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DISCM ONITORING REPORT (OMRI <br />n- m/9I <br />PERMIT NUMBER L •- J~~, 9:.; DISCNARGE NUMBEfl <br />~' I <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />~ FHUM TO ~ ~ j <br />C i - <br />- r' 114711 l11-131 11~•1J1 . - :116171 !18.19) /343!1 <br />nn ryrynmw. <br />No. 2040-0DDA <br />F -FINAL : oval a=prey 6J401 <br />SSORMYATER...DISCtItiFGE <br />o I <br />~ I - c _ ~ . <br />hINC1R (SUyR wC)' rdT~S <br />NOTE: Reed instruetione belore completing this lorm. <br />• ~ _ -- '_ P /JCardOnlyl O QUANTITY OR LOADING - <br />~ (!Card Onlyl._ QUALITY OR CONCENTRATION - <br />_ <br />NO' FREOUEN(:r <br />SAMPLE <br />PARAYETEN: ' <br />r - l6J31 = = IJrd11 r _ <br />~ l38-IJI p6J31 - 1JIfil/ I - - OF TYPE <br />1.1147/ ;? <br />- Y <br />;'I , <br />AVERAGE°r _ MAXIMUM ~ UNITS 'MINIMUM AVERAGE MAXIMUM ~ <br />~ ;UNITS . <br />- EX' <br />161-67 ANALV515 <br />- (AI-68/ l59J01 <br />' N ~ <br />-] ` SAMPLC' ~ Cry <br />- ,'b IJ C+fj _ .J~ <br />.. <br />' <br />' _~ Y7 L~{+Y ~.~:Q :i ~ <br />~ ;`Y - ~ <br />- <br />J' OOf`•4OS/ I :, <br />~ <br />+ ~; - .: - F <br />~ ~ _ : <br />-_ <br />r MEASUREMENT r , <br />.: <br />i ~ C. ~ ~; _ <br />` ~. L. . <br />~ <br />~ .. u ~ <br />...= -- <br />: - J '-. --y -~ <br />' <br />'l;U^,0 1 ~~ <br />-0 <br />ocoulY.-- <br />' .. <br />^ ~.,'n AO~ :.r. .,aP~.O~fi~ <br /> <br />' ~G <br />b v c d.~s.: <br />b~Ss..r <br />~'S1Q ~D ~~~~ <br />' e <br />D•~U~' ~ =.• <br />~ <br />N~/( e <br />R <br />'~ <br />_ <br />U 1`~ lV `O, YALU ~/I <br />1+EODIREMEHTW r4+Zr`yf.' ..~.+r <br />• :~a; ~.~.'ti _ <br />i• _ _ . <br />y. _ r. <br />" ~ <br />e-' ~ - .~ I <br />I <br />.L7.AbLE <br />' 'U5, :;FY .. SAMPLC u 'ti.a'~FA'.+T-3'-' ~ trt0`OQb:}: i ~ ~ 046A=),t :S 0!~+.`Y+G=S - I _ c _' _ = w I <br />, <br />p MEASUREMENT ."~~ <br />~~ u ~ r~ - ~ -- I ; <br />„ _ :L., ~ _ <br /> ,,. . o f <br />_ ~ <br />~UtiLS ~. Q•- 'U G <br />' <br />- -~ PERMrt? VP <br />E '~gyl~'y~~9O :h`. <br />' <br />'~'~ <br />T ~Q$q Qp9fil? <br />jj. _~ <br />1 U4_7 ~' ,'. .`. YJtV 4.~7 iJ-."a ~~ <br />~ .~+j QV I!v~:~ <br />~ .- _ ( C <br />~ ~ ~ .:' <br />' ALL% ~ npD <br />T r <br />~ <br />CC f F <br />r' Y NT <br />AEODUiEM . Vr'••, <br />. ": `. ".''(.) <br />. ~: J],~.C QD:J LO J.~t~-'~ <br />..` y .. <br />0 V.::_ I _ _ _ t <br />~. I <br />E ~; <br />IL 9:~U GHEAS ^, $AMPIE: ~ ~-, i1.+}4#g0' ~ 9>JOfJ'10:: ao - ~L1+kXitF %+' '_r,. 0~0!AI C,I:r .:.- 1 - - _ ) a -_ :~. <br />. <br />iEON ~YY.}t-GRAY•..y ETA, MEASUREMENT/r' "4i' C- u - <br />' ~?' _ ^ <br />r - o ~, 1 Ems- ~ ~ - ~- <br />~ ~_ <br />I ~'-- I-- <br />'OSSo 1 ~'-Q; -.O (.., _~ .PER <br />.x <br />~ ~ ~~'~~' <br />'n" <br />' ~4' <br />'~Bd~~•, <br />' y <br />4~t+ ~ ~ <br />y' 4.~I. ~af.. <br />~~ .O 'e`er <br />~~ P <br />~ • is <br />J 3 ~ Q~~~IN RAB <br />~" oc 1: 'i. I E ENT <br />!~Wt9 C <br />'c'~ <br />~.. ~ <br />V •'~ <br />_ <br />~ <br />.. 04oC., V <br />'g_ K'n a <br />~f <br />~N. J~~~, y M^ c~ I <br />f LO IIr 111 CQ~IUU I% ON' t` SAMPLE' 'p ~ r" J <br />~ J <br />' `~ `~ =i ~ ~On 41,1'.Y.; <br />' ~% 9D1010C0 ~y~ <br />- ai/0>l9 C-}• .• _ _ _t C. CO <br />:HRU TREA?11EBT 'P <br />LA di MEASUREMENT¢ <br />• ' <br />: ~•FJO .~ pL$CHAF'6E ~ n `. <br />?, ' ~' = .i 'r: c .id, 1 i _ _ __ _ <br />~ <br />_ <br />DOJD 1 ~ Q: YO va y ~ PERMIp1 c• <br />T' <br />~ -,; <br />~.p ~~Q~A ~ <br />m• ~~yQ~AR~ V <br />' C .v ...C~. '~~ r <br />~ <br />~ ..~~~~.~. ~•_..~L4+D S1 <br />Y .'S+'~ _ i " QEKL~ m <br />II .'1T RA <br />~+ ~ ~ <br />pEOUIREMEN ' <br />G .~ <br />S~-' <br />r ~ .9 <br />,.~-./-•,ciC <br />` qP'. - 'E7'-.' - Y ~. f•~ _ 1 <br />_ :: O _ i <br />OLIDSr l0'~fr{jL,. /W/~~ '~ <br />~ ~ $AMP4E.'OC <br />S .4:CGlYAI {1Q~ <br />,: <br />. <br />~ ~ +~ <br />SA X4`1010_ t' ~ ] ~ <br />~~O>51 Y:'~= O JCArZ.M~D ~ `q1 _ 1 I. <br />ISJOLY°. ~ l~ MEASUREMENT C <br />. 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S _ <br />; ~ I . ,; .. <br />. <br />u 1 ~ r- ~ - <br />` ~ PERMIT' 'UC ~ `1 X ~` r <br />' <br />~ r~ pif.7'rc'CT a <br />~ .P v: ~ -~ <br />"~ r' r - <br />~ <br />~ l ~'f^ti`a/ '::. • _ <br />' - ~- f a ~ _ 4 I <br />:'` <br />? 1~ ~+' ~EOUIFjEMEMtt 1 <br />~ T4 <br />r: 'c•6'f?, ` <br />~' ~~~5 <br />Z' ~ •r a <br />~ <br />~:: j ~ <br />~ <br />~ :,:~{~c~. vi .1, <br />~J <br />+ <br />, O <br />CS <br />I <br /> -y, t <br />-' _ <br />:~ . <br />, <br />3 <br />n• + r <br />NAM ERITLE PRINCIPAL EXECUTIVE OFFICER=; t CERTI <br />AND AM FY UNDER PENALTY.OF LAW THAT 1 HAVE P <br />FAMIIUR WITH THE INFORMAT <br />N SUBMITT ERSONALLY E <br />D <br />N <br />A %AMINED ~j c ~ :~ r t' _ <br />.i TELEPHONE . - DATE ~ <br /> <br />~- IO <br />HEREI <br />; <br />E <br />ND BASED ~- <br />N <br />rr~T <br />p <br />BrtnO Pr <br />'J@f eP " ` ON MY INQUIRY OF TMO$E INDIVIDUALS IMMEDIATELY RESPONSIBLE:FOR <br />T' ~ <br />OBTAINING.TME INFORMATION <br />I BEDEVE THE SUBMITTED INFORMATION ~ y _ <br />-a <br />u <br />r ~ ~ u ~ - N <br />~ <br />' . <br />_ ,r <br />IS TRUE, ACOURATE'AND OOMPLETE.1 AM AWARE THAT THERE ARE SIO- 1 <br />, <br /> <br />~ <br />' <br />' <br />1(,rr ? <br />. ~ _; ,~ yl <br />' :NIFICANT PENALTIES'FOR $UBMnTINO FALSE INFORMATIONS INCLUDING i .. <br />- <br />~ <br />~ - _ <br />` <br />~ <br />~ C „~ ~ <br />.. THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C~ 1 .1001 AND ~ SIGNATURE OF PRINCIPAL EX UTIVE <br />L00 U <br />B <br />C <br />+ 1718 <br />f4 <br />bh <br />d <br />h <br />' <br />d <br />- <br />' _ <br />a~ ~ <br />' ' <br />: <br />' ~ <br />TYPEb dR PRIATEIS . <br />. <br />. l <br />nr <br />. <br />vn <br />rr r <br />ru nrnlo nr) 4ti <br />r /Ine <br />h: <br />uP m l/0.000 <br />rwn,+atOnvm/mpCOnmmro/drrwrnematlu and Tlearr./ OFFICER OR AUTHORIZED AGENT ' Auh1gE <br />~ 'I AR -"MO ~DAT <br />. GOMMEHT.AN D EXPLAN =TION OF ANYyIOLATIONS (Rr/rrma afl aimrhmrntr hrnJ <br />IF N0~'LISCiiARGE OCCURS REPOA3i:.!rH0.Di5CH11RG£•L. OIL AND GRCASE; SSE FOOTNOTE F/. i <br />EPA FOfm.~'1(~~(RBV.g-BB~P/aV/OU9 BOIIIOn9 meY DB USBd. ~ (REFUGES EPA FORM T-W WMICN MAY MOT BE USED.) PACE OF <br />0007Z/900810-1L102 1 ! <br />