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PERMITTEE NAME'~SSp~1. FSWyN~/L«ano+UD10 t+9
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<br />LOCATION -
<br />NATIONK POLLUTN MOE OJMINATON 6YSTEM INPDESI
<br />DISCHARt /YOKING REPORT fDMRI
<br />l7-I e, I7-I91
<br />PERMIT NUMBER DISOMAApE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM '19 1C Ul. TO 9q 12 3't
<br />!16111 l11-131 !1415/ l16I7/ 1Z8-19/ 1343//
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<br />PARAMETER t3 Card Onryl QUANTTTY OR LOADING (4 brd Only) QUANTITY OR CONCENTRATION NO, FgEOUENCY SAMPLE
<br /> 116531 1546E !3945/ M653 51-5// DF
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<br />I31-37I E% MKrsls TYPE
<br />L AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e1-sal {61-58/ I59-70)
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<br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I cERn
<br />AM FA Fr ugDER PENKTY of
<br />MIUM WITH THE INFO uw THAT I HAVE PERSONKLr E:tAMINED MD
<br />RMATION SUBMITTED HEREIN; MD BASED ON ~ TELEPHONE DATE
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<br /> MY INQUIRY OF THOSE INDIVIDUKS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INF011MATION, 1 BELIEVE THE SUBMITTED INFORMATION IS \ I
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<br />SiONIFICMT PFNKTIES FOq SUBMITTING FKSE INFORMATION
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<br />NATURE OF PIIINCIPAL EXECUTIVE i ~ ~
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<br /> U.S.O. E tats. lhrrrelaa u.sr owr corona nrv I+tAida lMMr w ro 110,000 j AREA
<br />TYPED OR PRINTED WnnMrinm irplana,wrr a/brwwnementb aMSVwaI /OFFICER OR AUTHORIZED AOENi CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRelerenes e// sttschmsnts here/
<br />~,:'ITL;:AktLi. :;~1,7r,`s Li"Ti A?P1.IE:, OYLY IF <= 10-YR, 24-HR PR°CIP EVEN'" IS ChAinl'.^. Ti' i'!,,7'^ R.''F~,n:=:l` lY
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