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PERMITTEE NAME/ADDRESS (/nc(ude Facilrp~Nnme/Loca^on ijDi$eren(l <br />NAME <br />TNAFFEh rlt.IhG, 19C, <br />ADDRESST H A F F E ti r~ L !I E <br />Y.G. HO:< 187 <br /><'HAIG CO tllb2ti <br />FACILITY " <br />LOCATION <br />k~fN: M. GOHuCK Er1EtE. pFE~?/r,er rch <br />NATIONALPOLLIlTANi Dl$CHARGEELIMINATION SYSTEM (NPDES) Form AppfOVed. <br />DISCHARGE MONITORING REPORT (DMR~ OMB NO. 2040-0004 <br />Iz-ISl !'~- 9) t! I BC F Approval expires 05-31-98 <br />PERMIT NUMBER DISCHARGE NUMBER ~ - G c 6 G ~) <br />F - fIbJ[ M~~YAT <br />' MONITORING PERIOD L C N C T C L E E F C G L C E f;',,tl <br />YEAR MO DAY YEAR MO DAY _ 't• <br />FROM OC C1 0 TO G ~ tuo NG CIECEAFCF ~~) ttt t <br />!zo vl (zz~za) (za~zs) Reazl !1e-zv) laasr) NOTE: Read Instructions befor c mpleting this farm. <br /> UANTITY OR sOADING <br />(3 Card O <br />) OUANTI ~ ~R CONCENTRA~O N <br />(4 Cerd <br />~) O. FREO <br />ENC SA <br />MPEE <br />PARAMETER s S <br />3) ~39 <br />5~ E OF I <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS an'ALYSIs <br />70 <br />69 <br /> (szm) (s'I-sa) - <br />:.IL AMD GfiEASE SAMPLE ota~ic+ ~ 94) rtA00Y# ait0aa #tttt~ <br />`i L 5 U A 1, MEASUREMENT <br />-i ~ U b b 1 0 0 ~ <br />r, •' '. ~~~ .. <br />` E `-' 1 " ~~~ ` " ~~` ~ ~~-: `~ C~~ A 0 ,^~ ~~~ I .2+~ y <br />~;i <br />:.FF'LUENT GkGS~ VALU$ ~~~ <br />/ , <br />:._ FC= ~ _v'~ . ~~tt1- / •;~ '', ° tttt ~~~ ,a <br /> ~aad <br />M <br /> MEAS(1~ <br />ENT <br /> 1 L'=P ~ . 'aE~, ~ v ,, <br />~~ ~ ,1 <br /> <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT ~~ ~hI <br /> RERMIT <br />,~ <br />*~+ `` <br /> <br />', <br /> <br />,, <br /> <br />, <br /> REQUIREMENT q, ~ _ <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ ~~ r <br />1r <br />~ ~ ~ ~ <br /> r!~paL~ <br />fill. y~ . x^.~ ~ s <br />..r <br />~ ~P.: <br /> SAMPLE <br /> MEASUREMENT <br /> '.::rr.,'i^~ t F ~ `tF ~'i I. 1 * ~k J - i <br />~ ~ ~ P ( ~y r ; ; ~' it ~: <br /> REgUIpE"MENr ~ r <br />,vY <br /> SAMPLE <br /> MEASUREMENT <br /> R~AMff . - y t e ~ <br />~;;5' i '" <br />: r ;I t~ ~ <br />' : -" l # 3 Ij <br />.: fA S 4 r. <br />xr It)1 . ~ tY fr <br />•;~ <br />s.. <br /> p~ p~~~ry~{ <br />b <br />RWY>VPL . Y .., <br />'c-• ~ <br />h <br />t ` <br />Y <br />"IF ~~ <br />S ~ <br /> . <br />W ~ <br />~ ; v <br />• ` .a <br /> SAMPLE <br /> MEASUREMENT <br /> / <br />~ mll~ ~ <br />h • ~ ~j • ~ f <br />M ~ t,F. 5~.4 f l ~ <br />b; #. <br />( F r '~ <br />I n t <br /> ~/~ <br />~ <br />'u..i A P IM 14,a 4 Ka r ,is l <br />qr_ x `t t Y <br />i .: Y <br />` <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM <br />FAM FY UNDER PENALTY OF <br />ILIAR WITH THE INFORM LAW THAT I NAVE PERSO <br />ATION SUBMITTED HERE NALLY EXAMINED AND <br />IN; AND BARED ON MV TELEPHONE DATE <br /> ~ <br />.IUO111R <br />THE IN Y .CIF TNncc INDIYID}JpL <br />FORMATION <br />I BELIEV S IMMEDIAT LV flESPON <br />E THE ~U TTED- IN SIBLE FOR OBTAINING <br />FORMATION G TRUE <br />!~ <br />/ <br /> <br />W. Gordon Peters <br />ACCUR <br />PENALT . <br />ATE ANb COMPLETE. <br />SUBMITTIN <br />IES <br />O <br />1 AM AWARE THAT TH <br />G FALSE INFORMATIO , <br />ERE ARE SIGNIFICANT <br />INCLUDING T <br />N - <br />~ <br />7 s+^ /4/~""~-~ <br /> <br />70-824-440L <br /> <br />U <br /> <br />D4 <br /> <br />T] <br /> P <br />B <br />S R <br />F <br />ILITY <br />F F <br />NE AND IM <br />R . <br />HE <br />NMENT <br />C <br />I <br />SEE1 U <br />S <br />0 <br />AND <br />U <br />S <br />C <br />President General 8 SI <br />O I <br />O <br />P . <br />.g 10 <br />. <br />. <br />. <br />. <br />. <br />SO <br />1 <br />33 <br />li <br />re <br />oOB <br />d SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED - en <br />tres up ro E <br />, <br />or <br />marimum~mpdsro^mend olb~M9en6mp^Ihs end suds <br />yesrsJ OFFICER OR AUTHOR12ED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence al! attachments here) <br />;3 c; TCTAL IACN LIlI75 GILL bP f:ALVED, ANG SETTIEJEIE SCLICS IIf!I1 AFFLIFG FCB <=IGYh.i4HF FEECIF EYEt.7- <br />.Lc k:UbGEa OF FBCCf FEQUIBF.MENTS UNLIEN .I.E.=. TDB CC NITCHIaG - 1.E.3. CIL f, GFEJ°E - _°EE I.E.].~L). <br />EP'A t"orm 33 1 -) Pr douse Ito n e ~ LA O 1 USED.) G G G 71 / Q O G 111- l E i 4 PAGE ( OF <br />L. <br /> <br />