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PERMIT7EE NAME/ADDRESS R.d.b-.rwnNa.rLoedlm do~r...q NAME ~yIJ ;L~ L~'•I'!r~ L~r.. r'„r..aTi:::> ADDRESS fJ, LJ ,; U x F~„ • LKNI.J GCl C1•~2iJ FACILITY ~YFJ~L~ 'tMl'Lrc CURr'~1<ATLLPY LOCATION LnAlU CU Oa:]2'J AIT:. MiLHAtL n. LuLI l ~. ,~nF,rAl rl.K NATIONAL POLLUTMT DI9CMMOE ELIMINATON SYSTEM YNPOESI DISCHARGE MONITORING REPORT YDMRI z- I61 17-19 PERMIT NUMBER DISCNMOE NUMBER MONITORI G PERIOD YEAR MO DAY y' YEAR MO DAY FROM ' 'TEt~ ~ y i ~ j Q rzazu nzs>sl />..>c: L. n/LZn nsanl c3n.vn ~:/~n wn r - rI~VNL Formp Approved. I Ap~iofve~e p4 de 115=3'I-98 1 ~~ti~ M 11.vrc '•'+r+r r/L, ;J1~GHAriGc +F~'+• NOTE: Reed Instruetlons bslws a stlna this form. PARAMETER 13 Grd Onl 1 QUANTITY OR LOADING v = ' ~Ontyl QUANTITY OR CONCENTRATION 0 OUENCY SAMPLE l31-371 46-53 154.61 . 13sa5 4663 151-6/ EX DF TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /e~-s~i Mursls I6FSSl ls5-701 t iL AtvL GntASk SAMPLE •i #'aeu5• .+ P#•IIL+rllk p+i%<i•+t +i •t{.; ;. p,: Y I~ J A l MEASUREMENT ~~4vD0 1 V 0 :...-PERMIT .'~ .##~•N### ... O ~ . ~ kS 1 *~I~II~l>~;: ~: . . YR~-1MJh#'R' .'~a.fi##i•tL~. #{, ,; C L , A i:i' trFf_Uthl Lrc'SS VALJ REQUIREMENT ~~ . ~ ~ ~ ~~~~ . .:... . : :~r#:• . ~,T : VS .r e . SAMPLE MEASUREMENT , PERMIT ~:: .R..EQUI.REMENT. ~ ~ ~ ~ ~ ~~ ~` SAMPLE MEASUREMENT . ,.~ .MIT' ::~: .. . . .. _ ,. ,...: , ~REQUIREMEN7. ~ ~ ~ :.. :. ..... ~~~ ~ ~'~ :..- . SAMPLE MEASUREMENT .;..:.PERMIT:... s: t.:.: ~ >3.<. >; ~ ~~ fiEnUIpEM.FNT~ ~ ~ : ,:.:.:. °>'~:~:~'~:::.: °; ~ ~:...: .fj'.::<;;;:.:~~~~. . . ~~~.:<:;:.. . :.:. ; gig- ::: :, SAMPLE MEASUREMENT ;; .. .... • .;,`. ..;:, , ;.:. ,..::. .. :3: 3::....: SAMPLE MEASUREMENT : ' ;<;; ;; REQUIREMENT. . :.. ;: :..: .. ,.. ; ,;.. ... . ;.' .. ; SAMPLE MEASUREMENT :.;:~::PE .MIT.>~.:`.~: ~~ ~. ....... :..:::.. ... .. .. ~ ~ ~ ; ' ~ ' ~ REQUIREMENY;. ;::"r~ :. .::.. ..... ;... : ..:... :.....:..... . ;: . :.... .. . ~~,::~~:~::,;..,::~:::~~ : ~~:'. ....... .. : ::.... .,~ ,.;; ... .. ... . •: .:: ~::%~: .;:::: :.. . ..... ... .. . ......... ,.:: ~ ~~ ~~~~ NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' I CERTI AM FA FY UNDER PENALTY OF MILIM WITN THE INFOR UW THAT I HAVE PERSO MATION USMITTED H NALLY EXAMIN ERE ED MD TELEPHONE DATE riIC~181-Ci ^J~IIIS MY INQUIRY OF TNOBE IN $ IN; MD BA DIVIDUALe IMMEDIATELY RESPON9e SED ON LE FOR ~ OBTAINING THE INFORMATION , I eEUEVE THE SUBMITTED INFORMA TION IS ~ .JJ ;=nvirunmental Alanacer 1 TRUE, ACCUMTE MD COM SIONINCANT PENALTIES FOR fi 0.ETE. I AM AWME THAT THE UBMITTINO FALSf INFORMATION, INC RE ME LWINO ~ , ~J ~97~ ~7Q-1712 ~0 ~ I ): THE POSSIBILITY OF NNE AND I MPNSONMFNT. BEE 1B U.S.C. E 1001 MD De _ sIONATURE OF PIIINCMAL E%E UT TYPED OR PRINTED F .° m ero'oav r :w a~ .A v ~ ~ eia ~ ~ ~a : s ~ ~ C IVE A A +w mF l rl ^Y ..n n iw .1 OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY uvmmcrvl~nrvu cnr~nnnlwrv Ur nni vwLNIIVrvDlK/re/IIICe a//IrdCnmenO Al/e/ .~llt.tA~Lc SJLILiS L!N!T n/!!Yt(J Fu++ l0YKF24.1n :'tcCIFJ cvc,~T-SkE I.A.3F P6 IJr Fl;ri ncvalr'LMEM1TSs GIL ;. L,,<ci,~L I,ItA~ SAt'tF~Lk Ah,~LY~15 iitVU1KEL1 1F Vl:,loLE SHtEh !S U3SERYtO. ]iciKLY SAMr'Llr+•~ 1tJ;,IitUCTIOYS-l.i..•i~ U ~. r EPA Form 3320-1 108-961 Previous editions mey be used. IREPLACEB EPA FORM T~0 WHICH MAY NOT BE U8ED.1 oa 1 jy /vt.1 uu 1- 131 1 PAGE lOF