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PERMITTEE NAME!ADDRESS (1nd,L FerIl~ryNaWLermle.l/D~i.mq <br />NAME LY/nl'., C'ir'(F.t LUnYLnAI1L:Pl <br />ADDRESS P' ~, L' L. Y. b U <br />FACILITY t;Yh'rc~S~ tMNIKc GURNiInATII)N <br />LocnnoNL K A 1 ~ G~ tt l b 25 <br />A77N MICHAEL n. tii l]L Ga. 6EN~k A[ MGa <br />'OLLUTMT OISCNMOE ELIMINATION SY91EM lNPDf$l Form Approved. <br />CHARGE MONITORING REPORT /DMR7 1~A <br />(Z-f 61 (l7-l91 Lci'•L ~. ph'Y(n T~, 07tB CIo. 2C~4G-40¢4,.,, <br />AppioveLf a Ilea OS-31-98 <br />I ~ r <br />SLdr? ,~rv i~f:~ <br />iMIT NUMBER DISCNMGE NUMBER F _ F I NA L <br />MONITORING PERIOD Y!IhLJrt <br />R MO DAY YEAR MO DAY <br />i To 4#a• NV LISi.r(AriL~ :'+':' <br />n n2)31 ni.. ¢ IZ6171 IT9-291 (3P3!! NOTE: Reed ImtructitNS be ore c mpktinq this lwm. <br />PARAMETER 13 Grd Ontyl QUANTITY OR LOADING- i Ard On(vl QUANTITY OR CONCENTRATION ND FREDUENCY SAMPLE <br /> (a6531 15467/ .. ~ 138-~5! !4653! !5<-611 EX TYPE <br />137-371 µ~YAS <br /> AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS te1-eJl (5C-5el (5&TOI <br />SLL(I15r Til'tAL SAMPLE #ir}r~{r8 x.ppirRY4 1kiFGtifin IY <br />1~>LlLrtu MEASUREMENT <br /> <br />7u~vti I U 0 <br /><. PERMIT :: <br />rF~#'It#~rF. . .. .... . <br />:':.4~#:1~: <br />#~ <br />yi#~ijly: <br />RtE'iti;T <br />GPIlii7VA1: <br />FKi.Y ' <br />IKAis <br />`htLUcNI bkJ>; V0.LJt .REQUIf~,EMENT .:.:..::.:;F`.v; <br />*~ .. <br />i.. <br /> SAMPLE •^ <br /> MEASUREMENT f <br />~. <br /> .. ~:. PE.R.MIT.: .. <br /> :REQUIREIAEN7~ <br /> SAMPLE <br /> MEASUREMENT <br /> rPERfy11T ~ ~ ~ .. , <br /> •REQUIREMENT~. <br />.. :. - <br />.. ~ ~ <br />.. ..: ~:..r .. ~ <br />.. , <br /> SAMPLE <br /> MEASUREMENT <br />.. ~...PERM17:• . ~ ~. .. .... .. <br /> ~REOUIREMENT~ ~ ~' : <br /> .SAMPLE <br /> MEASUREMENT <br /> :; ER .....::.: .... <br />.,:.. . <br /> ~P„ECiUIREMEPIT <br /> SAMPLE <br /> MEASUREMENT <br /> ..~ PERMIT.. ~~. <br />. <br />. <br />~ <br /> . <br />:. <br />~REOUIREM~NT., <br />~~ ~ ~ ~.?... ~ ~ ~ :.. <br /> SAMPLE •- <br /> MEASUREMENT <br /> ::'PE <br />~ IT~::.~. <br />. <br />..... .. .. <br />~ <br />... <br />: <br /> . <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER, I cUtTIFr IiriDER PENALTY of uw TNAT I HAVEaERSONALtY ExAMI <br />AM FAMIUAfl WITH THE INFORMATION SUEMITrm HEREIN; MD B NEO MD <br />ASED ON TELEPhIONE DATE <br /> <br />MY' INOVIM OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR , <br />R IC}Iu YC: 4ilII$ OBTAINING THE INFORMATION, 1 OELIEVE THE aUBMITTED INFORMADON IS J ~ <br /> TRUE. ALCVMTE MD COMPLETE. I A/A AWME TNAT THERE ME <br />INCLWING <br />SIONIHCMT PENALTIEa FOfl auBMITTING FALSE INFORMATION <br />(9TO)870-272 <br />111 yC <br />. -. <br />?n <br />F1 V1 YUfl f`1Ql1 };7 hlanar 2r <br />~ , / <br />Y THE OSSIlILITV OF HNE MO IMPRISONMENT. SEE 1e U.S.L. E 1001 MD 30 BI <br />RI <br />ATU <br />P <br />XE <br />T <br /> <br />U.S.C. ! 131a. 1PUWer1 I.IOY t/IIM mNM1. nvY KA1.I rnra .q q J IO,ODO ON <br />RE OF P <br />NCI <br />AL E <br />CU <br />IVE <br />TYPED OR PRINTED end wrrMrimnrMpittwnnt olernrNnemenNa rN6/w-a/ OFFlCER OR AUiNORIZEO AOENi CODE NUAIBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re%renee ell sttechments here) <br />,cl1LCAU~i_ '~LLluS Ltt;l( nAIVCll ~Lln 1JY'~iL4Nn PricGIY L.Vr=i•+1']tl 1.A.Js r'.a IYF Y15R RtCfUlkc.".'raj.`.. I,ll <br />.,~._A~:: „~.A~ .7AMi'Lt AF.ALY~1S rit!:Uintu Ir 'J1S7aLE SNtc~~ 1S ~b.itrv~ll. ;lkTkLY SAMPLING L?.~TRUCilL~Y~-i.L.:l, <br />EP Form 3320-7 (08.95) Pretioue editions mey be used. (REPLACES EPA FORM T~0 ""i1CH MAY NOT BE USED.) PAGE OF <br />OU~Jh/9bluJl-1511 1 <br />