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. .. ..~ - r. n -F> <br />PERMfTTEE NAMFJADDRESS pmchrdc FacA;O~NamerLocarion jogmal) <br />NAME dOYI! flt:iJU°Ci:~ Li?ITED <br />ADDRESSU O li I 6 TI U. 2 '1 ~ y <br />P.O. BOY ''.'~ <br />FACILITY P AO ~I I A ' 0 J 1 4 2tl <br />LOCATIOF!) O Y 18 C O ' 14 29 <br />T i'Ch: MT LLTA`? A. f)_CS 1 r__ •TVr r':o <br /> (3 Ce1r1Ony) QUANTITY OR LOADING (4 Card Ony) QUANTITY OR CONCENTRATION NO. PAEDUENC SAMPLE <br />PARAMETER 4E53) 54-61) (38-45 4&53) 50-61) F)( OF TYPE <br />(~~3~ .AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />r6z-es1 ANUrsrs <br />(64-68) <br />6&70 <br />i"h SAMPLE <br />MEA t; r:ktt 'S rY ~:: k:3 <br />~ .`•:f ~At~ <br />~ <br />q ( ~ 7) / ~ <br />/ <br />~/Z <br /> SUREMENT ~ ~ ~ <br />d J 4 U U I U U PERMIT'' ): :„ #+~i~r~ , . <br />~ 4a +A"~1 ^- ;; #### `~ 9• tF ~ ~JlI(~ <br />.-Ff'LGENT GROSS YAL'f. REQUIREA{- f ,: ., a ~ . <br />_+~ ~ ~-* S-' 045t -`-; ~ .~ "' - <br />"~ ,'~", ~-, <br />V <br />..,7LIDS~ TOTAL SAMPLE 4~RfiQLIt C~1C404 1?3tTt42+ ~ <br />~ 3~ q <br />( 1 T ~~, <br />/~ U ~ <br />Il <br />:i P E k D E U MEASUREMENT . , <br />- <br />):T30 1 0 U PERMIT „, ~41d1 . ~ § rkRt ms's"~ <br />,~~ ~ ~ ~ R ~ ~~~ <br />"F'LUEKI' c,P.OSS trAL() REQUIREMENT :~;+ , <br />„,a ,~ prgt : „~_ t• <br />~>LIDS, SF.TTLEARL° SAMPLE tt-xct- a~tt-a h~z~aoY <br />~ ( 251 ~ <br />~ <br />~ I~ <br /> MEASUREMENT ~' ~ ~ ~ - <br />J ;u 5 1 D 0 PERMIt, "ira+ttt # # ,~;-' ##~I##lOIT ~ ~L~01T ~ 5 :. ~,~ ` <br />FFLUENT ~RO55 VALD REQUIREMENT ~w. ~ Batt - t• ~ t <br />y <br />I n()H. TOTAL SAMPLE <br />E Y . "~F+` DR-?i'fi-:` ;`it+r^# ~~//"~ <br />5 <br />7 <br />( 14) <br />'/ <br />~ <br />C~ 1C <br />(A5 PE) MEASUREM <br />NT . T. ~ <br />v L D4 5 1 0 D PERMIT alma #~ ~ R# *; t #+~I##1a# ~ <br />~t~ °~ <br />.El : , <br />; <br />g~ <br /> <br />r. <br />g~ <br />c~t'LUr.Y2 GROSS Y,+.LU REQUIREMENT ~;; P tytt Yf <br />~1IL ANp GREASE. SAMPLE <br />REMENT <br />MEA ~+~:ta r..tr:3 y'Yt,`-.:`•.: >`::at:= <br />~ /1 <br />~ ' Tq <br />( ) <br />~~~ <br />(d2 <br /> SU 1 ,~ - <br />U 3 5 rt t 1 U 0 PERMIT "#ir '. ###} :gi <br />. ~ ~, ~ <br />.IC~1#RF~tYR' ~ #9r IO+i~ ', T~ ~. 'S' "' ^ ~ R3'~~ iL~>~ <br />.` <br />~'F'FL.UL'tiT 1;R0;;S Y `. '_U REQUIREMENt = ~ n <br />,; ~~:; t r <br />~ <br />^ ~ <br />FLJ.. I} C(7 !iDU l" P SAMPLE ( C3) '>::#~ft v#.^•~"'' 4btt+C# <br />~;'k.::.TCEMT PLAN' MEASUREMENT ~ Q~I 3Z- <br />'i -,J l U U PERMIT,- ,:B~PCT$'l~. g ,..• #!!#?~O ,~ :.`: #- qtp'. ;Or#1f0#I~ -".C BKLY !1$r~ <br />''F'i: UEhT !:ROSS V:1LD' REQUIREMENT r, .... ,,, ttY # <br />:;OLIuS, TOTAL SAMPLE c:att--~ txatr: v-.~"t= ~ <br />V iq <br />{ ) <br />/ <br />( <br />JISS~rLVt'D MEASUREMENT li~/ ~ 7 %~ 7~ <br />7D19•, 1 0 o PERMIr ~ataa+mR~- t#~Itl'~dt -- tt~ aal#*+~# ASQ <br />it'3'- ~. P'f'IONII t.~. #LI q ' <br />;- <br />,FFLUEHT GHQ:,.: YALUt REQUIREMENT ~~t- , <br />.. . <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERDFV UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY EJ(AMINED AND <br />AND BASED ON MY <br />IN TELEPHONE DATE <br />' INQUIRY OFT/0SE INDNIDUAL <br />THE INFORMATION <br />I BELIEV : <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMITTED INFORMATION IS TRUE <br /> . <br />ACCURATE AND COMPLETE , <br />I AM AWARE THAT THERE ARE SIGNIFICANT _ <br />- <br />~ ~ <br />) <br />1 . <br />PE <br />U <br />T <br />N <br />' G <br />E I <br />RMATI <br />INC <br />N <br />T ) / / ~ r+ <br />1 ~ <br />~2,/I c / r A n I /~ I J F~I~ ~ BMIT <br />I <br />NALTIES <br />FOR S <br />POSSIBILITY OF FINE AND IMPR FALS <br />NFO <br />LUDI <br />ON, <br />G <br />HE <br />ISONMENT. BEE 1B U.S.C. 41001 AND 33 U.B.C. <br />Il SIGNATURE OF PRINCIPAL E%ECUTIVE ~~il '1 _ - <br />/~~ ~~ ~ ~ ~ 1 ~c~ ~` <br /> 4 1316. (PemMes under these sm0mes mey Include <br />rgs up b 510,000 end d OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED maximum rmpdspnmerx olbeMeen6monrM endSysvs.) NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ellermcnments rrere) <br />,t;`fTLBABLE SOLIDS LIt"IT A.PPL[ES 0`ILY IF C=7UYR, 24 NR PRP.CTP EYSNT IS CLATM~D. I F ^LAI"! APPkOYRD AT ~ 1C D, <br />.5~ E LRON LIMITS PILL NOT PE APPLIRD TD REPORT°D MEASURF,gFNTS-5 T.8 T. q. 7., PC 5 FOE. P.URDFN CF PAOCF <br /> <br />NATIONAL POLLIfTAM DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. ~ , <br />DISCHARGE MONITORING REPORT (DMR~ OMB No. 2040-0004 <br />fz-16! nz- sl ~ I Y 0 R Approval expires 0,5-.37.88(' <br />PERMIT NUMBER DISCHARGE NUMBER { 5 rf n R H C) ' <br />Fi!IAL D ~ A• <br />MONITORING PERIOD 0 5 O F S P 1 r I N P. ^ R N^. T O !1'r ~ ~i TR L ' <br />YEAR MO DAY YEAR MO DAY ~ I~~ <br />FROM 97 07 TO ~Q O ~ .~r~ 41 IJT SCH:gk,F. 11 '`-'~~" <br />(zaz0 fzz-zs) fzb-z5! fzfi-zz) fze-z6! (d631) NOTE: Readlnstruclions betor§ leting this form. I <br />I <br />~'-~ •~•'Te r"> >• PAGE OF <br />D!1~45/99e312-12z ~ 3 <br />