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PERMITTEE NAME/ADDRESS p~rbe. P.rmryN.edlnreno-+UD~•...p <br />NAME COLUiiYO COI[. COCiPANY C.P. <br />ADDRESS CULU!iY7 'tINF <br />5731 !iT9T'': '1i91iNAY 7.3 <br />ne.er,e;l; co o16a1 <br />FAaurv <br />LOCATION <br />T <br />NATIONAL POLLVTANT DIBCNMOE EDMINATON SYBTEM //NPOES/ <br />DISCH~ R6 E MONITORING REPORT lOM9J <br />PERMIT NUMBER DIBCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 98 07 D.1 To 9H U9 30 <br />116111 l11-1 J/ !II-15/ /1617/ I78-19) (36JE1 <br />Form Approved. <br />LnAnouT sr•,oI ~oyo°'~"°•3~-8~'4/~q <br />($11T)R NN~ Approve~elc{Lrrgg 5-31=98 <br />~ - f'INAi. 111 /347 <br />T+INO~ <br />-'~>` N!) nISCHAltrs, J.J. <br />NOTE: Reed Inetructlone balorl completlnq thle form. <br />PARAMETER !3 G•d Only) QUANTITY OR LOADING /4 G•d On/yl QUANTITY OR CONCENTRATION ND FREOUENC'! 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AE <br />`,F'FL(ICN'P '~R7~~ Y.1 LO }REQUIREMENT.: .., <br /> <br />~ <br />n:: <br />NAME7TITLE PRINCIPAL EXECUTIVE OFFICER 1 cERnFV UNDER PENAITr of LAw THAT I NAVE PERSONALLY ExAMINED Mo <br />AM FAMILIM WITH THE INFORMATION BUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> MY INOVIRY OF THOSE INDINDVALB IMMEDIATELY RESPONSIBLE FOR T <br /> OBTNNINO 7NE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 18 L <br /> TRUE. ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME <br /> SIGNIFICANT PENALTIES FOR SVBMI7TIN0 FALSE INFORMATION <br />INCLVDING ~ <br /> <br />J ~ , <br />THE POSSIBILITY OF FINE AND IMPRISONMENT <br />BEE 1B V <br />1 1001 MD 77 <br />S <br />C n <br />E <br />_ 1 /U <br />~~~_/ I <br />~ ~~ <br />.. mo, . <br />. <br />. <br />. <br />u <br />e <br />s <br />c <br />s <br />P <br />d <br />l B ATURE OF PRINCIPAL EXELY7TNE <br /> . <br />. <br />. <br />I Bl <br />. r <br />wro.. r,.dw <br />•,aF mnm, mFr <br />nrA.d. r,r. w ro FIO,ooD AREA <br /> <br />TYPED OR PRINTED <br />,n4wmFrinun YnArr.»,wnr ofbrwwn smarnL ,MSywa.l <br />FlCER OR AIfTNOR12ED AOEHT <br />CODE <br />NUMBER YEAR MO DAY <br />COMMENTS AND EXYLANAIIDN Vr ANT VIVI,LIIVrv5 lHela/BOCe en etfeCRmenTS natal <br />:i::}"C Li:A4L' >>LIDS i,IMIf API'LIF.i ONLY LF C= 10-Y}}, NR P9F,C7P T•,VT?9T IS CLIIMF.D. IF CT,~t° AP~YF,O R9 <br />W~)CI?, T5~ i",:).': LTnIT; 'SILL INOT flE APPLIF,D TO RF.P~D ''I?ASURF. P!FfiTS--58E T.~?. U, PG 4 R9C I D, p, 5, <br />9TH. C.Y.Y A'P N+•IM1 ~°y C11T M1~A[I--~)Ip F. ~-~~r~ <br />EPA Fo~im J320- ~ 10&-951 ~Previoue editions may be used. (REPLACES EPA FORM r -40 WHICH MAY NOT BE USED.) n n„+ r , ~ rr n-++ ~ , ~ . ~ vgGE „ OF <br />