Laserfiche WebLink
PERMRTEE NAME/ADDRESS pnchde FacUUy Nmndloeation IJDi$erenq <br />NAME CT P`4U; YA"^n v: T, ~. ° .. ^n:~r. <br />ADDRESST,INc:S 1r2`•7 "'17"'7r [ :^S"A~ PK <br />916'1 FMS[ *T`I4°~I. ,.^.TD'~~ <br />P!7r,L;;41'1; y ^^ 46155 <br />FACILITY <br />LOCATION <br />F1'TNC YD;tHTC IT. rF'~["'Y. '=PV'~ntT. ATVY <br />NATIONAL POLLUTANT DISCHARGE ELMINATON SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMR; <br />(I~161 (1I- B) <br />:"10D2T159 r1 'T7 6 <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM (('~ "i 7 1 TO ~ ~' ~ ' <br />rzazn rzaz31 rzazsl rzs-zTt rze-zvt r3oau <br />Form Approved. <br />„ n ~ „ ~ OMB No. 21}40-0064 <br />Approval expires OS31-98 <br />(e-•tnn r: A~ .~rl <br />r r I• A T Q7'1 T^ <br />.ry,• Tr ^r~,n :, +•n p,~T7?I "^a-K; <br />,r <br />'+ ! <br />h exM1 y% rT r(.~. 4,.F ~~t ,.... ~~ <br />NOTE: Read Instructions before completing this form. <br /> (3 CeN Ony) QUANTITY OA LOADING (a Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER 46-53) (Bas1) (9e<5 (46-53f (5a-61 E7( OF TYPE <br />(s2-37) AVERAGE MAXIMUM UNRS MINIMUM AVERAGE MAXIMUM UNITS <br />(6269) ,wuysls <br />(6468 <br />6&70 <br />r" SAMPLE s:Rr-asa aaaaar.. +: ."^~` -7 /] <br />` <br />~ ( 1?) <br />~ <br />~I <br />v <br />~ <br /> MEASUREMENT ~ 1 1 1 <br />I (J 3 ~' <br />S <br />PLTU60 1 7 !1 ~~ -. <br />.~ PERMIT= - ~ a1k 44rt <br />v ~~ <br />s cac ~s$' J~ "`s,~ <br />~ n.~l <br />I.. <br />* <br />'~ <br />' ~ f?:R+.L r,,,~ <br />~`~'.~ ~ ~ .e~'°~ y <br />.ti - <br /> <br /> <br />=Fr LUFI+T :P <br />USS V4I rt T <br /> <br />`REOUIREt <br />tENi x 1~ <br />~:~ <br />a <br />- ~ ~w-:y <br /> <br />' <br />~t <br /> <br />L1^aR +, ~. y <br />n , <br />,,, <br />~• , <br />'' <br /> <br />~I . . <br /> <br />-.. )' ~~ <br />. y <br />~~ u, <br />,.: ~ ,.... ~ ~ .,- '~_~ ~ m, i~ .: . <br />tinLlUSr "'UTAL SAMPLE 4`^C'~Xa a+aa¢aa h~>xq!:C `, <br />N k~ <br />a ~ Tq} <br />N f` <br />U 5 P F. N D ^?1 MEASUREMENT /"t /~+ ivPr IV F~ <br />UOS30 ~ D D MlT `-: _ ~ <br />. <br />~, aws~wA~e~<. ~c^ ~ <br />S`:r COM".ENYS 9°LOV O EMENT- . <br />. <br />;'+". s: '. ;y.:.:- .+a t:7 ~~~."-. - TIC./I. <br />., ~J U,r U AL SAMPLE =~."ra ~:tz~r-~.~: t~¢r,.~;: ~7 ~1 ( } p} f~[ <br />'I~+ i <br />} <br />USP ENDFO MEASUREMENT ~ I ~ I J!J hY' <br />'J <br />G0536 1 D C i~•~PER ~ - 9'artl~#~ R4?R$:0'A- )1 O(rC ~~! ~_ ~ . aa. ~,~ :°~" ~ .r~ '~ <br />F;FFLIIENT CR?53 Y4L'IF ;REOUIR~ME~lT - "rat t <br />'`~.' <br />' `~ aa~~~~ Q~'[+(' <br />~> nr/I --?`, ." <br /> :: <br />: <br />~ - <br />, - <br />,.7LiDSa ~F:TTLEI"L" SAMPLE n.. ,;aC^- ` <br />`~ <br />r', fi,•n,...r <br />~ <br />~ A ( :'S1 <br /> MEASUREMENT N f ~ PIA N/9 ;YA <br />L'"U5tl 5 D 0 t• - ~ <br />-. PERMIT ^- - 41aPS9t <br /> <br />~ ?~R = `p!~741+1~: ' ~ ~ ~'~~"' "` ~y~ ', ~ e.~z <br />~. <br />.: <br />~~ <br />. •w <br /> <br />~ <br />7c. 7: CO"Y Y, i![c ocI 7:; RE~UhREMENT <br /> <br />... - ~ r:;trY _ <br />- ~: ~~'.~' <br />-3. <br />SslILT k1< .+• <br />-/ <br />~ ~ <br />i1ttR7"aF 'I' -1 <br />= <br />7`=`+, <br />'iULI DSr SBTTL?A iL-' SAMPLE :rG r~r;¢`•`• 'k'?aaa: $R+"'^'Y <br />O <br />~ ( '+S) <br />~ <br />I~ <br />I <br /> MEASUREMENT ~t I ')~ III ~, <br />00545 1 0 0 PERMIT- ~#$GP40r 40t41R~4r; ''~'.`r= ~I#. ~~ '.' a~ ' ~~`~+'"-', - <br />t'PFL[lf.ST 6P:15S VAL^' "REQUIREMENT <br />~ fig" <br />. ~ <br />" " h1 "'I,/!. x't iI .A <br />U.L & GHF.AS° SAMPLE r: t~rF,; Zt ^rdRt: :: <br />" Rx~~`$ ~YFbRtn <br />~ ( 1 ~} <br /> MEASUREMENT ~~ N A Ai ({ ~+ ~ <br />OUSSE. 1 0 'I '`-PERMIT <br />~ 'C~{F4R4E^ Ar~p#~7~_ '.`-~trv y .q( `4 age ' <br />~ ~~t ~~ <br />I: F P L'J E N T G R n S ` Y J L R ~ .REQU~EMENT - - <br />. ~-~ '~':- '` ,_;. ,-• <br />~>. ~ -~ ~~~ #~:: w r / L '"}` -. ~` a H <br />T HUY, TD'PkL SAMPLE ~ `Haas aaxars,' t„~,.',.. ( t a) <br />N(~ <br />(A S e' F, ( MEASUREMENT N A N A AI A N 4 <br />U 16 7 5 rU p n ~ p144Ceo4 <br />^~: : PERMIT. ~O iA4~~ ' <br />OV?!9!~'!k'>~ ;`--~'. ~q~~-'"_ ' IG1fi'~~YR <br />!-~" <br />~ {,.•, <br />r0 <br />a <br />~p~ <br />:i C6: C011yENT i °` !.~'i -REQUIREMENT ' y'*r~a ' ~` _ " <br />~1~' 1k! ~ ~ IkiSI bT f 2 <br />I#, °. / T. ~ - <br />!=if"flt'"1~M - ~ ~ :c <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM <br />INQUIRY OF THOSE INDNIDUAL <br />1 BELIEV <br />THE INFORMATION lAW THAT I HAVE PERSO <br />ATION SUBMNTED HERE <br />S IMMEDIATELY RESPON <br />E 7HE SUBMITTED IN NALLY EXAMINED ANO <br />IN; AND BASED ON MY ~ ~ ~~ <br />/r <br />SIBLE FOR OBTAINING <br />//,/ <br />/ <br />// <br />// <br />FORMATION IS TRUE TELEPHONE DATE <br /> <br />, <br />i <br />I.Ichard f,Aills ACCURATE AND CgMPLETE. <br /> <br />I AM AWARE THAT TH ` <br />// <br />''~ <br />/ <br />r <br />/ <br />, <br />ERE ARE SIGNIFICANT Q,' <br /> <br />9]D-E7D'27I2 <br /> <br />O2 2S DD <br />F:nvlronmental 'Rana er PENALTES FOR SUBMITPN G FALSE INFORMATI ON, INCLUDING THE _ . <br />POSSIBILITY OF FINE AND IMPR ISONMENT. SEE 18 U S. C.4 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED ¢ 1318. IPenamm antler Brew <br />maximum lmpnsonmeM Ol belwae statutes may IncWOe Byres up b 510,000 erM or <br />n8morahs Bntl Syears.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLAI IOrv, (rtererence eu aeacnmen[s Here/ <br />nL-f°9NAT5 LI' <br />f, LaI"Ic T!. SE° <br />l0 or V •wrr r TTS APR TeSr TNON t. 5£"*LF19LF 36 LTC~5 (L7' 'na} :nn1,Y ^° <br />i.A,?r h': IRa P7Q ptr37 P. `, :1 !' Pa'17F Rv"1'iT7Fr!rrr ^.r~ nTT c <br />r DCnnO~r +•e. <br />^ L• T~ C= 1^-oar ?q_qo pn rnT.. vY vn~r <br />.. nc~np_r^r cn41 ^, r,1mr e/r nr ;+. <br />EPA Form 3320.7 (0&95) (REPLACES~EPA FORM 7-40 WHICH MAY NOT BE USED.) <br />Previous editions may not be used. ~~ ,t ~! [ T / 9 T n 41 ~-1 c 711 PAGE I OF <br />