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PERMITTEE NAME/ADDRESS (IncladeFad!lryNa'mNLororionlfDigoort) <br />NAME BLUE 1100i1TAIN ZNEP.GY, Iti~. <br />ADDRESSD:'SENAUD '7IRF. <br />D60/ COUt:TY ROAD b5 <br />FACWTY RAp"LY CD N164P <br />LOCATION <br />A TTN: JEEP UUUdEHi <br />PARAMETER - <br />I SAMPLE <br /> MEASUREMI <br />JLLOU 1 J 1 <br />FFLUENT GROSS VALU <br />DUDS, TOTAL SAMPLE <br />USPENUI:U MEASUREMI <br />U7lU 2 U U <br />t'PLUENi Gft0~5 YALU <br />c <br />DUDS, SETTLEABLE SAMPLE <br /> MEASUREMI <br />u5u5 1 U U <br />YPLUENT GRDS:a VALUE <br />I L ', ~ R h' A 5 E' SAMPLE <br /> MEASUREMI <br />U~Sh 1 U O <br />..°FLUENT GHDSS VALUE <br />rIDN, TOTAL SAMPLE <br />(A 5 F y) MFASUREMf <br />IUU~ 1 U O <br />FFLIJEAT GiiDSS VALUE <br />LOW, IM CONDUIT OR SAMPLE <br />:1H11 TREAT`EyT PLA!I MEASUREME <br />OUSU 1 U U <br />FFLUL~NT GRDSS YAL'JE <br />DLLDS, TOTAL SAMPLE <br />[SSOLVED MEASUREME <br />U29S 1 U U <br />fFL'JENT GROSS VALUE <br />NAMERITLE PRINCIPAL EXECUTIVE OF FICER I t <br />AVERAGE <br />atx324a <br />~.~ . <br />NATIONAL POLLl1TANi DISCHARGE ELIMINATON SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR) OMB No. 2040-0004 <br />"I::;i: <br />(SvHi{ M1M) <br />PERMIT NUMBER DISCHARGE NUMBER ~_ F T V A L <br />RHLAF <br />PROM <br />MON K RING PERIOD <br />YEAR MO ., A 1F `~ YEAR <br />0 MO DAY <br />{~-: LOAUOUT TO RED MASH <br />`:a: ED DISCM 6E ~{ qaa <br />NOTE: Read lRStr~ Rs befo~9L~IRpleting this form. <br />f OR LOADING QUANTITY OR CONCENTRATION ~~ NO.~~ FREOUENC SAMPL <br />'EX OF TYPE <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />a0acaa ragc,:... ( 12) <br />~ 1. <br />,~, a ~, EI <br />..s :. ".~- nr,x w.,'k4 :r, 0000 ( I'+) <br />;F :~ <br />aasxao +saaaa aaaaaA ( 2;) <br />n :t <br />at-~•ztxa a:;:xaaa ,:::ya~~a0 oaaaax ( I~) <br />ri:f 0~,aa a000aa ~iv O~x 0tr ( 1~]) <br />t~:: <br />a:;: ~!, ~ <br />( DJ) =:arena 6001ta0 't04:s 4; <br />x:` ~ <br />acac:aa afiaaaa s•~a:ana ( I9) <br />:x a <br />0na <br />Sc ~ 1 1 (~ VI S~~ t preperetl unGer my direction or euparrisioR In eccortlence with a syrtem deslgnetl <br />to esaae Ihat Welifetl Personnel Pmpalygaha and evaluate ale Inlgmatlon ~~ <br />submMed. eased on m/Mqulry a{the pa[eon or persons who manage the *Ys~an, <br />p those pereorte dlrecby reepanslble for gethaing the Inlormation, me irrtonnetlon ~ <br />F ~)aa eubmktetl ls,to the bestdrlry a,owledge end ballet, We,eaurate, end complete. SIGNAmRE OF PRINCIPAL ExECUTIVE ~ O G <br />TYPE OR PRINTED Ian aware roar there ere 9lgniMCant ppnalliea for submMting false hb,mation. OFFICER OR AUTHORIZED AGENT NUMBER 'YEAR MO DAY <br />Inclutlin the asslbl fine aWl sonrnem br knowln vlolaaons. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments hale) <br />::i~ TOTAL IRD4 LIl7ITS JILL EE +tAIYED, AHD SF.TTLSAI-L F. SJLIDS LIMIT APPL?°0 FD? <=lOiE,2uHR P&£CIP EYEN'I- <br />:iiiC I.A.1, FG V, FOR ndvUI8Et7EHl5. ~]IL E GREASE: nF.PDE?TI~~~;-SEE I. 3. 1. F, P:: VII. ~&TdLY SASPLIdG <br />A or 3 9)`Prevlbus a Trio s flay be used. THIS IS A 4-PART FORM PAGE OF <br />-:.:.:h:~~,a.: _ ..,...' _,°"°"-, - ...,~:._...... _ 001741350 1 <br />