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PERMITTEE NAMEIADDPE05 pml~Jr <br />NAME_pl, i:nll~i_h 1. Jf'111c 1~L~~Y uA~L_- <br />noDrss khEa6A~5'icI~~='1IH1~CGGU~1_ _ <br />~_-GCE-EASS~I3.~A~~i:.~'LLc~'L---- <br />___JAti :;V71.LE_____~ .l 53547 _ <br />FACILITY _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ <br />LOCATION _ _ __ <br />A i~l 11] ^AYIU .7 r.AC~nur Ar. t. t_ CSC.---- <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM lNPDESI <br />OISCIIARGE MONITORING REPORT (D,11R1 <br />/1-161 If l~ffl/ <br />cccnsccz3 ouz A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 1 TO <br />114111 /1I-131 /1f-1J7 /16-171 /IB-I9/ l3Q3f/ <br />F - FINAL <br />FIT Y3 USCAHG TO GRASSY CBEEH <br />tlINGfi (SUdH NN) HOUT'P <br />NOTE: Read Instruetlons before eompleting this lorm. <br /> (3 Card Onlyl QUANTITY OR LOADING (O Card Onlyl QUALITY OR CONCENTRATION NO FREQUENCY SAMPLE <br />PARAMETER (46-J3/ (J161/ /38~IS) (46-J31 /JI~6/1 E% OF TYPE <br />l31-37/ AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(61-63 ANALYSIS <br />(61681 <br />l69-IU/ <br />~d SAMPLE Yr'r v+:r YYrirv~l ###### <br /> MEASUREMENT <br />~L:4Gt: 1 0 U PERMIT ####;r~r ####Y# •' r=:~i (j.S ###### 9.0 dCE/ 'AAB <br />cEELUEN'l' L:h(ISS VALUE REQUIREMENT 'Y'vv# BI L1D17 h YId d S() 0 T <br />.:L,L1DS, 51;1i'Lf:6lsLE SAMPLE YYh"fYY Yl{'.'•f'f'l YYY•Ai,Y't Y1`###Y <br /> MEASUREMENT <br />L~54J I G U PERMIT i}#'v### iY##;:v# YY ###v## ###### D.: dCE/ AAB <br />U` •' S J Y A L U h REQUIREMENT <br />CLL ANU GfiEASE SAMPLE + eYY=i v` ~:#ii::=i%t #'r vr# ###### <br />FeECN EYTh-GiiAY t'lET'I MEASUREMENT <br /> <br /> <br />LU55C L U U <br />PERMIT <br />YYY#YY <br />##a#~# <br />'f'fY <br />#'Y#Y#~ ~y .y,/,, <br />T#~,F### <br />IO <br />OdTId <br />AAB <br />I - REQUIREMENT :. :`yT <br />IdCII SAMPLE YY~lY Y'f .4 <br />aYY•!YY ~•Y'f 3f %f'f YY##YY <br />1L <br />~1r;L hnCCYL•'hA6Le MEASUREMENT <br />. <br />U`I OI. 1 G 1 <br />1 ^"#r##a ####'~# raa ###### #"'#### OPTIOdAL 'ONTId RAB <br />. <br />. REQUIREMENT <br />1N CONDUIT GH <br />eLOr SAMPLE Yrr•fT~Y YYYYYY Y##YaY YTY#YY <br />, <br />/dnU 'Ih EA4dEAT FLAt: MEASUREMENT <br /> <br /> <br />~i:CSC 1 U U <br />PERMIT .y <br />Ya1`##Y <br />HY.FGHT <br />###### <br />###### <br />###### <br />### <br />NCE/. <br />NSTAN <br /> REOUIREME NT . ,~ <br />#Y'/# <br />=~IID~, '1CTAL SAMPLE Yom`%{Y1'V y • <br />fY Y'f Y'f YYYY%fY #~YYY YY <br />1~SGLViC <br />I MEASUREMENT <br />, <br />7,;~~5 1 G U PERMIT #T%Y#Y# ##aa::# Y#~ ###Y## ###### REPORT THLY 9AB <br />_ , REQUIREMENT , <br />L.~L ANL ~hEASE SAMPLE YYYIYY Y'rVY~Y YY#Y#Y a.FLY1eL <br /> MEASUREMENT <br />VLSUAL <br /> <br />C'IU6D L D U PERMIT r###ai` U ES=L #v#### ###### ,####~~' #;:;: NCE/ iSUAL <br /> REQUIREMENT _ N DISCHARGE <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT 1 HAVE P <br />FAMI <br />IA <br />THE INFOR <br />AT <br />ON SUBM <br />TT ERSONALLY E%AMINED <br />ED HEREIN <br />AND BASED TELEPHONE DATE <br /> AND AM <br />R WITH <br />I <br />, <br />L <br />M <br />I <br />ON MY INQUIRY OF )HOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />N / /~ y~ / <br />Karla N. Rabuck OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATIO / / L ee / 9 <br />/ <br />r <br />~~ <br />~~ <br />~ ~ <br /> IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG VG <br />~(,•(, <br />Fl L <br />~ <br />- <br />Vice President NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING 608 754-2291 91 12 31 <br /> THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 10 USC. f 1001 AND <br />13 IGNATURE OF PRINCIPAL E%ECUTIVE <br /> <br />TYPED OR PRINTED 37 U S.C. 1 <br />19. /Prnuhin Jer Ihru xarvm muy include ono uD to rla,Ofq <br />awornmlimum lmD~nonmrnrol6el.ren6manrM andfyearsJ <br />OFFICER OR AUTHORIZED AGENT <br />AEA <br />NUMBER <br />YEAP <br />MO <br />DAY <br />COMMENT AND EXPLANATION OF ANV VIOLATIONS (RrJerenn•allalracAmenls Aere1 <br />t:1L ri GHiASE: SEE Fc0'1'HO1'e }/, rAGe 3 OF IiFE Ft:HAIT'. FOHi1L"HLY DLSCAAAGED UdCEN CO-G0~5653. <br />EPA FOTm 9J2O-~ (RBV. B-aB) PrBVI0U5 BdITIOns mey f)B USBO. (REPLACES EPA FORM TAO W RICH MAY NOT BE USED.( <br />PAGE OF <br />~ILIJ I L/•il G1 L.i-lil'i'I 1 <br />