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pERMITTEE NAME/ADDRESS rltiiriFMerylVa/Iurrlm dD~..e,d NATIONN. PottuTANT~7}eHMOE ELMMALOA SY EM ( trES/ - ~ - ~ - PO1111 Approved. I ~ 4 <br />DISCNATlGE MONRORING REeORT~OM~J., 40 <br />NAME BUNT c HC. ,; ,: °~ -`; L; `". l f ~ .^, rI-lsl n7-F R_. i.n-nnnrl A1f.)I TO ~AIF"I~S. ~ ~.... <br />ADDRESS BU I I (; N ^ 'l C. ~: ') I • R:~'i rl i N !: $ r(1 (_ ._ _ - _ - ~ _- _.- _ ~A~PTOV& X a <br />SUHR FC <br />P . 0 . 8 0 % 1 .1 ?'~ PERMIT NUMBER DISCHMOE NUMBEII F - F i ! IA L '^ <br />PAOaIA C:C 9142`: MONITORING PERIOD nivox <br />FACILITY BUaId Ht;SO'1NC?; L;'tI°°:) <br />YEAR MO DAY YEAR MO DAY ,~_ <br />LOCATNNI <br />FROM O TO O '.7 ] =:#d NJ CIS^HARGE ( 1 40# <br />A r T ;1 : a L L I A M A . ;, .' A i• J !' . ~ P C F 0 P S !76211 r71-?31 !11.151 !76771 l18-191 r3a31/ NOTE: Rud kletructleru M1on eSmpletMO this form. <br />PARAMETER l3 6rd Ontyl QUANTITY OR LOADING !I OFTd Ontyl 4UIENTRY OR CONCENTRATION ND. 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SAMPLE ( p3) Aib fa# #4#ao# #:### <br />ik'J rREA'rn EyT PLAa EASUREMENr _ ' ' ' <br /> <br />1 0 f) <br />~ooso <br />;'.::P.5F1IvIIL":, <br />R'$QCF1~1F!:: <br />kt~CL1lT'; <br />:: <br />.pdt.t <br />'<~;::....:'::. <br />'..:'>/.4fiA.~3b'. <br />j.r::~1A3:j~#+b'': <br />: <br />4M'~ <br />:.': <br />E$RL <br />SNSTA. <br />1 <br />~PfLUENT GROSS VALU .EnDIREMEN'f.. 3a~.='A1~G ..:. <br />::R:~ X:.~~ G6 . ` . pk## <br />~ULIUS~ TOTAL SAMPLE as#tudgf #>F##aa aiDa!## ( 19) <br />[rI550LYEO MEASUREMENT <br />7429$ 1 O D :~::.;P,ERMFT";::'`,. <br />' :::•-.#.. :#i~a ::'`:..'~!`..'...'~`~"" #=°a <br />.. U M 5 VAL <br />PPL E T 4 OS ..' <br />E'QUIREM..Ef~{. ::...,' <br />:;;?....; <br />::.::..::.v <br />>' ~~".:~•::.~::~:: <br />~•~i~;:.~ <br />: <br />?: <br />~::" <br />Raas <br />, <br />. <br />; <br />:.:t?RS <br />~Y <br />' <br />t <br />~$~' <br />~ <br />t <br />~~ <br />!1~/L <br />c . <br />:.:. . <br />: <br />. <br />w .. ........ . <br />: <br />. <br />: <br />...............~....,.: : .;. , .. . .. <br />:. <br />. ' : <br />. . .. ,.. , ::.. <br />NAMElTITLE PRINCIPAL EXECUTIVE ~kFICER 1 CERTI <br />AM FA FY UNDER PENALTY OF <br />MIUM WITH THE e1FO LAyI THAT I HAVE PERSONALLY E%AMI <br />R ATION SUBMITTED HEADN; AND e N D N!D <br />A9ED ON / ~ T~LEP pNE DATE <br />I , 'I ~ f I .A yy1 pi- T/f <br />1 MY INOUIM CF THOSE INdNDUN.9 IMMEDIAi{LY RESPONSIB <br />R <br />~ LE FOCf <br />I <br />1. 1 liJ~ V /c <br />Gl./ f M <br />OBTNNIH <br />O 7HE INFORMATION. 1 BFUEVE THF,SUBMITTED INFO <br />TRUE. ACCUIIASE AND :COMPLEETTE. I AAMM AWAl1E THAT THE <br />SIGNIFICANT PENN <br />iJE9 FOR SUBMITTINO <br />FQSE INFORMATON <br />IN AT <br />ON IS <br />RE ME <br />QUOINO <br />p <br />F 'D <br />~ F , <br />. <br />. <br />THE POSSIBILITY OF FlNE /WD IMPRISONMENT. SEE 18 V.S.C. E 1001 NID 93 <br />~ ~ BIONATUIIE OF PIIIRCRAL EXECUTIVE <br /> W ro ! IO;OW <br />U.S.C. f 13/e. /RNIMS. Ltlw. IMw mOrni. ,F+Y E1FA,M r+HS <br />' <br />iY .PRNpTEO r,s>m..im.nbwl.v.nrntaarn.«nsmanma a+ds wrsd oFFLCER OR AERNORRED AQENT coDE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ATJY VIOLATIONS (Re/ennclF s/l ettschmsntr here! <br />SETTLEAHLF. SOLIDS LIt'IT APFLIEi ONLT FF <=lOTRE27RR PP.ECIP F.FFNT CS CL.II`1FD. I'l C'LAI•. APPPW4rD 3Y .'J~D~ <br />CSS E IRON LIMI25 PILL NOT Br APPLIED TO 4EPORTAD !fEASURF-CENTS-52E I.A.2, P6 U, F'OR yOPGFH 'JP PRJJF <br />n ~ r <br />E A m - Prsvloue icons msy a us ' EP CEB T Y ~ - PAGE ~F <br />~Olo`>/')7) g0.^;-! Sill _ <br />