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PERMITTEE NA DRESS (Inclode <br />Facility Name/C I( differcnU /~~ar~ ~ ~ 'y p .. <br />NAME COs[ ~ 47~-(r~Y!'1~l ~aL t.-----'. <br />ADDRESBCDLON T.) ~~IJ ,c,----'--------- <br />_- 571>~~~LP, gLGl1{ALL7-------- <br />f•Y c <I <br /> <br />NATIONAL POLLUT _ IECMARGE ELIMINATION lY6TEM /NPD(:~$) <br />DISCHAR ONITORING REPORT (DMR) <br /> ^n;.95'0017 O10 A (5'i9R NY) <br /> PERMR NUMB ER DIaCHAPO[ Nwaaw P,-, P L R A L <br /> <br />' if <br />y~ <br />FofyPApProvid.. <br />OMB Plo. 2040-0007 ~. <br />vellq>~plle ~0-~~4 <br />--- n•~gF.R ------__-s.~~31`ly-_ I.. E. <br />CAit_OR P <br />PN <br />8 ,1l . •. CRcFR <br />MONITORING PERIOD <br />~ ' <br />~. ., _ .. <br />, .'. ;i- c. <br />PACILTT~ ~ . <br />' YEAR MO DAY YEAR MO DAY n9 ~ ~.' ~ ~ - '~ I f <br />,~~G;aaa <br />: :(PROM <br />70' OfrlY : <br />LOCATION - <br />- <br />--i -- <br />- <br />' <br />' <br />[fD' DISCRI1RGE <br />- -1 '_ <br />t <br />` <br />. <br />_ <br />_ <br />_ <br />__ <br />_-T <br />, <br />~_~- <br />_ <br />~ <br />~~~ <br />~llllo <br />mpktlng thb'form. <br />dd <br />A T T N : R .. D. U S [ L TO IV ,- B k E 5I D ? N P -: • .~ ; ` r;' :(1o-al) x(17-13) (N- ) c' (16-77) (78-19)' (1471) ~ NOTE: Read Inetructlons tiefor~~ <br /> <br />' (J GM Only) ' QUANTRY OR GOADING (q Oud ONy) :[ . ' QUALITY OR CONCENTRATION I <br />J <br />i <br />' <br />NO' <br />FREO~r1CY <br />SAMPL[ <br />Li <br />PARAMETER . ~. (46-SJ) (Sgd1) <br />`! =. <br />;^. ~> <br />(38-gS) ~ <br />:' (46-S1) ... 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I'' 4;'. - i'.~ <br />L i~ <br />~ '~ I .. <br />. ? ~i?~-• <br />. <br />0 ; <br />11537 L <br />6, ' aa• aa? r ,sambas ab': r ~ aaea~~+ 7'i ~. <br />~;,~ ~ ~ `. <br />T <br />*iti' E c ~ ~ qCk~ ~B ~' <br />r <br />[:f PLUF <br />rrT <br />RJSS ~YIILU iI~Q"° <br />RR ffNT : <br />- <br />: I ~ sass'( t <br />. <br />~ ; <br />~ ,, <br />~f1lV <br />30BA 3 <br />+, <br />~DAi T <br />~;+lz <br />' ! <br />G L i- i70•N"' ~ ~ <br />~" <br />, <br />., <br />. ...~., <br />~ <br />, I,- <br />-, <br />~~ : <br />. <br />. . <br />: i <br />.. 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L. - u' , ~^, <br />I~ <br />i .4 ., :~ <br />' <br />': <br />' 'a: ~;, ': <br />. <br />„^: <br />, <br />~ o-l '~ <br />. <br />iii <br />a ..> :` .- <br />: <br />r ..I <br />i' o.' <br />c <br />~ :~ •' .°•: <br />', i <br />.' <br />I <br />., <br />. <br />fi e . .. , ~ <br />:: <br />: <br />.~ , <br />. <br />,~ ; <br />1 ~ r . v . <br />0?556 1 0 ~ D i.; .. .,°i+oeMll~`. I aae~aaa . « as Im ,:. aa: < 'IX~~mam ~: ~fea astr ~~ O <br />~;a; <br />T <br />~ ~ ~~ ~ ~ ~ ~ ~ t ;° ~:. <. <br />F <br />PPLOENT GRASS ~fALO nenuwEM~rr ' <br />r <br />~ <br />~ ~ ?:*; <br />' <br />" <br />U l <br />' aaaa~+ ~'~;hYr <br />'' x <br />' <br />~ <br />'-'~ ~ <br />, <br />~ <br />LIf4T <br />~RA1C <br />' M6 L~ rra <br />" x. <br />~ <br />?~ <br />i '! <br />•'; <br />. - <br />k <br />.d <br />,. r <br />. <br />• <br />- <br />? .+ ~ '+.:: <br />a <br />.r s <br />s <br />~ <br />. + <br />~!o , <br />l <br />• g <br />[3DR, iDTAL:, I . , 8gMPLE. ' aaaaaa aaaaax <br />~ ,_ <br />: ,baaaa~s, <br />' <br />~I , 19' <br />' ., <br />~ <br />P ! 1 f.l. <br />(AS P..' ci MEABUREMENi '~>' ... <br />I 1 <br />~ <br />r !" [•: i= 1~ . <br />. , <br />I 7 . <br />• r ~ lY I-. <br />,; :Irl :..~ ..-.. L C:. ~ r .? rl <br />:' .•,'.. fir <br />< ~ u <br />v '. ., r. <br />• <br />C + n <br />..L <br />^ ': <br />+'.:/ <br />11 o a s 1 D ~ <br />D '~ '` " ` i~`PERMfT~. !R"ha <br />as ¢am m~ f <br />~ aa3 <br />~ a I,t11f%aa$ . 3: >~ ~~ ; ' ~ F x <br />; 4?:~'~'" ~. ~ ~u ~ ~c <br />-/ 4t~AP:_ `,x <br />. <br />BPPLUP <br />NT ;ROSS :7A LDE REQUlr~e6rr r- 'r <br />=~ ,~ ,A <br />~-~': <br />: aa'aff~ ` <br />, <br />~ <br />~` <br />~`fi ; <br />'tJOb11 <br />K~V; , <br />D# ~ <br />M~* h[: [ ~a~ ~' ~`~'!~~~ <br />. . i r, <br />. :. <br />, <br />: <br />, <br />• . <br />.. .. <br />.~ ... . <br />PLOY, LN CD't.DlliT DR BAMPLE~. .~ _ <br />~ ~ - .. ( l~j` •'.*aaQar'~ aaGada aaaaaa - . <br />TN RO TREATRENT PLANT MEABUREMENT .'1(~~;' <br />~ ~s ., i:. F' ~.: ., 'S .(c•.~'i •. .: i' ,_ ~ ~'I~:' :....~ '.'' _ . <br />5105)< 1 0 ~ 0 `., rERMrr's',. DPPIOaAL REpd ,Y; <br />~t - e T ma, as ,`. 7~ <br />¢6fFa ' ;; rfta/aaaa;• as'io ~. ., $Plf~'r JTS^X~• <br />DE <br />°PPLDENL i <br />RDSS <br />~rAr nenuIREME,rr.. 3134A•~ AYG , <br />'DAILt"< <br />(X 3D ~>t~- <br />>i <br />~9~ . <br />~.edx ~ -<-:~ ~'r^ <br />~:~~`°~'` <br />' aaaa' ~~;~ ~° ~~•r <br />, <br />. <br />_ : <br />. , <br />! N ~ <br />~ ~ • <br />. . ,, <br />SD LIDS, fiJTAL SAMPLE FaGaaa aaaraa aaaa~a , aaaaa: ( 1q~ -, . <br />DCSSDLVED f <br />- MEASUREMENT ~ y <br />I :° <br />7aZ9s 1. D •• D <br />~;. :'~YP£p "`-,'~;b <br />l' ~'?~a~~xQaa~r~ ~,~~aaa~ ao~,~ aaa ; *.Para aaa~~~ ~ IX saes <br />~` ~ -E; 1oR~) ,, °= ', <br />~ :Y~ , R~ ~" . <br />NT ;ROSS iALO? <br />°P PLOP ~r~rr'1 <br />-fd:oul •r~~ <br />+ ~+~.:~ <br />: <br />+ aa'aa;' ~~ <br />~ <br />'- ~~~` r~ <br />:~` <br />?~~~ ~ <br />~ fLT=:ilti4 RG/Lr' r a+!~', <br />sd' <br />. r <br />,( ~ <br />k~c-. ., <br />.. .~r <br />. .. . .. <br />- <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I OERTIFY UNDER PENALTY O F LAW THAT I HAVE PERSONALLY E%AMIrEO ~ <br />~' ~ -! ~~ <br />` <br />` TELlPMONE ~ D A T! <br /> <br />R <br />G <br />ATKINSON ' ~: AND AM FAMRIAR Vlfl}1 THE INFORMATION .SUBMITTED HEREIN. AND BASED <br />DN MY INDDRY DF THOSE WDIVIDUALS MMEDIATELY RE5PON5n3LE FDR <br />- <br />'~ <br />• : <br />r , <br />•,.. ,:, <br />' <br />f <br />._.... <br />I .. <br />... ~ <br />. <br />. <br />. <br />. <br />_' ,,-'~i~, ~1~' <br />HSED & LAND MAN <br />R OBTAINING THE WFORMATION I BELIEVE THE SUBMR <br />rED INFORMATION .IS <br />.TRUE ACNRATE AND COMPLETE. I AM AWARE THAT THERE ARE• <br />SE IN <br />IF <br />P <br />ES <br />S <br />B <br />T <br />G <br />RMATIO <br />CLU ~,~ <br />~ ~ ~: ~ ':., <br />~i'97a824.4451 L: <br />' <br />95 <br />' <br />7 <br />; 4 <br /> <br />a. <br />, '- <br />AGE <br />f. yGN <br />ICANT <br />ENALTI <br />FOR <br />U <br />MIT <br />IN <br />FAL <br />N IN <br />pNG <br />FO , I , <br />. THE PO551BLITY OF FINE AND IMpR150NMENT. SEE ,IB U.S.C. / 1001 pND' <br />d <br />Nd <br />1 <br />ft <br />~ <br />h <br />i <br />lL 81GNATURE OF PRINCIPAL EXECUTVE "1' ~, - <br />~~ ' <br />TYPED OR PRINTED 33 US C <br />131 a ( <br />nllues <br />un <br />V t <br />ese arafuar ®Y <br />rrc <br />O <br />KI ~ u0 b <br />~ fI0D00 arM or maumum rmpnsonmenr o! 6erween 6 monNS And 5 years) OFFICER OR AUTHORIZED AGENT ~ NUMBER : YEAR - MO ( <br />' <br />'~ <br />DAT <br />COMMENT AND E%PLANATION OF ANY VIOLATX)NS (Reference all attachments here) ~ _ ~ r .. J, ..a y r .y 4~. (G <br />SETTLEABLE SDLI~05 LLMIT.APPLIES')NL'T IP. C=.10=TRa 24-HR' PR6C[P EYP.NT.~TS CLAIMED. IF-'CLA.iM APpR00P,D;A~!' <br />iI~CD, TSS 6-IRDI( LIMITS `Y[L'L 'lfDT RR APPLIPD' TO RP,,PDRTP.D 9P.ASDRP.!1F.NT5--5 F. P. LR.lA, PG 4 RND <L.fl.1DP. PG 6'. <br />EPA FOTT 3320•{ (RBY. g-BB) RBVVias BdiflDns fRSy De lbBd. (REPLACES EPA FORM T•40 WMICM.MAY NOT BE UBED.I 1) n 2 1 ~ ~9 LL 1~ R Z Z - L t• ~ 7 ! PA06 1 OP <br />