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PERMITTEE NAME/ADDRESS (Include <br />Facility Name/Larafion i! differenU <br />NAME-.T~TY~1-I.t ~O.AlrLC11t~11PL1L-----_ <br />ADDRE55~`(i2I1F~rRF'E•^jj ~TNF,__________ <br />---295] S~OiI-TT--COLN~Y_R.UJLD_E2Z---- <br />_--011b~R~FI_~_------~I~$0i1fiZ-- <br />FACILITY <br />LOCATION ___________ {______ <br />A TTNn R7 CN AR^ A. H7i_1-S MAR At: G'R <br />NATIONAL POLLUTANT DIECHAflGE ELIMINgTION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />(Z-l6) (17-19) <br />PERMIT NUMBER ARCC Na+.ecE <br />PERIOD <br />FROM <br />9INOR <br />(5 !1 ~ R N M) ~PljWApQroved. <br />F- .° I N A L OMB No. 2040.0004 <br />I~~LUk:NT K~4~9L°Yf'~'~!;'~~'~-31-94 <br />'.: itYj NO DISC#f RGR 1~( ~#y <br />NOiE: Read instrut~lons befoTg completing this form. <br /> (7 Card Only) ~GUgNTITY OR LOADING (q 7v) r QUALITY OR CONGENTRAT f~a ~' PREOUENCr SAMPLE <br />PARAMETER (46-SJ) (54-61 j -q5) (q6-5J) ~ (Sq- <br />x NO <br />EX OF <br />ANALYSIS <br />TYPE <br />(J]-J7) AVERAGE MAXIMUM UNITS MINIMUM ~ <br />AVERAGE A'r} %IMU UNITS (61d 11 (ba bdl (6.D-]O) <br />OD, S-UAY SAMPLE <br />EMENT tr ~~~,t~ <br />/ S1F <br />- <br />~ ( 26) <br />~f Gn ( 19) <br />0 3 n <br />/G1 R~n <br />G <br />(lU S)f.1a. C) MEASUR T. <br />p - <br />r I~0 I <br />.O <br />% IC/ll <br />v <br />v 2 •V `% <br />ou.~lo c o o PERMFT ~~~~ <br />` <br />~ PTIE3 TIONaL ~~ <br />%~ptl ~ <br />ONAL <br />~~i <br />RAW SEM/LtlFLUEhT a~CUIREMENT: : <br />~~_' <br />....7777~~~~ Y <br />DY <br />r R4R AYG <br />3Q ~~ ~ - G <br />NY 'ID~~ ~ ~' <br />G L <br />' •7N, IN CONDUIT OR SAMPLE <br />~ ~ Ia3vX4•'.~ ~ ~~¢#~Y ~~~~~~ <br />p 14 <br />/ 1NS7AN <br />U TREATtlENT PLANT MEASUREMENT O OI I ~.l ~r05 <br />5 q2 <br />. <br />DO 5 U G O 0 'aEar~lY . $PO&T <br />' ~ ~! ~ IRfk4 +d;4IR>C4# ~ ' O~c <br />.., ~ . , ~. <br />. <br />RAM ScY/.tlFLUSNT REpVIREMENT . <br />Da aYG `, .- .. GD r <br />~y <br />.. <br />. <br />rY' ~ <br /> SAMPLE ' G'. i~ ~ <br /> MEASUREMENT <br /> + <br />A' <br />~ 1 <br /> `R~41UTA~MENT ' - -,~' <br /> <br />~ <br />e <br />i <br /> <br />l P I s °•~~'.:: '4jsS~ f, <br /> SAMPLE ~ <br /> MEASUREMENT t ~ <br /> <br />R~sv ~±~aT~ <br />~''$ ' <br />~~ x ' <br />~ <br />~ <br />'~ ~ <br />`~ ~` <br /> . <br />~ x ~ r. ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> ER~~~}}I~S~ <br />RE{~L <br />IR <br />IENT - <br />~ ~r.~, .' <br /> <br />~ <br />' <br />' .. ~ ~ ~ ~.f <br /> <br />' <br /> 7 <br />EF v' , <br />~ . <br />-4F r <br /> SAMPLE <br /> MEASUREMENT <br /> P€RM4T ~ <br />IiE9 <br />~iIREt~JiT .~` Z <br /> <br />r r rn y. ~ ~ ;~ <br />r~-~. 't.. ~ ;. <br />I <br />- , y. <br />h - ~ Y <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> MENK <br />E <br />3 <br />[ <br />I yr' ~'(~ +' ~ "1 <br /> ~ <br />! <br />. <br />J <br />RE .. . 5 r <br />NAME/TITLE PR CIPAL EXECUTIVE OFFICER 1 cERT1FT uNDEfl PENALTY OF LAW THAT I HAVE PERSONALLY Ex AMNEp TELEPHONE D A T E <br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. qND BASED <br /> <br />Richard Mills ON MY INQUIRY OF TFIOSE INLYVIDUALS IMMEDIgTELT ftESfYJN51BLE FOR <br />OBTAINING THE INFORMATION. 1 BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE. ACCURATE AND CdAPLETE. I AM AWARE THAT THERE ARE <br />IN <br />EnYlromiental Mana r G <br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUD <br />97D <br />B7D-27~Z <br />~ ~ <br />E <br />99 <br />rF THE POSSBILITV OF FME AND 1MRRISONMENT SEE re usc. 4 IWr AND SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED JG uGC 4 +319. (Prnelnes under rhea nawrrs mn~ i Yudc Onrs up ro <br />SI0,000 anJ nr manmum'imprisnnmem o! bem nn F mnnihs~aW S xrarsJ <br />OFFICER OR AUTHORIZED AGENT <br />CODA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (He/eren[e all alla[Ilmeals Here/ <br />ItlFLUENT SatlPLES f1UST BE COLLECI'i:0 .ANALYZED tlONTHLY AtlU R2PORTED QUARTERLY REGARDLESS Oi SINETNER AN <br />EFFLUENT DISCHARGE OCCURS. HYDRa06'~C CAPACITY = 0.015 tlGD; ORGANIC CAPACTTY = 31.2 LBS B01,~5/DAY.^ <br />EPA Form 3320-1 ~77ev. 9-88) Previous efflrl0r15 may be used. (REPLACES EPA FORM T-40 WHICH.MAY NOT BE USED.) PAGE OF <br />OOJ92/950214-1301. 1 <br />