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PERMITTEE NAME/ADDRE691/RCI9de F~cilf{y None/LOCadon If dlfl'en:nd ~ ~ ~ ' y NAME- _OL23lYD~2dL~~M3 A-9LJ•.t-La_----- ADORESSy,~~~ ~~~'------------- __- 5131 ~1'~E~I=..~i~.ALl3--,-----_ •~ M~?KEi ~2~1F11 ~' NATIOryAL POLLUTANT DIECNARGE fiLININwTION SYGTfiM 1 NYUCJ/ , ' DISCHARGE MONITORING REPORT (DMIt) z-IS) (n-19) NLHDR CDGRSODl7 OlD A (SUEiR TONS. PERMIT NUMBER' oncNwll9. NuNEER P -. PI A A L fµlr~}r~'ISpProved:. OMB No. 2040.OOOM1' ~ . _--- -~---_--T = - ,. .. ... .c.~t rRT4VR'P:TR'O--1L71"CAT-LV.T-LR :4R ' MONITORING PERIOD ": ~ • ~ , ; FAe1LaY .• ~.~ ~ .. ,.. !: - -_ - - ~~~_~ YlAR MO DAY YEAR MO DAY !I' I •l"' ( ~ I ---- '. --a i- _,_~_~ . t- _ , ~ 't:pRpM .TO. , aaa~'R~'DTgGHARGE'_~I ~~iaaa.:. I LOCATION T ~• ~~ A P T N : R. D . U S I L T 0 N~ P R E i I D E 9'P' •? : Yzazl) (zz-zi) (z~•zs) I i ~• (6.17) (18-19) (303D ~: NOTE: Read Instruetbne tiefor o'mplBting this form.' () C1M Oniy) CUANTITY OR IAADING : • (4 C11d OMy) ~ • ' CUALIT7 OR CONCENTRATION PARAMETER 7 + I6-1J/ SI'Idl) ~' F! ~ ra I ...: : (J8-IS)-^l.':'~. 116-S1) .. 34-61); I ~, d~ NO.. F~ ~'~Y BAMPLE . . - . EX ' JIALY TYPE (3147) ' r it D - 'r(, .., ~ AVERAGE ;j MAf(IMUM - ~UNITB r MINIMUM! i .. '.AVERAGE.-,~ .MAXIMUM .IUNRP; ) GS ~-(6161J~ 169-70) J[L AND GREASE ~+ ;6AMPLE I ~r'aGa' ;:. .''`=i ('941 :aaaaa~_ - aaaa.as °~aaaaaa' .~, '= ~:;, ~ ; ~ ). S D R L W O MEASUREMENT - '; ~ • ./ ~1$ ''.i;'' 1, LF .1 •:F. - ti/ / .~ 'i ~. y ... n " ~; ri7Dfi5 1 0 D" ,•E,,,,,,r~'` ~ as ~~~? ^ , ~r r ' es'=1° Y, aat}glt>f i ~ "~'t~o~atks 1 z!Itkb11 e~ A aoa c~ _ 1P~ ykAryp ~ I ~ b~li'i r C RF'FLJENT ; IIILUF ROSS REQU REMENT I 1 3 ~:..h •t iT ft. ~; , Syt. 7 ~{ ~l IA$ a[~ ! NO'a0 yy~ ~,.~S~,V i~JS ji~F ~t r ' ~ ~A'w - yN ~ ~ T t4 '° ~~•~ ~ ', Oad~ac q In}- 5 ~ ~} M1'ie~ iR , . + c k~ r . l 1 ~ , .e. t +p ,.v ;-i- ::: ~< ;k , ,. . _. , .. `~ '~ SAMPLE ~ MEASUREMENT '' '.L ;i ~ ~~ ~. _ - + ^ ~ ~- . ~ . ~ ~'~ , , :, I ~ ^ - '3 'r ~ ,v ~ f7 - ' •. ,l I ^ ~ • 6 ~ ..tt ,. ~='PERMIT'; g fSQfY y iAl~ ?'• 1~Tx .'Slc": a/ I zIG, r .. ~~ i ,:S rJ ;. a.., .4 .,q 1 '~dyrvl f'- .y~T~ : ~_..:-. z.: r k pd. ~ ~ r <~' S'~,-4~. F 1 ~ 1 ~: G' 1 ai ,.- r r q• ~,"F ' '" ~ REQUIREMENT .~ ~r. , ~ •x ' ` `~ ~ 'i ¢ {.a.3- ~~~ ~ y,.~ 4^'s ~ H ~~: r . • 1''° r ~ - Yl } te V:~Ai , ~ .T :v Yr ; : ~. t - -, ~' .~ . t .rtC ,.. ,tip' ~ MEASUREMENT r , 1 3 4 ~ ly I 1~ } T ~ ,) (~ i. V I r1 fi' ' [ ~ , , v . r r j ~' ^' PERMIT f ~ T4 i:~Y Y~ti ~ 1 ~ y~i''~~fhl {~'r 'IS'fi {r 4.' 1 F'} g ~i., K(tn l t ~[ ~ ~ 1g}AT:, 1 WECUI/1EMHNT t ~ } ~~ ~~a °;~ } a ~"i ` ' i'~ ~ ~ e i ^ t..jv a~t ,L ts ,- ~ v t' r:. ^. 4 .. 6: ,r R s : mS. ; ~ , :: ~ - SAMPLE MEASUREMENT y).. ~J ~r ;.'f v ~~~ ~: 'i: ~ ` i:. :~~. F'.y i 'I 'd ,t: a ;i I't qr / ~: _ l _. ~l, 7 .,- 'S ' • '. '. 1:".:'[! ..: +.• . mv v; X.v 'L il' 'v iaT%4 Y tw : •. • -- 'H' 'iT +•'TI • ~ n~ I^ 1 C'.1$ S Y' T v S RP'A R. ~li 7 .. O ~• ..f --, .., r . ! . , ..+~ , '~ PERMIT.. " 5 ,i ~ J '..:,a..; „S, ~ .H, ;_~ ,~ `Y 1 ,• ',~...;{ 1 T. .: i . ~, t i ~ . ~ .~ .') y ~rL xr ' >>h n: i~i j' .1. Y ~~~, ~ . v i. ~~ ~ .. r ~ 4 ~ "~~+' q , ' ~~ ' '~ ).,. , pECUIREI.tE!+T / :. ' ~ T ~ ~ Y T , V " •` L.. . ; r •;LJ ~ r. L.. ~BAMPLS\ MEASUREMENT ,, -. ~ 1,1 r Fi: ~~~ ~. I ' 7d t.. ~ ~ :.1 .' ~~1 L : ~ ~ :~' ~Z ~ ,, "-~" ~: i~ I ~ t~ .. a ~ ~ .; 1 ; a • .- .. : .. ~ .,1y , .~ (^ 1 ' .. ^ o- G'•1 I ~ - L s. rn.~t- ~T Sr T ~:i.* ya ~~~1,» r T-; ? ~; T ~s ; ~ ~ 7 ~ ~ 'p ~ H T . ~ ~ ~1, x ~~ i 4 ( j c ~ g F ~~,,`` ~+t I Y ~ r m t; T~ r L ~ 1. " , ' lCU wEM N 3+.r•' s:'~ '~.' ~L' ~' . ~ ~'ti ,. .. w ~ rsk .. ~ ~~ I { rr -~~ l.% MEA6URE ENT ~ :,~ - ~. •• .] ~ i. :i ~li.. ,' L~ '• .L~. ~ `, dir.; .I :.;i !_' i~ ~ ~I: i, Y ~ 'I:: ~,1. , , ~ . C.. . , . ,.- ,' _ , -'FERNY` ' ~ ~. Y r3 : ,--- r ~ ,~ r { ~ - T ~ ] ti ,.. ~ ~ ~ ~ - 1 .~` ~ .-- , Tr~~, 1 .t r, ~ ,~,y `° ~ I r i z `~5 5~.' ~: ~ _ I: [n ie°^' e{ x i ~ ~`~ ~ w I~.1 RECD ENT - _ 1 N . ;r ~ 3 ~ ^. ,•gg ~i: ' ~ , 4 .~~ fi ' "f ~+ 4 :T CI 3 ~ ' '1 F, ~ ~,~ ;_t . !S e., . ~.. r - . MEASUREMENT C' ~'. • ~' '3 ,'L ~ ~ ' I I • I • i ' . i' - ~. ~. Yy } ~ .T ' ~ ~ G ~Y , , ~ y;'~-~ '.S'1'' .{ ~ "'~3Y .. ~K i 4' q ~ 1 µ~`' '` ~ € •M{'~i'A TI"•4 } ~ . i I,".w.'ILV ~ ~ r ' ~ ~ Y L .. "RFAUIREMinf ~; I ;. ~. !. . { ~~+b ~ + ~S ry # . ~ 5 ~ ~ 1 A~ ~Y C ~ V R+y Y R{ ~ ~ x t l x. Sj.~ h n ~ t . .W~Y' .e. ~± i !YY~ ~ Rf NAME?ITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY 'o ' F LAW THAT I NAVE P EASONAlLY Ex AMINED ' ~ '~ TEL[PpONE • ~ ~ D A T [ AND AM FAMIWR WITN THE INFORMATION SUBATED NEREW: AND BASED .I ~.I. . r ... ~ ' ~._.-, ' t`~ ' ~ON MY WOORY OF'TrpSE NdVDWLS IMMEDATELY RESPONSnlE FOR,' OBTAWINO THE WFORMATOH I BELIEVE THE SUBMIT{ED WFORMATxJN IS~ ,.' _, ': i :y, '.~ :' ~~ ' ~ I ~V !870~8Z4-0451' e .i7 ~ ; ~ 0 ' • HSED & LAND MANAGER : ~'= TRUE ACCURATE AND COMPLETE I~ AH AWARE THAT 'THERE ARE T P RMAT s crn TIES F R S TT G ' LSE I F NCL NG - . - :' : ,• ' 7 tr ; ~ r ' ' p ' l Fx s ry ENAL UBMI W FA N ON I i O O UD THE PDSBIBLm OF FINE AND MPRISONMENT. SEE IB USC 1 IWI AND uW ew lud 33 SC 1 19 ft tt d b2W ti f W 61GNATURE OF PRINCIPAL~EXECUTIV[ I ~ 1. ~:" -' '1 ;~ " ' TYPED OR PRINTED 13 . ( n nv er r T npr x e U uW YO , !!9.990 •M w rluximum impdranmmt o! 6envan 6 nmpW •M J)t>n) OFFICER OR AUTHORIZED AG[NT ~ NUMBER ~ Y[A11 MO 0/ COMMENT ANp EJSYLANATION OF ANI VIOLATIONS IRCIHCII[C .II xI(!Cp/I1COr0 RCR/ ' SETTLP.11fiLF. SDLC:DS LI'fIP AjP9LIES ]NCP iP <_. TO=TR:;' toe-.NR PREC£P !?VENP, TS CLAfRED. £F :CLAI!1.;.APP((OYYD'Bt - 'if)CD, TSS S IR9N LIIILTS {.ILL ,!10P RE f>PP,LIP.D TO REPOaTED' lIEASURP.IIENTS--SBB LR.lA, PG''."Y•-:AND•:LR.11T~' PG ,6: RIBy DB USBd. IREPLACEB EPA FO O WNICN.MAY NOT BE USED.) O[. OF DD224/940R?2-1'b5'/, T