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ESC. °~ <br />NATIONAL POLLl1TANT DISCHARGE ELIMINATION SYSTEM INPDES/ <br />DISCHARGE MONITORING REPORT (DMR1 <br />11-161 ((7-f9) <br />COG850023' 004 d <br />I-~~ PERMIT NUMBER .; ~. ~ DISCHARGE NUMBER <br />.~ L ,. ~. <br />a ~ ~ MONITORING PERIOD <br />"~ YEAR MO •DAY. ~ ~= YEAR MO DAY <br />;i FROM TO <br />r: (10.1111 !11-13/ =I11,1JIo "' :/1617/ /18-19/ !343// <br />F - FINAL <br />PIT tl OSCARG TO GRASSY CREE6 <br />.. <br />tlINOA (SUBHtNN)' AOUTT <br />NOTE: Read Instruellons before completing lhls lorm• <br /> (3 Cord Oniyl ~ QUANTITY OR LOADING _ (l•Card On/y)L~^- pUALITY OR CONCENTRATION - - NO FREOUENCr SAMPLE <br />PARAMETER /I6JJ/ ~ 3 !JI-dl) .' i+ ~ /38~J/- l16JJ) (JI-8l/ EX OF TYPE <br />171-37/ <br />AVERAGE , ' - <br />~~ MAXIMU'•1' C. <br />NITS: - <br />~ MINIMUM <br />AVERAGE <br />MAXIMUM <br />~UNI7S <br />/6143 ANALYSIS <br />/61-68) <br />l69-701 <br />t:I :" SAMPLE ^s .######~ ~ `###i•.#~. t C _ ri ###### <br />!' i . <br /> MEASUREMENT;~~ " r fs C In 'O G ~ <br />,[i I - ~ 'I <br /> _ <br />L <br />' <br />' <br />u0 1 0 O y ###~~ ~## <br />' #~# ~ ~` <br />9 .~ ~ ~ <br /> <br />G <br />l <br />- • <br />+ PERMIT ;~, <br />NE <br />REM <br />T ~ ~~ <br /> <br />' d <br /> <br />, •F/~ •a.{ <br /> <br />: ~ CL~ ~y <br />XX <br />L .O <br />> T3. <br /> <br />~ B/, HAB <br />e t LUGNT CAOSS YALU i„ <br />i <br />OUI <br />EN ., ~ #:a##1 1!U!! r•r A d U '~ NT ~ <br />SIJi1CS, :iETTLEABLE-'. 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C- <br />. • ~; <br />1, t l iZ ;; is .i h EA S E SAMPLE ####;n# ~ `I' 1~ ~.'}##### ###### ###### <br /> <br />'vi:ildL MEASUREMENT ~ - <br />' <br />L'4i.i,tl 1 O 0 ~ PERMIT ;r ~######'~ O ' - ES=1 ##~1###'` <br />' <br />fi .~###Q##~ ###### #IFr ACh/ ISUA1. <br />_ ~ <br />;• REOUIREMENT,i ~ ~ '" = . <br />t <br />a 11; 'NO D~' ARGEi~ ., I -•#;, i <br /> <br />tJAME(TITLE PRINCIPAL EX ECUTIVE OFFICER <br />I CERTIFY UNDER PENALTY OF LAW THAT I HAVE P <br />AND AM FAM <br />IAR WITH THE <br />FOR <br />TION SUBM <br />TT <br />ERSONALLY E <br />ED HERE <br />N <br />XAMINED <br />B <br />D _ <br />~ ~ <br />4' <br />TELEPHONE <br />DATE <br /> <br /> <br />Karla Rabuck IL <br />IN <br />MA <br />I <br />I <br />; A <br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONS <br />OBTAINING THE INFORMATION. I: BELIEVE THE SUBMITTED INFO ND <br />ASE <br />IBLE FOR <br />RMATIO ~ I ; <br />I IS TRUE. ACCURATE AND COMPLETE.1 AM AWARE THAT THEPE •ARE SI <br />VTr,e f resident NIFICANT PENALTIES FOP`SUBMITTING~FALSE'INFORMATION, INCLUDING <br /> THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18'U.S.G'•Is•1001 AND , <br />33 U <br />S <br />1319 <br />P <br />N <br />h <br />I <br />d <br />G <br />Md- <br />7 <br />d <br />e <br />)/ <br />IXU ' ATUREOFP INCIPALEXECUTIVE <br />" 698 754-22 1 07 0 <br /> <br />TYPED OR PRINTED . <br />. <br />. ( <br />en <br />nrs u <br />snrvm may <br />n <br />; <br />. 1 <br />l <br />o <br />u <br />r}An <br />~p`.!o <br />P. <br />andwmaximum imvdsvnmmrdArs'Krnemonrhsand J,mrs./ , <br />y <br />' OFFICER OR AUTHORIZED AGENT <br />CR A <br />NUMBER <br />YEAR <br />MO OAY <br /> <br />COMMENT ANO E%PLANATION OF ANY VIOLATIONS /Rrfrrtnrt vllalrarhmen¢hrrtl <br />.. <br />c,ll, t: GticAS.r'.: SEE FOOTKOTE F/, FACE 3 IN TBfi PEAlfIT. POAtlEALY gISCNAAGEO UNDEA CO-0035653. <br />EPA FDIn•332:-1(HOV.g-SS)PTBYIOUS BdINOn9 mey bB UJBd. (REPLACES EPA FORM TJD WNICH MAY NOT BE USED.) PAGE OF <br />GOG24/910123-1657 ] <br />