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PErt(AIsTEpLpAMF/ADDRESS (/n[ludf <br />F[[ f y, [Blc~r~~~(~°s'~'f ~ c o rl P A h r r r PI e <br />NAME----- • y ------------ <br />ADnNEBBGHA SS Y. GAk~ PINE __ _ <br />__ ONE EAST '1ILwAUKEE STREET <br />___JAN~SVILLE______ aI 53547 <br />PwuuTV - --- <br />LOCATION <br />ATTP:: hAnLA kAEiUCK, YICd~NR•E~IDENS~ <br />NATION AL rOLLOTAMT OpCNARO[~LTMIRALON IVST[M (HIDES/ ?~ yJ <br />D19CN2PROE MONITORING REPORT /DMRI 'I '~ <br />z le /7d9 1"• I N' U.R For11qq ~~iipppp~~QQ,,ved. <br />COG t A (9UUH N4)OMB1d)l~640-0004. <br />PERMIT NVMeEfI oI,cN Awc[ NYY.[w F - FZ:PA Lgpproval expires 6.30-91.. <br />PIT ~j O:CHRG TO GRASSY CREEK <br />MONITORING PERIOD <br />rnoM Y M D Tc r D Dp;: NO DISCHARGE ~XX ~ 4••'X' <br />- /2011/ . l11-73/ 111.75/ !2 ~ l 129- 1 / I/ NOTE: Read inltruttion! before eomPlatin9 thi! (orm. . + ~ <br /> (1 Card Only) QUANTITY OR LOApINO (1 Cab Onl/) DUALITY OR CONCENTRATION ~ TREOU[NGT <br />BAMPLE <br />PARAMETlR (16-13) '(1167) (!8-(!( (16.51) (71fi1) NO. <br />E% OF TYPE <br />(32-37) A VERAOE MAEIM UM UNITE MINIMUM AVERAGE MA%IM UM UHITe 61611 ANALVZlB <br />(6148) (69-70) <br />PH '- i+ 4I i<%l;< L' ~-34 ~) <br /> 6AMPLE <br /> MEASUREMENT -~ <br />'G4DD 1 G O a~PCRMi,T„rc'"~ <br />EMCnT <br />~REnm am sd~g <br />~ pe. ,w~.mm e:""~ <br />~ Orb %~ <br />lk4 <br /># ~ ~ ~.~.~w., wv <br />% 9~~ ,~ .mm~Y <br />~ <br />~> a~ ~~~.~~;~~ <br />j <br />~ ~ti~ <br />~~ ~ ~` <br />~.'' <br />' <br />; <br />EFFLUENT Gh055 YALUE ~ <br />x ~ <br />;g~ ~ ~~g~~~~R <br />a <br />; 4 ~~ ~ <br />~ ~ <br />~~ <br />~ <br />~~~. ;~~{ <br />~ <br />~~ <br />~ SU ~ ° ~ <br /> a ~ a.KK <br />.~ .~ : . <br />, <br />.. ~ . <br />_ <br /> <br /> aAMPLE <br /> MEASUREMENT "" <br />""J545 1 0 G ; : <br />>WERMIT`>m. <br />AEMBNT. <br />EOV M a, I , yl ~ <br />. aky. 'a~ <br />a~ <br />,. @ s' ~ r £ ., <br />.~~% ~.~-, <br />~;+ <br />s~°~ suo 3~ ~ <br />~' re ~~¢e <br />~ ;-, « ~ <br />~ ~ <br />~~~ <br />'~~~ ~~~~.~~~ <br />~~ <br />~~"~ .~~ <br />~- - <br />~~ !r'L~ <br />'k~~' <br />~ <br />~ ~ HyEyg~~< <br />'b' <br />~ <br />EFFLUENT GROSS YAI <br />U ? <br />R g <br />~.~ <br />L~-s ~ <br />~ ~>zti~ ~~~ ~ <br />~, ~ I <br />, •~'l4 <br />I ~ <br />- ~ <br />I L AND G k E S E ~+ ^~ ~"" "'~ ~^'~ <br /> BAMPLE •. <br />FdEON EXLR-GRAY METH MEASUREMENT <br />0556 1 0 0 <br /> <br />' <br />~ < ~ > . <br />E <br />T <br />~<~ <br />ma w9s <br />~ xaa , fa . <br />&~, ~. ~a :m ~~$~x. <br />~ v#1~ ~~ <br />ua'~.a'.$ ~;~az=, ~s kF ce <br />k: ".;~~&~~~. p:tt >~?s'~ <br />3~ <br />~ x~.p <x~, <br />~, 'x ~» .ffi~ <br />~ <br />~ <br />` ~xi <br />y¢~.: <br />~ $ <br />as- ~i <br />~'~ ~ ~°~<m <br />Wok' <br />~ <br />~" <br />~ <br />FFLUEN^i GROSS Y <br />AL:;E REOUiR <br />M [N - <br />e <br />~~m~.~ ~~M <br />rc ~~ <br />-~~. z:~~fi , <br />~.~ ,a <br />, <br />1a w <br />~ <br />' <br />~'~ .~ <br />~~:a~ <br />' ~?~ <br />I <br />l <br />~ <br />~ ~ !IG/L ~~ <br />~': ~ <br />t : <br />;~, <br /> + az x ® <br />mp % <br />m a .y k fl w~ d +., b. ~ <br />: <br />Y <br />-.Kroi m z ~ a @ t <br />~ - <br />x W <br />~ -, .J <br />COY, IR CORDU IT O:t ) 4VV4K~+k {!xl'-k (:Y;: ~~#YJ# ( ) <br /> BAMPLE <br />HRU TkEATriENT PLAN MEASUREMENT <br />QC S~ ~- (I Q .•>n use <br />y, ePERM ITR° <br />REQUSREM ENT am <br />m~se. ~ i:~ <br />~ s~' fPij~ a>-re <br />s~~ ~,.2~x~. <br />d <br />~ .a. <br />~.8~~~~~~ $'~v '~ 'x- <br />~~S-S-~' ~~$m: <br />~ %. <br />~~'->~'e'~,~~~i Ll fF is <br /> <br />` <br />' ta'~., <br />~ ~ <br />, ¢t.e <br />~ <br />~a~ ~ <br />> <br />~ <br />p <br />NT GROSS YALUE <br />FFLU e x <br /><~3 "A11 <br />flV ` <br />~~e '.x~~^ <br />~ tl G D "~.~ <br />''~~ <br />' ~ ~ ~)~~~ <br />'~~ ~ OL <br />~ <br />° • ° <br />8 ~ ` <br />~ <br />' ~ <br />.. g,~ .~ <br />e <br />~ q <br />? .8 <br />:~~ R :E. e .~ ~.S . <br />ULIUS, .TOT 0.L ` <br />~ ~ ~~~~"~% ^%~ '~~% <br /> BAMPLE <br />ISSOLYEU MEASUREMENT <br />:f - <br /> <br />J255 1 0 Q <br /><a PE <br />I <br />IT <br />'y <br />~ <br />~ <br />°o-,a <br />~ <br />~QK: <br />&' ~" <br />~ <br />i <br />~~ <br />~R,( '~m' <br />'a <br />~s <br />y$• ~i'~ <br />~ ~~~ <br />n~ rTqq <br />4 <br />"' <br />AM ~ry <br />~ ~Y§~T <br /> <br />OSS Y <br />UE <br />U <br />' <br />' R l <br />r <br />, <br />R~u~nENaNT ~wwa~ <br />a§ <br />~~ <br />~,~ <br />« <br />' ~ <br />~ <br />~~~~~ <br />~ <br />j . <br />~ <br />' <br />w <br />~~~ ~ <br />e <br /><a <br />~ <br />~ <br />~ p <br />~~~ <br />~ <br />~ <br />~ , <br />n <br />~~~ .. <br />~~~' <br />AL <br />Pf <br />L <br />ENT GR , <br />~ <br />.:ea <br />~ ~~ <br />~ <br />, . ~~~ -.~= ~, <br />~,: <br />a <br />,. ~ <br />; . <br />. ~ .~R <br />LL ANU GREASE ~ ~[I ( 94) >}#;}L•rJ, ~;;C ~: ~>; =rtT ) <br /> BAMPLE I <br />CS U A L MEASUREMENT 1~ <br />4U66 1 0 0 ~ PCRht1T3 m a re'~ ~ a ~: ~~~ ~~:~ ,~ a~ ,~~ <br />~ ~~'~' ffi rte.. ~~.~r, ~, <br />~ #~a ^` ~~ k~ <br />'FFLU <br />N <br />GROSS YALIPE RERUIRBMEN7 <br />° ;ffa~Po <br />ffi &I <br />S <br />Yy ~"~ N0=0 ~~ <br />'~ <br />'~~~~ ~~ ~~~~ g <br />~~~'~~$'~ '~~#~ ~~ ~~ <br />~ ~~'~- <br />E <br />T ~ ~Y <br />& N <br />. ~ <br />~ : ~ <br />: . <br /> BAMPLE "' ' <br /> MEASUREMENT ~ - <br /> i°~ <br />~ <br />c ~~~, <br />~a. ~~~$ ~ <br />~' ~'g <br />~~ Y~~ "~~~ <br />~ .~~' <br />~&,~~ . $~: &'~' <br />: <br />^~ <br />~ ~~~~. <br /> .REQO REMENT- >8ffi <br />mn <br />¢g <br />i ,~ <br />~ ~~, ~ .~F ~~ ~ <br />~~ A <br />, <br />&; <br /> <br />NAME/TITLE PRINCIPAL E2ELUTIYE OFPIGER 1 CERTPY uNDEA P[nALTY OF LAw THAT .I NAVE PERSONALLY E%AYIn[D <br />ANO AY rNMILIAR WITH TN[ INFORMATION SUBMITTED NCREIN ANO MSEO / .~' l TELEPHONE D A T E <br /> IN <br />1 <br />T <br />I <br />A <br />S IMM[p1T[ <br />SP <br />E <br />I <br />OS ~ <br /> g1 <br />ON MY <br />RY OC <br />H <br />E MdV <br />DU <br />L <br />LY R[ <br />OHSIBLE <br />C <br />1 ~ <br />I [ <br />Karla Rabuck OBTUMNG TN[ INFORMLTO>I I BE4[VE TM[ SUBMITTED INFOPM41pN <br />I$ iRl1L ACCURATC r.NO GOYR[TE 14M LWARE THAT TN[PF MIE !IG <br />NI[ICnNi PENALTIES FOR SVBN?TING FALSE Iry[pIMATION INCLUdryO ~ ~ ~~ <br />Vice PResident TN[ PD55/BiLrtr o< Fm( AND .YPRKONM[M sE[ le uSC 1 1001 ANO <br />J3 V SC 1 I ] 19 IPrnalnn uMn IArR O,lub. n nrludr /mrr uY I•• JI21xn BI NATURE OF PRINCIPAL EEECUTIYE 608 754-2291 93 5 19 <br />TYPED OR PRINTED u•d••rmr+~m.n ~nrPn.•v.nl.ul.JNru..n[munlh. enl .rR.+. 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