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PERMRTEE NAME/ADDRESS 9rWifsiery9rr'lccrta I/D~swr) NATIONAL PDLLIlfMT DISCHMGE EIIMINATON SYSTEM /NPDESI <br />DISCHARGE MONRORINO REPORT (OMRI <br />NAME <br /> 4 B ^. T ,! o_ ce ~ U o ~_c c r u r• ?-/6 17-19) <br /> ~• C ~ 6t yam. f L <br />ADDRESS y,~,y `,LS .'TLN? ~-innn nn <br /> V 1 ~T tr <br />~ IL"10 <br />N i.'13 S PERMIT NUMBER DISCHMOE NUMBER <br /> l <br />. <br />FA 4~Fti+~N ~'¢„~~ j `O 41 no+ yo13~ MONITORING P IiIOD <br />CILm ,. <br />- <br />LOCATION EAR MO DAY KEAR MO DAY <br /> NP!ir7N CO 91U4L FROM <br />...~ ~ o e~.(i/ 99 07 01 TD 9. U9 l0 <br />A TTtit tnuu lip t\f nr we I'CM rOIr Mw0 l76a11 tl7-0?I ULJ51 U2DTI OA. a-1 /]rlafl <br />Forrn NA~pyp~roved".~ .` <br />D PFlISF. !RPA POyn ~Bo el`6O iies'(~5~1~98 <br />(SUPR SF.) t?745 <br />F - s'I+i AL ~' S}ufrA ~/swi L Ip y f Z4 <br />NOTE 1 ReArf" IirtrCucHtlorr b Lori dDEnoletina thb form. <br />PARAMETER !3 Grd Ontyl QUANTRY OR LOADING 1~ Grd Onlyl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE <br /> /4653 1546/ 139-45 /4653 - /6L61 pF <br />131-371 EX YS <br />B TYPE <br /> AVERAGE MAXIMUM UNITS ~ MINIMUM AVERAGE MAXIMUM UNITS lea"sal MAL <br />I <br />/6469/ 169-70I <br />yli SAMPLE Raa+.Ra aaaaa's Ott r: ~~aa ( I~) <br /> MEASUREMENT <br />WKl <br />n <br />UUu7U 1 D 0 PERMIT..:.. <br />U ;" ~I#Q:~dE#.:' <br />' ':.::.alkg[~gEr PC: ~.~,'.... ''~!:rJlfaC~dJ::- :4a0 <br />: EFtFF7 <br />t T1FST'"t <br />£ Y I FFiT .. ^ <br />:1 <br />Y IREMENT <br />REQ <br />~ <br />~ <br />~ <br />~ <br />- ~: ~ ~ <br />~ <br />~ ~~ :~. ::: ~..' ~ r <br />~~ ~ <br />~~ ,... .. .. , <br />} <br />, <br />. ;:; . <br />:.: <br />: :: <br />; <br />: . ~ <br />.:. . aea :i <br />?~ .:p rr[s]E' cr <br />:iOLID:ir T'1TAL SAMPLE <br />MEASUREMENT rJCa?F: aaaaaa mPaaara <br />')L' <br />( t 9 ) <br />S !1 i k' °'i U E i1 ~ <br />UU`t 30 1. U 0 :::..:PERMIT :. <br />' <br />U saa?aaa. <br />~. .. aa[as Q;4 ~ ar,.c 4c?1+~: <br />ivAt : <br />.~ .35..'. ~.U . <br />~' ~ <br />~ <br />~' <br />11~C <br />~! <br />Ai1 <br />~s:R <br />,`'.F t .- c I REQ <br />IREMENT <br />.... .... :. ;'"~ ~'. ~. :' .~ ~ as , l' .Y.. .~:. ~_ .r JT . ~ <br />'~' ~. .. <br />. <br />~ot,rDS, .,erTLeF~L, SAMPLE caa.ar. aacaa:Y csvyx+n ~r-aa==s (,5) -- <br /> MEASUREMENT <br />UUS41 L U 0 ..'~.. PERMIT .~.~. <br />I <br />M .. PRC~A'a 4'~ ` <br />.. ~~'''~.a aa~lla ~. is [X ~~~~44111'~tO1F . <br />~ .. <br />~ . >OF91Y+A~~4 <br /> <br />W;6~pRT <br />~ <br />i7<C'E` <br />f <br />~RiF$ <br />.. ~ <br />'ti" GROSS 1 ~ <br />tEQUIRE <br />ENT. <br />_~.. ...::. ,:~.. .. <br />....; .. <br />.:~:' ~.~. ~': an ... .. ..'. .'. <br />'' <br />. <br />w' . <br />- <br />. <br />: . <br />. <br />I!/ )trF TOTAL <br />~ SAMPLE <br />MEASUREMENT ^'X lRdaa RSaaG: O¢00O^ <br />~ <br />>~ T <br />( ~ ) _ <br />(" 5 ~ F. i ' 1 3 ,~ <br />UI JI15 L 0 0 PERMIT <br />E <br />U <br />M aR~'RAC <br />: <br />~ <br />~ ~ '. 01?»r>aa$': <br />" a2f- Lo$#b~.f? '- #•'S 7i~ `. . <br />~ ~ Y~1 <br />! <br />~ +111A8 <br />~ <br />rFF UF;9T OS R <br />Q <br />IRE <br />ENT - <br />~ ~. ~ . <br />JIL AND ;"P.1 SE SAMPLE xR+to3G RaaO?z aaaaac rr~S r„Y;: ~ <br />( 19) - <br /> MEASUREMENT ~ <br />'1 ,1 `~ I,t, 1 0 U ~"...: PERMIT.. ~:. <br />: <br />~ ~.. ?3tt}~iYA:' <br />: <br />~ ~~ S=4R'aE? :~ <br />. <br />~ GCG ~~. ~. C~~#~+l ~lt3 .. . 9[,'1~+3t1 Q'yi '. la~ ..~ <br />t7:~IT <br />I: <br />:FLAP <br />,'FF' 'K :ROSS A1.^ ~REQUIfiEMENT <br />:~:: ..,.: .. .. <br />~ ~. <br />:. . <br />.. .. .. '. .: satY :~~~~~ ~. ~. ~..~; ~ ~t~NatiF .,. ... <br /> <br />< . <br /> <br />t•* + , <br />FLJ'JF T:V CDRDUIT 7R SAMPLE <br />( U 3) CL'CaR: `,~,Y, iY ^'.` M1 [ <br />^ ^. % :-'-': <br />, <br />rH~D r!:e:tr+IFNr aLA^!, MEASUREMENT .0 (+) e <br />-1 t <br /> <br />SU;15U I D U .....:PERMIT'::: <br />~~. :.~:~:.;..:.:.. .....~ .:. <br />~ HLPORT~'" <br />~.~ APP.O.$E.. .. <br />Ce~:000t=' <br />~' <br />a:;-a~w~~. <br />~ <br />~ ~o;::r,;!;~`~~ <br />~ <br />.#~~ <br />.. ~. <br />~ ~~ <br />~~a+pvLT <br />M~T7 <br /> <br />C <br />.. F I <br />6F'!LUENT - <br />ROSS Y <br />A <br />lF ~REQUIREMEN7':': <br />"~ . <br />DA YG .. <br />~ ~ <br />A s< ... .: .: .. <br />~ ~ .. , <br />. <br />, <br />.. ~ as . <br />JIL Ay9 ~.~;LFAS° SAMPLE 37 ^•zSa ( TF4) aaaas~^ .-. .,-. .. - <br />`" <br />V I S U A L MEASUREMENT <br /> f <br />y4U66 I D 7 :: :PERMIT: ~.: <br /> <br />~ <br />N <br />~ aa!![4>za ~ <br /> <br />~~ ~ <br />R.E. <br />pc7RF E.+= <br />1 Orf4'fiTl.ri aare:%a .'.:tYrtf~`+~R'~( C^^ ~?;F <br />RLY yLSIId! <br />H• ,- <br />FPLUEH? <br />ROSS Y-LllF REQUIREfv1E <br />T <br />:: <br />:: <br />: <br />: <br />~ . <br />~ ~ ~ <br />' <br />#S: <br />S <br />N = ~ ~ <br />.. ~ . - <br />. <br />, .~._..:~...^~_._ ......__ <br />.:_. <br />. <br />. <br />, - <br />. <br />- _ <br />V 4'kt# <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIM WITH THE INFO LAW THAT I HAVE PERSONALLY E%AMINm MD <br />RMATION SUBMITTED <br />ERE <br />B TELEPHONE DATE <br /> H <br />IN; MD <br />ASED ON <br /> MV INQUIRY OF THOSE INDINDUAlB IMMEDIATELY RESPONSIBLE FOfl <br />3 ~~ G~V <br />r OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATON IB G <br />~ TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME <br /> <br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFOMIATION, INCLWING ^ <br />U+ F M ~ ~ ~ THE POSSIBILITY OF NNE MD IMPRISONMENT. SEE 18 U.B.C. f 1001 MD ]] `~ <br />S <br />O <br />' <br /> <br />s u.s.G. f r]ts. lAMrlw. uvw err mroN. •rr Ncad~ 6,.r w ro t IC,ODD I <br />NATUR OF f711NCD <br />AL EXE NE <br />^^,.'.c"'^ TYPED OR PRINTED <br />.""„^. rltl wnra:rn.lr /mnbennwrr oranv..nsmmeo rg6yva! OFFICER OR AUTHORQED AGENT AR A <br />coDE NUMBER <br />YEAR <br />MO <br />DAV <br />JU DAT AYEHR:F i5 4CG'iEST '!O!IT4LT 4Y~• 9rI4I"l; PF,RL00 AEPOPTSD. OIL F; C,83A';!' - 7F'D T.~•l,ns a y, ?;, <br />TOIAL I.^.J`i LIMITS '+I LL OF ilAIYF.Ds AVD SF:TTL:IkHLF SOLIDS LIMITS APpLI4D FOP c=iUvvF-,ryyu ~~•/-Tn•FVL•y•"_gpTr, <br />EPA F&m` 3370-YI =96 (i.'oud edinons4ney fia sed. ` ° ` "s `I LA EPA'F RM' ~O` HIC A OT BE DSI:D.I' °" "' ` ' ""' _ ~ - - -AGE' - • 'bF <br />