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.~ <br />PERMITTEE NAME/ADDRESS pnrir6 FmrGryNa/Locana dDldrar) <br />NAME '. ~~ P : '/ ~ -. \ . T ~ . _. , <br />ADDRESS ~~ I'i : ~ I ~ .' - ,~ -. ~. , _: <br />' '[ <br />7-+i 7} <br />FACILITY <br />LOCATION <br />NATIONN POLLUTMT OISDHMOE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMRI <br />!7-/81 l17-l91 <br />"JO7?71i4 J1U a <br />PERMIT NUMBER OISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM "'I L TO Y 1, '. <br />116111 l1Z-131 !14151 116.771 l18-191 136311 <br />,• ~ N r ~ o ~\ •1 r~ A <br />_ q1 <br />~• T~v <br />Form Approved. <br />T.TOMB-No~20.40-0004 ;~ <br />Approval a%piree OS-31-98 <br />NOTE: Reed Inetrueliorr before ompletinp this form. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !~ Grd OnlYl QUANTITY OR CONCENTRATION ND FflEDUENCY SAMPLE <br /> !46-53 !546/ 13815 (46-53 !54511 DF <br />l3I-371 EX <br />MALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS re7-sJl /64681 !53701 <br />~,? SAMPLE :Y~,: ;: r,: 4:rs9CY ~x ... ) <br />( ) ~-) <br /> MEASUREMENT <br />X111,1 L'U L r. n PERMIT S:u^krpx .. ~;:."-~='k <br />` ::#? (T.i h#.x«v., r\•r vr}(LY ;~4A9 <br />'^;,U?. r'T ;P'?,' yeTh~ REQUIREMENT tr.xtr p <br />~t~Is.n., N YTVI M <br />n.. .).: - <br /> <br />; <br />~OLIJS, 53TTL`"'LF; SAMPLE .. .'kf;`- .:zt.:,y 4##':;~;~ ~ <br />~ t~ <br /> MEASUREMENT <br />0545 P v J PERMIT +-:^x.^^-$ :::#rr## C #:: x'Ott44r,+ VEP:)9T 4I?pORT. NCP,( C$dR <br />- r. ~;+ ~~ .; r; T s ~ ~ L'J w REQUIREMENT qY;p tr <br />~ODaI {Y,: <br />r+~T~LY ~!X <br />p,/L <br />1SOhT!i <br />. <br />:.OL;DS, SBTTL`:iHL$ SAMPLE ^-'t+": !s:\: t:X .';::x ;-t; ~ ~~~ <br /> MEASUREMENT <br />:1u7U5 1 U U PERMIT >':-`--';eat=~ ^.~v#.' .. :t=Y*#:':« (}cT!1DT nom[ r V'..'P/ ".~fRf1 <br />'Fr'LUS!:NT GRD~S 7Af.n? REQU)REMEN7 ~;-t; yOnR R.Yrr ngFLY '!Y ML/L '!0!14'? <br />iIL RVD ARP. IIS° SAMPLE c:x.,c^~ CI`•C'`•#'= ^##^,:#~ #•`.;y~^ ( .. h1 <br />'r'-~U9 H$Tn-;4R1 '''F,'p~ MEASUREMENT <br />1Uti5Ci 1 7 !! PERMIT ': !'tG:=:`•.r •^.'t't#C# <br />~ - ~. 0##tt;.~, y_.s .f.; y. a. T ~ f 7'IpTN :t?d <br />: <br />JF <br />1" GRJS~ fT-L'fF REQUIREMENT #trx? Tfl ~'?' ^Ar '!~/ '": <br />. <br />, <br />, I. T <br />°LJa~ IN ::DMf1.'!L1' ^4 SAMPLE ( i3~ ^,•'cxar; ..`.~:- ',: +.I+I::,t~: <br />I'r!iiJ '[R':7lTHI?''/T (. (,R y•r MEASUREMENT <br />'t~U'iL 1 O ;) PERMIT .':~11{T TPT IONAL xt~t:x ~. ex -`. (: n: {xf,. •~. p.a«... .. c• ,1 ./ ..,c L.;\1 <br />`:r"r'LUE4T ~i'7 - S'=L'r :' REQUIREMENT 3(!UR NYC 'il.0.ILY ~?( r1 C~ v"s ~` <br />11 AND -;kFR i° SAMPLE :'"rc : +t ." ( J1) ~. ###4---:`.:: ': "`-'.-C# <br />1 i~ U A L MEASUREMENT <br />'~4Jhfi _ 7 ') PERMIT •`•~~a!rr ~~ Y P;'=1 asx"~#*r Yx,:t`:t;Tr,< r.:*r,,wr.::: <br />r .. i F~:"I.7 'TSIJAL <br />'FF:9t:Ni vR'.i5 '+RL7° REQUIREMENT I".iST e!A-t V;_=) b:x#'+ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . <br /> REQUIREMENT <br />NAME/TETLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDEII PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED MD <br />MILIM WITH THE INFORMATION BUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> <br />rd r <br />~~~~ <br />h <br />~l MY INQUIRY OF THOSE INDIVIOUK9 IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IB -~ ~ <br />/ <br />/` <br />' <br />\ <br />a <br />.i <br />r <br />c TRUE, ACCURATE MD COMPLETE. I AM AWME TNAT THERE ME <br />eIGNIFICMT PENAITIEe FOR SUBMITTING FALSE INFORMATION <br />INCLUDING /U( <br />J <br />y~~ ~ ~ <br />EnvfronmetJt-1 T+rBna er , <br />THE POSSIBIUTV OF ONE MD IMPRISONMENT. BEE to U.S.D. f t W t MD a3 610NATURE OF P111NCIPAL EXECUTNE g7ll 87 U-Z?) ~ Z ~ F ~ 4 <br /> U.S.C. f 1110. lMrRirs uWr UIIM means mIr A+eNMr n,.. ~ ro S IO,000 AREA <br />TYPED OR POINTED wPr mer:+wn MnimwMnt elbewwnemonUa rW 6Ywa/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Reference a!/ sttechments here) <br />_ ."LtiAdLE 51IC"i T7"'I" iS 4RTYc'11 (:,7~ '~') "+•1LY Ip J!7-Y~~ ;Tq_.o -t;F 1\ o,:. ~~ T' r:i.'i" 'T. ;" !. .' <br />r~^, 18, ?JY ~')'7P `•.N OF P4 p!)r' PFIi1. T'T:"1 :TAI'-. ]IL ~ :'7 .l S^-CO' °n'1T'.-rTT' "/r -\r ~. T'T"LY ,1 'laT, T_!i (' , <br />~Il'TJTiV.` TN"TU Ir"~'TI\1 C_C~1'\w 11 •T T1 •' n/ <br />EPA Form 3320.1 106-96) Previous editions mey be used. (REPLACES FDA FORM TAO WHICH MAY NOT BE USED.1 PAGE OF <br />