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PERMITTEE NAME/ADDRESS //MrLirrGyNad(aarrond III IIIIIII II /III III <br />NAME TE3HkDR ~i:E~K- ~J'71'ANY <br />ADDRESS TERROR ~REdK LOADCJUT sss <br />1840 HIGRYAY 133 <br />PAOhIA . Bla]'9 <br />FACILITY ~ ~ "t <br />LOCATIONr <br />ATTN: KELLY PRIrZL2R, )P°RATI >ESI.N;R <br />NATIOMK POLLUTANT DISCNAflOE ELIMINADON SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT (OMRI <br />IT-161 l17-l91 <br />:1„ssco~3 0o A <br />--WERMIT NUMBER DISCHMGE NUMBER <br />MONITORING P RfOD <br />YEAR - 0 DAY N R MO DAY <br />FROM TO <br />1161/7 I'!Y/-151 ' !16.171 118-19/ !30.3/1 <br />PARAMETER !3 Grd Onlyl QUANTRY OR LOADIN °.:~ !~ Grd OnlYl QUANTITY OR CONCENTRATION F00. FREOUENCr SAMPLE <br /> <br />/31.371 TI6-53) (5b6/1 l38-~51 ~ ~ 146-531 15b6t1 <br />EX of <br />TYPE <br /> AVERAGE MAXIMUM U S MINIMUM AVERAGE MAXIMUM UNITS !e1-sal ANKr515 <br />!5}561 169-70I <br />H SAMPLE .~, ... :xx ki,^,• ~ .. ,., :k^ ( 1) <br /> MEASUREMENT '- <br />O40U 1 D U PERMIT ~~='%JtR. A19t10[~t;#tf:.• ##G "'"` ##wrg: ? 9.0 $Et,LY ..55IP:i <br />EFFLUENT 38955 VALJE REQUIREMENT .. <br />"y:;;„ Ip#Q ~ <br />h:jj I}A%Tl4iJ!! Sl! <br />DLI 5F TJPAL SAMPLE =rxxx:: ##OtO9i, #~#?## ( 19) <br />U S P E N D c" D MEASUREMENT <br />U53U 1 0 D PERMIT. #sxaxx #a#oaAr;` alr.:~z::a '.. . 70 c ItCEf ARAB <br />-'FPLUeN2 GROSS YALUE REQUIREMENT O : ,~- ~ j (g .DAILY MX 'IG/L i'IORTH <br />L SF SETrLEA3LE SAMPLE rr: 'kkx ..3xRr #kx+rY ~JI## ## ( ~~) <br /> MEASUREMENT ' <br />0545 1 0 U PERMIT ".`kK"Tt##.. k##$07p .:~~ P~xQ91.~ ~##~r 101 0•S ~: ~r.~/ :tiB <br />:P FLUENT 3ROS5 YALOE REQUIREMENT. <br />~ <br />v <br />~. <br />~< <br />iiON~ D' A SAMPLE #xx <br />x: ~ xxxa~k;: #.:xx## ( 19) <br />(A S F E ~ MEASUREMENT ,~ <br />LUJS 1 U O ..PERMIT ##xasx #xYn.~x# ;>#;- R:wx»al:°: '~~Q. 5•C1 `' _ CfEI RAB <br />FPLUENT GkSSS YALJE REQUIREMENT #=*xx • :"::34 A.: YG .,pAILY *:x !c/L ,'~' :1lLlkTN <br />AN .,ReASE SAMPLE kR#k xxxxx: #RL:##:A #C# ## ( 19) . <br /> MEASUREMENT <br />3Sy2 1 U D PERMIT +"~ R$R +,cxK',Txa <br />,. <br />p.sa.xf~ ,:' <br />~'.:: ti:#~t.a. 4: <br />la <br />::. <br />bKTIN <br />':R.~B <br />FPLUENT 6kOS5 YALiJE ~REQUIREMENT ~ :F':#x ~ - ~ . <br />11AILY .9$ '1G/L ~~ :~.~ •/r~BNT <br />F P. SAMPLE ( 03) atF##tt# #x# ## ~• .. <br />eHRU Tx;ArneNr PLA4r MEASUREMENT <br />OUSU 1 0 0 PERMIT. PTIORAL °-REPQkT ~+~:?### #si*Et: <br />R ##i~,:=#.' ~ a$4 s - :8@Y.4r itSPA4 <br />'FPLUENT GROSS YALJE :REQuIREMENT ~ODA:'APG DALLY :i% PiCD . #### : <br />'' <br />• ~~ SAMPLE .Y r#xkx# .0 # to # ## (' i9~ ~~ <br />ISSOLYEU MEASUREMENT <br />Ul95 1 0 0 PF <br />RNIIT <br />. ~ r m # #:1# d.~il #•.. .: 101 IR AI RE URT ~ <br />;;" TRL ARAB <br />FPLUENT GROSS YAL'Je . <br />~ <br />..REQUIRE.M..ENT ##r•x <br /> <br />~ <br />a.. <br />DAILY MY <br />hG/L . <br />ss.::%; . <br />.` <br />NAME/EITLE PRINCIPAL EXECUTIVE OFFICER 1 CERTI <br />AM FA FY UNDER PENKTY OF <br />MILIAR WITH THE INFO UW THAT I NAVE PERSONALLY EXAMINED AND <br />RMATION SUBMITTED NEflEIN <br />AND BASED ON ~ TELEPHONE DATE <br /> <br />Mr INOUIRV OF THOSE IN ; <br />DIVIDUKS IMMEDIATELY RESPONSIBLE FOR F <br />- _ _ <br /> OBTNNING THE INFORMATION <br />TRUE <br />/ ACCUMTE AND COM , 1 BELIEVE THE SUBMITTED INFORMATION IS <br />RETE <br />I AM AWME THAT THERE ARE <br />~ -~ <br /> . <br />SIGNIFICANT 'PENKTIES FOR . <br />SUBMITTING FKSE INFORMATION <br />INCLUDING Y <br />~~I <br />- <br /> N , '~ ?n Sg55 <br />9z~ <br />~ 01 of 26 <br />K Y FR IT FR/l1PFP11TIi1 C MICR TNEPOSSIB <br />TYOFNNEANDI MPNSONMENT.SEEteU.S.C.f1001µDJJ OF M <br />E <br />E <br />T <br />E <br />' - <br />' <br /> U.S.C.IIE 13fl. Or Wei. uM•r rMr moms rmy hcArdF rvw• rq ro fIO,OpQl- • SIGN RE <br />AL <br />7L <br />CU <br />N <br />~ AREA <br />U <br />TYPED OR PRINTED •Mrl~imYn NLMauwwN a/arwrn errwreM rdelw-a! OFFlCER UfHORIZED AGENT CODE MBER <br />N YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerenn e!/ effschments here/ <br />SEPTLEABLE SOLIDS-LI'1[r APPLI~S O4LY^CF C= LO-YRF 2u-HR PRECLP 6Y ENT i:: CLACtIS;C'. IF CLAI!". APF1i0VF:D BY <br />YQCD, ?SS E IkON LI'lIrS 4ILL OY Be AP?LIFO TO REPORTED 1EASORENENI'S--S E I.d.lA, PG 5 AND I.R•1D, PG 6. <br />mey <br /> <br /> <br />Form Approved. <br />i, U 1; :: (J T P ~~ D T D N ~111)9>f;{o. 2o~-~OO~4D h <br />( 5li e- 7 A' C) APProvel e~t~i~gTOS-31-98e <br />F - FINAL 1 , <br />MINOR F.~ <br />vx# NJ DISCHA!t~F. I%,xyl '~"° <br />NOTE: Reed inetructlone before completing this form. <br />olb~/9~oa19-lzsv <br />.:.n ~ ....j--- --_ <br />1 <br />