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a711Rrp <br />PERMITTEE NAME/ADDRESS pnclude Facllin'.A'nnu•JLacmion VDiBerenO <br />NAME CYPAUs Ep'HinE CCFPGRASICd <br />ADDRESSF,AGLE t:IliE CCl1ELt8 <br />P.C. b01( EN <br />FACILITY Cfi AIG CC Ei616 <br />LOCATION <br />..~ m. . ~ ~ - gy n. <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOESJ OM8 No. 2040-0004 <br />DISCHARGE MONITORING REPORT (DMR; <br />/z tsJ !rn aJ i ;: C F Approval expires 05-31-98 <br />PERMIT NUMBER ~ - ` . DISCHARGE NUMBER r - [ i (~ ~ I F C F r I <br />MO ~OIRING RIOD >ti U• 6 M 1 fi E ,:'~C,.~. i I L I I A t'. P F C F k F V <br />YE ~ ,. 0 YEAR MO DAY +° -~ ~ ~ ~ <br />FROM l TO ~ ~ 11 #~%#~~Q G-tlAfiCE ~_.{ <br />r~n.a, e,~~ n<-BSI rzs za t2e~z9) I30 an ,NEE: Read Instructions before completing this Corm. <br />..__-.- .. _.._..__ __ -__ _., _-_ <br />f3 Card On QUANTITY OR LOADING <br />9l _ <br />(4 Card Onty) "' CUANTITY OR CO ~ <br />RATION <br /> <br />EX <br /> <br />OF <br /> <br />TYPE <br />PARAMETER (4s-53) (54-6/) (3845) (4653) (54-siJ ANALYSIS <br />(32-37J AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS iER671 (6469) (69-70 <br />'IL .51i: ;NtA~r SAMPLE .. <br />~ I ,I a,) 04d~K;+ 4G: ;: ::: {Y#K. © ~ 7 V($141L <br />Y I -`~ U h L MEASUREMENT A <br />V <br />_ <br />;l <br />s:e <br />itI`~ <br />]BG~L <br />fJUUoo I C L PERWPi'~ o#k:ra~ U "'-'J F`_-1 LrDf10 :!1~!~'».#- L . <br />. V <br />c I <br />E~'FLCt.~'I GR055 YALLL REQUIREMENT ° <br />e <br />IA..T !tR'1,; ~C= t . <br />. <br />" `° ~` ~ ~' w< <br /> <br /> SAMPLE <br />EASURE <br />ENT .glC', - <br /> M <br />M _ <br /> PERMIT ;:.~ sa ~{ - ~ a <br />; <br /> rFEQUIREMENT - ~ 'h ,~ , - - <br /> <br /> SAMPLE <br /> NT <br />S <br />M <br /> URE <br />E <br />MEA ,,, <br /> ,:R~1& c ~ .~ `_ <br />;,. <br /> ~ ., ,CEMENT <br />~ ~ r,. x= <br /> , <br />SAMPLE <br /> MEASUREMENT <br /> PERMIY <br />. 44 ~~ <br />` I~ Y -r -. - r <br /> REQUIREMENT ~ <br />~ -, ~, '.' " ~ - <br /> SAMPLE <br /> MENT <br />S <br /> MEA <br />URE <br />- - <br /> ~ . <br />~ ~ <br />` : <br /> PERMIT ~~ . , <br />- .. <br /> flEOUIREMENT <br /> SAMPLE <br /> ENT <br /> MEASUREM - <br /> <br /> PEflMIT <br /> REQUIREMENT. <br /> SAMPLE <br /> NT <br />MEASUREME <br />PERMIT <br />'~ ,~ °' <br />- <br />REQUIREMENT ' <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF IAW THAT I HAVE PERSONALLY EXAMINED ANO TELEPHONE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AIJD BASED ON MY DATE <br />INQUIRY OF THOSE INDIVIDUALS IMMEOIATELV RESPONSIBLE FOR OBTAINING <br />~ 9Jt) Fi7 U-Z7~Z <br />Richard 11Aiifs THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS TRUE. / ^ <br />SIGNIFICANT <br />~ , <br />ACCURATE ANO COMPLETE I AM AWARE THAT THERE ARE <br />Environmental it;anager PENALTIES FOR SUBMITTING FALSE INFORMATION. INCWOING THE "-SIGNATURE OF PRINCIPAL E%ECUTIVE <br />C. <br />S <br />4 1001 AND 33 U <br />S <br />C <br />SEE 18 U <br />MPRISONMENT <br />D ~ ~7 <br /> . <br />. <br />. <br />. <br />. <br />. <br />I <br />POSSIBILItt OF FINE AN <br />IPenetties untler theca statures may include Gnes up ro 510,000 antl or <br />4 1319 OFFICER OR AUTHORIZED AGENT A NUMBER YEAR MO DAY <br />TYPED OR PRINTED . <br />mavmum impnsonmenl of Oerween 6 mourns end 5 years.) <br />..COMMENTS AND EXPLANAI IUN ur ArvY vlvu+l Ivlva Inero,c..w a~~ a~~=~~~•~~~~~~~ ••~~~r <br />FLOW L1t!IT APPLIF` 1C CC6.yIhcC FLCd FFOr CGS, Oii f C~~. ciL L ~l:LASk C6?.c :3?!.ilf Pl1PLY_]_ F:(LIFEC LF <br />YISIuLE SREEt+ IS CESEFYEG. {;RTALY SAMPLING IN:TSCC'IIG't`_-1.C.1:, FC M. <br />EPA Form 3320.7 (08-98) Previous;gditions may not be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) C G 18 7 / C C C 111-1,6 2 C PAGE 1 OF <br />.. ~ L.: .. <br />