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PERMITTEE NAME/ADDRESS pnab6 FrerryNs./foconm /jDlp.•.np <br />NAME '; '{ ~ r : , w .. ~ .. T . _. _ _, - - ~ <br />ADDRESS ~.I',_., '-r !'.' S-. .~ r r ~C.i •l <br />y~` E.U ~L..L.,. ~ C~ I:7y~ J <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISONMOE ELIMINATION SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />17-16) /17-191 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAV <br />FROM ~ 7 TO '_I `° r '* <br />/76711 l77-131 /1b151 Q6771 /IB-79l 130-311 <br />Form Approved. <br />_ _ . ,. ,oneB,ND.,2oao-0goa <br />/,_ •. . ~ , t Approvef expire OS-31.98 <br />_ <`- qr <br />'-NOTE: Read Instructions bel co - pktinp this form, <br />PARAMETER 13 Grd On/Yl QUANTITY OR LOADING !/ Grd On/y) QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE <br /> 145-531 154611 138-461 /4653 15L611 DF PE <br />l37-371 EX ANALYSIS TV <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /e7-6]/ /64681 169-70I <br />~` J'IE I'I ^_^'i S-1I': l~^ SAMPLE ( 731 #f~.:...; ... .~;;Yix..; .. <br />ry gU Tu};Arv~_,, .~ ~•.a I•R MEASUREMENT <br />~!'.1SU i 0 1 PERMIT Sd~PJkT f:F.P~4S t~:xrit:~T ft;:t+,c:^.A r,-+r;~:tt; r: r FF <br />KLI' '9~°`~! <br />. 'L(Ie NP •~'+J ~ ~ ~ 'T r; : REQUIREMENT 30D# dl it .+ ~AILP 3JC 'ICJ <br />• , <br />.~~LID~F TJI'4~ SAMPLE rpS'kRR G-0rdy,^.;: +: ;:#rt%: ( <br />iq1 <br />:' i ~ ~ ;J L V ^: ,j MEASUREMENT <br />7(J"1'IS 1 C PERMIT --`;s::+za~ 4FS~a+: ass a#aa#4 RE POR'R R??POPT qR~'~{' R#"' <br />. F ` L U E :- T G ~ 7'-'. ' .1 i. !, r: -. REQUIREMENT <br />^aa <br />'{Onll AY^ <br />D!ISLT ^:JC <br />~r,/L <br />Y'fh"' <br />Zi A.`i0 3kc? :. SAMPLE t:};<}rt: ( 14) ..-a«... ,- ~: f:r ~::~•- x0^~;[:# <br />~ 15 U A L MEASUREMENT <br />'7I':66 1 ;1 i PERMIT 40':1;:'v !F?URT T< L`.:='1_ `-1k:zf,:^:.-: ~cfc-::~: '.::X~.•1•.~; '. r^;:~T r t7 r, <br />i;r <br />, <br />FFL'J E'IT Gf' i°~ C'.1 '. r- .REQUIREMENT Ill ='^ '1AF-. NO=fJ . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />- ~ I <br />.« , ~ PERMIT ~ . :...:.. .... ..:. ... .. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT. <br />NAMERITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF L <br />AM fAMIL1AR WITH THE INFO AW THAT 1 HAVE PERSONALLY EXAMINED AND <br />RMATION SUBMITTED HE/IEIN <br />AND BASED ON TELEPHONE DATE <br />~ ; <br /> MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR ~ <br /> <br />ICiT <br />rd PSi(Is <br />t OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION I] <br />TRUE <br />ACC <br />MTE <br />ND <br />COM0.ETE <br />AM AWARE TH <br />ERE ARE <br />T T /~ <br />~ <br />~~~~ <br /> <br />. <br />c <br />` <br />, <br />~ <br />U <br />A <br />. I <br />A <br />H <br />SIGNIFICANT PENALTIES FOR SUBMITTING fALSE INFORMATION <br />INCLUDING / <br />'v"_ ' <br />~ <br />~IiviraDrTental <br />`/an~cl <br />_ E r , <br />THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 16 U.S.C. ! 1001 AND ]] BIONATURE OF PRINCIPAL E7(ECUTIVE 9 ~ O 870-Z 7I 2 6 Z S 48 <br /> U.S.C. f 1]te. lANWnir ud~r dNw mnmArrrv i.[A.d~ IvNa up ro 510,000 AREA <br />TYPED OR PRINTED .r.dwmuimnr inArlaemwnr orbrwwrCmondrAW6Ywa/ OFFICER Oq AUTHORRED AGENT CODE NUMBER YEAR MO DAV <br />t.VMMCn rS ArYU CAf'LAnAIIVn UP AMT VIVLAIIUnD llfere/BnCe en lffecn+TleOrs nslel <br />:IL ., 't S° - _ .°G.^..i `7J". °~F °. -r. ""Tf:Q~ ?)^, ^r •L 7.r r r al,~ ~ _ ,Tnc vrn~.-.:~ ../. onr~: r:,. r. r.v ')T" r.y r'~ <br />~T~LS _ f"~li--~f• /• ~~% :).'T~7"IY~ l". .. ~~i ~; M1'~Im lT J'mT~`. 7f ~L Bq ~'T'1 `'1 T.• ~• <br />.t ^• <br />EPA Form 3320.1 108.951 (Previous editions mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 ~ PAGE OF <br />.1 '1 F;a~Go Cl3n7_1:91.1 7 <br /> <br />