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PERMITTEE NAME/ADDRESS6 L4 fsWryNwdlu,nm UDlpr..ap <br />NAME L:Jhracrr~. ~:.,AC cctaanY, LLC <br />ADORERS LGri..HCITO rA +YU4 ;.1Nb <br />1311 dENTr:'.~.~,p DEIVE. <br />EYAtliYILL:.: IN 47711 <br />FACILITY <br />LocanoN~gSrUy CO P,1091 <br />ATiN: A.L. PEP.kI', !'AKn::irt <br />NATIONAL POLLUTMi OISCHMOE ELIMINATION SYSTEM IIyYIJty/ <br />DISCHARGE MONITORING REPORT (OMRI <br />1-76/ I7-191 <br />U <br />PERMIT NUMBER DISLHMGE NUMBER <br />MON170RING PERIOD <br />YEAR MO DAV YEAR MO DAY <br />FROM TO 1 <br />!1611/ l11-131 114151 !16171 l18-191 !363/1 <br />~= ~-.. e~~-NOVea. <br />C I S C H A E ;, E? 0 L O R E~1.611'~° 1O4~t-0 M ' <br />~ ~PProve~e>fplre0. '98 <br />4 ' <br />(.UFC ~E) 111 77 <br />1 /i 'T, 1 <br />F - FINAL •el~., <br />YiNCF ! I I <br />s. ; <br />;t,:x: NC DISCHARGE XX ar,.:: ~ ,~ <br />NOTE: Rsed Instruetiom helot J~omplstlnp this form. <br />PARAMETER 13 Grd Ontyl QUANTITY OR LOADING !I Grd Onlyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> 1~6-531 !548/1 l38J51 106-531 !54611 EX GF TYPE <br />l3Z-371 MALV95 <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rslsil !64681 169-]Ol <br />Pd SAMPLE #Raaax Q':gt3:Y7 ~;CA,'O ( 12) <br /> MEASUREMENT <br />JC4JU 1 0 0 PERMIT .. G#Yraao . . s#xrz~~la >; ao~= b.g aaaaaa 9.4 cEt[LY CHSTT <br />EFFLUENT i;h0$S YALU REQUIREMENT, ~ ~ ~ ~ ~ ~~ ~. aawa d <br />:,o L: US, TOTAL SAMPLE ##a#aa as###x: aoaaaa ( 19) <br />.i J:i k'Ed UhL MEASUREMENT <br />UD',3U 1 0 ~0 •1;...PE.RMIT.'~~.::' ~~,;'.alt~d#~IG ..,. ~,t-tl~FM9'~~0~. . OVrf ;.'.#~?~'#~+?O ~. .~a~:: ~ ,_ .~.' <br />~ ~'1Ft) ..~..~.. ~ ~~ <br />::.~`.~ S~. ~ )MCl'/ ~:RF.9 <br />.:FFLUEN'T c;$OS5 YALU EnuiI~EMErri : ' oa#a . . <br />,. c"si:~v . <br />..;.:a .... ~ 1 <br />N <br />.iQLID,°i, SE~;TLEAB E SAMPLE :~:I'X•^;: a~YG#;fr71 90aQaa t ~5) <br />~.+1 MEASUREMENT <br />uJ54S 1 ~(I D PERMIT ,c:a;:M ##nlpg:>x #pr} u.>vaaaa AEEC9T AB~OP.T NCd/ ;RAfl <br />EFFLUENT G!(OSS YALU .REQUIREMENT x:a;:o ! YG 1Y ML H <br />ii'.:1b, TD'T~L ~ SAMPLE :::~~t:;::Y:: .~:~:rYe;: aaaaa ( 19) <br />(A3.- tE) MEASUREMENT <br />IlUU`~ 1 ;I Q' CC PERMIT #rY:c~sC.'."• ~#::.#9'.s xla:; a ?.C FIaQ NCE:/ i:tA1L <br />cFFLUENT 6ROS5 VALUE .REOUIREMENT ar: 3 D! AYG DA Y MX MG L !S TH ' <br />IL AhD GRliA5t: SAMPLE ~YU:*:x ,afi-,.a aaaaa*. +:*.aart,. ( 19) <br /> MEASUREMENT <br /> <br />J35d1 L 0 0 <br />PERMIT <br />,^-;T##u+Lt <br />#:Y>X# <br />x<:Y::: <br />##4#4fi <br />a=1111#x- p <br />1V <br />ON:'I~ <br />iRAi? <br />:.FFLU2NT GRD55 VALIJ REQUIREMENT xFr/x:xr IN '1: MAI MG L rg!tT <br />FLJM, IA CONDUIT JR SAMPLE ( 03) aaaaaa acaaca axaQxla <br />'dtcU TREATMENT E•LA.r MEASUREMENT <br />;GUSU 1 0 0 PERMIT P,E80RT REPORT ~~~4.qa aaa>oa# fi>Ikarta : •a>.4a EEE:LY H~TAv <br />eF't'LL'Ed'f CRUSE YALUE REQUIREMENT $OUA. AY.G DRILY MZ. MGG #~#>y <br />IL AND GREAS F. SAMPLE :4 J:Ya# ( 99) »aaaao °<aaT r/r: Jx:7Cr.:# <br />Y 1:iU A L MEASUREMENT <br />d':Uob i 0 U PERMIT.:. #ux:aa#:. R&Pi7RT P5=1 ;y#aaaxr a:~aaxx aax><<rax: I #.YC E£F.LY ISUAL <br />i,F'FLiJENT 6R035 YALU REQUIREMENT.: LNg'I !!.A%. NC=O #n~: <br />NAME/TIriE PRINCIPA EXECUTIVE OFFICER I cEgnFr ugofR PEMUn of <br />AM FAMILIM WITH THE INFO uw THAT I NAVE PEnsoNAUV ExAMw¢D MD <br />RMATION SIIeMITTED HEREIN; MD BASED OM TELEPHONE DATE <br />~1 <br />/ U ~ t Ki MY INOWRY OF THOSE INDINOUALS IMMEDIATELY RFSPON9BLE FOR <br />I BELIEVE THE SUBMITTED INFORMATION 19 <br />OBTNNINO THE INFORMATION ~~~ <br />/ <br />/~ <br />/f~ <br />Jam , <br />TRUE. ACCIMUTE MD COMPETE. I AM AWME THAT THERE ME <br />SIONINCANi PENAL71fS FOR BIIBMITTINO FKBE INFORMATON <br />INCLWJING <br />p <br />~ <br />, <br />, <br />/ <br />t <br />' <br />~R L~ <br />~ , <br />PII1 <br />EE 1B <br />1 10 <br />D <br />M <br />S <br />C / <br />~ <br />' ~~ O <br />// <br />/ <br />/ <br />• 50N <br />THE POSSIBIl1TY OF RNE M <br />IM <br />ENT. B <br />U. <br />. <br />. <br />01 MD 3] g1UNATURE OF PIUNCIPAL EXECUTIVE "" <br /> D.B.C. E 171F. lP,rWr4a arr0,r /Mar mnma mrY McMlda FvNr Ha ro !/0,000 AREA <br />TYPED OR PRINTED war nMeha,n infdaenrn o/NM„n smrndu rN6yaral OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRs/srencs d/ sttschmsnt9 here! <br />1 <br />i5s ti IHOb LIMITS WILL U? MAIY?D L :;ETTLEAflLE S'JLICS LICIT AFFLIFC ?CF <=10Y'n,24FiA PEECIP £Vt:hTp T~`1, <br />1 kJt: ~ SLTTLEA bLE SOLIU5 LI:fITS JAIYED i0R >lUY 3, 24HR 4REC If EVEN1 SUEJ.°.CT TC RC5DE:N OF PRUOF IN I.;,.2. <br />rl T , <br />EPA Form 3320.1 1 s51 Previous editions mey a used. IREPLACEB EPA FORM Td0 WHICH MAY NOT BE USEO.) PAGE OF <br />OU27P/971111-17SF 1 <br />