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PERMITTEE NAMEIADDRE55 (1neLb Frd~ry NrWlorr,m,JDlg+.nv/ <br />NAME 1.~`TF',~U~ [?:N1Kt LrJ:<r'uK4lLui: <br />ADDRESS ~ U U I f J( b n <br />'. GkAlu CV u1o26 <br />FACILITY CYNI'(li5 CI'iY'!h:! LUiZrUKAT1UN <br />LocAno"t:.KAitl G1; i11o25 <br />A TTA. MII NAFI r_ i,llll ,:lw_ C-L`„CO AI TIGD <br />NATIONAL POLLUTANT DISCHAgOE EUMINATON SYSTEM INPOESI <br />DISCHARGE MONITORlNO REPORT (OMRI <br />!7-161 !/7.191 <br />' PERMIT NUMBER - SCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DA ~ YEAR MO DAY <br />FRdM ~;-. g : ~TO r i J9 ~u <br />- 29n nsom a 6. ~ Uf.7ll I7B-291 190.311 <br />Form NApprpoved. <br />J Y- ,•, 1 ~. U L ~ ~.: +I (OMB .iq1 SO4lQ-0004 <br />knppiovaJJ explre~05~31-98 <br />;i iJ Dl: iY iv 11 }`li <br />r r`IhAL <br />r;I,tilJk <br />a## l:i, Ui~C1,AK~t ,Et# <br />NOTE: Reed Inetruetloru b9 ore mpletfnp this form. <br />PARAMETER 13 Gre Onlyl QUA. TITY OR LOA. ~{ird OnlYl QUANTITY OR CONCENTRATION ~ Np, FREQUENCY SAMPLE <br /> 146531 5x-511 (38-451 146-53 (5/'611 EX TYPE <br />137-371 rAVERAt+E MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS (sZ.ssl ANALYSIS <br />(6.y681 169-701 <br />SLILI:ISF 7UTAL ~~*~#~ f44*~i+ MNi*I/bi i <br />15aLiLYEv MEASUREMENT - ' .. <br />7L,G5~9 1 (i i] ;:PE~M4T ~ >4~+R~ ~ ;~>rt'~~ <br />:~ •~s ~II~ R~i'OfiT L;PiilSt4gt TaLY ,~A <br />'FFLiitN i,K'SS yA LJ REOUIREMEN'~ . <br />~+,,; ~* ~; a y <br /> SAMPLE <br />~ <br /> MEASUREMENT ~ <br />' <br /> :. <br /> R.IEQUIl1ENIENfi,, .:: /, <br />:;,.. , <br /> SAMPLE ' <br /> MEASUREMENT <br /> ~ ~ P "?~.iz~ . <br />~ ~, . <br /> ~REOUIHEMENT: . . . <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> 'gE¢UIRENIENT:° : <br /> SAMPLE: <br /> MEASUREMENT <br /> <br /> ~~ <br /> SAMPLE <br />' MEASUREMENT <br /> <br /> ~.Ii~O,U~I~.EMEf~:~: <br />~, <br />~ : ~::.. ~ ~ - <br /> ~ SAMPLE <br />~ <br /> MEASUREMENT <br /> <br /> ~ " <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER. IcERrIFY UrIDm PENALTY OF <br />uw rHATrHAVePP <br />ERSONALLr ExAMI <br />MATION SUBMIi'FED HEREIN <br />AND BA <br />M <br />/LI <br />WlTl <br />T <br />E INFO NED AND <br />SED ON TELEPHONE DATE <br /> <br />~ : <br />5AM <br />H <br />R <br />A <br />f <br />AR <br />MY.INUVIIIY OF THOSE INDINDUALS IMMEDIATE4Y RESPONSIB <br />OeTAININO THE INFORMATION <br />/BELIEVE THE SUBMITTED INFORM LE FOR <br />ATION IS ~ <br />/ <br />-~J <br /> <br />Ftich+ird ~~11II$ , <br />ME THAT THE <br />C <br />R <br />E <br />RE ME , <br /> TgUE. ACCUMTE ANO <br />ET <br />. r AM AW <br />OM <br />IN <br />ITTI <br />G FA <br />SE INFORMATIDN <br />PE <br />LT <br />F <br />U CLUOINO ~ 97 D~H7 O-~7~~ ~0 ~ 4i <br />'1VI1/'UTI 1?l0l1{a~ ti~R 174 ffQI" <br />h , <br />SIGNIRCANT <br />NA <br />IES <br />OR S <br />N <br />L <br />BM - <br />_ <br />:J THE POSSIBILITY OF NNE AND.IMP11150NMENT. SEE 1e U.S.C. ! 1001 AND 33 ECU <br />T <br />E <br />VE <br />' <br /> V.S.C.7131e. rMWS++rMx dwr mM++m+y :rtAe. rA.+,proSIO,000 SIGNA <br />URE OF PIIINCR <br />AL <br />X <br />TI AREA <br /> <br />TYPED OR PRINTED <br />rld n.n+rthu+n inP+lon+A+rWhrwrn snvrsu rw sT.va/ <br />OFFICER OR AUTHORIZED AGENT NUMBER <br />CODE YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence e((sttechments here) <br />,„IIL~AJL~ ~~~LiLS L:IP:11 ~AlYEO Furl IUY.<EZtiiiK r',ctl,ir _Vthif-.,cc i.A,Sf YU Ivr I-Lrt nrUUIkE.MEhi,. L.1L ~ <br />u nL.: ~c ~~:dL• ~AhNLc AfvAl Y:;1~ Kc+1l.IRCJ 1F YISIdLL ,H~t~ 1::1 Ind ~t N'JtO. 4nTKLY .i.Af'~F'L Iiv6 1157 KUC (11, ~~~-i .L.. .:r <br />, <br />EP Form 3320-1 108-95) Previous editions may be used. (REPLACES EPA FORM T-aC "'~~ICH MAY NOT BE USED.) PAGE OF <br />~t;~7U/:yr,luvl-1311 <br />