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PERMITTEE NAMEIADDRESS pnclude Faciliry NamelLOCarion ijD$erem) <br />NAME FICKETYIRE FRCCEESING, LLC <br />ADDRESS N E Y ELK !! I N E <br />1311 BRENTOCOL LEIY6 <br />EVANSYILLE IN 47711 <br />FAC1urY <br />LOCATIONY S5TCk CO 81091 <br />ATTN: AL PERn1, HAZtAGkR <br />PARAMETER (3 Cud Ony) C <br />(46.53) <br />(323n AVERAGE <br />LC -TATt,F 4 HR AC SAMPLE "~^' <br />CERICGAPfitiIA MEASUREMENT <br />T9M3E 1 U G ~,,,~~~~ ti, <br />E F F L U E h 1 G it 0 5 5 P A L L $E04I,IRE6(1~'NT" ~ s, `'r <br />L 7U 51AThE HR AC SAMPLE '~~;'' <br />F-L [7 hiY:nLES MEASUREMENT <br />T A N b C 1 U U ,. PERMIF~ . "~' <br />EFFIUFI~T GhUS`_ VALU ~iEOUIREM~N7 ss°'~~'~~ <br />SAMPLE <br /> <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MFDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR; <br />z <br />+s <br />s OMB NO. 2040-0004 <br />( <br />- <br />) <br />) ar- k'I NC F Approval expires 0531-98 <br />~ (SUBfi :F) <br />PERMIT NUMBER ~ . DISCHARGE NUMBER ~ - F I N A I . P, LA H A 5 <br />MONI N RIOD ;CUTE OFT; SSSTIYE FCb CG9A <br />R MO DAY <br />YEAR MO DA + ' ~r~. <br />I <br />FROM ~ ~% NO' <br />Y 8CE ~:% <br />lzo-z+) (jz-23) (zazs) tzszX) -ze) (3aJ1) NOTE: Read ns befor le6ng this forth. <br />YOR LOADING (a Cero'Ony) .GUANTI7Y OR CONCENTRATION FREOUENC SAMPLE <br />(54-61) (38<5) (46-53 (54-61) ~( OF TYPE <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 'V`~~rsls <br /> (5343) ~ (64-68 6&70 <br /> <br /> <br /> <br /> <br /> <br /> .K - FF- <br /> . -'~, -'^.'. •~tis a <br />u;i 63~,3se_# ~ <br />.tl ac Xc.~ <. f F \'i a -. t" <br /> ~ " ~ <br />~ -' <br />s <br /> REOU)HCME <br />IT r <br />~ <br />~ ~ ~ ,~ .k•a ~-,+ . ~-, <br /> SAMPLE <br /> M <br />E <br />A <br />SURE <br />M <br />E <br />N <br />T <br /> y <br />y' <br />~ <br />y <br />~y <br />~} <br />~ <br />'1 <br />~~ y' <br />Si.: ,{~ <br />~'v"t k <br />~ Irk` I <br />^ v <br />V <br />. <br />r0 <br />.!.~-4 , <br />" <br /> TGLIVI <br />4'C1`1r ~ I^ " <br />~4x ~ <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ <br /> `F~ i. <br />: <br /> ,. <br />ri <br />, <br />, <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ <br /> 1iE0UWEMpMT ~: ~ ~." , <br /> SAMPLE <br /> MEASUREMENT <br /> ii <br />i <br />' ¢t .. <br />~+ <br />x <br />~ <br /> <br />AEOUA6M~lT <br />'~- <br />~b~l <br />0."k.. ~ gg <br />s ` <br />~~€ _ <br />~"A <br />~ .. <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I OEHIIFT UNDER PENALTY OF TAW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE DATE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND fi45ED ON MY <br />A~T INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />!'t'• ~- QQ~YYY THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATON IS TRUE, <br />1 ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />PENALTIES FOR SUBMITTING FALSE INFORMATON. INCLUDING THE fj J~ -~r <br />(,V /L y, POSSIBIUTV OF FINE AND IMPRISONMENT. SEE 18 U.S.C. 4 10D1 ANO 33 U.S.C. SI NATURE O PRINCIPAL E%ECUTI L O ~ ~ ~ QT.~ ~~ ` <br />4 1318. (Paneltles antler Nese stelules may inclutle lines up ro ffe,ODn entl w OFFICER OR AUTHORIZED AGENT <br />TY ED OR PRINTED maximum rmpnsmmerrt olSaMSen6months entl5yevsJ NUM ~~~ YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ell ettachmenGS here) <br />SFE I.A."l, PY 5-7, FCF CETAILS CF TEST PRCCfDURE. REPO FT LCSC - SIATISTICAL PCIN1 E51Il~~B NH1CH I°_ <br />LETHAL TO 5UX CF TEfl ORGANISdS, AND A?TACH ACUTE TOXICITY TEST EPFCRI FCRh TC LEF. CQF7E~ CF EII <br />EPA Form 33261 (09.95) Pr@vious editions may R b!#:use (REPLACES EPq FORM T-40 WHICH MAY NOT BE USED,) PAGE OF <br />