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F - .. - - - <br />p <br />PERMITTEE NAME/ADD(iE$$ (Include Faclfily NameJlocadon ifDifferm!) NATIONAL POLLIfiANT DISCHARGE ELIMINATION SYSTEM (NPDES) FOrrt7 AppfOVed, <br />' NAME PI TT59URG S NIDY AY .DAL l7INING <br />'~ DISCHARGE MONITORING REPORT (OMq) MINOR OMB N0.2040-0004 <br />ADDRESSEDNA. NINE ~ • 9f,7R nn (SUER NN) <br /> <br />P. O• P D Y 6 51 d <br />PERMIT NUMBER <br />DISCHARGE NUMBER <br />F- F L <br />ti A L I <br />- <br />FACILITY F,N;,LEWa:10 CD HO1SS-5519 MONITORING PERIOD DSCHG TO KOLL DITCHt3/TROUT CR <br />LOCATION - YEAR MO DAY YEAR MO DAY __ <br />FROM TO 11 30 #ta# !i0 DISCHARGE ( ( k~'# <br />_~ <br />a t a N : U R Y F U . L.. LONG, 111 N G SUPT •. nu 1 ~: nea0 msoualOns DetOre wmplenny mis wnn. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. PgEOUENC SAMPLE <br />PARAMETER ~ EX OF TYPE <br /> AVERAGE MAXIMUM ~ ~ UNITS MINIMUM AVERAGE MAXIMUM UNITS 'wu>51s - <br />Pt! <br />' SAMPLE <br />MEASUREMENT :~.t### #,##### ~- <br />~ ¢ :`.#C#'.:': <br />7. ~ ( 12) <br />~ / <br />/~ ~5N <br />DD~DJ 1 D U ~'¢ <br />~ ### ~ti•-,r; - , <br />~~ ri~'~"~"? e; ~~ LY <br />F.F'PLJ'iNT GF<DSS YALU '4 'r',4", ~•. a` <br />f' t ~. #### ,;} r ~„ <br />r <br />3~:.m,r.L.'~. .Y <br />.!I' `' SU " >.. <br />SDLIUS, TOTAL <br />S O 'i P E N <br />' SAMPL6• <br />MEASUREMENT ##~Jr<RY ####OO <br />~ #+s'-0:RrsR <br />- p <br />U g ( ly) ~ / <br /> <br />U r. <br />U 3 7 <br />UUS,fU ~ I U U ##O ~~ - <br />''F!"LU'd9T GROSS YILU YtaGO ~~~ ~ ~~ r~ ~i flG/L „~' ~` ~;~ '~'~~ <br />SOLI U5, SETTLEA9LE SAMPLE ####aa ~ #a#aa# ##4tgri 25 <br />( ) <br />n <br />.' ~ MEASUREMENT L~. ~D, / <br /> <br />EFFLUENT GHO35 YALU T ~~. ': ~:~~. s ~ +*### ~ s: ~. <br />k" ;~ <br />NL/L <br />;iULFAT.E, TOTAL SAMPLE #~#### ###### #####3 ( 19) (. <br />(-S SD4) MEASUREMENT z <br />l~dO < <br />7 r <br /> ~ <br /> <br />EFFLUENT ~G305S YALO <br />~ T A h <br />'. <br />*:~ N.R Yi^{ v <br />~-' <br />r•##a j <br />~ ~' ,+ ~ ii .i N i'i <br />t ,t~ ~ ::t ~' ~., <br />-+; <br />G <br />• ~. "` <br />IRUN, TOTAL SAMPLE ##a### ##~### #####:k ( lq) <br />(A5 FE) MEASUREMENT Q / <br />U1U45 1 U 0 Olptt ,,a` <br />+ <br />F:FFLUP_NT GR055 YA,J.U 4~4# , <br />~ I°.~ <br />AG <br />NANuAPESEr _ SAMPLE G4t+#010 ;' Cq~A1gR4 t!~4. #iJ< ( t9) A <br />POTENTIALLY DISS~L4 MEASUREMENT :. _ 4 ~ ( <br />ULlly 1 1 U .`.. #>r# <br />EFFLUENT GROSS YALO #### '~~. ~~~~~ S AG/L ~'' <br />Y <br />DIL AND GREASE SAMPLE r#0### ###### ###### 4####^. ( lg) <br />- MEASUREMENT -. ~ <br />D i 5 H 2 2 u 0 ,,. . #a a <br />P. !'FLUENT GROSS YALU ~ T' _ ~ <br />-: '~ ~ r. - #### " ~3= ~ ~~~ G/ <br />NAME/rITLE PRINCIPAL EAECUTIVE O FFICER ICeniy <br />prepare untler penalty of law that <br />d under my tlirection or su thisd«ument and all atta <br />pervision in accordance w chments were <br />ith a system de <br />signed TELEPHON E DATE <br />w / <br />~RyA+J V ~OnTA?~~ b assure diet queli0ed personnel properly gather and eveluale the inbrmation <br />submmed. Based on my inquiry o1 the parson or persons who marege the system, <br />1 <br /> or those persons tlireclly msponslbla for gathering the inlormation, the inlormation r..` <br /> <br />C ^ <br />.~[. Fyh)IPgA A~tlP11~L ~ A <br />subm~ttetl Is , to the best of m knowletl a and beliel, true, ecculete, end com late. <br />y g p <br />I em aware that there are si <br />nificant <br />enalties for submittin <br />lelse Inbrmalion <br />1 ~ -~D~~ <br />SIGNAT E OF PRINCIPAL E%ECUTIVE ~-+ M <br />CN <br />( <br />(~ <br /> <br />TYPED OR PRINTED p <br />, <br />g <br />g <br />including the possibility of fne antl imorisonmem for knowing violations. OFFICER OR AIJTNORIZED AGENT <br />~nnr: <br />NUMBER <br />YEAR <br />MO <br />I]AV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS G TOTAL IRON LIAITS-MILL BE dAIYED, AND S£TTLEA9LE SOLZDS UNIT APPLIED FOR <=lOYR, 2uHR pRLCIP hYEN'f <br />-SLOE I.A.l, P YI POR DE?AILS. QRTRLY SANPLING INSTRUC,T:IOi$. - I.C.9. AElNOD DETECTION LIMITS - I.F.2, <br />~F'orm 9920. (R revlD dm s ax a se • , - 0 1 3 3PA OR "$ ~b~ <br />._. ~+, st. _ -:c-. ,::. ,a _~ ~ .~ ~'/9/ 0071 - 1 <br />