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PERMITTEE NAME/ADDRESS (include Fanliry NamelLocmion iJDi$emmJ Nq <br />NAME 1~IhhEC, INC. <br />ADDRESShCETH TNCf!FSCh CFEFK (!IhF,S C <br />ll6b CCMFdSS CFIVE, SCIIE IGL [ <br />FACILITY GFANC JUhCTICF CC tl`_C6 <br />LOCATIOF~AAiiCNLALE CO t1E23 FROM <br />dTTN: J. E. STCVEF. CChSOf.TI6T: !tiD_ <br />.UTANi DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. ` <br />zAR GE MONITORING REPORT (OMR~9 OMB No. 2040-0004 <br />` <br />) <br />( L f L' P I A C A <br /> <br />(S U c A <br /> <br />i C) Approval expires OS-31-9&r <br />r <br />4 <br />f NUMBER DI$CFTARGE NUMBER F - FI t;AI FIT~Fh <br />MONITORING PE IOD C O 1 i; C C 7 C C C E l! E L L~ C F F C <br />MO DAY YEAR MO DAY <br />C C1 TO S5 is .1 ~~` 6C CI: CAAFCk "'' <br />e <br />p <br />xz-231 n4ss ~ ' rzrrzn rze xvl t3wn NOTE: leting this form. <br />Read Instructions befor <br />'L`Sm <br /> (3 Cartl Ony) QUANTITY OR LOADYNG (qO ny) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-61) 9-05) (46-53) (5467) EX OF TYPE <br />(32-37) <br />AVERAGE <br />MAXIMUM <br />UN ~ <br />~".~i~ IMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br /> <br />!s2-v/ ANALYSIS <br /> <br />(64-ss) <br /> <br />6370 <br />CIL AhL :;PEASE SAMPLE '%': ;: ,: ~ I ill ;>?'p00A .. ..~+' ': '~;'+'t' ~ Z~ ' <br /> <br />Y 13 U A L <br />MEASUREMENT <br />/3p 1/ <br />~ <br />r'4UEb 1 U C ~-*itE(4MIT 'A4->f~ C <br />~ ., E.=I ?C>?~ 'Ii:?Oi~DO+4 ~ gOtkaAM9:• >p~K r'.. 'Y'~C~1 '1""~ <br />EFFLUENT GAOSE VALL °fiE0Uk6tElAENT ~ <br />~ lC=C ,- •.~ ae;'~ ~ <br /> SAMPLE <br /> MEASUREMENT - <br /> PERMII~ <br />- ;a; ~~~ <br /> , <br />-TiEQUIREMENT ~ ~ <br />~' '`~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT. <br />~ <br />., <br /> REQUIREMENT ~~ '- - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> fiEQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> - --PERMIT ~ '` "-~ ~~ <br /> AEOUIREMENT ~ „._r;;~ <br /> SAMPLE <br /> MEASUREMENT <br /> . PERMIT <br /> #3EQl11REMENT <br />n. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - w '" <br /> . REQL'IREMENi - - ~ ~ - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF L <br />AM FAMILIAR WITH THE INFORM AW THAT I HAVE PERSONALLY EXAMINED AND <br />ATION SUBMITTED HEREIN <br />AND eASED ON MY TELEPHONE DATE <br />y/ <br />J <br />~ <br />S YE: ~ INQUIRY OF THOSE INDIVIDUAL <br />THE INFORMATION <br />I BELIEV : <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMITTED INFORMATION IS TRUE <br />r <br />. <br />. <br />(~ . <br />ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITTNG , <br />I AM AWARE THAT THERE ARE SIGNIFICANT <br />FALSE INFORMATION <br />INCLUDIN <br />TH t <br />' <br />~)p <br />R E ~ , <br />G <br />E <br />P <br />B <br />TY ,) <br />L• <br />fv V <br />` <br />z/L "~~G1 / <br />/ b~ <br /> <br />7 <br />, <br />OSSI <br />ILI <br />OF FINE AND IMPRISONMENT. SEE 1$ U.S.C. § 1001 AND 33 U.S.C. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />7 <br />/ ( <br />l Q <br /> ld guda lines up ro E10,000 entl w <br />Mee n <br />3 <br />um <br />m <br />l <br />mnnSO <br />m <br />M O <br />b <br />n <br />s A <br />TYPED OR PRINTED 6 mour <br />r <br />i <br />e <br />l <br />^ <br />e <br />l <br />e <br />o <br />s <br />P Yovs.) OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY, VIOLATIONS (Aelerence ell attachments here) <br />}L;"ITTE?: MUa1 hCT1FY F+GCL' 30 CAYS PAIGE 7C CCl1 EI l1 hG DISC i:A F6E_-FA FT I.A.4, FG ]Y. FC 1+IFIY EAFFIlh6 FCF <br />LH, E'LO~ G CEG AZLCtiE1,L C'UALhG -EAICCS OF LTL ACCE_°; AITACt: S'IATFREhI TC Cf3k.. LE7ECTICh IIl'!7°-_EE I.F.T. <br />EPA Form ~32~1 (OR ~~ P'revious editions`may ~o e u e'd. • • °(REP CES-EPA ~~ HICM M Y BEUSEd:) J L E L D t J k L t 1 ! J(dEt • OF <br />_ ~CCC51199C7]S-11C9 i <br />