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PERMITTEE NAME/ADDRESS lIMid. Frll.ry NaWLuanr dDlB aHl <br />NAME CZ'~'{(J~ o~v~q ytro~r --7 AL C'1^n. <br />ADDRESS "1 I N ', `; i + S 1 `-~' ~ . ~ ; X Y p, " , <br />9100 ~t'.,• ~.IrT ^r.^L, <br />FACILITY <br />LOCATION <br />. 'i'l "JKHIS ~•'C'7, =bj"~T[, ;^e`• <br />NATIONAL POLLUTMT DISCHMGE ELIMINATON SYSTFM (NPDES) <br />DISCHARGE MONITORING REPORT (OMR) <br />1T-161 17-191 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM `.'~ "i TO '9 U1 1 <br />ITOTfI l11-131 /T4T51 lT6T71 ITB-T91 1303/1 <br />Form Approved. <br />r4`t; !•I F^~ .-1rP 7TOMB.Noo2040-0004.rt <br />(- ., ~ ,. , ~ Approve/ expires 05-31-98 <br />_ Cam. aT <br />NOTE: Reed inatrUOtio1N bstore completlnp thin lorm. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !4 Card On1P1 QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> /06-531 /54d11 I38d51 !06-53 154611 E% OF <br />131-371 <br />MAivsls Ty PE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS !FT-691 1646b1 !63701 <br />.~ JAY: ;:`+ r7,.yL SAMPLE .. ~~FhI ,. .. .^: r_r: :5 <br />O 1111 <br />Q 3'1 t ~~) <br />Q 5(^ ~'~ ~ L' <br />Lf~ I <br />",_;)Yt:_'~."L'' MEASUREMENT ,FI ~.• r,~ <br />'.11:3 - .. J PERMIT fi•XgIO'c ;r #r.;tr#r,w <br />, ..- ~'k##i•# 1.'} ~^n7r", • .+I'."'/ '~L^_T^ <br />.'L!i ~, ~: ;p~¢q VSLpF REQUIREMENT r~vsr ?~pA lryf}. PlTIY yT ""'/ M7`~Ta <br />],15; - ~1 :.1~IIP 0i? <br />. <br />r <br />. SAMPLE <br />MEASUREMENT <br />~~ <br />O <br />~ O •~~ ~ I <br />~ 3 ~. .. k#?w...y .. f.:Y+:#': <br />O / <br />~ T <br />D <br />C~L[ <br />t q <br />; <br />) r ~]~ y q ~ j I <br />J - <br />i0']SD ~ C PERMIT RP.P7RT REPORT X##~~z# ##m#t# #;YA#;# 1 #.. I Nr,P/, ~ALCIn <br />~'r'i~UYi? G:'l'i~ !"Ln REQUIREMENT ~QC1' ~~IlC L'4,ILY `IX '1GD ~ ~ r"t~`- MORlM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT . <br />NAMERITLE PRINCIPAL EXECUTR/E OFFICER I OERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSONALLY ExAMINED MD TELEPHONE DATE <br /> AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASFD ON <br /> MY INQUIRY OF THOSE INOINDUALS IMMEDIATELY RESPONSIBLE FOR <br />t <br />I <br />~ <br />NI <br />T <br />ET <br />~ <br />A <br />E <br />U~ <br />S ~ <br />~ / <br />~ <br />t:ichard IJ;fIIs RUE. <br />A000RATE <br />C <br />ONI0.ET <br />I <br />AM <br />AWME <br />HAT THERE ME <br />AND <br />E ~ <br /> SIGNIRCMT PENALTIES FOq SUBMITTING FALSE INFORMATION <br />INCLUDING ' <br />Fnviromental I`',~I;iiner , <br />THE POSSIBILITY OFRNEMDIMPraSONMENT.SEEIS4S.C.11001MD9G Y <br />SIGNATURE OF PRINCIPAL E%ECUTIVE B7 S7O-27~~ ~ SHIF <br /> u.S.C. f t9re. /ANWw+ u•In err man. srr heAd+ rn++W ro s IO,000 AREA <br />TYPED OR PRINTED +ns w.n+.inAr nwlmxrln W Mnv++n FnrnN+rd 6 wrAl OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND tXPLANA71oN DH ANY YIULA I Iona rrtsrerence sn arrscnmenrs nerel <br />n e:'c:R":.d ~._ ~0_neI TII'. .'.!~.': t'T.2A °'J\ l)S:N' 4 '.!77.1(. L.)Tw~T ...^~~ ..va. .fit. ._T. -'!Y _^li' .. rl`^ _ r~~. <br />9d tuL~:; :DLL:..- _ •• .. r'•='i" _ "O1?+ ? )5d d `.. ~ ]71 rpr•TN T: ran ;0+7~1' ',~nT., _r~ ~ ..- i <br />'. r <br />EPA Form 3320-1 108.961 Previous editions mey be used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USE0.1 ~ n ~ r ~ /,l ~ (, II ~ 7 _ ~ D 3 Il PAGE 1 OF <br />