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PERMITTEE NAYEIAD Ilnehd/ <br />Facinrr Nome/Lamlbn .'nU <br />NAME _1L-Li. e.I.~flL7(J 1~ -~~ ~~~ ~~~ <br />ADDRESS 57 -7 SLlyJt?~il.ylyl~ ___~,__ _ <br />FACILITY _ -' :._ ~_ __ ~_ ~~ <br />rJ.__ <br />iDCanDN <br />---"'-- ~-..r--~--- <br />NATIONAL POLLUTANTP"`. AROE ELIMINATION SYSTEM (NPDESI <br />OISCHARO' VITORINO REPORT (DMRJ <br />7-161 ~ - 117-IP/ <br />1 PERMR NUMEER•.. ~ u u DISCHARGE NUMBER <br />•~ ; <br />`~ =' ` .. MONITORINp PERIOD <br />F - FINAL <br />,' 7 <br />FUND (SE/4) TO DRY CHR/YAMPA <br />0 <br />,. .. ,R, <br />:i ;p :~. n .., ~ a I <br />NOTE: Rsad InEtruetlonE b~loro oompgtlrip thlE lorln. <br />' - <br />~ ( Onlyl ~ pUANTITY OR LOADING _ ' ~ (a CY O y1 _; <br />t <br />'~ QUALITY OR CONCENTRATION ' ' <br />.: <br />: <br />p <br />NOS FREQUENCY 1 <br />811MPLE <br />PARAMETER' <br />~ (Ib!!/ ?~. (!I-6l <br />7 i !E-1J/ • <br />• /Ib!!f (!Ifi// c : <br />. <br />, <br />` EX. A YYPE <br />(3747) ~ <br />r+ ,~ i <br />- ,~ - <br />c AVERAGE:. ., MAXIMUM;, ,, IINITB: ~~ uMINIMUM <br />,. ~ AVERAGE . <br />MAXIMU .UNITS' <br />MI <br />~ 71N <br />LY818 <br />a <br />lelaal <br />(ea7D1 <br />i'll ' ~ - <br />•y s yy <br />'~~' SAMPLE Y#:!#Qi'•+ ~ ##>L~{I#0•~ .7 ,J `~ <br />' <br />: <br />n <br />O <br />~ ##~~## <br />~ :~. ~ <br />~ .n ~ = a; <br />`: r :~ <br />C i <br />; r .° <br />MEASUREMENT ~ <br />j. ~ 'A <br />. 4 <br />~ C L <br />t' U L '' L <br />',L v 0 Q G <br />')UUJO I O' ^.D M~~~fal I ORit c'4i <br />' ~, <br />' ` O :i <br />- ~' <br /> ^' , o r <br />~ d <br />,JL1U.ia TUTA4 <br />G ~ SAMPLe~ ~ d.####%~~. ~ OO~G#¢#~' r~ ~. ' ip44i!## <br />> G~' t: :: ~~ <br />' <br />R ~ ~ <br />y I ~ . py .:J . ~. <br />" MEASUREMENL c i• ~ -- ~-, _ ~ T], : <br />3 :~ <br />" ~ '6E A ' a## ~ ; r P <br /> <br />+uL1U5 :ih'~Ti:t:AbLt <br />'K' SAMPLE *.##### a At+lp#4# _ o: - ~u01!CIIp.#>k <br />•' ~_ <br />E <br />T ~ '.• ~, IR#+}:IYr# ,,;,. <br />i :' ,', ', ~' <br />' ~off ;, <br />.. <br />MEASUREM <br />N <br />7 <br />~. / <br />v- <br />~ <br />}_ <br />~. <br />U w <br />"u 545 i `~o; '`b ~ <br />` ' °'?~" r• j <br />'~ q <br />,. <br />ulL ANU GR4`~1 pk '~ J' <br />T '~' SAMPLE r O###~±# 4#t . ,; t # <br />MEASUREMENT : i : J ay`.' <br />1' <br />Y yy <br />I :.~ ~ ~ <br />. <br />ty = <br />-' ~ ~' pp <br />G • O <br />. r <br />I'dt:UM ElI1'~~$NAY~~eiti . C1 <br />~' ~ , . . ~y p~ <br />g • <br />6 <br />: <br />1111556 1 .` <br />,'0 Q'~' <br />. ~ <br />r <br />,, <br />; <br />1HUN YUT~Zr,~+ (,y <br />P <br />_ BU ELENT '~ b0#OIOr#u ~ ~. 4+0~ ~ `' ~ ~1~ >OL <br />~ 9 ~~ 61 K..: ,i . ~"a :^ .. 3.~'~'.~ ~ ~ ~.. <br />`'~'`' ,~ ~ <br />, .' Q ~.'. ~ y <br /> <br />~ b <br />':I13 <br />~° <br />, .id " <br />•'~ ~. I. <br />~ <br />(AS?F ) <br />~ ~ a <br />; e <br />U1043 1 ~0 <br />'~ <br />' ~ eti ~A <br />E'LON IN ~gMDUIT OFF <br />a <br />~' <br />~ <br />W <br />' 'i.eA PLtF ~ ~ Q~Pp~#- .., ~ c. ~ t a. l~~,1~{YKYp <br />MEASUREMENT _ ti ~ ~ Si r :.., a .~ j. <br />o <br />~' <br />- i. !#Ol0 <br />y <br />~': q Ofi# <br />~ OOH ' 6,' ~ <br /> <br />E <br />~ ~ ~ <br /> <br />~'o -' ~ <br />..~j <br />PLAN <br />PHRU TREA <br />l <br />h <br />l _ + <br />, <br />l . <br />r ' <br /> <br /> <br />:iU LID a T~TA ~, v ~[ BAMPLp '.. AOOb # j. <br />= ` `" ~~ OO44C <br />~#Q# <br />~~C ~;~, ~'~.'~ u <br />LtLABUREMENTC u <br />~ ~ >QI ~i~¢O* <br />.~ <br />:~ <br />= <br />O~'~' ~ •+ <br />.y ~ ~ <br />~ 'y '.~ <br />ZS <br />HI550~YEUN Fa, <br />r <br />~ <br />' . <br />..+ c. <br />~ e`t ' p.. ;~ ..,, 4~ t .C <br />N o <br />, <br />1(i 2`i SE 1 ci~ <br />c'~ `~ >jIO~,.n L: <br /> G I _ <br />NAMElfITLE PRI CIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF UW TdAY 1 HAVE PER80NALLY E%AMINEO ~' " <br />AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN <br />AND BASED j <br />' <br />~ <br />~ - - <br />~' j " ~ C'TELEPHONE `' <br />~. ^' -~ GATE ~ <br />' <br /> <br />CII <br />SON <br />~ <br />' <br />AT , <br />~ <br />. <br />I <br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />' v ~' ~ <br />~ =:, 'y .. ..' ~ x <br />~ <br />' <br />n <br />HI <br />A <br />( <br />a.- <br />!(~N <br />^ ~ <br />VY LANb/ENYIHObiMENTAL ~1FBAIR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION • <br />S TRUE, ACCUMTE AND COMPLETE. 1 AM AWARE iMAT THERE ARE 816 ~ - <br />~IFICANT PENALTIES FOR SUBMIfTTT7ING FALSE INPORMATI01 <br />1NCLUDING <br />~ '"'C <br />~ j ,q S A- <br /> <br />3O3J $Zb-04 O <br /> <br />h3L~ <br />(/ <br />.~+ <br />Ol <br />y7 <br /> <br />O3 <br /> . 4 <br />BEE IB U <br />THE POBBIBILITY OF FINE AND IMPRISONMENT <br />S <br />C <br />E 1881 ANO ~ U <br />Liu <br /> r ,, <br />. <br />. <br />.~ <br />gIONA <br />nle rmOV /A <br />lnmm n <br />4xArd1 JInn JI <br />>J U <br />S <br />C <br />1 171E IP <br />b DAiXO ~ TURE OF PRINCIPAL EXECUTIVE ' <br />'~ <br />TYPED OA PRINTED -~ ~ . <br />. <br />. <br />ea <br />ea <br />qr <br />P <br />anemrnadinaw NrpN,annnl dbaman arnonrAfW lyreas/ OFFICER OR AUTHORRED AGENT NUMBER YuA~ YO OAY <br />COMMENTIIND EXPLANATION OF ANY VIOLATIOHB /R~JennaallalroMnlana AsnJ ~" .' ~ ~ ~ ~ '~ ' <br />t'uH 0*L~QltE113Ea SP.E FOUTNUTE F IN T9E PENMITa ~TTLEAALE SOLIDS T85T RE~UIRI?D OIL; -IF-<~O~XRr=34~11H <br />I'k6Cil' NT CLAIMF..D. iF 6LAiN APPAnY.ED AY 4(~'CD 5 6 IRON LIMITS PILL NOT UE APPLIED TU PORTED <br />1)(j l)2'~/'~On j~/l-1h(lA PAGE , OF <br />