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<br />PacuityNat~/~o~a~LgK~f~t~ COlIPANS• TBE
<br />YAY!
<br />wonR~sGRAS5Y GAP RINE _________
<br />ONE EAST RILYAOREE STREET _
<br />JANESYILLE YI 535uT-
<br />-wcl LITv
<br />--------------------
<br />LOCATION
<br />A'TTN: KARLA RABUCR, VICE PRESIDENT
<br />nwnOMwL roLLOTwnr mscNAwDE EUMn+AnoN fYSTEM /NP~E51
<br />DISCHARGE MONITORING REPORT /DMRI
<br />216 1749
<br />COGBS 23 003 A
<br />PERMIT NVMIER PI[c I.ARCE NVM,Ew
<br />MONITOR{NG PERIOD
<br />Y Y
<br />FROM TO
<br />l10~111 (27~7J1 /71-1 / (16~ 1 /1 -7 I ! 0. !/
<br />RINOR Form??~~pppproved.
<br />(S O B R N Y) OM~?Itl.~40-0004.
<br />F - FI NALApproval expires 6-30-91.
<br />PIT t2 DSCNRG TO GRASSZ CREEK
<br />~+~~ NO DISCNAR6E (~~ ~~~ FINAL
<br />NOTE: Rand inftruQionE before eompletiny thif form.
<br /> () CaTE Only) OU AHTITY OR LOADING (~ Cord Only) OU ALITY OR CONCENTRATION Fq EOU ENC• SAMPLE
<br />PARAMETER (I6!!) (llfil) (!ems!) (~e-!!) (l161) ND
<br />EX Of
<br />TYPE
<br />(l1-37) AVERAGE MA%IMUM UNITS MINIMUM AV ERAOE MA%IM UM UNITS 67E!) ANAL refs
<br />(6!681 167-7U)
<br /> 6AMPLE
<br /> MEABUREMENT
<br />-0460 1 0 G me ~ : -r
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<br />SETTLEABLE #la ~II~ ( 25)
<br />, 6AMPLE
<br /> MEABUREMENT
<br />C pp
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<br />dEON EYTR-GRAY CIETN MEABUREM EHT
<br />-J556 1 0 0 s < x ~
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<br /> SAMPLE
<br />:iRO TREATtlE NT PLANT MEABUREMENT
<br />
<br />005 1 O O
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<br />RIQVIREMJE
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<br />PFLUENT GROSS 9ALOE I
<br />. A9
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<br />ISSOLYED 6AMPLE
<br />MEABUREMENT
<br />0295 1 0 0
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<br /> 6AMPLE
<br />ISDAL MEABUREMENT
<br />4066 1 0 0
<br />
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<br /> SAMPLE
<br /> MEABUREMENT
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<br />NAME/TITLE PRINCIPAL E%[C UTIVE OFFICER I CEgiIFY UNDER PEnALTV OF uw TNAT
<br />I NAVE P[Rr ALLr EAAMInED
<br />AND AM FAMILIAR MTN THE INFORMITIOH SUBMITTED N[RCIN ANO MSCD TELEPNONE OAT E
<br />Karla Rabuck ON Mr INOUIMr OF TNOSE INdVIWALS IMMEdATEIr RfBPONSIBL[ F
<br />OBTAINING TNC INfdiMATIO`I I BELIEVE TNC SUBMITTED INFORM O
<br />93 DO 1t
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<br />Vice P
<br />ident IS TIIUE ACCURATE AMD GOMRETE I AM Awl1gE TNIIT TNERE AMC IG
<br />MF4ANT MCryALTI[5 idI SUBJITTING FALSF INFORMATON INCLUdNG L~ p
<br />res
<br />TN[ FOSSIeNTr of FmC AND IMRREiOnM[nT sE[ IB u5C f 1001 AnD yD0 754-2291
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<br />I IONATURE OF PRINCIPAL EXECUTIVE
<br />TYPED OR PRINTED 0
<br />ord...na,~n,un~~n~pnu.nw~.nl.i/A.ruwn Xnlnnrh. and i..a.,I OFFICER OR AUTNORIZEO AGENT A A NUMBER YEAR MO DAY
<br />COMMENT AHD E%PLANATION OF ANY VIOLATION> IReltrrner uR urtuchnTenrt here)
<br />SETTLEABLE SOLIDS LIdIT APPLIES OtlLZ IF <= 10-ZR, 24-tlR PRECIP EVENT IS CLAItlED. IF CLAIM APPflOYED BZ
<br />YOCD, TSS E IRON LIMITS PILL NOT BE APPLIED TO REPORTED sEASUREtlENTS--SEE I.B.lA, PG 4 AND I.B.1D, PG 6.
<br />A orm 20.7 RBV.p88) aediROnsmaybeused. IwEPLAC%f E.A PowM T-AB wNICN YAY NoT .E uffD.l 00041/921016-1635 PAGE 1 DF
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