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PERMITTEE NAME/ADDRESSQ~LF•cBipNw/Tcc•nen l/Dlpirn9 <br />NAME ~Ag1IJIDC' C7:+L U~'rir~, [H._. <br />ADDRESS CASTSIOF '"'TYE <br />P. D. U0X 701707 <br />SA'.1 AST5VI7 1'$ 7N?77-1J)7 <br />FACIIfTI' EA~TSIUE C7AL 77KpA9Y, INC. <br />LocAnoNSILT CD r}1511 <br />niTN: STY.2NEN SELF. ;I'HFRAf. hA !; .4 ':?T <br />NATIONAL POLLUTANT DISCNA110E ELIMINATION SYSTEM lNPDESI <br />DISCHARGE MONfTORINO REPORT lOMRI <br />I-161 17-19/ <br />^r tnmo ..n ~: <br />PERMIT NUMBER DISCHAAGE NuNlBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 7 U Q-j J L TO U O t)) 3 0 <br />!10.11/ l11-13/ !14/51 (16171 128-191 !30.3/1 <br />Form Approved. <br />OMppB NTO. 2Q4~-000u r <br />S E G I F' D N D I T O !? AApprovel eirpves 05-31-98 <br />FSUUFI9AL /III III'IIIIIIIIIIII <br />MINOR l <br />"NOTE: Read Inetruetioni before pletlnp thb form. <br />PARAMETER 13 Grd On/yl QUANTITY OR LOADING /1 Grd Onlyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> !06531 /54811 138-451 !46531 !54871 OF <br />131-371 E% W <br />LLY~S TYPE <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS Is1-eJl , <br />, <br />!6488/ 189-701 <br />P[i SAMPLE 3:rCG .rr30: .`ct;t fir,: ( 22) <br /> MEASUREMENT <br />UU4UU 1 0 D PERMIT ;=YlixC: <br />~ #;A#tk~ >; r~x: ?. S #aks<# u 9.4 IEEKL; N5I"0 <br />I <br />::: YLJiNT ;,x755 YA U ~REOUIREMENT. fi, ptkp M [r. ~ raYrr IN -n . <br />SOLIDS. S.:TTLEA.dLE SAMPLE :,tly;rcY: x#:i13. #x#4#~ Y>:x ( ~~) <br /> MEASUREMENT <br />OOS4S 1 0 J - PERMIT A,:#~1"Ra4 dF0#$,Y zk d at#;f i 0~k.'ti ;F# sk ika#> # <br />DDS <br />I <br />l <br />t <br />$/ <br />;R~~ <br />t.FFLULNI' :,2015 YALtl ;Y3EQUIREMEN7 ^a~? r MT r i <br />. <br />a <br />JIL ANJ ~'L":ASR SAMPLE `kk:Fx: O+'A~Sfv: :G:#;. ;: +; ..,,.. 5`-.x ( 19) <br /> MEASUREMENT <br />U35E12 1 0 0 PERMIT 3#'{'kk ..:;:r7 : ,a AS: .~;.;k~ar sk~lal3 :' 20 I .0"7T7y ;RA;1 <br />};FFLUEN'T ;;ROB'S V'-.L!I~ REQUIREMENT. calk: t >•y Mr t rr ,T <br />FLDN, IN COlIbIQI:' 7R SAMPLE ( 03) ca:aas- #;# t-:: r~a,f~:-~ <br />THYO TREAT!~NT PLF, '1* MEASUREMENT <br />70050 1 D' b PERMIT <br />I <br />E )PTID;7AL ;;.iCcPDRI' kaa;~uor ;t=kv. ,~ ;=t:rxr :~.':..; : ~A£.,TLY CySCAV <br /> <br />::Ft'LUENT 9055 7AI,U REQU <br />R <br />MENT <br />,: 3011~A N A/:(T ~~ i:~: <br />.iUL1D5, TJRAL SAMPLE asC:tCC .O+XkRa 3aaCfi raKr ;= ( 19) <br />DISSJLYED MEASUREMENT <br />7U2y5 1 U 'J ': PERMIT <br />~ :, sA iLk Fk r,7CdF.C'sa ~ #=.:- vi'F2;:4:::: t7##:k .i slEQpRT I IT <br />_ALT <br />~RAR <br />cFPLUE NT ;;FOSS YALJE REQUIREMENT ~ aaaa n TTY xr ar/[ ~ <br />JIL AAU U.i: iSi? SAMPLE I::t:;:rR ( 94) ~kk;. ~:. aa;: 4i< ,rC:;:~~ <br />V ISU A:L MEASUREMENT <br />34Uo6 1 0 0 PERMIT. r: ;:71R:X:A 3LPDRt E5=1 tA#a~ka aa:# :? 4say;:kr,:~ : :, r,:-. I IYCE/ fISU'iL <br />.; t'FLUdi.l ~R053 YALUj REQVIREMENT IN" MAL =0 #Ce p.1 "1NTa <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMElfITLE PRINCIPAL E%ECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENN.TY OF UW TNAT I HAVE PERSONALLY E%AMINEO AND <br />MILIMI MATH THE INFORMATION SUBMITTED HEREIN <br />MID BASED ON TELEPHONE DATE <br /> ; I / <br /> <br /> <br />+ MY INQUIRY OF THOSE INDIVIOUMS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS <br /> <br />f <br />~ <br />/ <br />, TRUE. ACCUMTE AND COMPLETE. I AM AWME TNAT THERE AiIE <br />SIGNIFICANT PENMTIE9 FOR SUBMITTING fALSE INFORMATION <br />INCLUDING I <br />/ <br />\ <br />~J <br /> , <br />THE POSSIBILITY OF RNE AND IMPRISONMENT <br />SEE 18 U <br />S <br />1 1001 AND 33 <br />C /~ <br />C~ ~~ ~v // /~ <br /> . <br />. <br />. <br />. <br />! 1318 <br />U <br />S <br />C <br />lP <br />uWOi• u•Mr N• <br />i <br />b <br />A <br />1 <br />[ <br />ilO <br />p00 <br />. ro• BIONATURE OF PRIMgPAL E1IECUTIYE <br /> <br />TYPED OR PRINTED . <br />. <br />. <br />. <br />, <br />., • <br />Nh <br />1C <br />r. <br />• <br />•w• W ro <br />, <br />Y <br />• <br />' AREA <br /> •nIa <br />nr.Ynvn hsn <br />•e•rwlr •/e•fwe.nemendrsWByeral OFFICER OR AUTHORIZED AOENT CODE NUMBER YEAR MO DAY <br />.,v~.~........, ....., .... ....... ~........ ..~.. .~...... ~..~...:.~.... o..~e o., o..e....:.o......v. or <br />53TfLBA9Lf: S7LIOS LI!I[ iAIyCD t'Di< LO-Y , Z4-YR PR°CIP EYEgC SJaJ.:C'i i0 3f!ROEN DF PL'D0~ :IR~OTR°',[;u"' 7R <br />`_'L.tf `L. d. 1. D, F0. 5. .iiJdCiidTF. `? '19'IA7E"S e:YP ?L.4tl D08 1-1-1j, <br />EPA Form 3920.1 108-951 Previous editions mey be used. IREPL.ACES EPA FORM T40 WHICH MAY NOT BE USED.1 PAGE OF <br />0273/70814-2~3` 1 <br />