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PERMITTEE NAME/ADDRE65 pwrV4 FsWryNs.a.luvlm UD~..en)
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<br />NATIONAL POLLIffMT DISLNMOE ELIMINATION SYSTEM (NPDESf Form Approves.
<br />DISCHARGE MONITORING REPORT lOMR) .OMB No. 2040-0004 -
<br />1-761 17-191 .. '~ i .:. > ~ ,. ,
<br />,. ~ 1 , I „ ,. „ ~ ~ (- J) Approve; exgires 05-31-98
<br />PERMIT NUMBER DISLHMGE NUMBFA
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<br />YEAR MO DAY YEAR MO DAY
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<br />110-111 fat-131 114151 !16171 lab-191 l30-371 ~ NOTE: Rasd Instrueffsro M1ms com01stM0 this form.
<br />PARAMETER !3 GrG Onlyl QUANTITY OR LOADING !I GrO OnIYI GUANTiTY OR CONCENTRATION NO FREQUENCY SAMPLE
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<br />371 146-531 (5I-671 138-151 !11.531 !6451 DF
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<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 16111 AL
<br />!64681 /63701
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<br />NAME/KYLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EAAMINED MD
<br />AM FAMILIM YATN THE INFORMATION SUBMITTED HEREIN; MO BASED ON ~ ~ .- ,
<br />,~ TELEPHONE DATE
<br />: ,. ~„ c_ ` ~ P ~ MY INONRY OF THOSE INDIVIDUAl4 IMMEDIATELY RESPONSIBLE FOR
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<br />EPA Fwrli 3320.1 IOB=9 I Previous edidona mey tie u`ead: "' ~ REPLACE6~ EPA F RM T3b WHi H MA NOT U6ED.1 ~ PAGE OF
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