "PERMIT i?9{'[7~Z'.' g'g .~•)• '.. +YRtD9fL't# ~ : .Yrfi-'.tS'~I,fir.~ .:~ "nt:'J':~•~r:;t. ':G'~t14 ~~F~F: I, iN';...: , <br />,pvLq „'. -:' `.: )Ii1J '!A1.p_ ;REQUIRENIENT 3UlSk A:Il~C:~ 11AIt T"~~?.X' 9GI) .. : <br />~.. ~ ~: #l::: <br />..(IL '~•r :'J SAMPLE CO. ,., .. <br />_q•.; p L ~+ / MEASUREMENT <br />/'J1JS i U '? PERMIT ^'^ C#.l B$: R ~?. N. P`71":T <br />` <br />..}~ri.•1: ,H(?S" Vi-.!,IJ• REQUIREMENT .•. .3~L~~A'~.I4gG~ 9X <br />~".'AAIL~ft rq/L <br />NAMERITLE PRINCIPAL EXECUTIVE OFFlCER I CERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSONAUY E%AMI <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND B NED AND <br />ASED ON TELEPHONE DATE <br /> <br />l/ ! , ~, , ~ , ~ Yl I ~ ly ((_ <br />MV INQUIRY OF THOSE INDINDUN.9 IMM WIATELY RESPONSIBLE FOR <br />OBTNNINO THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATON IS ~~ ~ `~ <br /> I AM AWARE THAT THERE ME <br />ACCUMTE AND COMPLETE <br />TRUE / <br />F-' <br /> , <br />. <br />7 P <br />ES FOR SU <br />TT <br />O FALSE INFORMATON <br />INCLUDING <br />T '- <br />~ ~ <br />•~ <br />- "- 7 <br />i P" ! i. ~ ~; C f C_ <br />L <br />' I ~ <br />~ '' , <br />SIONIFICAN <br />ENAL <br />I <br />eMI <br />N + <br />~ <br />~ 4 r I' <br />/ ~ <br />,l I [ i <br />' <br />- THE POSSIBILITY DF RNE AND IMPRISONMENT. SEE to U.S.C. ! 1001 AND ]] SIGNATURE OF PIIINdPAL EXEd17NE <br /> U.S.C. ! 1 ] I e. IPw+W. urOtr owr mtms ,nFY IncArAr Rr. K ro i 70,000 <br />TYPED OR PRINTED n,s ar m.r:m.n x,P.IrnwLrwarw..,emmaArles rrU OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />OMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reter~nce d! sttschmsnrs hare! <br />• <br />-' f <br />I I' fif: <br />'O -'( <br />v~ I i' <br />': I t <br />')f <br />°L p 6' ,~, ~ <br />' A'.'FI L' •II' <br />-1 ? ~rp i'i t r <br />. . <br />. <br />' . <br />R <br />.., , <br />- <br />. , A : <br />. <br />:i; L <br />' <br />~ ~`i L!".?.. <br />" <br />7 <br />iY <br />>' F r'f rfl t"tc ~I+)}, ' <br />'U 't := iV:.llm-~` nG i-~} <br />A <br />`•1. ! T.'~•t <br />~ 1 r='" 4( <br />~ <br />. ., <br />:.' (. <br />1 . <br />. <br />, F ~ <br />~ , , <br />L .).. •.- .. ;-ql.'a.• In <br />t.^_4Y u_ a_ •l~Y SYPUR:'F' T+: IT.: LF':T Mn}~^qf V ]Y.:- ')(10711 l: 4FaT .-,. AvPYTa '...- ^f.::-T ~ l <br />EPA Fwm 3320.1 108-961 Prsvlous edlDOne mey be used. (REPLACES EPA FORM 7.40 WHICH MAY NOT BE USED.) ~ 0% 7 i / ~ t 1:17 - 17.11 ~, PAGE .OF <br />