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<br />PERMITTEE NAME/ADDRESS (Inrlude Faciliry NamdComtian JORerenq NA'
<br />NAME PIC~FT:IAF FACCE9SIAG, LLC
<br />ADDRESSN E H ELK N I :+ E
<br />1311 BBERTwCCC Ii•IYE
<br />I:YAtiSYILlE IN 47711
<br />FACILITY
<br />LOCATIOFJ~ c 5 T C N C C /: 1 C 51 FROM
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<br />DISCHARGE ELIMINATION SYSTEM (NPDEB) Form Approved
<br />DISCHARGE MONITORING REPORT (DMR; OMB No. 2040-0004
<br />(zeal na sl " I A C @ Approval expires 05-37-98
<br />GC (SUPF _E) i
<br />PERMl9' NUMBER DISCHARGE NUMBER - F 1 T~ L L A F' A
<br />_ MONITORING PERIOD "1'I: ~PTcE TC AF1ChF C)MYC6
<br />QF~Y, ..,. Y6AA MO DAY ~~/( j
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<br /> (3 Card Ony/ QUANTITY OR LOA fNG ~ (4 Caro' Ony) QUANTITY OR CONCENTRATION NO. FREOUENC "SAMPLE
<br />PARAMETER (4653) (54-6 O (38-45) (46-53) (54-61) EX OF TYPE i
<br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />tsau~~ ANALYSIS
<br />(64-68)
<br />(69-70)
<br />F'•T SAMPLE 3Q0410~ fiEY, b+} 04CC~: ( Le)
<br /> MEASUREMENT
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<br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENALTY OF IAW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE
<br /> AM FAMILIAR WRH THE INFORM ATION SUBMITTED HEREIN; AND BASED ON MY ~
<br />
<br />A - ~ , ~ t r r y INQUIRY OF THOSE INDIVIDUAL
<br />THE INFORMA710N. I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUBMITTED INFORMATION IS TRUE.
<br /> ACCURATE AND COMPLETE, I AM AWARE THAT THERE ARE SIGNIFICANT
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<br />e
<br />M !t rCt G r
<br />PENALTIES FOR SUBMITTIN
<br />POSSIBILITY OF FINE AND IMPR
<br />G FApLSE INFORMA710N. INCLUDING THE
<br />ISONMEM. SEE 18 U.S.C. § 1001 AND 33 U S C
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<br />GUMMhN I5 ANU EXPLANA I IUN Uh ANY VIULA I IUN5 (HBre2nCe all aRBCDmeD(S DBreJ '
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<br />EPA Form 3320-1 (08-95) Previous editions may not be Used.t (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) Q Q Q 17 ~ Q Q (1 1 I _ 1 6 ~ f: PAGE 1 OF
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