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PERMDTEE NAME/ADDRESS (TncludeFaci(i Nmnr/GOmrion! Di erenr Form ApprOVed. <br />0' ~ V ) ~ NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORY (D R - OMB No. 2040-0004 <br />FICXETMIA6 F1?CCESSIRG, LLC ~ :~:~. +zi6) ~~•;)" MINCA Approval expiresOS31-98 <br />ADDRESSNEY EL(f i!INE ' ~"~"~ /~ (SUER °E) <br />1311 BAEATNCCC C6IYE PERMIT NUMBER O SNUMBER f - FINAI LIMAS <br />FACILITY EYANS4ILIE IN 47711 MONITORINGPERI fiUNCFF FCC 5/fC6CA2CIFE AI YEA <br />LOCATIOt•1WESTCN CO x1091 FROM Y MO DAY TQ YEAR MO DAY Y r_„ <br />~~ NC LISCRAEC-F '~XI4} ~T+ <br />A T T N: A L F E R A Y, C A d E C k H (za (zz-23) rzazs) sv) (zsze) (3w+) NOTE: Read InsVUClions befor plating this form. <br /> (3 CerlY Onty) QUANTITY OR LOAD ) QUANTITY OR CONCENTRATION NO. FgEOUEN SAMPLE <br />PARAMETER (46-53 (54-8T) 38<5) (48-53 (54-8/) EX OF TYPE <br />(32.77) AVERAGE MAXIMUM <br />$ , <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNRS <br />(szcil AHaLYSIs <br />(B4-68) <br />69-70 <br />FH SAMPLE -•^-•-•,•~ ""•-. ?#d~i$,* ( Ic"") <br /> MEASUREMENT <br /> <br />FFFLUcl+T GRCS: VALC ::;~ ~~~ °U <br /> ~ . ,, <br />SOL1C5, TCTAL SAMPLE •-Y•Y '" AY~9## #* ( ]S) <br />S U S F k N C k D MEASUREMENT <br />O U S 3 U 1 U 0 PERMIT # #'~ ~` *'` 0 ~`r"' <br />EFFLUkAT GFGSS 4A16 REQUIREMENT FG I <br />SCLIGS, ~ETTLEADIF SAMPLE ~~~~^ ~~ •~YY'~=% #=.=~#; arm+#: ( s`) <br /> MEASUREMENT <br />UUS45 1 U 0 ~~~EptND"` <br />~_ "~ Mkt##O%' ;:; =." <br />EFFLUEd2 GROSS YALO ., <br />REQGIEiE1~fi1T ~',--- ~`F••-,- <br /> <br />,y <br />ML L <br />Iscd, 'CGTAL SAMPLE ~=++## ~Z YY ~ ^~~•'~ ( ]C) <br />(AS FE) MEASUREMENT - U ~ <br />/ <br />G 1 U 4 5 1 U C ,,';~r~ERMIT' <br />,~ ': =%;~ 's• 4#'.. , " <br />r <br />k <br />r <br />EFFLUE.!TT GROSS YAIL flEQIIIgEMENT , '•~ 't~::F MG I r <br />GIL AAi GREASE SAMPLE Y: <br />#~#4 #+Y~+:. %r+"vv~~ ~~#a?~: ( 1~) <br /> MEASUREMENT , <br />D 3 5 a z I v o ~ PER Ir :a ~ : ; :~ ~ ~es~+a;~~ <br /> ; <br />~ , <br />-- , <br />' <br />EFFLUkN2 GROS° YALU A~I~NT <br />fSUIH - -~', ~~ ~1' <br />- t: ;-Y r ~-+.-~: !C <br />FLOW, Ih CONCUIT CE SAMPLE ( C3) • • •~ . MY~ <<~ ~^ ~ ~'•~ <br />7HRU T~E9TtlENT PLAd MEASUREMENT <br />5UUS0 1 U C PERMIT R}p ~~### ~# s: '~' <br />hfFLUEd] GROSS YALU AEOGIREMENT 34nA° MGD ' ~ tt. +~3 <br />CI1 P.NC ~AEASE SAMPLE .r~### ( 94) =%~++++ ~~+~'%; %'~'+++' <br />Y I 5 U A L MEASUREMENT <br />8 4 G 6 b 1 U C :PERMIT <br />~%4'* E 9 =1 .' ~~?E'E#' - :'##'~~~ ~~' °" '~+: <br />. <br />fFELUkKT GA055 YALU F3EQUIQEMENT ~ ~ ~,:~ :;'; hC=C '~ %~ ';' <br />NAME/TITLE PRINCIPAL IXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO NALLY E%AMINED AND TELEPHONE DATE <br />AM FAMILIAR WffH THE INFORM ATON SUBMITTED HER EIN; AND BASED ON MY <br />INQUIRY OF THOSE INDNIOUAL S IMMEDIATELY RESPON SIBLE FOR OBTAINING <br />A L ' ~G~ T, y THE INFORMATION I BELIEV <br />1'~ f <br />b E THE SUBMITTED IN <br />WARE <br />T TH <br />I FORMATION IS TRUE, <br />ERE ME SIGNIFICANT <br />•. r ACCURATE AND C <br />MPLETE. AM A <br />THA N <br />G T <br />PENALTIES FOR SUBMITTIN G FALSE INFORMATI ON, I <br />HE <br />CLUDIN <br />~ <br />~ POSSIBILRY OF FINE AND IMPR ISONMENT. SEE 18 U.S. C. 51001 AND 33 U.S.C. IGNATUR OF PRINCIPAL E%ECUT E ~ - ~ <br /> 4 131 g. (FeneN~ev under mesa smrNes mey Include Bnes up ro f10,L00 ara or OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />ED OR PRINTED me+lmum lmpdtmmerrt ol6erxsenempm/u end5yaers.J <br />GOMMENT5 ANU E.[HLANA I IUN Uh ANT VIVLAI IUNJ (h'BlBIagCB 811 aTmCOTIl6(16 BaTBJ <br />3U CAY AVERAGE IS L1G6EST l1CRTEL2 AVG. CUfiIlG PEA]CC AEFCATEC. CII E GREASE - ~fE I.E.1.D, P. '9. T°S E <br />TCTAL 1RCd LIMIT iI1I EE YAIYEC, ARC SETTIEAELE SCLIDS LIMITS IFFLIEC FCH C=107E,i4EE FEECIF EIEIIT-,~E2T. <br />' 'r( M -4 ICFI ~d7TBE.~I ~)l~Taaaopw yr .rauvr nsyF.~ao-.pRGE"~ OF" <br />