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PERMITTEE NAME/ADDRESS O.a,b frleryNew/Lxuron 1/DIO.rwO <br />NAME LOn~bCI?J i:JAL CL:nrA..y, LLC <br />ADDRESS LOhLNCI'.'~ ~:A'iYC;: ".I:7F <br />1111 ii;hT-:JO;r DNiv_' <br />BYAhSYILL:'- IN 47711 <br />FACILITY <br />LocAnoNadSTvH CU ti1U91 <br />ATT4: A.L P~rin7, "ANAGSR <br />NATIONAL POLLUTMT DISCHMOE EIIMINATON SYSTEM /NPDESI <br />DISCHARGE MONRORINO REPORT IOMRI <br />1-161 17-191 <br />4 <br />PERMIT NUMBER OISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM ~ TO I a <br />/16111 /11-131 /11-151 116171 /78-791 !36311 <br />Form Approved. <br />0 20 0004 <br />DISCHAFGB TO Ut:NA~~ TII~~ <br />pproveLI.a pus#OS-31-98 <br />F - FIt•AL <br />"INCP <br />~~.,y t:C DISC8A9GE (~( ~'?'=° <br />NOTE: Reed Inetruetioro before ompletlnp this form. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !I Grd Onryl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> (15-531 !54611 I3B-r51 I<5-531 ISb511 <br />EX OF <br />137 371 MALYAa TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e1-sal l545B1 /69-701 <br />Pri SAMPLE +t14##~Y #####71 Oaa'S#'- ( 12) <br /> MEASUREMENT <br />(il]4J(/ 1 0 0 PERMIT. YA#'331hti zE##fA4# #a:= fr~S >caRA>Q# 9sa EL'?:LY iNSIT <br />E:FF'LUENT GROSS YALU :REQUIREMENT. . #Ct:q ~T#LMO}l:. 'IIA.X''?~ 1S U <br />;,ULIUS, TOTAL SAMPLE ##a10## a<##### a00a#a ( 19) <br />;SU~PENDEU MEASUREMENT <br /> <br />0030 1 0 0 <br />::::eEaMFT::a.'. <br />:........:. ... <br />#4CiPiF :., <br />`.>Ngc>alpt.,ai,. <br />aa# .. <br />a.;.a:##±e:4.' .. <br />:3s ": <br />7~` `. :.: . <br />': <br />NG.LJ <br />`RA$ <br />I::PFLUtiNT GRD35 YALU REnuIaEMErrT' :, .. ;.''' :::. #a#O <br /> <br />3 YG . <br /> <br />i' A..,~T <br />. <br />... <br />.. <br /> <br />~:'..: .: <br />SOLIDS, SETTLEABLE SAMPLE #'~#3:O #:###~Y #aaaaa ( 25) <br /> MEASUREMENT ';~~ <br />JU~uS 1.',0 D :PERMIT •s#w### Yz#uo*xa #a# ##f as CAS A>4'FCRT 'SCE/ ;.~x$' <br />EF'F'LUENT ED45 VRLUE 'RenuiliEMENT #a## ; OCA kYG 'DA by MY RL 7FONTA <br />i1{I7M1, TD t, SAMPLE =y;: a:3 ~:~ '-,t###d:r (~ 4a ( 19) <br />(Ag ~~) MEASUREMENT ,_J <br />U1C4S 1 (~ U PERMIT #40#GT+71 :L# if #0•'.~ ~ #~d#aa .:.(} 6e0 tNCE/ .: RAB <br />LF'YLUENT GROSS YALU REOUIFtENIENT #a## 30C! :AYO CAIY'Y Y7[ FIG L MONTH <br />JIL AND I;YBA5L SAMPLE %k4'#•:: :: ;Y # {<O tlaaCaa a; aaYF; ( lq) <br /> MEASUREMENT <br />03Sf32 1 4 0 PERMIT E=##+~#Y' ###### #a'r #.a->pdxe aasn>~# k.~ DNTIN 'RAB <br />c.FFLUENT GRDSS YALU REQUIREMENT #### 3NST KAY MG L GEt:T <br />f'LUw, IN CONDUIT Oii SAMPLE (03) #as#aa as;oa# ,;#### <br />IHHU TFiEAi R~MT PLAN MEASUREMENT <br />~OUSU 1 D U REAMIT RF;POI2T F2F'PDRT p.0a9ga aaxlK~a' #vS1%{+# + lA## f:F.iSLY (NSTA!i <br />EFFLUENT GROSS VALUE REQUIREMENT .30UA AYr, OAILI ;rt%. MGC #rr#,L <br />IL AND cREASe SAMPLE YA4'G##Y ( yll) aaa#a; cta##L• #tO;Y L+Is <br />L I3U AL MEASUREMENT <br />~u0u6 1 0 G PERMIT. :A#M4##. REPORT E9=1 a##al#r da'>5i#n ##r,#sk~ #ar~ F:'LK.LY ISUAL <br />.:FFLUENT 6R045 YALU :REnuIR.IMEiur .':: I:NS.T. RAY: NC=O #:~;~~>' ' <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />F FY UNDER PENALTY OF l <br />N <br />N <br />A AW THAT I HAVE PERSONALLY EAAMINED MD <br />EI <br />m <br />p <br />I TELEPHONE DATE <br />~(n ~ ~n <br />(/I k ~ /Z <br />1 IMMEDII1TEL <br />Y <br />RESPON51BLE <br />INOUIR <br />Y OF <br />THOSE <br />INDIVIDUALS <br />FOR <br />MY <br />OBTAINING THE INFOIIMATION, I BELIEVE THE SUBMITTED INFOflMATION IS / //~~~~ <br />1 <br />. <br />_ <br />Y <br />G <br />V TRUE, ACCUMTE MD COM0.ETE. I AM AWME THAT THERE ME <br />INCLUDING <br />SIGNIRCMT PENALTIES FOR SUBMITTING FAIRE INFOflMAT10N V <br />'~ 4 <br />^ <br />f GEr~ <br />1'~ <br />/ , R ~ ~ O Q~ <br />/ <br />Af! <br />/ THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 16 U.S.C. 1 1001 MD as SIGNATURE OF PRINdPAL EXECUTNE <br /> u.s.c. f tale, rA..nr, uMr IAer mror.• nrr ilcAde f... w ro ! 10,000 <br />TYPED OR PRINTED ensmm~d.wnf,+rMo+e•'rEOlan.wlen.onn,.wsrw..l OFFICER Oq AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fRelerence e// sftschmencs heir! <br />1 _i:i b IkON LIl'ITS PILL BL' YAIV:.D 6 3ETTLEAn Lf; SOLIDS LIt'.IT AFFL IFC FCF <=1nYF, 24HR PRECI? F.Y£HT; 'fSS, <br />l:r)N d SETTLEABLE SOLIDS LIMITS aAIYED F'U3 >1GYR,2UHH PRFCTP EVENT 9UFJFC° TC ELP.OEN OF PRCUF IV I.e.2. <br />lTI 4' Vr d Sf' - CCP T J ~ /' <br />EPA Form 3320-1 108.951 Predous editions mey be used. IREPLACE6 EPA FORM Td0 WHICH MAY NOT BE USED.) C O 1 ~ P, / 9 7 ] 111-17 ~ P PAGE ~ OF <br />1 <br />