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PERMITTEE NAME/ADDRESS pnclude Faailiry NumdLomnon ifD~erenr) <br />NAME L1Cf".kTti:IA: FnCCf_Sih;, LLC <br />ADDRESS' ;; ~ ;; L S C I tl E <br />1311 6REh11iCCI HIVE <br />E~a.`+''VIL1E I1< G771I <br />FACILITY <br />LOCATIOt~L_,IC lr CC b1CS1 <br />A',':h: nl Fk.r.hY, _2.t`A6t4 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION5Y$t):M (NPDES) <br />DISCHARGE MONITORING REPO (~~1 R;9) <br />(2461 <br />(!~(r~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />Y MO DAY YEAR MO DAY <br />FROM U ?O •. ~ ~_ '. . 1. <br />(2d~ (2243) (Y4~T5) i ~. (26-21) (2b 291 (3P3]) <br />Form Approved. ~ <br />OMB No. 2040-0004 ~ <br />" i '• C (+ Approval expires 05,31-98 , <br />~saf;r :tt) <br />k - FIf1.1. lAt~l: <br />fiUfICF lC~: L/LCFCA1C1kF kIVEF <br />Kd0' LI:CF.Eric`X/ KKK <br />Read Instructions befo ie completing this form. <br /> (3 Cerd Only) QUANTITY OR LOA rd Only) QUANTITY OR CO TRATION NO. FREOUENC SAMPLt <br />TYPE <br />PARAMETER (46-53) (54-6/J (3a-45) (46-53) (54-61 EX OF <br />(32-37) AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM ,NITS <br />. <br /> <br />l62~631 aNALYSIs <br /> <br />(64-66J <br /> <br />89-70 <br />r.1 SAMPLE „~., :,tq•y r:: K,a CK LIlTO ': L) <br /> MEASUREMENT <br /> <br />`OIiUU 1 G 0 I I / dKT>y KC^• ~~. 9- <br />, r <br />~xix <br />is3?t1 <br />itll:Et+T t,I:US°_ VALC! 'l3BOUIR~iA- 'gyp ~ x~,a <br />~ - <br />~ `C <br />_OL1 v5, ':CTRL SAMPLE t10>a~4Y' .,, ..`k 0G: ( SS) <br />'U~F'E!ICfL MEASUREMENT ~'~ <br /> <br /> ~ ~ <br />kfLUk.n~T 66055 VALUE ' :',~., I', ..=~~` a+ '~~ . CAIL[ R~.. <br />~ CG/L <br />r_L1DS, 5eT'ILEAe E SAMPLE 00 00 '`Kt~:'r`? 'qd0 0 kCA~iDK 1 i~) <br /> MEASUREMENT ~ <br /> <br />USlib 1 U (: <br />~ 77qq <br />MI. <br />~~ <br /> <br />q. <br />rP <br />~ <br />` <br />*. r, .i <br />m 000 _ <br /> <br />s~~ <br />}, <br />~~~{: Y~`: <br />~~ ~''~ <br />.-t <br />- <br />~r~E) . <br /> <br />- °-%~ <br />'FELUHVT UhLISS VALDE ~dEN(ENY ^ <br />,,,,.,' <br />j t•nr• <br />~ s~ .L/1 6 <br />-~. <br />L6CN, TGTAL SAMPLE ;t00ir iKO ~: -c •~r <br />r ~~ (' 15) <br />(A 5 F E) MEASUREMENT V <br />1 ~JV ~ J lV Q "' <br />t ~ ,L~, . f, ice/ C 9} .. "~ ~` i i." -~ <br />.~ .' - ~~ ~~. <br />FFLUFN? GRGSS VlLLE Etit)IRE <br />MENT' '+, s:}."~;y~t ,~,. KK+:^ ~ E#",' MG/I M2Ec <br />i1 .4hL GF:tF_fE <br />SAMPLE r.KMKr OL9ASt0 I:.v.'.,:; 0~0 ( 1ST <br /> MEASUREMENT _ <br /> ~., <br />~.FFL'ULti~. GHO55 YALGE <br />:.. e,r. Oo+c r~~;r ~1 '~"[I,~~'~ Cli ~.+~~ '~~':-~ ~. <br />L,:., Lh COMDOIT CE SAMPLE ~ C3) ...... K4KtiK 0.K>•,K: <br />r i~ U 'I '; t A 7 6 P N T P L A tI 1 MEASUREMENT <br />~LUSU 1 U U <br />PE;RMI~ A+6rP00 ..~:` ~•~ <br /> <br />'„ KKy r, 1~`~ .~~~_~'~' <br />Fk'Li,F'::'I O:;dSS VALUE " 64t~1llEMEtS'~ 3Cp ~ .GC 4K: <br />JIL AhL UFICASE SAMPLE K'"I~` ( W) r,.Cr:; q. :. .,fir,.^r, r,LKKK: <br />1 > J A 1 MEASUREMENT - <br />., ~_, t5=: <br />;~:VO;. 1 0 0 ~P~HMkt `~ "'' , ~;~ <br />'. t~ID.O>Q5 >39 KL -`Y :+X :E. ~SOII~ <br />, <br />!PLOchI GHOSS YAlCE (r1E114iEy1~t~'~ '+;L+t' t 'll' LC-, _ .trK>. <br />` <br />NAME(fITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E7(AMINED AND <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY TELEPHONE DATE <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />~, ~ e r T ~ THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS TRUE, <br />THERE ARE SIGNIFICANT <br />TH <br />W <br />ARE <br />AT <br />ACCURATE AND COMPLETE. I AM A <br />`A PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE <br />N P1 N ( POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S C § 1001 AND 33 U.S.C. ~r <br />S)GNATURE GF PRINCIPAL EXECUTItE ,~ I-71Z~ . /~ <br />V <br />r, 000 entl w <br />include lines up to Et0 <br />r Inds. <br />teMes ma <br />1318 <br />P <br />ni <br />d <br /> . <br />y <br />§ <br />. ( <br />es un <br />s <br />ena <br />H OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED meximdm lmpnsonm9njd(peRveen6monlhs end 5yeen;.) E <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS (HererBOCe au artecnmenrs nere/ <br />±L LAY A1'Ei:Auk. LS HIGHEST CClNTHL7 AYG. 6`Ji+IfIG PEF.7CL iiL.}C£TFll. CIL L GFIASE -_EE I.E.1.[, F. S. 155 <br />'2LTAL InOp' LIMITS VIII BE YAIYEC, AqC SETTLEAELE.ECLIGS L]t'I15 AFFIIFC PCF <=LClE,i4HF FPECIF E~EtT-BEST. <br />f~`CCIO/C10Ci:~'~iT~~.~. rMme ~. <br />