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PERMITTEE NAME// HESS pneLrb FrlGryNe_.'/.ecararUDlpnup <br />NAME .... :.. ~ ~. ~ ', t. '. ... ,- . r <br />ADDRESS ~._.,, L _ „ ! .. <br />. ....._. C~_1 r:~/.IJ L <br />Faaurv <br />LOCATION <br />NATIONAL POLLUTANT '^,XMOE ELIMINATION SYSTEM INPDESI Form Apr--ved. <br />DISCHARG~ •NITORINC REPORT (DMR1 OMB N< 10-0004 <br />7-161 I7-191 ~' '% <br />r ~ ~ ~ ~. ~ " . ! f T I ~ \ .,~ ~ APProvel ,.,.piree OS-31'-98 <br />PERMIT NUMBER OISLHNiGE NUMBER (•~~ ~J ~~ ~ - <br />F - ~;:! <br />MONITORING PERIOD = ~ ~~ ' <br />YEAR MO DAV YEAR MO DAY <br />FROM ) 7 i.7 .p TO ; 7 f. 9 ~ .; :::: .... `. ~ _._ I .. ... <br />170111 l77-731 !7476/ 116771 l28-791 !3431/ ~ ., NOTE: Reed Initructlant balore complatina this farm. <br />PARAMETER !3 Qrd Only! QUANTITY OR LOADING !1 6rd Onryl OUANTITY OR CONCENTRATION NG FREOUENCV SAMPLE <br /> !16531 !54611 !3B-<51 146-631 154611 GF <br />l37-371 EX <br />ANUrsls TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS le7-eJl /64687 !63701 <br />... :... ., .. . ~ . .. ~~ ( ': !:) .:) i.:i : ::)'.. ~: .. ~ <br /> <br />..,., ,.. MEASUREMENT , r r <br /> PERMIT ~ ~~~ <br />~ <br />~ <br />" I <br /> REQUIREMENT ~ ~ ~ <br /> _ :: ~. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT... <br /> :REQUIREMENT ~ ~ ~ ~ ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ..~~ <br /> ~REQUIREMENT~ <br /> SAMPLE <br /> MEASUREMENT <br /> . ~. PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> .. PERMIT ~ ~ . <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />~ <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I c[RTIFr uNOtR PFNAITr of <br />AM FAMILIAR WITH THE INFO Lww TNAT I HAVE PERSOHAILr ExAMINED AND <br />RMATON SUBMITTED HEREIN; AND BASED OM / TELEPHONE DATE <br /> <br />MY INONRY OF THOSE INOIVIDUK9 IMMEDIATELY RESPONSIBLE FOR / <br />~ '~ <br />/ <br />I <br /> OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS / <br />r <br />/ <br />~ <br />i r ~ TRUE, ACCUMTE AMO COMRETF. I AM AWME THAT THERE IJiE <br />SIGNIHCANT PFNN <br />TIES F011 SUBMITTING FALSE IMFOIWATIOX <br />INCLUDING J <br />I [I '~:% ~--`-"-~---- <br />~ ~ / ~ ~ : <br /> <br />''.' <br />' <br />~ \ <br />. <br />. <br />~ ~ <br />~ <br />i <br />% <br />~ . <br />I THE POSSIBILITY OF RNE AND IMPRISONMENT. BEE 1B U.B.C. E 1001 AND ]0 BIONATURE OF P111NdPAL EXECUTNE ~ <br /> U.S.C. 1 tole. !/1NWe4. utl.r ewr. rYNp. my E+rA.W Arw. w ro f10,00a AREA <br />TYPED OR PRINTED w>nr.hn.e eryrlvmntWbrwwremmNaWerrra/ OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EAPLANATION OF ANY VIOLATIONS lRe/e/en0e e// elleCAmen /s /le/6/ <br />.r Li.... _.. ..~i L_ t..i '.i. °. .'i~;. i:... lr,, .,T li ~= ICI='li .'I •-.i; 'f tCif EVEN /. - . ' <br />:. l E :~ Lr.:.". 1 r '' ... ~ I .'. 4 <br />.. •. t. .. ., .. L.,.il .1~-. I:.a ~F. i,}•pl. ... :v ,.. ::u :II~.RSU NE ..... .~ <br />EPA Farm 3320-1 108-951 Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) PAGE OF <br />OOn`.,`,/'i"111": I_.,.,'L: <br />