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I PERYRTEE NAMEIAODRE89l/mlude <br />FadBty Name/LrcorlPn U dif/eanU <br />NAME ~Q {e.Q~~~~~Q~P~N--_-___ <br />ADDRESS COLON 1~IZ[N-n___- ______ _ <br />-_ . iZ it ~Td'Cr<~1LS>:tLYIUL 1~-- - - .. <br />FAauTr _ n ~ " <br />LOCATION _ -_ _ - -_ - -_ _-- -~~ - - - - -- <br />' 1 ~ -s------ <br />DPTN• NI!•HL All C ATLTNCfiN ' <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT (DA/Rl <br />(7-161 (!7-/9/ <br />GU50017 002 A <br />^ , F I PERMR NUMBER '' ~ ~ DISCHARGE NUMBER <br />r MONITORING PERIOD <br />~' YEAR MO DAY YEAR MO DAY" <br />FROM 3 TO <br />'"' '' nNl, /))-]ir OL]il - '~ BA.}TI AA_}at /i0.3/1 <br />Folm Apgoved. <br />F- e 1 N A L al>I$ ND. 20oo-0ooA <br />ellplre tF30-9I <br />1iAREyUUSE FAC TO TAYL _ HtEtK <br />r - .. ~ <br />~- <br />• ~ . <br />BI~NOH (s~BN~ Nu) ~ t~J~FA''P ! <br />NOTE: Read Instructions belors eompletlhg this lorm. <br />-' ~ 13 Card Onlyl ._: OUAN7ITY OR LOADINSJ ?, '~ <br />' ryy'and On(r/._] DUALITY OR CONCENTRATION ~ ~.' ., L; t• <br />~ <br />~ <br />~ NOS FREOVENCY SAMPLE <br />PARAMETER ~ tt ~ (31.61) - <br />71aJJ/ - p6J31 <br />(J1-6l1 Y ~ <br />r (38~J1 %-EX " n dF TYPE <br />(37-373 ~ - - <br />' M c ~= NALYSIS I <br /> .- ? AyERAOEI" - d MAXIMUM <br />„ UNITS' ~ !O MINIMUM AVERAGE MAXIMU iUN TS <br />~ (67.63 (61.68) 369-70) <br /> n, . ., <br />. <br /> <br />IL AND GR ASuE <br />I: SAMPLE a' T. <br />~#~~~-~ -: <br />5 j ~~ ( <br />7 C IR <br />p `~'~ ~ J # '.e4AY Cr <br />> .4` ] ;e GAt 1f I.-~~ <br />D Y ~ u• <br />L-, N t, - OO " <br />O <br />i 3 U A L -' a MEASUREMENT = ~ _ O Q ~ . <br />~ L ~ ~+ I <br />I <br />- '; v O <br />' ~ r e <br />4066 1 ~ `;0 ~' E"' f ESslc : <br />ri6z~'{ a, U8L <br />'FFLUENT GRO 5 YALU Nb¢0' x~~~`3 ` <br />_- <br />~ ~ <br />~ t^.- <br />. 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'^ va I _' J J <br />n` J ~ F, <br />o <br />tr s <br />.. <br />:~ MEASUREMENT' <br />~ ~ _ <br />, - / ~ ;Z ~ ~ , •~7 '~; , n' 1^ <br />. <br /> <br />~ <br />rw P ~ ~~ ~~yy ~. C ~~' <br />_ <br />, <br />. <br />'- .. at... <br />. <br />O <br />.. <br />. <br />' I n, <br />. 9UI E E <br />i aT .~ G 't. ~~ -1 ,~ <br />, ~ <br />. A <br />Q t. s 7 t <br />T ~ O <br />, <br />l ~ -i ~ <br />. <br />-a .~ ~ 'n <br />a .I SAMPLE t <br />: ~~) <br />n !' r ~' '? <br />'.. tv ~ - ~ ~~ l' <br />. - ^' ~ <br />~ ~ N <br />I 7 ni V. <br />' to ¢ _ <br />i <br />' <br />V ^ i <br />! <br />S - MEASUREMENT .. <br />~ ? r I .. t <br />~ ~ <br />ry <br />,j . <br />.. <br />._ Li <br />„ _ <br />-. _ <br />i, PERMITt C -aw <br />~~.' P <br /> <br /> <br />. <br />`~ ~ '~' ._~ <br /> <br /> <br />~ <br />~ <br />I ~ <br /> <br /> <br />i <br />~ _ <br /> <br />.. <br />; _. ,...'~.. <br />~' C <br />~ ~ <br /> <br /> <br /> <br />. <br />~. •; __ o n~ ro <br /> <br /> <br /> <br />" O <br />c <br /> <br />¢ ¢, C <br />D <br />- <br /> <br />{ <br /> <br />1 <br />c ~OUI~EMENT ~ . <br />' O <br />. , '7, S <br />~ <br />~. :~, ~ O • ~ 1 9 h E <br />' <br /> _ <br />C O L' = ~ SAMPLE - ~ •`t 1 <br />~ i <br />1 L' '~ n R <br />) O I ~ .T r C ~. rt <br />,~ ~ •• MEASUREMENT ~ . <br />i .,; ~ <br />T ~ ~ W '~ ~ n ra r <br /> <br /> <br />--' <br /> <br />PERMII+ <br /> <br />- <br />7 <br />~ . <br /> <br /> <br />' <br />~ <br />• <br />~ <br />r. <br />~ <br />/ <br />~ <br /> <br />-~ <br />~ - <br />~ <br /> <br /> <br />~ ~ <br /> <br />O <br /> <br /> <br />' <br />tr - + - ISEOUI(iEMEHT e A <br />~ <br />~{ Tj <br />~ <br />^" i A <br />4 <br />~ " tl <br />F ~ ~ C~ e <br /> ,~ ~ <br />~, n SAMPLE <br />1 a -- !? - ,, T •~ .. d. is .. ~, 111 ~ a I <br />-I - ... <br />.. .. <br />. •.. '- MEASUREMENT . ~ I ~`~ t ~ I <br />.] .• t e PERMI7• 6 ih a~~'+D i "'~ ~. 9 <br />t `I <br />r- t•~-..y~ <br />C. <br />~ ~ rt - ~~Y. _tar <br />~ :. ~ -1 <br />~ <br />~ I J '~' ~. <br />,~ s' ~` J I <br />.- t- HEODUiENENT ~ _ 7y ~ q. - <br />[ . .y <br />} .a ~ ) ~ <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER ~ <br />' I CERTI FY UNDER PENALTY OF LAW THAT I HAVE P ERSONALLY E XAMINED TELEPHONE 't DAiE <br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTE D HEREIN; AN D BASED - <br />e' ~ - " ~r ~, <br />' ATK INSON : <br />R <br />G ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATE <br />INFORMATION <br />I BELIEVE THE SUB <br />T <br />I <br />G TH LY RESPONSI <br />MITTED INFO BLE FOR <br />RMATION <br />~ ~ '. ~ <br />" .~ <br />. <br />r <br />i . <br />N <br />OB <br />AIN <br />E <br />IS TRUE ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE'SIO- <br />- ~0~ ¢24-4451 04 14 ~ <br />VP LAND/EN,4IRUNMENTA3: AFFAIRS NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING ~ - , <br /> ~iME POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. 1 1DD1 AND 1 $IGNATURE OF PRINCIPAL EXECUTIVE -' <br /> <br />TYPED OR PRINTED JJ U.S.C. 1 1318. (Penalrb undar rAex norurea may Ir¢hdr Rnn up To }/8, (IOU <br />andor ma]imam imvrUonmenr q(beruven6mantAr and lyeunl <br />.OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO ~ <br />DAY <br />COMMENT,AND EXPLANATION OF ANY VIOLATIONS/R1/errntr alloltachmartO hertJ I <br />Ft1R UYL d'(:REASE--Sf.E FUOTNUS'E F/ Lv THi: PF.'HHI'f. `iF,TTLcAP.Lt SULLDS TF-'S'C IiEhU1REU rINLY IF <= 10-YH, 2b-~1 <br />Q,ItF.CIP EYFNT C1.IIitfF;U. 1F CI,A1'! APPROVED DY W;1~D, TSti ~ TAnFi LC`II'fti NI LL NOf HE 4iPLi?U TO ki:P0lilF.~ <br />E Pb .9-88) /Yp/ou /T/b 8TC bJ ~. IR E DRM}'"rHICN YAY NOT eE USEDJ OF , <br />I f Una )_h/Ru171j i1-]S}h <br />