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PERMITTEE NAME/ADDRESS QMrLlxfl~ryNaadfaranm lJDlpe.,p <br />NAME l.Y"~-it LIJ LIII'(kL (.'..;'~F'uk,.,l L::~. <br />ADDRESS •' L D1.1X Gb <br />I.KAl~ CCU it162D <br />FACILITY (,Yt'KJS C^+Plnr_ LURF+UtAT1~TN :•dF:. <br />LOCATlOf~ K A 1 v <br />GC d16i' <br />a ITN MI(.HAtL a. Lui;L:;.,. Gi-tuFUAC_ ..•_ <br />NATIONAL POILUTMT DISCHMGE EIJMINATION STSTEM INPDESI Form Approved. <br />DISCHARGE MONITORING REPORT IOMRI No. Z qp-0004L <br />l1-161' Ill-f9/ j Ii 1. l)Lr. I I v 'J:~i'[-~ rt Y <br />p ov~ ex Ires OS-3~-98 <br />~uL;k Nn 1L h~ <br />"'''~ i 'NUMBER DISCHMGE NUMBER F - FINAL ~' <br />MON 061NGPf OD MINLiTT <br />fi~AR MO DAY YEAH MO DAY ' <br />FROM ~ Q Ta q8 05 ~1 ### pISGHAkGE ~v~<a <br />- !10.171 /1273k~Y~ - ~ 126-171 118-19/ I363I1 ~ NQ.{)E[ Rsed InetrucHons bd comPletina thi form. <br />PARAMETER !3~¢ad NTITY OR LOADING ?~ ~s, <br />' r nlyl QUANTITY OR CONCENTRATION NO FREDUENCr SAMPLE <br /> <br />~, ' l31-371 !. <br />'< F. I54-611 I38-~51 146-531 151-6I1 <br />~ of <br />TYPE <br /> MA%IMl'1M UNITS MINIMU~iI AVERAGE MAXIMUM UNITS /61.691 MALYAS <br />I6F661 169-70/ <br />;; ii ~-UFY <br />F SAMPLE <br />-/~ ~z <br />~ ~!~ <br />###~#~`IF#E I9 <br />LU Utlo• L MEASUREMENT x <br />., s <br /> <br />G~li1 u U . U <br />ktF'iir~T ..:~ <br />. . t #~?CNix~.;i <br />~ <br />1=ptiki <br />~ ~- <br /> <br />. <br />f'I::#flNi1T; <br /> <br />NG~J <br /> <br />ii A3 <br /> <br />An tkr/LIrF EST Rl:¢U REMENT: <br /> <br />~... ..::: ! <br />: <br />,... ... . .. <br />,.,,.. <br />~ . <br />.. ,. <br />: <br />~„ .,: <br />)LL.Lu~r TuT/~l SAMPLE ••4v+Y•44 r.y :,. :f <br />;.{.h#~ L / <br />:v SF L(rJCU ~ MEASUREMENT `~- <br />~ <br />~ ~ <br /> <br />~.' JjV Ll V U .;.,r.pE. 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MEASUREME`KT~ .. .. :: r . a - , 4 <br />f' <br /> ~ <br />, ., ..,{ , <br /> .: .: :.....:. y <br />,: <br />... <br /> REE7UIT1EtiiEyT ~ . ,.:... <br />::;:;:- <br />' ~ SAMPl6:~ •~ <br />' y:~„ MEASUREAAEN7 <br />,. <br /> ~.;-. <br />.P:ERM z~ <br />:.: .......::.:~.:,. <br />. .:. •:...::~ <br />.:. :T <br /> <br />,~~... <br />:. <br />.. <br /> <br /> <br />: <br />: <br /> . <br />. 4.':.. ... i. ...... <br /> <br /> SAlVJPLE <br /> MEASU EMENT <br />' ~ <br />I <br />M i <br />~' ~..r.: . <br />~~ <br /> <br />~ <br />fiE,O <br />BE <br />EM~.:` <br />.: ~., <br />,.~: <br />!~t':. ~. ~i.l:. <br />i:rKx.., .. <br />,.. . . <br />r <br />.. <br />.: [:,. <br /> .SAAhPLE <br /> MEASUREMENT <br />:~ ~ .. <br /> . <br />. <br />., .. <br /> <br />:... <br />,ALauT €MEfjL3'i ,.;, <br />'';. i <br />a'^ <br />: ::'r:, , .; . . ... , , <br /> ~..,...,~. ~ . <br />.. <br />:. ~ ~ ~ ~ <br />„. <br />~~" ~ ~~ ~, <br /> <br />~ <br />NAMElTITLE PRINCIPAL EXECUTIVE DF <br />FICER~ I CERTIFY UlIbER PENAL-TY O L <br /> <br />Aq <br />AM fAMltl W1TR THE IN A , Ail NAVE PERSO <br /> <br />N•$(1BMITTED H <br />~ NALLY E%IdAIN <br /> <br />EREIN <br />MD B EO AND <br /> <br />E <br />TELEPHONE <br />DATE <br /> <br />MY INQUIRY <br />OF ?HOSE IN ; <br />AS <br />D ON <br />W <br />~7p AS' <br />IMEDIATELY RESPONSIB <br />E F <br />~~ <br />lay 1-, '.iiiS . <br />OBTAINING THE INFORMATION <br />TRUE <br />ACC <br />R <br />T U <br />L <br />OR <br />,I BEI]EVE THE SUBMITTED INFORMATION IS <br />' n ~ ~ <br />~ <br /> <br />'I j~ <br />.. ir.. <br />1}pi %~ <br />: r <br />- <br />- <br />- .. <br />A <br />E AND C <br />U <br />SIGNIRCMT PENALTIES FOR S PLET . 1 <br />~AM AWME THAT THERE ME <br />UBMI7TING~FµSE INFORMATION <br />INCLUDING ~ / ~ ~ <br />~ <br />, <br />1. <br />~r <br />pl <br />~ <br />THE OSSIBIUTY OF NNE MD , <br />MPR <br />i , <br />197 <br />~ 570- <br />I ~ ~ <br />G <br />i <br />'~'~ <br /> I ISONM <br />. SEE 18 U.S.C. f 1001 MD 3] I <br />T <br />E <br />Si ' <br /> U.S.C. f 1]10, lMWtlaa ultlir sew abllmaa mry. •KA.A• Aiwa MD ro f 10,000 URE OF PR <br />NCIPAL EX <br />CUENE <br />ONA <br />~.. AREA <br />TYPED OR PRINTED aaW wmuMUn bw/mraa •IMnrwlemmNa •nl6 yaral OFFICER OR AIfTHORIZED AGEM CODE NUMBER YEAR MO DAY <br /> <br />..vnna.~n i v vn yr nn r vrvl-n nvn~ mer eimcs en saecnmenrs nere/ <br />rArLuLP.i ,AMPICS t~`U:,T or i:LIILEGTtL'r ANA!_YZEJ i .1cF~hTEL liL1tTH~Y ~i.i,A.d~LcSi tiF :.NETn~~. AN cFrLuuYT <br />u1~1, liAtth~ VL(.UK ~. <br />EPA Form ~33Z0-1 108-951 Previous editions may be used. ~ (REPLACES EPA FORM T~0 `Y'i1CH MAY NOT BE USED.) PAGE OF <br />UJi]tiy/7t,luU1-131i i <br />