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PERMITTEE NAME/ADDRESSN YL FxWryNaw/Losanm JD~...ap <br />NAME ' : ~ ~ . - . , .. . , , • . •• . _ <br />ADDRESS ~r~~= ,1 .- .n.r <'iE P L.r-.. ... <br />FACILITY,1 <br />LOCATION <br />NATIONAL POLLUTMT DISCHMOE ELIMINATON SYSTEM INPDES! <br />. DISCHARGE MONITORING REPORT lOMR! <br />• 17-161 lI7-191 <br />PERMIT NUMBER DISCHMGE NUMBER <br />~ ~ ` S ~~ MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM i Ja .. TO "' ~~ '1 <br />'~ ! 126111 lT1-131 !74751 !76771 lT8-791 !36311 <br />. , <br />_ - ~- <br />Form Approved. <br />.. ~ OMB-No:~ 204000„04~ •- <br />Approval expires 05-31-98 <br />• NOTE: Rasd insirYClioM bafo co letinp this }orm. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !< Grd Onty/ QUANTITY OR CONCENTRATION NQ FgEOUENCY SAMPLE <br /> !46531 154-611 /38J51 I<653 154611 E GF <br />l3T-371 X <br />MALY515 TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rsT-sal !64681 169-701 <br />~.I~[., :O i.iL SAMPLE '`-r[; R~F C[ ",.':'C' i•=:-4h. r ~ O} <br />;•~ ~ r -, MEASUREMENT <br />~1C45 i I! '1 PERMIT ;r:~:[?:r :[ ..Y•~r[, `} ...-±:t-.r. ~~S ./ <br />L :R!~+ <br />.. L_. r,~ ~- ~r •.Lq* REQUIREMENT :: ~;~.!: :' 9!1n! AYG r.~ rT° •e .. ,.r T :40i'TN <br />LOf, L~i CC•~17 ;1'7 O-' SAMPLE ~ ^~7~ ,::[-..... r.:: ([ai. .[:; ~vt .. ;.:.~:. <br />~•: P ') .' ' . ~ '' ~' ' " I' P L : "" MEASUREMENT <br />:0[:;C 1 ~ ~ PERMIT N.F.h~RT PrIOYAL S#f:~~rr ~{ew:~-g~: ..~;~:,r,:; r~-r: ~`:;t'C': ':`~TA~ <br />'LL';'' ';;~5" P+L'1~ REQUIREMENT 30RA ~YG OgLLT H'{ d11:_' <br />v ...:. <br />Cl: l';'~ -; f:"~ i~ SAMPLE .. ~ ~il~ ne.....:.w .. :: ;t :: •::y y:a-..~ <br />L c ~ _: (, MEASUREMENT <br />Ill ~jr: 6 ') PERMIT ;[Y'`. '.`. ) Y F°=7 •wr#^ ,..[~-..,t ... ^....,:.: -. <br />'i: -•.r <br />-? i ,. <br />ir'~iU~..•~ ~. '~i -}I:u' REQUIREMENT L'7 r.~ y1Y Np_) . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .AEQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF L <br />AM FAMILIM WITH THE INFO AW THAT I HAVE PERSONALLY E%AMINED MD <br />RMATION SUBMITTED HEREIN: MO BASFO ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDINOUALS IMMEDIATELY RESPONSIBLE FOR // <br /> <br />Riclldrd Mlllls OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME <br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING A/H// <br />~ ~/ <br />nvironmentnl 15:1~1T8 8Y , <br />THE POSSIBILITY OFRNEANDIMPNSONMENT. SEEIBU.S.C.IIOO1MD73 <br />SIGNATURE OF PRINCIPAL EXECUTNE ~7~ (170-77} 6 Z,ri 98 <br /> U.S.C. 1 13te. fAarltln u[tlr ebr mnrr.. mry lxkW 6n.. w ro S%aw <br />TYPED OR PRINTED agwmuirw[r lrsdrs+•w[t el ernYr[ISmmgsW 6Ywal OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMM[rv I5 ANV L:AI'L.NNX 1 wn ur qnT YwLn I wno InaTersnca w[ srtscnman rs note/ <br />.. L' ?.YA.T LI''1 '^^ r'--. i7U'~ ~ :. ..^L"tai.°. -."LTD (?.'i.^, F~s~ ,..T:•, n,Lr r C_ ^_Y• ~~i- '.~ -...[1„ <br />'. <br />r <br />i5 CLAI". "'C. ]' . .F.', 1H, F'» ~;L-:n,;r ~^ vv'~nn ^~;~T~^F+^, ,. rTT F [` ~TC _;•-. ^~r ~7~. •~ <br />t^ ~ <br /> <br />- ry ~~..~, ro <br />n <br />r norn:~n-.r .. Tr-..,n,....,•n„•_ -~...r~ -.7 r _ ~ <br />EPA Form 3320.1 108.951 Prenoue adrtlona mey be used. (REPLACES EPA FORM 7-40 WNICN MAY NOT BE USED.1 ,. <br />, <br />PAGE <br />Of <br /> Y _ ~ ~ 3 ,; <br />_ <br />n r T , .I ~ <br />;, ~ I! „ <br />