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PERMfCTEE NAME/ADDRESS preclude Facility Name/Locarion tjDgermt) <br />NAME <br />MIFnEC, 1hC. <br />ADDRESSKChTH 1'NLY.rSCA CFFRR t!IhES <br />175P CCeFh55 CEIYt, SGIIE 1L] <br />FACIUTYGnA4L JUhCTlC~y CC E15Ub <br />LOCATION <br />C>.6PChDA1F CC ElEi3 <br />A `L1h: J. E. 57CYF6_ CC~i5f11.TTNG FNC_ <br />PARAMETER <br />r~~n <br />IL AND CEiEASE <br />ISUAL <br />4Ubb 1 U L <br />AVERAGE <br />SAMPLE '+''. ;Y tY?;: <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />'' r ' x <br />"SAMPLE <br />MEASUREMENT <br />CEO) C ( AtF s n ; -'^~ <br />SAMPLE <br />MEASUREMENT <br />LE3MI"~•, `~' <br />k ~ vy'-~i <br />Fi~~U EMprvt-.. '" - <br />SAMPLE <br />MEASUREMENT <br />F#E4iU1~EMEN'f ,; )r I i ..h <br />SAMPLE <br />MEASUREMENT <br />~AAI •° t.. ~ . <br />SAMPLE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) Form Approved. 5 <br />DISCHARGE MONITORING REPORT (DMR~ <br />re <br />z OMB No. 2040-0004 <br />( <br />- <br />r r"' s) C, I N C fl APProval expires 0531-98 ~ - <br />rn 'ICC n (.SUB6 y(~ 1 ~ <br /> <br />PERMIT NUMBER DISCHARGE NUMBER <br />>. <br />F\ ~ "F I t, / 1 e <br />C I 1 N fi' <br />MONITORING P RIOD 1, P 7 L ~ (7 C G !.E 1 L+ E L C S C E F C <br />YEAR MO DAY wr~'~.YEAR MO DAY _ _ <br />FROM 7 45 S ?(, <br />~ <br />~ •''~ NC C(a(~ H,F.CE 11 r~z <br />this Corm <br />le6n <br />t <br />olTT <br />NOTE <br />b <br />~' <br />R <br />d <br />E <br />T <br />~ti <br />Ra~rp <br />(zanl (zesvl (soar) <br />(zz-zs! Razs) : <br />ea <br />l <br />trs <br />ruL g <br />. <br />p <br />ons <br />e <br />or <br />c <br />Y OR LOADING (a Card Ony) QUANTITY OR CONCENTRATION.}' NO. FREOUENC SAMPLE <br />(54-81 (38-45) (4B-53) (54-8~- EX OF TYPE <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(6z m) /~'~YStS <br />(B4-6B <br />69-70 <br /> <br /> <br /> F°=1 T`.+~~AOq O+GC <br /> <br />~.~m <br />a' <br /> <br />y t.M -ha <br />1. ~ ~~ <br />my ~ ,iR"a v y` ~ .. <br /> <br />NAME/TITLE PRINCIPAL IXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E7(AMINED AND TELEPHONE DATE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY <br />.^,AA INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />a . ~ ~ v 4` THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, <br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFlCANT <br />. ~ `'_ PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE ~•L= ~ D <br />f PS 1 J C F.rG POSSIBILfrY OF FINE AND IMPRISONMEM. SEE 18 U.S.C. § 1001 AND 33 U.S.C. ~ SIGNATURE OF PRINCIPAL E%ECUTIVE fflV/ ~¢ -~ ( ~Q <br />~ TYPED OR PRINTED nnnmum~m~onment of belweenBm~mtra entl5~6nea upbS10.000 entl ar OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />pd YBeR.) <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments here) <br />rcnY.lTTkE MiUS1 NCTIfY yLCU 3U DAYS FRIOA TC CCCk1DIhG L;.SCbAeGkS-rAF? I.A.u, FG lY. :'Ly1EIY SAtFI1DC ECh <br />tfl, ELC'w L Ct,G AI4CyEC LUFIhG FinICDS GE LTC ACCE°__°~ AiTACF ~iPTtY.fyT 7C C9F. Li7kCiICA 11137`_-SEE I.F.Q. <br />EPA ~FOrin 20-T (OB-r9S) Previb s'edi D 3'm }io be us6tl~ • ~ • ~~ O(REPLACES~EPA F ~ `TJHI~i MAY NO •BE41S U.) ~ 1 7 Y b U I C CpA E} • OF <br />OOC49/99C7]:-11L9 : <br />