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PERMITTEE NAME/ADDRESS Owdvd~Fxlby NmndLoaaOpNJD,-Tram) <br />'NAME GkAC~,;, ia! I_~Y CUaL ~~JyPA~t~T:~ <br />ADDRESS 'NCLLA'1-. C-•~IY.,N M[~+E <br />' ~~b Vf`N C'J <br />FACILITY <br />LOCATIDt~,~r.,- <br />AI rtQ "_';~IE1it , r ..,LT~;~j, Hi,.t rlltlE <br />NATIONAL POLbUTANT OISCHAAOE ELIMINATION SYSTEM./NPOE$)' <br />' DISCHARGE MONITORING REPORT IDMR! <br />' 12-161 117.19/ <br />r, ~ ~ <br />PERMIT NUMBER DISCHAPGE NUMBER <br />Form Approved. <br />UNUERGRUUNU MI1•~ oy~yNP.2oq~opoa ;, <br />$Ud%t XI. APProvei Pxpye~805-37-98 <br />r - FIr1aL <br />'t I fIJ~ --- <br />.' .'i24-A~7u <br />EERY <br />FROM <br />TO <br />NOTE: Rud Inetructlone bdore co~LNnp thi. form. <br />"' <br />1' .. AMETEK I3 Ord Onl 1 4UANTITY OR LOADING 14 Ord Onlyl QUANTITY OR CO /4TRA, <br />NO' FREQUENCY <br />SAMP~E <br />~ (<6-531 I5b611 138-451 !4653/ t546E! 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'.'!a~>w.+l;;l~!#':..~ R:f~ <br />.'~~,6C~: ~ t.; 1 :.QI# 9i+i, IMiIF#k4~ ~:...###'P4k. ~M..k i._1:t V U~A', <br />- , <br /> <br />L.~F UENT G~ S~ >.a~Ll Elul EMEN <br /> <br />~ ....,.,6;:....::.;F e .:: .::.:.::.: <br /> <br />::::,-;:::!°';.::".::. . <br /> <br />::~tt1r~:::':~}A'~. <br />p..l R <br />-: '.. .. <br />.:. ... :.. <br />~4QY <br />NAME/T}'ilE PRINCIPAL EXECUTIVE OFFICER <br />' I CEPTIFY UNDER PENALTY OF LAW THAT I NAVE PERSONALLY E%AMINED AND <br />AM FAMILIAR vMTN THE INFORMATION SUBMITTED NEgBN: AND BASED ON ' TELEPHONE DATE <br /> <br />~}{N M w~~~~s MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPONABLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 16 ~/ <br /> <br />MANA[3ER QF MINE SERVICES TRUE, ACCURATE AND COMRETE. I AM AWARE TNAT THERE ME <br />SIGNIFICANT PENALTIES FOR SUBMITTING fKSE INFORMATION <br />INCLUDING <br />970 8 <br />3608 <br />8 <br />7 <br /> , <br />1 1001 <br />THE POSSIBILITY OF FINE AND <br />M <br />IIISONMEN7 <br />SEE 18 U <br />C <br />S <br />D 3 - <br />5 9 f0 28 <br />1 P <br />. <br />. <br />. <br />. <br />AN <br />I <br />3 <br />1 131 e <br />M~ <br />onm <br />i <br />f <br />U <br />9 <br />C <br />fA <br />W14 <br />d <br />m <br />b F <br />00 <br />S <br />0 SIGNATURE OF PRINCMAL EXECUTIVE <br /> <br />O <br />E . <br />s <br />~. <br />. <br />. <br />. <br />, <br />F NI <br />Y <br />. <br />ry <br />N <br />YM! w ro <br />1 <br />, <br />0 <br />i <br />R PRINT <br />TYPED <br />D .n6 armuMrwr <br />nlFriaeminraan...nsmenaF ra 6Ywa.1 ~ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMtNTS AND YAYLANA I IVN OF ANT vwLq I was ltrererencs sn srrecnmsnrs neral <br />~J L'AY AYkRA;,1 :_ "1'.7'.'•l vT;•LY aV'... t'U'~[r:~ Pt:FCI_Ilr ~iiP'itiTC~• Ti`, ,`+.,•1[T.kt'!G - I.:3.C. Zcf'~]F,T A.CUT-. d: T <br />(~;~TL;iG Ht5+JLi) J', i:'i~ •.Li' ., .. <br />EPA Form 3320-i 108-951 Previous editions mey be used. (REPLACES EPA FORM T-00 WHICH MAY HOT BE USED.1 JT: `I,E ;~ / rJOI'4 ~ 4-0'1 i 1 PAGE AF <br />''~ <br />~, <br />