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'.. PERMITTEE NAME/ADORESSp~iF«WryN.wlecmm UD%~...u) . <br />-NAME ENCdGY r06L5 NIYLIIG C011PA'Yi <br />`ADDRESS SOUTNPIELD NI Ne CD^L LfltDOUT <br />• 350 INDIANA STREET, SOIlC 809 <br />GOLDEN CD BOY~L <br />rirFACILITY ' <br />' 'LOCATwNPLOHLYCt <br />'`:1TTNt GEOR~C. <br />n <br />`'r'. <br />C0 81246 <br />Y. PATTERSJN, GEN.. R68.r <br />~~ <br />NATIONAL POLLIRANT DISCHARGE ELIMINATIOMSYST,EM /NP0f8) <br />' DISCHARGE MONRORINGREPORT IDMRI"; <br />11=f6 ~ ~ 17-l91 <br />CD6B5DDD6' ' <br />PERMIT NUMBER olscHARGE NurAeER <br />MON170RING PERIOD <br />YEAR MO DAY ~ YEAR MO DAY <br />FROM UU ~ U Ui TO UD 09 JO <br />/?6?71 /1?-?31 /14761 - /7677/ I?B-?91 /36311 <br />... ; n. <br />Forrn APProved.%, " <br />POND 2 DSCNRG !0 o~I~N ~a~o4a1p.'°°ar"`~ <br />(S08R $E~ APProveL 1!4°05=31-98 <br />P - PI11AL 1 <br />NINOR <br />aao NO DISCHIRM1B, ~ b.aEl !` <br />NOTE: Rssd Imtruetlorr'bNora completing this form. <br /> <br />PARAMETER l3 Ord On/yl QUANTITY OR LOADING. <br />- <br />~ !I Grd On1Y1 QUANTITY OR CONCENTRATION - ~L <br />~' NO, FREOVEN(Y <br />SAMPLE <br /> /es-531 <br />E5.F-611- 138s51 - 1x663 ~ 15.-61 DF, <br />/3?-37! ~ ~ <br />~ ~µKYSB TMPE <br /> . AVERAGE MAXIMUM UNITS ~ MINIMUM' AVERAGE MAXIMUM •11N1,TS Iez atl !56881 /Sale <br />PN sAMPLE assaaa Raraao- aaa as (- ~,~~ - <br /> MEASUREMENT .: ~ ~• ~ , <br />DD40D 1 D `D :"PERMIT>= T"~f`~~:«: i'. ~:",:"tIP`i61t~t~776 .. !4P ^',. :- <br /> <br />," <br />i,~ <br />m{! <br />etPLDENT GRDSS VALOE :REQgIREMENT.: .;::;. .;:.:: :. .. <br />~::: <br />i <br />-:.~.. <br />~ <br />:d <br />•baa ~ ; <br />... <br />~~' : .:'•:. F~: "' p , ." <br />~:: <br /> .... .. . <br />.. <br />: . <br />. <br />... <br />..i <br />.. . <br />-n <br />: <br />flLIDS, SETTLE-BLE SAMPLE tRkRaaa asbaaa kt0~~o +Ra~,;~la, <br />1 <br />~ ib , <br />1 7 ~ <br />' >s <br /> MEASUREMENT _ ~ ~ <br />- -T ,+ <br />• +~ *" <br />~ <br />ii k". <br />$+~~T ;~Y, yy- r <br />. <br />0 Q ~ 4 S 1 0' 0 ' .:PERMIT6'; . ::.»:1Y~.~.4.}':..::' :: ~...:.. <: . <br />~ <br />~ g <br />T~ ~...:. "FE <br />:" <br />' =S? - <br />"`~~~` ;~~t: <br />~ `~ ~~~ ~ <br />F:rrLUENT iRD$,S YALOE REQUIREMENT ir <br />} <br />' ~IpaBt 3~ <br />,,t ~ L •. $,.` <br />DZ AYD GitEASE SAMPLE aaaaaa <br />~ aaafaa ka0l ° <br />~ <br />(- 19~ ~.; '~' 1' <br /> MEASUREMENT ~ •. Kjt':-: ~ -^q- <br /> I' ' - <br />D 3.5 B 2 1 0 D ..,.::;, ~.. <br />........:PERMIT.:„!.~.. <br />A <br />.:': ~:.0: a•~~.:1!:.:!.; ~. <br />:<~".: K•tlglt.. ...... <br />#4a <br />;:;.4~~11.1; .. ~.: .~:~;. <br />~ ..., .. , <br />~".. ... ..; ~:: <br />~.,'". ~';>;::~::- <br />.,. <br />~>~~ <br />i'~~E <br />EEPLUENT GRDSS r,~,~LDE REQUIREMENT/ -,i'Slyc OOaa ,r ~x. 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GROSS ~~1UE .pEnUwIMENT• ~;}RPIG #Y« . <br />~p>xL~~'~13` KGD <br />~ '. abaa ':~ ~# ".~,o: <br />DIL AND :,ABASE SAMPLE Lraaata ~ gef) s+taF40 ::Ca +CG aaafil+a t <br />Y Z SU A L ~• MEASUREMENT ~- _;, <br />C40bG 1 D 'D ;:;:h PERMIT; <br />;::: ::: IPtiLp?Of:::.':.` <br />~ '~t <br />Br.{~i~H:l`:~ ESeL r..: :~#!1i;9~?.«41: tsk~q!'.# ICkQSFQr~ a bTsO i .~OAL <br />!~ <br />EPFLUEyT uRJSS iELUE . <br />. <br />REQUIREMENT. . <br />s . <br /><~~~! ~(~ tOaD Y i <br />~: ~'-# : <br /> -~~ . ~ ~ , S <br /> SAMPLE ~ ~ <br />< <br />' ~ f 11 <br />' - <br /> MEASUREMENT - -T~ n A ~ ~ <br />. s - 4 ~4 ~ . <br />I <br />) <br /> - ` ~~ <br />y <br />: /FTI c ' ~ -. <br />. <br /> PERMIT ~( <br />- <br />~s _ <br />~~ ~ ~ Y <br />~ ~ ~ r & r ' <br />~~ -~!i <br />r <br />~ _ ..Y <br />'~ <br /> --REQUIREIYIFNT ~ <br />..f .. k 8. F~l <br />'L <br />~'~ s- e.. # <br />aa. .I.xi, y <br />,~ <br />~ r <br />- SAMPLE ~ ' _ ~ 1 •' -.. <br /> MEASUREMENT ~ ~ ~ _ <br />~ _ <br />- _ <br />~ ~ -~ '~ ~ <br />t - <br /> ... . <br />.~.. <br />A., .. :. .-.., <br />. <br />-- --~ - - - - - REQU~REMEN, , f -._. - _ <br />. ; <br />~„ <br />: <br /> , <br />. , - - . -- ....-. <br />:--.... ,~. <br />. . <br />.-., r - <br />NAMElTITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT./ HAVE PERSOMKLY E%AMI <br />AM <br />FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND B NED.AND <br />ASW ON <br />~ ~ . TELEPHONE ~ DATE. <br /> <br />/yy~ <br />~'~ A~Hµ - <br />N <br />~" <br />' . <br />MY INQUIRY OF TMOSE~ INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />" ~ <br />~ ~ ' <br />• <br /> <br />, <br />~. <br />AND COMPLETE. I AM AWARE 7NAT .TNFRF ARF <br />TRUE, AQCL'MTE <br />SIGNIFCANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLWING <br />~d _ <br />~~a y <br />O • `~ • <br />~1 <br /> , <br />E P <br />TY <br />S <br />C <br />1 <br />AN <br />T <br />' <br />'A <br />SO <br />ENT <br />SE <br />U <br />' ~ 7J <br />// / ~ / <br />V G.J <br />~ ~ .ems .OF. <br />. <br />. 1 <br />TH <br />pSSBILI <br />INE AND <br />IML <br />I <br />.. <br />18 <br />. <br />001 <br />p W <br />NM <br />E <br />' BIONATURE OF PRINCIPAL E7EECUTNE Y <br /> u.s.c. E tale. In..ro <br />.. Iwe. d..r mlur., m.r xrad., r.». uP ro tfoaoD <br />' <br />U <br />TYPED OR PRINTED ,ndwmu:.wn•nMaFmrnL OlNnr«nsmmNaAM6 weal OFFlCER OR AUTHORIZED AGENT CODE N <br />MBER YEAR MO DAV <br />~: <br />t~- <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS 1Rete'enc, d/ sttschmentr hale) ~ ~ ~ . - <br />SSlSLEABLE 'S~LLDS LI!![Y YAIPBD POR iD-TA, 24-NR PRECIP EYEIYT SUBJEC! !0 HUHDEN OF PROOF R3uUIRENP,YlS:iY~ <br />PERT I.B.1.D, PG. 6. S20RNYAlCR NA11A6EN-EYT PLIY D11E 1-1-98. ' <br />EPA Form 3320-1108.951 Previous editions~mey be. ueed_ FIREPLACES EPA~FORM TdO WHICH-MAY NOT BE USED.1 00331970819-12`It PAGE ~Of <br />,.. <br />:; - - - <br />°:J a-. . ., ice. :;.~'.z ': <br />