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PERMITTEE NAME/ADDRESS (Incfade Facility Namr/Locafon i/Digerenq <br />NAME <br />YESTphN FUl;L5-CCICAAUC, LLC <br />ADDRESSt,1EW NOHIZCN CI6E <br />P.O. UOk fi~'d <br />FACILITY NUC LF. CO U14~4 <br />LOCATION <br />Ai1'N: H. LANCE WADE -INE RANAGFF <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) - FORfI APPreved. <br />DISC~IAR GE MONRORING REPORT (D~H~o OMB No. 2040-0OOA <br />I C I N O A Approval alrylrea 0~-31.95 <br /> <br />PERMIT NUMBER DISCHARGE NUMBER F- P I p I I - ~ (+ Y T p <br />MONITORING PERIOD 11.C U T E Y E 7 9 E 5 7 I! G ~ ~f C 8: (t7 7 <br />YEAR MO DAY YEAR MO DAY <br /> <br />FROM UC C4 Ol TO UU Oe 0 <br />oaa MC <br />CI'_CdAACE _ <br />~. +aoa <br />~: <br />(40.41) (Y1-I31 (Yf25) (464)1 (7B-7P) (3031) NOTE: Read InswCTlone befo _ <br />re CO .pletlnp thls'orm. <br /> (3 CaN Ony) QUANTITY OR LOADING (~ Cvd Ony) QUANTITY OR CONCENTRATION" ~ :NO_1 FREOUE SAMPLE <br />PARAMETER /8-53 51-sf 3815 1853 - f I ' <br />=EX' <br />~ aF <br />TYPE <br />~~~) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~~ 693D <br />CSU STATpE It8t1[i ACL SAMPLE .'ao;Aa>a a>oai'aa aaaaaa aanaoa ( ~1) _ i <br />CEHIODAPHNIA MEASUREMENT `!!JJ°~ ~ 19' G~i+~ <br />At'.3F1 1 0 0 PEAMIT a49O4~ aaliaa0 a aaa CC' Odaalp10i~ _~ p- Ir' <br />FFLUENT GkU53 VALUE REOUJREMENT , xcsa dH pALUp ,~ '`ice` S ~ <br />' BA7' <br />,. <br />a <br />. <br />. <br />C50 STATpL 96HA ACU SAMPLE aaanao aaaaaa r~aaaaa• a16i0A>0 ( ~~) _ , ' ~ <br />PICIEPHALES MEASUREMENT > v - <br />~ _ I G <br />R <br />ANbC 1 U 0 PERMIT arJ"aaaa A~aaaca a A>7;: d0 Oa.QaAa - -a;,~ <br />~~. ¢ tp- - ~,~ <br />E'FLU£NT Gi10S5 VALUE REOUIREMENi Y>r,:~u EH VALUE s E!7 <br /> SAMPLE _ - ..: <br /> MEASUREMENT _ ~ _ ~•-~~' <br />.a <br /> PERMIT. ` <br />- - <br />~'~ . ~ <br />~ ~ <br />~~ "~ -~ '" <br />~ <br />~~ <br /> REOUIREMENi - <br />~ ' ~ <br />-• <br />.•.. <br /> SAMPLE <br />A .. _. <br />~ ~~ <br />~ <br /> ME <br />SUREMENT _ ~ ~ <br /> "~ <br />~ ~ <br /> REQUIREMENT `~ <br />~" <br /> SAMPLE ~ - .-i <br /> MEASUREMENT - <br /> PERMI~ <br />- <br />~ <br />.. ' <br />'s"'` '`~. '' <br /> REOUIREMENi - . <br /> SAMPLE ~ <br />MEA <br />EMENT ~ <br />~ <br />~ `'- <br />` <br />~ ~ <br />I <br /> SUR - - c : ,~ <br /> ~ <br /> RE,QUIREMENi_ ~ ~ .R, ''.rt~}+I_`.. :.•~+ 'x <br /> SAMPLE ~ " ~ <br />~ ^in -~, <br /> MEASUREMENT ~ ' u. ~ I ~ I <br /> PERMIT ~~,, y" „ >i <br /> REOUIftEMENT ~ ;+' ~K~. <br />NAMEITTRE PRINCIPAL EXECUTIVE OFFICER ~ I CERTIFY UNDER PENALTI OF <br />AM FAMILIAR WRN THE INFORM LAW THAT I HAVE PERS <br />ATION SUBMITTED HER ONALLY ExAMINED AND <br />EIN; AND BASED ON MY ! <br />~ - TELEPHONE: - -a ~ .DA TE <br />V INQUIRY OF THOSE INDMDUAL S IMMEDIATELY RESPON SIBLE FOR OBTAINING / ~ "' <br />~~ _ ~ <br />/ J <br />T~ ~ / f~C~KIA)S THE INFORMATION, I BELIEV E THE SUBMITTED IN FORMATION IS TRUE, ~ <br />~. <br />~~~ ~l ' <br /> <br />' <br />ACCURATE AND COMPLETE. <br />PENA <br />TES F <br />R SUBMTTN <br />I AM AWARE THAT TH <br />G FALSE INFORMATI <br />ERE ARE SIGNIFlCAM <br />THE <br />ON <br />IN <br />LUDIN ` <br />111 111 ,J ~(01 <br />L <br />bS ` <br />y~ <br />~: <br />~r <br /> <br />~) <br />~' f IJ C (•Jr G r, jL, L•~Z <br />9 L <br />O <br />POSSIBILRY OF FlNE AND IMPR , <br />C <br />G <br />ISONMENT. SEE IB U.S.C. § 1001 AND 33 U.S.C. <br />/ <br />I <br />d <br />8 <br />0 <br />d SIGNATURE OF PRINCIPAL FJ(ECUiIVE .~ <br />~ ^,, <br />Yv' p I' <br />TYPED OR PRINTED rM <br />u <br />,000 en <br />w <br />e <br />nea uP ro St <br />mum l~~ ~`~` dwe apfNea maY <br />yhomronfWbefeesnemonW endsysva.) OFFICER OR AUTHORED AGENT <br />NUMBER : <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell errechments here) <br />`,. - <br />ACUTE titET LIt1IT5 HECGlE EFFECTIVE 10-1-97. SEE I.E.3, FG VSli, ICE CE7AIL5 01' 71:7 kFCCIGUE.k:•:.pj-jOpT <br />LCSU STATIS'[ICAL FC1tIT E57IHATE 'WHICH 13 [f ;:1 AL 7(1 5(iw CF 'It='1 CEGAl75N5, ANC /77ACd ACUTE- TCAIC111 <br />A orm 61 5-9) revious edi Ions may not a use E S' P T-40 W CH AY HO E U$ D. ~ .. - PArF nc <br />