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PERMITTEE NAME/ADDRElS pwebi!«WgNwWLerrw VDlsiwd <br />NAME '1'.CII"4'YtiILE COhL ~GMNANY <br />ADDRESSFt~H C!iEk:K 7'1t'VLF: <br />64515 fi0117`l' L'OUIVTY i?IiAG 12/ <br />~6h: Ci,E:k.K CG UU+~G7 <br />fACam <br />LOCAT1D'(!„r, [: Ht:ari CU tlUu67 <br />"l r.: n]i:dxkU A. ?:I 1.1.5_ 15A IUAGPIi <br />Form Approved. <br />NA71p1AL -MLVTANT glU1AA9F fLMINATION lYRQI /VPOf$l OMB No. 2D4DOORJ <br />DISCHARGE MONRORINO REPORT /DA~RI <br />MINUR <br />(SUUH JC) <br />PERMIT NUMBER alcNAAOE NIIMefll F- f 1 N A L kvU ;''f <br />MONITORINOPERIOD ACU'f~ ~E'f 'Ct:UTING t'Uk UUlA <br />YEAR MO DAY YEAR MO DAV , <br />FROM UI Clk+ U TO U `i 3 4br% NO UL $CHARGt ~~_~ r2,,,,'/' <br />„_ NOTE: RAed MIeWeUorr Er.lorr, compMtM10 thb loan. <br /> <br />PARAMETER QUANTITY OR LOADING pUALITY OR CONCENTRATION NO. RIfOVENr SAMPLE <br /> . <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE ~ MAXIMUM UNITS EX 'YVAIr'S! TYPE <br />wo s'rA•rae I:UNH,~.:Tt.U <br />' SAMPLE yo4P34 r:oauarx ~4>k~~?tf Orkpe.~AF4 <br />~~ 2:1 <br />( ) <br />/ <br />~'~ MEASUREMENT / <br />. A.1 ', yu PERMIT::;::'. :rxv gH_ <br />~~ :'~t.'f .:nU:;S ~A'LUL REQUIREMENT.: <br />.... f,prf CEN' <br />_L'~il ~IA'L'iiG HGIlH AC[t SAMPLE 44~Ori ~% t+trgr Y.44 11'~ -~ w4C1 GR< 4V~1?.'e ~3$ <br />~~ ( 2 ) 1 <br /> MEASUREMENT Y"' <br />~ <br /> <br />.n;. <br />G l~~'tI~-U '::.PERMIT::'. ~!4 E'it- <br />` <br />, <br />' t' _ ~ ii F PI 7' r; k l1 ~ _~ U L ~.kEQU1REMEN7. ti4 ati tit C 1: d <br /> <br /> <br />. ~. 7 r <br />G L i^f<(~ -= r ^ ~' G I>r~ SAMPLE <br />MEASUREMENT <br />„ <br />iJ T <br />o ` <br />ivn / / <br />~ <br />ylZ <br /> <br />,.r, 3 <br />r C~.c~cG.7,IHNr,a <br />.:;:.::: PERMIT.: <br />'~:~ <br />tJ <br />T(- 1. J ~ .S o Z. - <br />.:REQUIREMENT; t <br />3' <br /> <br />,f ~ ~{l.T St;.i(G )Cad <br />I SAMPLE <br />MEASUREMENT <br />~ p <br />A <br />'~ <br />~OO O <br />,C <br />(•f1 <br />,.~.~. Ci; l'i~IC. S• :::.:PERMIT ~. ~:~:.~i <br />~ nl,1f <br />IV . <br />I-;_ r(C S () Z REgUIREMENT <br />~ <br /> SAMPLE <br />MEASVREMENT <br />'~' t FI <br />C ~~ J <br />1 <br /> ` , _ J <br /> .::'PERM.LT::: ~::'. 11 <br /> >AEdU1REMENT <br />~~~~~ <br />SAMPLE <br />MEASUREMENT <br />.:: PERMIT":~~' <br />~REOUIREMENT <br />~~~ <br />SAMPLE <br />MEASUREMENT <br />'. PERM17'.:::' <br />AEOUiREMENT. <br />NAME/i1TLE PRINCIPAL EXECVi1VE OFFICER ""r• rynuq .. Na Yrb nrl .n.an ab..n TELEPHONE DATE <br />-nMrw . near ni Nrecrrw «rpr.uw b.®renr..lm . grrer antra <br />ff ( <br />. I! . I ~ re an rent ~wefM pmnrl ynpdy prMr eN nnaere M Inrarnwrbw - <br />remm.a <br />l~e.n nr e <br />.u. « <br />m <br />w rA. <br />rw.n <br />wrn <br />u <br />1 <br />I ~ i ~, i ~ . I l . <br />y <br />. <br />.a. <br />..f.u.n. <br />n <br />w <br />w <br />u <br /> « <br />nw fnrerw sn.nry r.rte~reb r« V nennt Ne innrm.aw, We nrarweon [; S <br />?L 4 ~ ~ ~ f ~ <br />rsu.uw 4 u ue bl o~ n <br />e <br />e <br />e ew <br />ba <br />r <br />r <br />~ <br />3 <br />! , ! ` Y \ }, h ~ // i ,: / <br />' r <br />n <br />wn <br />p <br />e <br />. <br />ne. «avnb, nM mnipere. <br />lun.nnn uu rernmeMnrnr -es.lrb nr remuun <br />IIONATI/RE OF -RINp-Af fXECUTiVE <br />nb.nnrn.wn 0 U <br /> f <br />, <br />err <br />r <br />TYPED OR PRWTED n <br />q tee porauri rnr..a rmoa.wrr«r«ew.rnf .w.uya OfF1CER OR AlIT110R¢ED AGENT BODE NVMBER YEAR MO DAV <br />JOMMEN I5 ANV [AltJenw r run yr nn . .rvcn r tuna rnerermce rrn errrcnmmra nerq <br />,.: t' i..! LCUU - ~'fA'!'ti'fLCAL PGItI'i' LST1HAn,'E: kkICt! i5 Lc'ff!AL 'fu SOt OF 'fk9T UkGANISH5, ANli A'1'1'ACi, ACUTE <br />:.1u.t F '1'E:5'1'r•' FDh'1' 1GHR Tv Ut1k. <br />i <br />i~/ ti <br />J <br />:PA Form 3320.1 (Rev. 3/99) Previous editlons may 6e used. !I (1 ': 71 i nTRIsv14 ~ M1+P9~ )GrtD. PAGE <br />