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HYDRO25894
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HYDRO25894
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Entry Properties
Last modified
8/24/2016 8:45:29 PM
Creation date
11/20/2007 6:01:42 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
Hydrology
Doc Date
1/27/2000
Doc Name
FOURTH QUARTER 1999 DMRs
From
PICKETWIRE PROCESSING LLC
To
WQCD
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITTEE NAMEIADDRESS (lnc(ude FacJrry Name/Locarion i/Di$erenq <br />NAME PICHETNIHE FHCCEESING, LLC <br />ADDRESSNEir ELN !!I NE <br />1311 BhENTYtOC CFIYE <br />FACILITY EYlNSYILIE IN Y7711 <br />IOCATIO ~ES1CN CC 61091 <br />ATTN. AI- FERLY- YAAAf;FB <br />IONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM MPDE3) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR~ OMB NO. 2040-0004 <br />^!7 O f. f f. G DF ;, Approval expires 05-31-98 ` <br />PERMIT NUMBER • + "°~ ~ DISCHARGE NUMBER (S U E F ` F ) <br />r. F - PIYEI IAtfAS <br />p PERIOD nonesilc sEWeGE 7G FC1iC CC6 <br />YEA '.DAY YEAR MO DAY <br />] ro 99 lc 31 03#%•;yQ hIStHABGE ~) $ ~- <br />fzo-2 •~'(za-zs~ rzsvl tze-z9f 13DaU N07E: ROad Instructions befo co plating this form. <br /> (3 Card Onty) QUANTITY OR LOAD (4 Card Onty) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (48-53) (54-61) (38-45) 4H-53) (54-61) EJ( OF TYPE <br />(3Y-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />!sz-ml /tea-~/s <br />5ase) <br />69-70 <br />ECll, 5-CAY SAMPLE ""~`^~' e' • •"+ ##~#=: •'. (' Z"5) <br />(l U C E G . C) MEASUREMENT <br />OU.ilU A U L ~ PERMl7 ~~~ <br />~ of#### •Y ,` "~~ <br />~ <br />C1S1Nf <br />C'I <br />~ <br />PHCE CCP1 "REQUIREMENT _ "` <br />: CC I <br />, <br />. <br />. <br />PH SAMPLE -..-.-. ..~,:%v :i•~:-mM ( ]t) <br /> MEASUREMENT <br />00400 6 U C PERMIT ###~#>~ #t~ ~ ~}~ <br />+3r <br />'"`9 <br />, <br />DISINF:.C''.',E'nCt C6r1 REQUIREMENT ~## ~' '7 j c "='• <br />SCLIIl~, 'FCCAL SAMPLE •Ye•Y #+##~#: +:#1Py# ( ]S) <br />SUS `r E N ii x ii MEASUREMENT <br />0 C~ 3 U P J U : PERMfftt-~; ~ +#1R~Oi~~ #~ ~ 74~ ry 5 <br />C I S I N F ° C T , P H C S C H P 1 CIUIREMENI' -.;,.y ~r „"~- .Q",.,~: ' # <br />7T -.- ". _ - ~ . - -` T' '~':~ <br />C1L 6AG ~HEASt SAMPLE ###,:Xr; •~~#$'" ;; ~++ ~rC##,.#~ ( ]5) <br /> MEASUREMENT /) ~ , (//~(,, <br />0 3 5 9 2 k 0 C =PERMA' . " TO~> w <br />t~'lc <br />j , Y,. ' <br />C15INFLCT PRCS Ch&L7 IIEQUIREMEM' , <br />_ - , <br />„ <br />~- <br />=r* ? G ,, <br />FLCM, 16 Cc)4DU7T GI, SAMPLE ( C?) Y#+##* +:%YMY Yv•%'+^ <br />T tl R U 7 E B .1 T i7 E N 7 F I A N 1 MEASUREMENT <br />SUUSU a U U :pERMIT`;` <br />_: ~ <br />~ ~~' xac <br />CISINFI:C:,PKC_ C!!F! „ <br />gU1REMENI" , <br />`~ E6D -_~_ <br />''~ ~ <br />,~,• <br />+ <br />xa <br />CUL1E'ChP:, FECAL SAMPLE +T+r :Y ++~#-# ,YT+## ( 71) <br />G E N c N d L MEASUREMENT <br />74USS A U L ;'PERM17 <br />~ .+ <br />~ ?R / <br />U I 5I N F F. C S' , P H C S C 8 P L 7 REQUIREtu)EN7 1, ~ ~` ~ <br />' <br />~ "k'^~ : Y3~ I C G. <br />GIL ANrJ GfitASE SAMPLE ^%##T~ S4) *##YY# %+.#.v Y+,.+'~ <br />( <br />Y 1 5 U ~ I. MEASUREMENT <br />t 4 L' 6 6 ;, U C "PERM17 iufilk <br />:; ~ x E . =1 ffi #qE =. <br />, <br />DISINFECT F~HCS CCFL 'REpU1PEt~~NT "'r~? M~ ' '~ 6C=0 sm~p~-' _++~ <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF lAW THAT 1 HAVE PERSO NALLY E%AMINED AND ~ TELEPHONE DATE <br />AM FAMILIAR WRH THE INFORM ATON BUBMRTED HER EIN; AND BASED ON MY <br />INQUIRY OF THOSE INDNIDUAL <br />L. ~~~- r ~/ THE INFORMATION, I BELIEV <br />ACGUR4TE AND COMPLt~E S IMMEDIATELY RESPON <br />E THE SUBMITTED IN <br />I AM AWME THAT TH SIBLE FOR OBTAINING <br />FORMATION IS TRUE, n / <br />ERE ARE SIGNIFICAM `~ <br />1 <br />. <br />PENALTIES FOR SUBMITTIN G FALSE INFORMATO N, INCLUDING THE <br />' <br />tZ ,) <br />R,,, POSSIBILITY OF FINE AND IMPR ISONMEM. SEE 18 U.S. C. 4 1001 AND 33 U.S.C. $IGNATUR OF PRINCIPAL EXEC IVE <br />12 <br />7 V <br />TYP OR PRINTED medmum impASanmeu~~t een6mon~end5ysvs.j~up bSr0,000 end or OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPUWATION OF ANY VIOLATIONS (Reference ell et(acnments here) <br />3U llAY AYEnAGE IS H16hEST i!tONTHIY AYG. DUFING PEF]CC F.EFCF4FC. CI1 E GFEASE - SFF I.6.].C, F. 9. <br />EPA Form 3320-7 (OB-95) Previousoditions may)IOlbe useQ.: ~_ ~ (REPLACES EPA FORM T.40 WHICH <br />21 <br />OF <br />1 <br />
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