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PERMITTEE NAME/ADDRESS (fidude Facility A'ame/Locarian i/Di~ecrnr) <br />NAME tlLUE: '•'JIIhTAIN t: 'Jth:;Yr 1VC. <br />ADDRESSU h'S^:kyJ.t ,:IL4; <br />FACILITY <br />LOCATION <br /> <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMA) <br />~n tnn~ ~, <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO L 3 3 1 <br />Form Approved. <br />OMB No. 2040-0004 <br />'I':~R <br />(i7'1R :U) <br />F - F'I i•A7. <br />A.':UTF: w;: !' ?CS'fIhG FIiH 02b <br />,NOTE: Read Instructions before wmpleting this form. <br />:~:±Ln <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX of TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS avu.YS(s <br />L,.jJ +:ACP'. '4tl,.. AC SAMPLE ~re:;:'~ a,r.y^•4*.: :.+.::' :a :. ( 21) <br />.. _ ± 1 J ii r fi ', f 3 MEASUREMENT <br />" ', -~ 1 i U - YEEIMIF- : "+.r . 71 O ". =#*~aFSr ': ~ ~P .S ' ;- ~ " tlnb ~k#~~ : ` ar#'hs'-. XrYS - <br />, ~'r ". <br />.+ - <br />.. <br />Y L U r ~ T G :: "7 5 5 V A L U AEOUIREM~NT ~ '. :f ='. ; '~~ !1 N Y~ LQ B ~= ' 4 . <br />" _', ~ e ' <br />L'~:1 >"A1'k ~d~.'n A,l SAMPLE :,.::a:: ,-,~`--:=a --: ,.,.... .., ( ~~ <br />.. S; .^ r A L 1 ; MEASUREMENT <br /> J. <br />. <br />r... ~ -,T !, :c .i~~ Y?LUc REQUIREMENT ~ : ~('~#~(j(r ^'- v. ti• <br /> SAMPLE <br /> MEASUREMENT <br /> ~:`• PERMIT : ~~ - +' ' . <br />~ <br />` <br /> REQUIREMENT _ ''" ~ <br /> SAMPLE <br /> MEASUREMENT <br /> '::PERMIT:` <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ''~ERM1T~' ,. n,.,.- ." ~-, <br /> REQUIREMENT '" ~" F' '' <br /> SAMPLE <br /> MEASUREMENT <br /> N ~ ~ ." - - T <br />" <br /> REQUIREME <br />T ; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br />_,.. ';' -. .. ~ :-. <br />•- <br />r <br /> <br />~ ' <br /> _ <br />REQUIREMENT - ." ~ .., .. ".-... ;- - „ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER iCertily under penalty of law that mis tlocument end all ehachmenLS were <br />tl <br />tl TELEPHONE DATE <br /> <br />j ~ r~ ~ ~~ f l r f ~~ preparetl untler my tlireaion or supervision in accordance with a sysem <br />¢signe <br />to azsure that quelifietl personnel properly gather antl evaluate the inbrmaaon ~) <br />/ ~ ' <br /> submittetl. Based on my inquiry o1 the person or persons who manage the system, <br /> the inlonnmlon <br />or those persom tlireclly responsible br gathering the information <br /> <br />-~ t) . ~ t 7 G1 , <br />sdbmmed is, to the best of my knowletlge and belie( w¢, aavraze, and mmpleta. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />% ~U _ /' <br />~ `~ ~ <br />O <br />/J?. <br />6 <br /> <br />TYPED O ~ PRINTED I em aware that there are significant penalties for submitting false inlannallon, <br />Inclutlin the ssib~li ¢f fine and im risonment for knowin violations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />,.._ ~A4T I.'~. ie .°~ V1iI~ `~i ..'S:L. .7F .:: T, PPaC~DLk"'. ., iF03: LC`r.r - .., 'iI,: _ INT ~.,'CI: p. 1' ,•;fC!f <br />. LF'TinAL f7 SC+ ~~F' CES'f )lt,Ayi~' ~;, A;Un"; A:. ii FCC."F. T~ ;ICZTY TEST ;Ei+i~- )„ ~ .. :, ^^f7~.=, ,.~ <br />t L 1. <br />EPA~FOrm~'032U-1 (REV 9/99-f TPrevious e~tioris may be`used ~ Tl-IIS IS A 4-PART FORM PAGE OF <br />