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PERMITTEE NAME/ADDRESS Qnclude FaciGn• Nnme/Gncarion jD~erenr) <br />NAME PICKETYIkE FACCF:SIMG, LLC <br />ADDRESSh L y !i L N C i k E <br />1.911 iiHEKTi.000 CfIYL' <br />EVAt;SVILIE Ih rJ-1711 <br />FACILITY <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCNAR GE MONITORING REPORT (D~IM~~~RJ9j~~ ~ <br />C ~ <br />-% .v PERMIT NUMBER DI$GHARGENUMBER <br />LOCATION E: S T C !+ C U r I C 91 <br />FROM <br />ATTN: AL t-BkRY, E.AnFCtt, <br /> Form Approved. <br /> OMB No. 2040-0004 <br />R I A C n Approval expires OS-31-98 . <br />) 5 U 6 A ` f) , <br />F - FI FEI lAt~,S <br />ACL'Tt .t1 TE°1J1C FCE CCSI <br /> <br />NOTE: Read Instructions befo c plating this form. <br /> (3 Cerd Onty) QUANTITY OR LOA t<Certl Onty) QUANTITY OR CONCENTRATION NO. FREgUENC SAMPLE <br />PARAMETER (46-53) (54-61) (3845) (46-53) (54-61) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />!6'2-Gq ANALYS/S <br />164-68J <br />(69-70) <br />LC ~'fAT:iE ubH): ACL SAMPLE +'7'•'a#c .-!r+. ;:Yiri ..... . r: :,:^;~, ( I_) <br />C G F I C u A F d F I A MEASUREMENT ~r _ <br />A1:3i' 1 U U -PERhi1T ficAS#O q4r + 16 Y~t: ~.~ ; 1~1} i .F ED- G FIf FAf <br />EiL'JFvT ~bOSS VA LUE ~REOUIREMENT y#r sr9,;,- <br />` ELI <br />Cali `'I n?~it :. `+bhE ACL SAMPLE `y, ~.'.,x ~` '... .. C;~{.{./. ^ <br />t:{yC ~ ::) <br />i' 1 M t 1' !~. A L F. .i MEASUREMENT <br />i AhfTC ] U L PERMIT aiiOS~ fl;r a<6~t.}.,4 ;~: '? <br />~~ kF- ~ 1<I 'EiA13 '. <br />EF'LUEhT Gk055 VALC'k f?EQUIREMEN.T X;::~, {gyp q~ <br />; ;~.: pp7 <br /> SAMPLE <br /> MEASUREMENT <br /> PEShAiT * 4 "," , <br /> REQUIREMENT - .~;~,y ,~#a „;?, <br />ff~r~'~~ <br /> SAMPLE <br /> MEASUREMENT <br /> REAMkT \ ~ ' 4~ <br />~ <br />~ <br /> ~caUIREM. <br />3 <br />~ <br />~ <br />- <br />` <br /> SAMPLE ' <br /> MEASUREMENT <br /> ~EE~NAIT, > , <br />:_ <br /> <br />r <br /> i• Y , <br /> . <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ~ <br />f ~ <br />' 7+ } ~ j ~~a > ~. ,$ <br /> 3~CSk <br />Fl E' <br />1EiN + <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY EXAMINED AND <br />IN <br />AND BASED ON MV TELEPHONE DATE <br /> <br />h L - PQ.f f INQUIRY OF THOSE INDIVIDUAL <br />THE INFORMATION, 1 BELIEV S IMMEDIATELY RESPON <br />E THE SUBMITTED IN ; <br />SIBLE FOR OBTAINING <br />FORMATION IS TRUE <br />t' <br />' <br />' <br /> ACCURATE AND COMPLETE. <br />PENALTIE <br />F <br />R <br />BMITTIN I AM AWARE THAT TH <br />FA <br />NF <br />RMAT ERE ARE SIGNIFICANT <br />IN <br />L <br />D <br />N <br />TH 7~ <br />. ~ <br /> <br />Eel h n k ~ LSE I <br />ON, <br />I <br />S <br />O <br />SU <br />G <br />O <br />C <br />U <br />G <br />E <br />POSSIBILITY OF FINE AND IMPRISONMEM. SEE 1B U.S.C. 4 1001 AND 33 U S.C. <br />IGNATURE <br />F PRINCIPAL E%ECUTI~ <br />I <br />~ <br />D <br />TYPED OR PRINTED meximum~nnlonme~ol men 6mean(hs entl Sutle lines up to Et0,000 entl or <br />p years.) ' OFFICER OR AUTNORIZED AGENT /// <br />NUMB R <br />YEAR <br />MO <br />DA <br />COMMENTS AND F~(PLANATION OF ANY VIOLATIONS (Relerence all Attachments here) <br />.iE:: I.fi.1, PP ~'-7, ECk DETAILS CF TLST PACCELUi,F., F+EPGF? LCSC - b7A?:__°ilCAL FC117 E,>~:lICA7E 4rICF I`_ . <br />L::'fHAL TC 50:~ CF Tk57 CkGAhISCS, A!D ATTACH ACUTE'IOYICI7f 7E57 r`EFLE7 ECk!! 7C Cllr'.?~CCFIES CE ACI <br />vl ' r, Y f G <br />EPA PoFm 33247 {08-95) ~ Previous editions may not be used. -(~WE1rS1EPA fOR11kT~R WNICHNIAY NOTBE USEDa PAGE OF <br />~; t:4fis~14f ,..~.1:C. I <br />