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PERMITTEE NAME/ADDRESS p.rA4 FmuiryNrr/Lxnlw!/D~inul <br />NAME PUMULftN(l l(a CURL CU•SPS::Y <br />ADDRESS IIUAUlUc 'I"~:-, A ., ;;,TA Lci <br />P.U. U~]Y. 143u <br />?ALISAD. _., :,lS2o <br />FACILITY <br />LOCATION <br />.,'i:n: JL,nN A. ;r_;r'AB, P;c:;LL;:r.'; <br />NATIONAL POLLUTANTOISCHAROEEttMINA;`16N SY5fEM-//NPDES~ - <br />DISCHARGE MONRORING'REPORT 1DMRL <br />L161 _: -_ _ _ __ 7-19F ' <br />0000271U6 <br />PERMIT NUMSER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM J V 1 TO _ <br />120-111 122-231 12I-25I 126-271 128-291 134311 <br />- Form Approved. F <br />BOND ~ 1'C COkOR~.D~°ryy9~F-'1cc~~pp-oooa <br />(SU°R VC) PPr v LaYpl~e05-31-98 <br />F - FINAL ILL .JS r <br />f7IN09 <br />,• NOTE: Rssd Instructloru beloFS completing this lorm. <br />PARAMETER !3 Grs OnlYl QUANTITY OR LOADING !~ Gro OnlYl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> 146-531 154-511 !38-15 !4653) 151-6( EX GF TYPE <br />131-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />ls3~ssl ANALVSs <br />164681 <br />159-701 <br />':.. Af:U i.hEASE SAMPLE ~: 3YL=3 ( yy) ylOO r•9# 4t^.#CL' 3t:::rf <br />7 I ~ L A L MEASUREMENT <br />i-iUb5 1 U Q " PERMIT. '.. <br />-:; CvL+OO# REPpRT E5=1 G9q~LL~I#. gAt+p#~>~ #:Atq,o~. II:~lk ' <br />' .lS4CLY ISUA <br />..FPLUL'N'f GRU:iS YALU REQUIREMENT. .:. <br />..MIST" :Kd.S <br />10=0 <br />;:. .. <br />>Ra a . <br /> SAMPLE <br /> MEASUREMENT ~ ~ - <br /> <br /> .REQUIREMEFST~~ <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 EXECDTIVE OFFICER I CERTI FY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE DATE <br /> AM FA MILIAfl WITH THE INFORMATION SUBMITTED HEREIN; AND BASED OM <br />_ <br />y <br />1 <br />~ II •~ ! MY INQUIRY OF TN09E INDIVIDUAL9 IMMEDIATELY RE9PONSIBLE FOR <br />TT <br />OB <br />F <br />E <br />J <br />~ I TAINING THE IN <br />ORMATION, I B <br />LIEVE THE 9UBMI <br />FD INFORMATION IS <br /> TRUE. ACCUMTE AND COMRETE. I AM AWARE THAT THERE ARE <br />SIGNINCANT PENALTIES FOP SUBMITTING FALSE INFORMATION <br />INCLUDING ~ _ <br />~ ~ <br />f <br /> <br />r'. r <br />-+-- , <br />THE POSSIBILITY OF N <br />ND IMPRISON <br />SEE 19 U <br />f 1001 ANO s <br />E <br />E <br />T <br />S <br />C CI <br />~~ ` <br />~6 <br />~ /~ / / /1 f I, r <br />/ ~ <br />.. ~, . <br />N <br />A <br />M <br />N <br />. <br />. <br />. <br />9 BIGNATURE OF PRINCMAL EXECUTNE <br />_ U.9.c. F t 91 B. //YrWerF uN.r IMw NNha m.Y A~A.M F+ra ~ ro S IO,OOD <br />TYPED OR PRINTED w>mutmt.n hwiaatntrtr o/srtwwn smmNa rtOSWraI OFFlCER OR AUTHORRED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND tAYLANA I I V N VY ANY V I V LA I I V NS !/fsteYSnCB N/ sttscdmen t9 0e/el <br />-.6iTLEndLe: SOLLuS LI1~II' aPPLIE=i UiwLY IF <l0Yd,2~4d Fit:;CIPITATION EV~;vT IJ CLAI'^fi. Pci1f'.ITTEt: tii:i <br />oJdG6N UY PROUF NIi6N nl•:~U%S'CINL; kr:LIF:F FkOt1 Sf.TTL2AbLE SOLIDS FBIMAHT LIY,ITATIChS. <br />EPA Fwm 3320.1 108-961 Previous editions mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) D ~ i 3 2 / 9 4 C 2? 3- 1 2 5 G PAGE .~OF <br />