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PERMITTEE NAMEIAODr--S pkL4 Fetlllry N.e/Lorsum pDrpirrml <br />NAME COLI~ ~OAL COY~PAHY L. P. <br />ADDRESS COLD i'1III r, <br />5731 51'ATE tIIGJINA'f 13 <br />141;,°.~;,iP CD 51641 <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT '" "AROE ELMINATION 9Y9TEM NPOESI Form A r. <br />DISCHAR ITORING REPORTPORT D~ .. <br />7-1 n-191 LOADOUT SF.D7 PO'JOA~plfa~d54~t~B <br />(SODR N~) 2345 <br />PERMIT NUMBER DISCHARGE NUMBER <br />F - FLNAI. <br />MONITORING PERIOD MINOP. <br />YEAR MO DAY YEAR MO DAY <br />FROM gq 0'l U1 TQ 98 OG 30 ~"~ VO DISCH~IRS;F 1-_f ,~+~'~ <br />17071) l71-73) 174.751 !76771 l78-191 130-31/ 'NOTE: Raad InBtruct one be~or Ctlmhlatlnp thlB lorm. <br />PARAMETER I J GId on/YI QUANTITY OR LOADING !4 Grd Ontyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> 115-53 5b51 138-45 1465) 64-5/ of <br />137 371 EX ANUrsls TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS re7~e91 156581 159-701 <br />OIL ANU !iPEr15I; ~~~~~~ ~ fl ( ~4) 'F ~':~" wA.y ~: :4 $;~~: `::~ I/ ' <br />Vi5UAL MEASUREMENT O 7 YIJIIl~ <br />U4U66 1 U 0 PERMIT::.: <br /> <br />~ :.:.#.="'~R#'k:. •: 0:..: '::.: :'::.• gS=1 ##="i.-.. <br />~.`. ::'~f:."..1?'f}~ <br />'; ::;;: :k',:.~rrY,~:S <br />:. -:~::: ;: E@RLY ISU.~1 <br /> REQUIREMENT: .~~:: . <br />. <br />: . <br />~ .. ....: ~....:~ .. , . <br /> . <br />.. <br />. . <br /> SAMPLE <br /> MEASUREEv1ENT <br /> <br />~~. .PERMIT :... .. .. <br />.::... ..... .. .. <br />~ <br />...... .. <br />:~~., :: <br />.. <br /> REQUIREMENT . ~ : ~ ~~ ~ '~ ~~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ ~.~ ~ ~ ~~ ~ <br />~.:~~.. <br />~ .. <br /> REQUIREMENT ...: :~. .. . ~...: .: <br />:.:.. ~: : . <br /> SAMPLE <br /> MEASUREMENT <br /> ... PERMIT:.::. :.~~. ~ .. <br />:... .. . ..:.. ~ .. <br /> pEQUIREMENT ~.~ ~ . : ~ ~ ~~~ <br /> SAMPLE <br /> MEASUREMENT <br /> .: ~~.PERMIT :~::~ ~ ~ ~:.: ~: .::;.~• :: .. .... .. ...:~ ~~ <br />~ ~ <br /> REQUIREMENT ~ ~.. ~ ~~ ~~~ ~~~' ~~~~ <br />.. .. ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> . PERMIT ~ ~ ;~ ~ <br />:... .... ...... .. ~.. ... <br /> REQUIREMENT.. ... ... ~ : .... . ..:... ..: ..... ~. .. ~. <br />:. . <br /> SAMPLE <br /> MEASUREMENT <br /> .:. PE R M I1'.. .. ..: ... . .: .. <br /> <br />: ~ <br />~ <br />~ <br />~ <br />~ <br />~ <br />;;: <br />; : <br /> <br />~ <br />' <br />~ <br /> .REQUIREMENT: ~~~~:~:..: ~:~::::.:i:;.>•::: ~;~.~: : <br />.~ <br />..:: <br />:; <br />::~~.:i: <br />: `.~ <br />:~ .. <br />: <br />..... .. ... ,.i'.: <br />~:::. <br />..: <br />~ .. <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERT <br />AM FA IFY VNOFfl PENALTY OF <br />MIDAA W/TH THE INfO LAW THAT I HAVE PERSONALLY EXAMINED MID <br />RMATION 6UBMITTED HEREIN; AND BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE ~ INOINDUAL9 IMMEDIATELY RESPONSIBLE FOq <br /> OBTNNINO THE INFORMATION, I BELIEVE THE SUBMITTED {NFORM ADON 19 <br /> TRUE. ACCUMTE AND COMRFTE. 1 AM 'AWME THAT THERE ME <br />BIONIFICANT PENALTIES FOfl SUBMITTING FALSE INFORMATION <br />INCIUDINO ~ ~~~ <br />1'11 <br />' <br />D , <br />THE POSSIBIDTY OF RNE ANO IMPNSONMFNT <br />SEE I6 U <br />9 <br />C <br />1 1001 AND 99 <br />~~~ lJ <br />~ I~~D <br />~ ~ /~ <br />9 <br />t <br />1 . <br />. <br />. <br />. <br />U <br />1 191 B <br />IPm/err uqw el.w a6Nhr rM <br />ilcN <br />9 <br />C <br />w Ih <br />ro f 10 <br />000 8 TUBE OF PRINCIPAL EXECUTNE ` ' <br /> <br />TYPED OR PRINTED . <br />. <br />. <br />. <br />Y <br />n <br />, <br />/F W <br />Irld O/IIIV~'IMIAMrIRYMWlr OI •NMMII eI:MfA)/IM QYYrAI <br />FICER OR Al7THORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANAl10N OF ANY VIOLA I IVNS lRe/elence sl/ s(Tec/Imenfs ne/e/ <br />Sd'CTLEAHLY. 5'1LIGS LIMIT APPLIES ONL1 IP ~= 10-YR, 2J-IIR PRECTF EVF,17T IS CLAIMED. SP CLA711 APP909RD HY <br />WQCDF TSS .. iJtnrd LIMITS N.iLL NOT RF. APPLIED TO 4EPORTIiR (iEASI1RRtfpNTS--SP,E I.A.lA, Pr 4 Atlp .T.fl.1D, p•^. 6. <br />,P orm 3 O-1 108-951 ~ Previous edtione~mdy be used, (REPLACES EPA FORM T-00 WHICH MAY NOT BE USED.1 PAGE OF <br />