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pERMITTEE NAME/ADDRESS B•tb6FsWryNw/1.0[pflm l/Dlpi..nq ' <br />NAME KEhH. ::UA[. ~J1'>A~~Y <br />ADDRESS n A :: k ~ L r/ ;; <br />t'. J. PJd 77347 <br />SPL:A.1POaf `;PkL~;.; ;0 tlU~11 <br />FACILITY' <br />LOCATIONa ALudr: ~ ~O F]O43•J <br />ATTn: ,i,r!t6`: ~ . L'AffFd O',- YIKt: H:a. <br />NATIONAL POLLUTMT DISCHMOE ELIMINATION SrSTEM INPDES/ <br />DISCHARGE MONITORING REPORT /DMRI <br />I1-151 17-191 <br />CO;BSDD37 <br />PERMIT NUMBER DISCHMCE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM UU UL TO UJ U9 <br />!]n-]fl 11]431 /]4]51 !16171 !18.191 /JO-311 <br />POND G/TRIR <br />(soBR Nlt} <br />F - FI!lAL <br />71L6UR <br />Form Approved. <br />TD CA4~eJlio]1204~- <br />Approvel e~%RiteJ <br />v NOTE: Reed InetrueUone baton eomplatinp thle form. <br />PARAMETER 13 Ard Ontyl QUANTITY OR LOADING /I Grd Onlrl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> 1e6531 !546/1 138x51 !4653 154611 <br />EX OF <br />TYPE <br />/3Z-371 MN.rsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /e]-67! 154681 169-701 <br />r't: SAMPLE ~37;';r~ Gtr;=C: ,"!.; ( L. z} <br /> MEASUREMENT <br />~`J4:1J 1 U U PERMIT ~~.:~::~ ~ v~i.~s4tK vv#G'i'-% #+t" <br />s.s -.••.'-" <br />v,.r,. ~ ~ <br />y.o <br />" <br />ArRLY c <br />.N.,IT{I <br />.. F'r'L:: ': 'L ,;kJ55 YAL71S .REQUIREMENT;, . ~ ~ #r}y ;x . <br />.y tNLBDti ~ P1AY PLUM.. iU <br />~.)~..i~S, Si:TPLEAd L-~ SAMPLE aaaaQa pax#;t ;w ;s C~:#i: Cr~Y nr ( 25} <br /> MEASUREMENT <br />J'J j1~ 1 0 D '~. PERMIT <br />~ G##?iS?' .~ #ROIIaTAr ### Ot~#@tR## ~ ~~~~5?9r#e? Yk D~e rJ~. ~.l ~b=~.~ :RAC• <br />r.FFL`3ENT GR~43 YALDE REQUIREMENT <br />: ~ ~ : +DL`C3 ~ ~ D~AI~1.f PIX NL/L :. .~ !iJATH <br />1. AND :;R >A 9~e SAMPLE ,-. .-Ck? ..Frlk ~`. ;ty:..: R.~ ,-::# #-'.= ( I~) <br /> MEASUREMENT <br />Jj~JI I - D. D PERMIT ~-,-,+ FRX .. ##4`R ."+~F #:F. "iF #;ti rf rF:r =F:F:f# # iQ - ~( O`iFIN :RA9 <br />dFFLUEY'P' .:P--055 YAL!IE REQUIREMENT :;c~.^} AAIr.Y K$ M,/L 'oLrt1T <br />'L nF ICY pDUIi J.D. SAMPLE ( UJ) +~+-+'%:`~ +~~`~ 'i'F +"-##~'+- <br />L't!r.U Tk'~A Ttl~ENT F'LA ;T MEASUREMENT <br />DJUSU 1 D U PERMIT )PTLOSAL eEP~kT Rr##4r ~+~+'r # `G#GL<# 3 -'k•:`:t ( N^F:/ .IfSTAti <br />:F"r LUiNT GRD:iS YALUi: REQUIREMENT 3UDA Al1~~ ~ DAILT CIX RGD - ~ *''+`•a'~ l70NTE <br />JIL AND ;;REASE SAMPLE `7 %`-X~ ( )y) ~:;=Gs:~ #;-# #~ Y#+r~?'.~ <br />J L.; IJ AL ~ MEASUREMENT <br />_~4J.,b I O' D ~ PERMIT .t;~~x#~k ~REPOkT Y ES=1 '~9LCLT:-:~ :t+: v # ~ "'L'~aFi=:r. - 1XC ~i R'_'E/ 'LSU'fL <br />^:F7LUENT :RJSS IAL:.JL REQUIREMENT j.eL$T MAX : NO=D 'XFY+ !~:J}iT%i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED MD <br />MI FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> MY INOUIRr OF THOSE INDIVIDUN.S IMMEDIATELY RESPONSIBLE FOR <br />t~~~ <br />:fiCt W.Ld A• Mtutaon OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />ACCUMTE MD COMREFE. I AM AWARE THAT THERE ME <br />TRUE <br /> , <br />SE INFORMATION <br />INCLUDING <br />IFICMT PENALTIES FOR SUBMITTING FN <br />SIO 0 <br />4 <br />] o <br />D <br /> <br />ident <br />V i <br />P , <br />. <br />N 9~ 72} <br />~2 <br />- . <br />O 1D 11 <br />CEt <br />res THE POSSIBILITY OF RNE MD IMP11150NMFNT. SEE le U.S.C. 1 1001 AND 7J SIGNATURE OF PRINCIPAL EXECUTIVE <br /> u.B.C. f 1310. lFMMMI uNr M~ .avN, nlrr MPAN• !n•a ep ro i IO,OOD AREA <br />TYPED OR PRINTm w>muirNnrhroHOmrttW Mn.wnemmeYaeW Srrra/ OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference s// srtschmenfs here/ <br />;iETTLEAr:Lw SOLIDS LLtlC1' ,rALY°D FJR LU-Y3r 24-%IR PRECLP ;YE':i: ~U:.Jii;.f iO PJ4DSN OF PROOF' R?pL'IRF.".Fh!'i L}' <br />.",A liL I. U. 1. 0, P. G. SfOR1ii ATER ~ANA:,E9EHT 2LA9 DUF. L-I-)3. <br />EP11 Form 3320-1 106-951 Previous aditione may be used. (REPLACES EPA FORM T~0 WNICN MAY NOT BE USED.1 U 3 ti 3 / 9 7 L d 1 9- 12 i Il PAGE I OF <br />