yy~ jj;~I"1 ., .~ .,_.
<br />iRMITTEE~ NAME/ADDRESS A,a,b FaL~ryNrdlecme.VD=~..rl
<br />NAME EaEecs roec.s -.INInc ^OMPANY
<br />ADORESSSOUTHPISLD MIt.e DAL LOAD OUT
<br />35U INDIANA STREf.T, SUI'[E 947
<br />GGLUtN CJ 90471
<br />FACam
<br />wc,e,noNPLO.itNCE L-O 91Z2G
<br />t rz-,: cr:oacE v. PA^TeR50Ne cEN. !:~k.
<br />NATIOXK POLLUTANT-OISCHAROEEIJMINATON SYSTEM (NUDES/
<br />DISCHARGE MONITORING REPORT IDMR)
<br />l1-151 17-191 '
<br />CDG850006 u0 A
<br />PERMIT NUMBER OISCHNiGE NUMBEII
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM it • U V TO U 1 U'3 1 V
<br />(14311 /i2-231 (i~-15/ libi7l lie-i9l 13037/
<br />-Form Approved.
<br />POND 2 DSCR RC TO OMB No-20d~-0004
<br />(SUDR SE) Approval [,14'05-37-9B
<br />F - FINAL F~•
<br />MINOR
<br />a#a NO UZSC9AH :E ~~~ r:r.r
<br />NOTE: Reed InetTUgloro before completlnp this loan.
<br />PARAMETER 13 Grd Only) QUANTITY OR LOADING /s Grd OnlYl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> 1d6-531 15b51/ 13B-051 !0653 I5L5/1 Df
<br />131-371 EX ANKrss TYPE
<br /> AVERAGE _ MAXIMUM - UNITS - MINIMUM _ - AVERAGE- -MAXIMUM UNITS-- Is1s31 I6I-5g1 16970/
<br />7H SAMPCE~ aORata aaaRar oGa Oa ( 12)
<br /> MEASUREMENT
<br />)U400 1 U U PERMIT:-~.! r
<br />,...,.:... >:.:vas sas :- :--:#:OrirRtlF~ 4
<br />;: ... VOC ._.: .
<br />,.::.: .: .; ".:..
<br />S 5
<br />.
<br />,. .>tia~~
<br />
<br />:
<br />9"U
<br />"(
<br />E'F,ALi
<br />'.?tSIiU
<br />
<br />
<br />i; F P L J N T ~ F..7 S 5 4 R L `.J F~
<br />
<br />REQUIREMENT:
<br />
<br />..:: :;
<br />
<br />4 as a ,...
<br />,
<br />_'
<br />;~l~aiE~.lf.~i ;
<br />.;
<br />.. .
<br />,.;::<:°''
<br />
<br />
<br />tAJtTiAUM
<br />
<br />
<br />U
<br />~uLIDf, .:-.TTL~'AJL'. SAMPLE 4apa00 aaaas# Ma.p#44T sac ~__
<br />~ 2 5-~
<br /> MEASUREMENT
<br />~V~4.`E 1 17 U PERMIT .9lpA~:~#~IKs;;'; ~rigt:~,>jtf~}!:;s;~ giga ~ -r::.~~i01:LF~ti:Gr ~~~ 4#~ B
<br />
<br />•. ,.
<br />...
<br />{ ,,,, .
<br />'RA~
<br />~F'FLU N': ,t~7: 5
<br />. 6 ', ,, ~ REQUIREMENT ?;;::<;>?':_•;:'r>.. t' °:::c:: ~;.,:::.
<br />~.; sass . ?IGNTy
<br />i1 A'D ~~.:: A.`'.r SAMPLE aaaaaa dar,RaRY ~Y60.~=tti! /"
<br />~~ ~ jq~
<br /> MEASUREMENT D
<br />)35(32 1 U U ~: PERMIT ~. ~ 4C+G p.aM~ ~. aSlRgr.a'# n aaa ~ t<laaaa.: ~ - a='Apt: xE : }p ~~°:~:~.:. :.:~: :....:-°t OttTl~k. .RAR ~:
<br />eYFLQEt`'1' vk7S= VALUE REQUIREMENT
<br />:..:
<br />la as a
<br />
<br />~
<br />S.i.I ~Y. l97E
<br />M 6 J L
<br />6 .:Ir.?
<br />~LUYe IN UDNDIJTI DH SAMPLE ( D3) ac
<br />aalr, :'A4C aSs aIa#al~a
<br />L'RkU '(~;r.A INEhT PLA NT MEASUREMENT
<br />
<br />i00SU 1 0 4 ;.PERMIT::::-. PFI3:lIikL. ; >:;.::.~CPO'R-T.. !aa.aa.rxa. ::.>7%Yrtik;.ty.... ;gr~ept~9gl.:.i rAaa E 1F;"!!( N5TAM
<br />iFFLI:Er.P i;ROSS VALUE ::REQUIREMENT.. :~~.A~a~i1:G::: '~RILX IS'X: PfCD
<br />...: .
<br />
<br />-:....
<br />'.: _
<br />. ..
<br />;.::.:::::.
<br />.
<br />~ #4#a
<br />
<br />tfbNTti
<br />
<br />.
<br />L AriD Gd EASE SAMPLE aafaaa
<br />( 94)
<br />'=Rk4uL
<br />uc'a #a
<br />P##rAr:ra
<br />J I 3 U A L MEASUREMENT
<br />
<br />340pb 1 0 D r.::F'ERM1T:'a:
<br />:....: :......... ... ~ ;:. GaP9E364 ;:i
<br />.. . RF.+:PU<AT' 'Y
<br />.. ES°L a~D?Rt1R .. :: ~rFaCt..At.:.: ,::'.Cy!(i.OFT?.aG::.X bCr4
<br />N SU
<br />:FFLUENT ,;R75S YALUF. ;REQUIREMENT:
<br />:-.:.:..>:., :.::...: :::;: ...:". ...
<br />.:..... -::...::,.:::
<br />: ~rN:5;1'::.d~:.iL`;
<br />Y0~0 ,.
<br />',.' ..:; `.'
<br />:: ,: ::;::
<br />.::.::
<br />aoaa
<br />woK
<br />TH
<br /> '
<br /> IuIEA$Fl EMENT - ..
<br />
<br />- ------
<br />- -
<br />:PERMIT:,..:..
<br />
<br />-~
<br />.:.:_-'-:_.-;-~-s~~::: .::..::
<br />.:~.,... ..: :x'<;~~. ~.:.
<br />':
<br />,:
<br />
<br />-
<br />'REQUIREMENT
<br />.: ~ ~ .
<br />,.
<br />~.~~ --~~ ~ ~~
<br />
<br />~
<br />
<br />~ ~
<br />
<br />~~ ~ ~ ~ ~~ ~
<br />
<br />~~
<br /> SAMPLE _
<br />- -- --- --- ------ - - --- - MEASUREMENT
<br /> ~~~ ~ PERMIT.' ~ ~ ~~ ~ ~~
<br />...
<br />- ~ REQUIREMENT: : ~~ ~ ~. :: ~.:: ;;::~ ..::::.:..:. .:.: ~ . .:... ..
<br />,.. ..
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />AM FA FY UNDER PENKTY OF LAW THAT I HAVE PEASONKLY EXAMINED AND
<br />MILIAR WITH THE INFORMATION SUBMITTED HE0.EIN
<br />AND BASED ON
<br />=r TELEPHONE DATE
<br />r1y
<br />~
<br />>y)
<br />~ ;
<br />Mr INQUIRY OF THOSE IMDIVIDUKS IMMEDIATELr RESPONSIBLE FOR
<br />OBTNNINO THE INFORMATION
<br />I BELIEVE THE SUBMITTED INFORMATON IS ~
<br />'
<br />L
<br />/"`~
<br />1 .
<br />TRUE
<br />ACCURATE AND COM0.ETE
<br />I AM AWARE THAT THERE ME I
<br />'
<br />_ .
<br />.
<br />SIGNINCANT PENKTIES FOR SUBMITTIMO FKSE INFORMATION
<br />INClU01N0 ~ ~ .
<br />L 1 ~J _
<br />p YY
<br />~
<br />~
<br />
<br />J
<br />a
<br />~ r
<br />~' Eyl~ ,
<br />THE POSSIBILITY OF NNE AND IMPRISONMENT
<br />SEE 18 U
<br />S
<br />1 7001 AND 33
<br />C _ _ J
<br />7f {~
<br />~l
<br />/~ /~
<br />/
<br />lr~
<br />,
<br />j,.I .
<br />.
<br />.
<br />.
<br />f
<br />e SIGNATURE OF PRINCIPAL EXECIlTNE " -
<br />G "'
<br /> U.S.G.
<br />1 ] t
<br />. lPr~.ICU. u,l,r IMr .Ynm. nI,Y McA.d. 5rw, yo ro S IO,OOD AREA
<br />B
<br />R
<br />TYPED OR PRINTED .nsrmuimun hrMwwr.+r We.n.«n s..w.duw s,wal OFFlCER OR AIffHORQED AGENT CODE NUM
<br />E YEAR MO DAY
<br />
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRefarence e(! attachments hare)
<br />SETTLEABLE-SOLIDS LLMII NAIYED FOR LU-YR, 24-RR PRECIP EVEYZ SUpJBI:I IO RUkDEN OF PROOF RP.OUIRP."ENTS IN
<br />PART I.9.1.D, P,. 6. STORMYAT2R !1ANACE1IENT PLAN DUE 1-L=9is.
<br />
<br />EPA Fam 3320-1 108-961 Previous editions may be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) 04 37 f 9T [1819-12511 PAGE I OF
<br />
|