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PERMITTEE NAME/ADDRESS /I.eLrm FrlHry NwWLoranm dDl)J r.nl) <br />NAME (10dIJLtIfIfUi(:: CGAL COI1eANt <br />ADDRESS itQAD`iI JI', ~:T `.]r N v .i FJhl .i i„~ <br />P.D. ;pax ~I~r <br />?ALL:i~UE ~J sl';2'. <br />FACILITY <br />LOCATION <br />4 ~Iiti: .SOli t. A. !.''f ~1 ~. Lii_1--: AT' <br />NATIONN. POLLUTMT DISCHMOE3HMINATION-SYSTEM INPDESf <br />DISCHARGE MONRORING REPORT lUMR1 <br />z-rsl I7-ISl <br />~ u r n <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 1 Ul Q L TO O L C 3 31 <br />rzazlt nz-z31 luzsl !zs-1n r1a-1s/ 13o-3tr <br />Poxo 1' TD <br />(SURR YC) <br />F - PT I~.AL <br />~It:O~i <br />'~ NOTE: Raed Inetruaiolr belorl'c-oTnpletin0 this form. <br /> <br />PARAMETER l3 Ord On/Yl QUANTITY OR LOADING !e Grd OnlYl QUANTITY OR CONCENTRATION NO. FREOUENCI' SAMPLE <br /> 116-531 (5d6f/ i36-e51 e6.531 !64611 EX TYPE <br />131-371 MAyYBIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !613]1 iyi-5B1 169-701 <br />pd SAMPLE .. .. . . .,-::;%: . .,-.. ( 12) <br /> MEASUREMENT <br />J 1: IlJU i (1 U PERMIT ,,., -~. .. .:.`•«### X` ~r•~.• ii.S tAL`'8."-i!S ~~~ <br />i<6P.L# <br />;tiSITU <br />:.?FLUENT GNO~S YA LUr REQUIREMENT v#::II a MTiM <br />-i it Li USF LUTA(. SAMPLE ~,., ~, ~. ,.: ###pII: ( 19) <br />~ U~ e E A C r, J MEASUREMENT <br />JU`iJii L U 0 PERMIT -,. ~.::::~«~. .'v`C :=e ~. Cp#~>QY`• j5 7() ~ MCSI i~;<~ <br />tFYLUENi ;;R05b YALUf REQUIREMENT ~;#=II TO <br />;u L1 U5, SETTLEABLE SAMPLE ~, . : ~ Ir,::;; #az,II ~ ( 25) <br /> MEASUREMENT <br />JJaaS 1 U 0 PERMIT :-:.-rS~r:: ~:k-t~-r# t #v 4II'0##a RF.EORT REF4FT f NCc.! :RAH <br />.: F'E'LU cN't GRO55 9ALi' REQUIREMENT II;;; :k V~ M RI & <br />LriJdr TOTAL SAMPLE i.;;'.:: r::`. :,`.:~:k ;^:~^ #=k=k#:~a ( 19) <br />(.l5 FE) MEASUREMENT <br />LU4~ L U U PERMIT ~•r:e'4.t:: -. :-:, ,-ia'; ..., GGO#L`-° 3.~ 7.!) i NCt'./ ~•RA ('~ <br />CP"r LitENT GRDSS VALU'r REQUIREMENT ::k~i.k 1 Vf A f M <br />JL1. ANii GnEA:.c SAMPLE ~.,,. II#'~>"; II ( I9) <br /> MEASUREMENT <br />`3Sti2 1 0 0 PERMIT z~::^•r;:r vr,~:.~.lk~ . ~k:k: ~-~`;=_'.*'.:~ REFOT+T 10 t 414Ir ;RAH <br />GFfLUEAT GRUSS 4ALUx REQU1REMENT ,,;:# 3 DA AYG T~39 71 'iG "h <br />tLaa;~ L5 CD1r UU1T O` SAMPLE (;)3) •+-. ^.:'k «:~'.'-. ~+.'.~# <br />1 J::U TNEATYiENT k'1.FN', MEASUREMENT <br />~vu,J L U 0 PERMIT hr.Ri)rtT :i%'i'ORT ~4IIt^.Y '1fC#"f= `-='~~>•t~ ~'•~t~ EF'nLY :fISTAti <br />r.FYLUt.'NT GhO:iS VALUE REQUIREMENT 3GDA AYG t7AILY NiC C.GU C.Y#=.`• <br />::OLIUS, TQTAL SAMPLE .; a.:~:c= ;:#!~aY=k #m~~ra ( 19) <br />I350LYEU MEASUREMENT <br />IU195 I 0 l1 PERMIT ''+~'4#ALXII -s:#IG# II+=;k ##t+#rF °t'~Q RT H~EORT ' TREE iAAc. <br />Fr'LUY.NT oRUSE9 VALVE REQLRREMENT #::~; pT& AYG FiTf t!Ax "!G/L <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF U1W THAT I HAVE PERSONALLY EXAMINED MD <br />MIUM WITH THE INFORMATION SUBMITTED HEREIN; MD BASFO ON TELEPHONE DATE <br />r <br />f• <br />~ <br />J~U V ~' MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />I BELIEVE THE SUBMITTED INFORMATION IS <br />OBTNNINO THE INFORMATON <br />. [, <br />- , <br />ACCUMTE MD COM0.ETE. I AM AWME THAT THERE ME <br />TRUE <br /> <br /> <br />~~~ r.1 CY-, "~ , <br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATON, INCLUDING <br />THE POSSIBILITY OF NNE MD IMPWSONMENT. SEE 1B U.S.C. ! 1001 MD 3] <br /> <br />SIGNATURE OF PRINCIPAL EXECUTNE y~f <br />~ ~ / I I <br />Q ~ ~ S )~ <br />' I <br />C I <br /> <br />O / <br />-7 <br />( J <br /> U.S.C. E 1 ]1 e. lPwrll4. uWr IMw mnm. nvF Ncpd. Mra W ro ! 10,000 AREA <br />v <br />TYPED OR PRINTED snYnn...inun irrp•Irs~.lwlr O/New.rn 6mandllw 6Ywra/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />.r <br />~,~ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRererence ell sttscnments nerel <br />;ETSL1:AbLF; SCkLIDS LItlI. ApPLSES D+1LY LF <=lUYB/24NA P?..:rTFIT9TICK °VE1•T 75 CLAIi`EC. Ph:r:9TTTP,° .1A:~ <br />SUixDEN CF P'i00F YNEN HE~UESTING P.SLIEF fRJ7~ SETTLHAiiLF. 37LIU5 PFI".AAY LIMTTATTG~S. <br />EPA Form 3320.1 108-851 Previous editions may be used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.) PAGE OF <br />_ _ _ _ EDtm APProved. s i t- <br />COLOIAD~Mg~ oooa <br />XPPIEbe~ jN~05-31-98~_J <br />