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PERMITTEE NAME/ADDRESS pndibF~16'yNsa~Lxulon UDldw..p <br />NAME ,, y~ -. ;;j ct:r.r„ L'„~FUnAT ILfr <br />ADDRESS, k 1, ~ ~ ~ ~~ b <br />P~ L.~al~ <br />i-U J1cGD <br />NATIONAL POLLIfTANT DI9CNMOE ELMINATON 9V9TEM /NPDE$l <br />DIBCH? R6 E MONRORINO REPORT lDMEgI <br />P RMIT NUMBER D19CHAROE NUMBER <br />.~~ <br />frw/4 3~ Dt+-yirl <br />~UUk ntr <br />F - Final <br />Fonn Approved. <br />( Of~~N, 2a04R-OQ0.4 <br />Approv~expl ye 45'31.98 <br />MONITORING PERIOD "~"gin <br />` <br />FACILITY <br />LYr'n1,S ~t4P ik1_ CuKr'~,<ai lLiv YEAR <br />NIO DAY ~ YEAR. MO DAY <br />LOCA710NLKA:I, CV olb1~ FROM TO 0 ~`+'+` "'+" <br />~L, ui~i:NAKirt <br />w f (/+ ih 1 u n A t L ;. L u U L tJ n r t, t ry E K A l M b K 12617/ l12-231 2f - 2 27/ 178-291 l30-311 ~ NOTE: Reed Inewetlorle be}on o letlnQ thM form. <br />PARAMETER !3 6rd on/yl QUANTITY OR LOADING nryl OUANTITY OR CONCENTRATION ND. FREDUENGY SAMPLE <br /> /1663 5/-61 -15 x663 6is1 <br />EX OF <br />TYPE <br />132-3A AVERAGE MAXIMUM UNITS NIMUM AVERAGE MAXIMUM UNITS /etrsi ANALV99 <br />lss-681 169-101 <br />lL AIVU uncASE SAMPLE ,t<~y+r<5~. ,< `~4 Y/s$F+Y~ {<v ~+~+~Y~ Nrf#•<{+{< <br />V 1SL.~L MEASUREMENT <br />„ h .. 0 (i l U G ~ PERMIT ~ ~# 44 t<A+F S+ 0 ~ ~ ~ L J 1 . rt il!~~?~t..;~ "~. ".:.:.: ~!~!.4~1F'1!.#?~: ~ ~+k ~<+?:~~til ~! .: ,} q ;. .. I~(G~~it~ ~~' j ~~~A{. <br /> <br />FrLLtA/T ~KU~S VAL~:1_ REQUIREMENT. <br />.....:...: <br />IN>T 17A,t <br />Nu 0 <br />~~~~.`"` <br />r;.:':::.< .:; ;;.. <br />#### . <br />;:,;. <br />:~. (}!1: <br />::: <br /> SAMPLE <br /> MEASUREMENT <br /> ~:; PERMIT ~ a.::~~:~: ~:~ i~:, ": ~' <br />~ ~ <br />~ ... <br /> ~REnULREMENY: <br />..:, <br />.:..... .: .. .. . .. <br />.:: . <br /> <br /> SAMPLE ~' <br /> MEASUREMENT <br /> ~~~ PERMIT .. ~:~-.:~ .':. : .. . <br /> . <br />,. <br />REQUIREMENT <br /> <br />. <br /> <br />... <br /> <br />..,...'y: <br />. .:: <br />~~ <br /> SAMPLE <br /> MEASUREMENT <br /> ~: ~: PERMIT'. ; . ~ <br />~ ..,...:;::.. <br />~ <br />" <br />~ .. <br /> REQWjAENIENT. ~ ~ ~ ~ <br />- :.. ~z <br />.:^~: c.~` <br />::~ <br /> SAMPLE <br /> MEASUREMENT <br /> ~. PERMIT,: .~~: ~ ~ ~ ~ <br />:::.'y;.... <br />::: <br />.::~~ <br />. <br /> :tiEQUIR~EMENL ~ .. ~ ~ ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> ~.~. ~ PERMIT::: -~. ~ ~ :. :.:.::: ~.~ . ~ ~..:. ~ ~. ~ .. <br /> REQUIREMENT. ~ ~ : <br />... <br /> SAMPLE <br /> MEASUREMENT <br />~~PERMIT,:.:~ ~ .......:..::.....~ ~ . <br />~ <br />~ <br />. <br />~fiEQUTAEMENj: .., ~ .....:;c :. ... ... .... .. <br />... . ...... <br />. ,:...: <br />;.. :. <br />;~ <br />~ t>.:; :: <br />I cERnFV UNDER PENALTr DF uw TNAT I NAVE PERSONALLr EXAMINED AND TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER DATE <br />AM FAMILIM WITR THE INFORMATION 9UBMITTED HEREIN; AND RASED ON <br />I„• MY INOUIRV OF TN09F INgNDUAL9 IMMEDIATELY RESPON9IBLE FOfl <br />Ilis <br />TION 19 <br />Nichard <br />TED <br />F <br />.~, <br />IN <br />ORMA <br />~ <br />OBTAINING THE INFORMATION, I sEUEVE THE SUBMIT <br />~97~~ Q70-Z7(Z <br />T <br />T <br />1D ~ 9 <br />El~vironl:lental Manager Sf NEFICANT PFN <br />INCLUDNO <br />ALT~! FOR 9 OMITTING FALSE NFORMATION, <br />THE POS9IBIUTY OF RNE AND IMPRISONMENT. sEE 18 U.S.C. 1 1001 AND 9J <br />E <br /> u.s.e. 1 1 J1e, rPUarw, Iua. Gtr., .awn. el,r AxAed~ M„ w a s 1o,OD0 BIONATURE OF PIIINCMAL EXECUTIV <br />C <br />E NUMBER ~ AR MO DAV <br />~ <br />TYPED OR PRINTED .eee.muim,nhMrwawnr erMnrrrn emmfA, uNSFrrA/ OFFlCER OR AUTHORU:ED AGENT OD YE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Re7~rence ell eMeehmenrs hers/ <br />~~j(LLAUI_c SJL1t,5 LL`Ili nrS1Vtii fLiK IGYk,14NK i~KL.LIN L-V~~1T-SLt IrAr1/ PLr Irr +~_~ nr_~.UIhtMENTS• L;/L S <br />~Kcaac uriAb ;AM('L~ arvALYa1S Kt.il,IktU IF VL5[dlt SMcLN [5 UdSc+cYt=D. I~kTrtLY ,AMr~i;~~ 1t.5TK1,CTILMS~i.L.s, <br />N ; <br />EPA Form 3320-1 108.95) Previous editions mey be used. (REPLACES EPA FORM T-00 WHICH MAY NOT BE USED.) J U 1 ! c / yo 1 U ~ 1- l 31 1 PAGE I OF <br />