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- -=~ <br />PERMITTEE NAME/ADDRESS (IirY4FSWryNadfaolo-l IlDdfeerrl <br />NAME H04IE RF.SL'1kCR' LI"i1't.D <br />ADDRESS d 0 413 N n E 4'7 1~° 5; .". I t:r: 5 <br />P.U. 80l( 1~1!?0 <br />FACaT' PAONIA `~ aiy2~} <br />LOCATION 804I t~ 7L$:r Oll^CES 1.I ''I'I :.'L <br />:. 'DTVe J7i ITlN E •l; ik l4 vn nc nne <br />NATIOMAI POLLIlTMT DISCNMOE El1MINARON sYS'fpp,,~~ ~~NPOES) <br />DISCHARGE MONITORING REPORT /DMR) <br />l3•l5l lI7-191 <br />T <br />PERMIT NUMBER - DISCNMGE NUTABEfl <br />MONITOR NG PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 07 Ol. TD 99 ~ ~ 30 <br />/J2J11 tlJ-091 /JL2 / IJR-J )I /JRJOI /i23I1 <br />~orm RPProvad. <br />lIINF. AREA TO iTEV~~~NO BR.'~DD" <br />($IIAR f C) PProvr~Olc~l~p105.31-98 <br />F- F I I A L LLL <br />nINOR <br />NOTE: Rnd Irwtnuetlar bNae gomDbdnp this }am. <br />PARAMETER l34rd Only! QUANTITY OR ~.OAOINQ !/ prd On/yl QUANTITY OR CONCENTRATION NO. FREpupcr SAMPLE <br />/3737/ /4653 /54-dt l3B.r51 (<6'-53 ~ r5b5I OF <br /> EX MALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS reJ-ssl /6I-6B1 /5&70l <br />PN SAMPLE .t,:##G': ##aL44d 44'0## ( 12) <br /> MEASUREMENT , <br />00400 1 o n .:. ., :<;.. ~r~a>a~~xaa;; <br />._ :~::. <br />:: ~a~: <br />:; <br />~ a# r~ :;;;:.:::.; 1:.:. <br />. <br />~: >.:.::~a.~s::::. ~4;:::._._::.;,. •.<>:. .:~~icLf .;~tst~ <br />- ~REQUIfiEMENI., : <br />.;~: ~: .,::.:.':,: <br />.". a;:,,:'! .::: <br />: <br />.:.... <br />~: ~:c:::.:,:; ....... ~ <br />::. <br />::a.r: ~ r <br />..:.: <br /> . . :: <br />.. ...:: . <br />S LIDSE TOTAL SAMPLEt <br />MEASUREM T .. yQg4rY~-. <br />,. "r .1.~1 <br />~. <br />.' .' <br />•. .. ~IMpO <br />~ r~ , ~ ~ ; <br /> <br />(193 <br />'FENDED $ f <br />i r.' <br />u 5 3 0 l 0 0 ><i:.: PER h :, . . ~ m~ ..,:>: -a a •"~~ : z . <br /> <br />,... .., <br />. <br />:~:':::'Af' ~ :.. <br />~ ,,,~:, <br /> <br /> <br />:.~ :t <br />' <br /> <br /> <br />. <br />.. <br />: <br /> <br /> <br />~. <br /> 1: , ..,...: ,.: <br />.: : <br />. <br />.. n . <br />: <br />,..:,. :. <br />.:.... .. <br />:. . <br />SOLIDS, SB'=' £A1`LF. SAMPLE 4#0.47 4##R4ry #4#444 ( 2$i). <br />. MEASUREMENT . <br /> <br />oos4s 1~ a.~ D ,:, ~:.PERMIP;?:.:: <br />.::...:..... ..:... ~~ ~ <br />.:.. #.>s~~:>G:- <br />:: ~ol~l#aa:~ , 'k4 ~~.: aDi yF#U~OR1R:' .. :D~rinr>t~L~~:: .0'.5 ` .:::.:..:......: ::: ~~:~~ `IE~C ~ <br />Y ~ 9 ~: <br />RA <br />i: <br />.~ ~ <br /> <br />L) 'RE4UIRE.INENT-: <br /> <br />5- ::...: ... ...: ... <br />... : <br />'~~ ~~ ~ .. ~ . <br />_. ., ~: .. ~~ <br />.; . . <br />.:<... ..: .:. ~ .'.. <br /> <br />0.t t:4 <br /> <br />.. ~:. ~~:. i .. .::. <br /> <br />.. <br />Y <br /> <br /> <br />, :.'~ - <br /> <br /> <br />:::: , <br /> <br /> <br />:fin. _ . <br />. <br /> <br />. . <br />IHUN TO AL <br />E SAMPLE 4:71+}.x: #y24r4:A 408##4 ( Ig) <br />(-S `;-E) MEASUREMENT <br /> <br />' <br />61045 1 ~:~ 0 <br />~~~:.rpERMl7:~l.:': <br />;.:...... :.. ... <br />~~ <br />. #>6`#j:TfE:#:: .: :: <br />~ ~~ <br />,. ~41Y3.sxin. <br />' <br />:}4 <br />~''>:'~LY044~1i0i~~1:~ <br />:~~'r~~~~ ~ <br />::.::~:'~ <br />'~~w0`:,:; <br />:::~~ <br />:Y.~'Cni~f...: <br />~~AH.:~,. <br />t <br /> ~REQUIREM <br />ENT:~ ~;. <br />~ <br />. .: ~ . . <br />... ~~ .. . ... <br />.., . <br />. <br /> .. . <br />. ~ ,. / ~i et t fi <br />OIL AMD &HEASE SAMPLE R#C4,:,r rw~1::44x 4#aav4 a#4#r~.= ( 19) <br /> MEASUREMENT <br />0 3 5 t12 1 0 D ;,:.:;:. gEgMq:.. ,. b a>ka.'~'Gp .:: :: #x+;t Rf?QI K. <br />' 0 ~ tr 1(stGU@iib 01C?::; . 4E#!S~~'9~~'. ; .t''~;:':: <.: '; :: :#1~ 1" T: N' E~ A B - <br /> <br />sfHEQUIREMENT <br />..:.. .. .. . <br />.. -: :.: ~ <br />p:":fO <br />~~:~ ~. ,~ .. <br />'.~ ..~~~' <br />,:....:') [8 <br />u/ <br />G$r!l~'1' , <br />FLOP, IN CG NDU I7' OR SAMPLE ( O3) 44L~##:+ 0;`##:4 4%•4443 <br />U 2REATdLI1T PLAN MEASUREMENT <br />... <br />~50 1 0 0 :'~:.'PERNIIT:::: ~: <br />:• ::.....:. <br />... . ~:: ..: .. ... <br />H&FG)H:: . ... <br />R$POR'i' a~A4#q.#=k : :~ ~~ OL44tY.1~igl: ~: <br /> <br />~ ~: ~::.L?k:Y px4¢: .43,E ...: ~Q. <br />~±I'),Y <br />a)SYA. <br /> , <br />. <br />~REQ4IREMENT: ~:: ~ ~ : ~ ~ ~ ~ ~ ~ ~ ~ <br />~ . <br />SOLLOSE lOtAL SAMPLE #34363 ##4##4 44441#4 ( 19) <br />DI $SOLYM.D MEASUREMENT ~ 1~ <br />70295 1 0 0 gERnli*7:':':.::: ::;:: ###~u~ :::. :: ~6a~a±x:; 44: O~~±piu# ~;sP:tilk'!~ ~3F'l.Ilit)AT:: tAL.T RA0 <br />'Fl C YAL <br />`REf'Il'11R~NIENTr <br />u::~ "...... <br />.. .' <br />~ . <br /> <br />~ ~ ~ <br />NAME)T/TI.E PRINCIPAL E7(ECUIIVE OFFI ER 1 DERTI <br />"AM FA Fy unD PENALT\' OF <br />MILIM Vi1TH THE INFOR NW THAT I. <br />NAVE PERSO <br />MATON 6UBMITTED H NALLY E%AMINEp MD <br />EREIN; AND BASED ON ,~ 7 TfLEPHON E DATE <br /> <br />yU~~ nn <br />hY' (~./1 111 A 1M ~~' Ig! J'a (? ~?- <br />MY IN <br />OBTAIN <br />TRUE <br />gIARY OF THOSE INPIVIDUAL9 IMMEDIATELY RESPONSIBLE fOfl <br />ING THE INFORMATON, I BELIEVE THE SVBMITTED INFORMATON IS <br />l <br />tCUMTE AND COMPLETE <br />1 <br />AW <br />E~ TH <br />T T ~ / <br /> <br />/~ <br />- ~ <br />' <br /> <br />I , <br />~GNIR I <br />. <br />HERE ME <br />M <br />AM <br />A <br />C(iE1T PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING / <br />Y• V7. 1>i~R 1I 0 n 7HE PO <br />U <br />s <br />C . <br />SSIBILITY OF FNE MD IMPIiISONNIENT. SEE 10 U.S.C. L 1001 MD 7a <br />1 <br />1]10 <br />IN <br />M4 <br />U <br />Y <br />h <br />i r SIGNATURE OF P111NCNAL EXECUTIVE ~' 2' 4 'v y <br /> <br />Tl(PED'ORPRINTED . <br />. <br />. <br />. <br />. <br />rI <br />.. uqr <br />rcNq. <br />. <br />war AbNh. RI/Y <br />w. W ro t <br />0,00p <br />.ndamurmu*MntvisaylnwnrorbtwwnEmontharMSyrral <br />OFFICER ORAUTNORI2EDAGENT <br />CpDE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />L.VMMC1Y16 A\INV LATIIRTE1RiNIV Vr'gryT YIVLn IIVn.J InerlrenGe a//elEeGn/nen(s nI/e/ <br />S~TTLEAdLE SOLIDS LIiTT APPLI$$ ONL[ IT <=IOIRE24HR PRECIP EYENT IS CLAIMED. I7' CL1I'1 IIPPROYED RY Ii7C0, <br />TS•$ E IN011 LIMI'!5 YI.LL MOT HL~ APPLIED TO REPORTED MEASUNEF!ENTS-SEE I.R.2E PG 4, FDR BURDEN OF PRDnF <br />- 1 P s did - s d11. • F R C A ~ PAGE OF ~ <br />• 00039/97)'606-1541 1 <br />