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PERMITTEE NAME/ADDRESS (/ncluJe Facility Namr/Lxation if D~BerenU
<br />NAME
<br />TNAPPt"R t1TN:hG, T"KC.
<br />ADDRESST Et A !' F E Ci 1! I h k
<br />P.U. EOx ld7
<br />FACILITYCF:AIG CC !?1616
<br />LOCATION
<br />,;'S'ftl: w• GOkUCA EETLF`_, PnES/GSA !Gk
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTCM (NPDES)
<br />DISCHARGE MONITORING REPQRT (OMR~
<br />(2-16) (t]- O1
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 00 C1 UI TO CC t:~ .1
<br />(2021) (222J1 (2x'25) (262]) (28-29) (30.91)
<br />Form Approved.
<br />OMB No. 2040-0004
<br />P I NC R Approval expires OS-31-9$
<br />(BUFF YM)
<br />F - FIA/L CCfAI
<br />CISChAFEk 1C CC~C7E CGICt
<br />NOTE: Read Instructions befo!e'C3mpleting this form.
<br /> (3 Card Onry) QUANTITY OR LOADING (4 Cerd Onty) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (4s-5s) (sa-6f) l3eJ5) (4s-ss) (54-6t) EX DF TYPE
<br />(327) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />(sas9) ANALVSIs
<br />(6<-6aJ
<br />69-70
<br />r:; SAMPLE .aa K:aaa a90av0 aacaaa ( ]i)
<br /> MEASUREMENT
<br />~UUUU 1 U 0 zN ¢ ''~ 0#~ x90 r `.w,~ I
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<br />• !FLUENT GHCSS YALOB +~~ :'° `r T` •'.90a ,., ,~ ~
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<br />JOLLDS, TUTAL SAMPLE ;r0ariaa a9aaaa acc99a ( ]y)
<br />L' S F G h U E U ." M~A$UREMENT
<br />';;530 1 U U r ~.; ~ ~ ~ ~ toa ~ ~a¢
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<br />'FFLUENT Gh055 YA1DE ,-
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<br />~CLIGS, SET'TLEAEfIE SAMPLE voc:aaa cca~.;z a999a9 ( ~`-)
<br /> MEASUREMENT /s
<br />U ~ 4 5 1 U C , ;^. '~ . >C IF+L4~C ~ R 0 • z >< ~ ~, .
<br />eF'YLL'EN7 GROSS YALUt '~r [gEfli' '-`~;.,~= "- .~+- q~
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<br />1EUNA 'fGTAL SAMPLE '44xi ;.~K: :K:X:;:y $499aa
<br />( 15)
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<br />(A S P E)
<br />MEASUREMENT .
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<br />•1045 1 U U 4~:~FAFT.' 7i497414~f,.. 9000704+ il >rKO IP4~>Fi01 ~•I1' •~ ~..+^" C Ck/ ~~ ~'
<br />frLUE^iT GROSS VALUE ~ EST" ~ t tf*, +t .. G s '-
<br />:1L ANC GREASE SAMPLE ;: K~L`;: .k r^~'K`''K~ ><a9aa9 L~. ~-1 ~?+ ( 15)
<br /> MEASUREMENT
<br />I J,81 1 U U 't`. tT
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<br />LhENT
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<br />LUM, IN CUNOUIT CE SAMPLE ( C3) >;>:~caa ~ OSvacc 00.49!'4•
<br />1tktU T5E.AT?1ENT PLAP7 MEASUREMENT
<br />. Uu50 1 0 C ~ "
<br />~~ ; A~Ft~>)4'1"i; ~.::;H~B~i$31. ,' ~ *tA#~t#~ ?F~400 ;:
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<br />E'r'FLL'EN'T GBCSS VALUE .
<br />$NT ~ ~! ~~ "~ tGC ~~ +•~x~."`~'• 44-
<br />OLIUS, TCTAL SAMPLE 'takaa% ~~>xr++ea aai+OCa ( 15)
<br />ISSOLVEU MEASUREMENT
<br />10295 1 C C '~
<br />~ 5 ~~#r °~ t>1~~>~ I~ 4w ~,~'~~?~~# w ~;$ ~L.== f~~~~~~- #'I!" F~E:~~•
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICFRTIFY UNDER PENALT' OF LAW THAT I HAVE PEflSO
<br />AM FAMILIyR WITH THE INFORMATION SUBMITTED HERE NALLY EXAMI
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<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON
<br />' "THE INFORMATION, I"~EL7EVE 'fRE SURMITiEO IN ;
<br />SIBLE FOR OBTAINING
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<br />P e dent 116 Z P1f1IIH CL POSSIBILITY OF PINE AND IMPRISONMENT. SEEIBU.S.C.41001AND33U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE
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<br />TYPED OR PRIN ED me+lmum tmpdsonmem orbetw6enBmon(hs end 5yasrs.) NUMBER YEAR MO DAV
<br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />155 E TUTAL ZAON LICI75 PILL EIE MAIYEC, AMC SETTLPAFEL SCLICS LI[;I'1 APPLIED FCfi <=1C2f.,iZ6E PFFCIF kYEN7-
<br />'SCE OURUEN OF PACCF EEpUTA.EdENTS DNDEB I.A.3. PEIFtITTEE OUST T11AE"All REASONAELE !!EASUEE'_ 1C EEI:LCE Fh
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