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fFRMITTEE NAME/ADDRESS pnrlrb irrbryNa./(«mrm (/DleGrnQ <br />NAME - r , ~ ~ <br />1 c I~Frt ~LJ. IG <br />ADDRESS 4 {' ; ~: (, % •n r •~ r.; <br />.. 1311 F':.~+.~~r. :{ fir. <br />FACILITY ~~~ C ~~ c~ ~ ~ ~ y . I 1 • ~~"'N-2"x'1' ~ <br />.~ •, : . <br />LOCATION ry~....t. ~ ~ . 1~(/ ..~,~yy,l_ <br />NATIONAL POLLUTANT DIBCHAROE EUMINATON bYSTE1A (NPDES) <br />DDiCHARCE MONITORING REPORT IDMRI <br />1-151 17-191 <br />/ [ PERMIT NUMBER DISCHMOE NUMBER <br />Y771( MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 9 ; (~ r 1 TO ~ 1 ; <br />/26711 /72.23/ 121.751 !26271 l28-191 !36311 <br />Form Approved. <br />. -;;T- wr:~T w ~ -OMBJdo. 2040-0004 <br />_ c ~ ~ ~APDroveiszp+rse OS-31-98 <br />r _ CT •.8:. <br />1 1 r, ri <br />NOTE: Reed Imwetlorle belore Dompletlnp thM form. <br />PARAMETER l3 Gm OnlPl QUANTITY OR LO G !1 Eird Dntyl QUANTITY OR CONCENTRATION Np, FReOUENCr SAMPLE <br />l32-371 !4653 51-61 !38.461 (4653 15L5/ EX OF TYPE <br /> AVERAGE MAXIMUM ITS MINIMUM AVERAGE MAXIMUM UNITS <br />Ie7dJ1 ANALY519 <br />(51-581 <br />159-701 <br />;'~„ :i T.li,F' q.rvr i^n SAMPLE ~ ~ ?) <br />- I'I`I , ` ~ ti I A MEASUREMENT ~" <br />~ .'~" { ~ Il ft 7: .PERMIT '.. ~. ...~. .Ee :}.'G !': T:4t <br />~ .C:pd.9E,G L( . .. t.'. . <br />~, Q~~:. .-. ..!<. ~.1.n. h^ii ~S'}.?"... ,r-_ ~.: S, !'SF..3': Y'::. ':.y7.}:1't ~.. <br /> <br />r r• r . c w ~r : C ~ S + w e r I r <br />:REQUIREMENT' <br />~ <br />' ' : <br />:'Ill.~:;;::~g.f,~ ;: 3:i' <br />~ <br />r .. ~, .. <br />L(: '1n ,- ;: r 9h:f 1': .rr'r SAMPLE .. .: rGrf7dF ~ ... ( ~• ~) <br />nl <br />. .r MEASUREMENT <br />, 11 <br />. A .,. ,` ::~..::PERMIL..~: '.:6'F".:Ct;i ... ~...;~.OEr:r~#~;~~ <br />~ <br />~ V~tli'V'>u ~~~: ..~tGisx'-t<:pls.: .~fj+tic?tk.^;e :.:... ........ :.4'sy.1.v~~ <br />- .. .. '~a~:~t~r. <br />r'cr ~1. r''. ~; = ~~~'.' v e r ,{ . :REQUIREMENT. . ~ ~ ~ <br />. .,.:_... <br />ypp <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ <br />~ <br /> REQl11REMENT~ ~~ ~ ~~ <br />~~ <br />~ ~ <br />, <br /> <br />rl~` <br />~ f <br />) 1 <br />r,~ <br />I~ ~~ 1 i <br />` 1- <br />C <br /> MEASUREMENT ~ \ . <br /> / <br /> .'PERMIT <br /> :REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> .:PERMIT <br />~ <br /> flEQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> 'REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . ~ . <br /> REQUIREMENT: ~: ~ . <br />NAMElfITLE PRINCN'AL EXECUTIVE OFFICER 1 cean FV UNDER PENUn of uW TNAT 1 NAVE PERSONALLr ExAMINED AND TELEPHONE DATE <br /> AM FA MILIAR WITH THE INFO RMATION SUBMITTED HEREIN: AND BASED ON <br />, MY INOUIgY OF TNOSE IMDIVIDUAL9 IMMEDIATELY RESPONSIBLE FOR '~ .~ <br />~ ~ <br />~ <br />, <br />\ I <br />I-. I OBTMNINO THE INFORMATON, I SEUFVE THE BUeMITTED INFORMATION IS r <br />r <br /> TRUE, ACCUPATE AMD COMPLETE. 1 AM AWAPE THAT THERE ARE <br />SIGNIRCANT PENALTIES FOR SUSMITTINO FALBE INFORMATON <br />INCLUDING ~` 1 \ ~ .il• _ <br />4 <br />' <br />' <br />~ ~ <br />-1 <br />~ <br />'' <br /> <br />/' 1 , , ~ i~ <br />, <br />, I <br />r (,) <br />• ; Q , THE POSSISIUTV OF RNE AND IM%IISONMENT. BEE t8 U.S.C. E (001 MID ]7 BIONATURE OF %IINdPAL EXECUTNE <br /> U.S.C. f t 3 ti. /hrWeY. uwYr eMw mrvro. m.r /nrA.d~ riwa W ro f 10,030 <br />TYPED OR PRINTED rwwmvhR.n.YrrprlsmwrraArnrwm smarn.wsr..Al OFFICER 011 AUTHORIZED AGENT coDE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lR1lwlnce e// effschments here/ <br />.. , .. .. <br />r ~~ - <br />^r I *•n <br />A Form 3320-1 108.951 PreNOUe editions mey ba used. 1REPlACFS EPA FORM T~0 WHICR MAY NOT BE USED.) .T /1; r ,1 ~ ~ ,./ (, I ~ 1 ?~ ~ Z ~ 1 PAGE ;qF <br />