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PERMITTEE NAME/ADDRESS (Include Fociliry Namdlncalion ifDrQerent) <br />NAME <br />I3LUF. MgUNTAIN ENERGY, IhIG. <br />ADDRESSUFSER All0 I`1 I NE <br />3hr~? COUIVTY ROAD 65 <br />FACIUTYR ANGLY CO 8164E <br />LOCATION <br />i.T TI'J .IF T">- 1:. IRR F{7T <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMfl) OMB NO. 2040-0004 <br />MINnk <br />PERMIT NUMBER DISCHARGE NUMBER F -~ 1= :t NAL. R U f .1>' <br />MONITORING PERIOD RP--4 3EDI PUNP. 10 RFU WASH <br />YEAR MO DAY YEAR MO DAY _ <br />FROM 8 TO O #aa IVO D?SCHAkGF I ]~ I +~#~ <br />NOTE: Read Instructions before mpleting this form. <br />' QUANTITY OR LOADING QUANTITY OR CONCENTRA710N NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~~~Is <br />'H SAMPLE R#~lt### ###iu *F# #~#nrr# lc) <br /> MEASUREMENT <br />)t.~,JO I O 1 PERMIT itVFik~yii. !kaF.iF#1K. i! #~ , ~ iF1FiNF7tk . O W tL•Y <br />F I'7L <br />:FFI. DENT 6RG55 VALUE REQUIREMENT ,'; 4' °'. ire"# •( , <br />3L11. IDS, TQTAL SAMPLE ###### #~##a# ~###rr# I V ) <br />U`;'r'ENDED MEASUREMENT <br />oR:3o 1~ u o ~~~Mlr : .~ ~~ 1 ~~-~-.~ ~~ `~~.~~ a ~ : <br />Cll Aro'. <br />-FFL+IENT GR'JSS .VALUE .REptlIREM)^N'C • +°-.', ~.## ~ y ~, , . <br />]IL i! GREA`;E SAMPLE #9t#### #w##tt# ###### tr#z~#~e 1ci) <br /> MEASUREMENT <br />0556 1 O 0 ~"~>7HMiT° g <br />~ ~~ r* yMdtf~,': ., ~Il1k!-#r* O C ~ AiX#_ <br />.F FLUENT 6ROS5 VALUE RE4~~RE~(~NT" `"„t <br />~ _~ #~~, <br />G/ <br />.ROfJ: TOTAL SAMPLE ###### ###tF## #n#tt## In) <br />f AS FE) MEASUREMENT <br />] 104 5 k O 0 '' P~p MIT ~ %',N)+!{P111Q#g ~ ",y,' <br />• , <br />~ # as ~rd~4Fit'; , 3, ' . O - <br />~~`' <br />FF'_UEh!T GROSS VA Rf;£11]Ij#EMENT , ~ ##~ ,: <br />-LOW IM CJNAf1IT OR SAMPLE p3) ###### a##~+r !I u##~~t;: <br />'HRU TREATMENT FLANT MEASUREMENT <br />GO `j0 i ~ O ~O ~ ~ P~RMIi'. ` • . ' <br />t ~ ~: '~ 'it4iF~w+~ ~" ~ .' iF#*~r+r #Mi1:#-M1F ~ ~ ~ s <br />W <br />~LT,.YI <br />hls~X1V <br />:FFLUFNT R 58 VA REijUTAEMENT ~ ~ .~#u. <br />]I_ 4ND GREASE SAMPLE tra i!#*~ yq) ###RRj'r it j:M{T =.A t:##,; µ,T <br />+1 S.iAL, ~ MEASUREMENT <br />-g06O 1 O 0 .~~;~'ER(dl~:~' .~~~iWFit ~' .-,.. ° <br />' 5=1 `-~1~~++i1e°wi-. ~~*~#n ~° aKr+~ss* t- #-~ >aKk.' ISkigL <br />` FLUENT GRO5 VA UE REQUIREMENT " _ * . <br /> SAMPLE <br />- MEASUREMENT <br /> ~ <br /> AE9UIREM~NF ~ i ._s-_- <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER ICerLty under penalty of lawihat this tlocumenl an0 all ertachments were <br />i <br />h <br />i <br />d <br />tl <br />di <br />i <br />i <br />i <br />d <br />i <br />d TELEPHONE DATE <br /> <br />l' <br />~ <br />L <br />L <br />~. prepare <br />er my <br />on or superv <br />un <br />rect <br />s <br />on <br />n accor <br />ance w <br />t <br />a system <br />es <br />gned <br />to azsure that qualified personnel properly gaNer and evaluate the intoimahon <br />/ <br />, <br />5 <br />~ <br />K T <br />~ <br />:/~ Q 1 <br />~ <br />~ <br />+ <br />. submitted. Bazetl on my Inquiry of the person or persons who manage the system, ~ <br />'` <br /> or those persons directly responsible for galhering the iMOrmauon <br />the iMOrmation _ ~t <br />Yom" <br />~ v , <br />submidetl is, to the best of my knovAetlge and ballet, true, accurate, and complete. SIGNATURE OF PRINCIPAL E%ECUTIVE 97p 7-43 ~ T CJ ~' -~ <br /> <br />TYPED RINTED Ism aware that Nere are slgnifeaM penalties for aubmming false srtormetion, <br />includin Ne ossibili of fne and im dsonmers br known violations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANAI IUN OF ANY VIOLATIONS (Reference all attachments here) <br />Oil:,. 8~. GREASE REPU.RTING-SEE I Q. 1."r~ PG V.L I. DRTkL_t SRhiP:_IfJG IIVSTF7UCTIUPiS-I C' C~~~ PG Xi. <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />00dOH/000222-1516 1 <br />