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NAME TEkRJkRESS,p.a~ K~.nJ PAdYq III IIIIIIIIIIIIIIII <br />ADDRESS FENLYaR CREEY LOADOUT 999 <br />184.0 RIGHIiAY 133 <br />PAONIA CU 31729 <br />fACIIITy <br />LocATION <br />pTTN: BELLY FAITbLEE, JPZ~+4TIUNS 9:.R <br />NATIONAL POLLUTMT DISCHMOE ELIMINATON SYSTEM INPDES/ <br />DISCHARGE MONITORING REPORT (DMR1 <br />1-f 61 17-l91 <br />~JGi1S002i U <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY•~ YEAR MO DAV <br />FROM ' TO J <br />/161!! !11-73/Y I !1677/ !1B-T9/ 1363// <br />Form Approved. <br />Sd:II !'JN; ~1 TU N°~87~°{ZO~~ SN <br />(SUER MC) Approv4 Lpt~70471=98 <br />F - FINAL 1 3 <br />PIINOR <br />"- NU DI SCHARCF (~() Rrr <br />Y N07E: Rssd inetruMims bslws compMlMp this fwm. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOAD/ G:- !4 Grd only/ QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> !16531 154611 ' l38-~51 ~ !4653 1545/1 DF <br />l31-371 EX rsls <br />MN TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM. AVERAGE MAXIMUM UN17S rdT-esi . <br />154581 159-]OI <br /> SAMPLE .3RO:p ppppp7l ;kkp ## ( 12) <br />~ <br /> MEASUREMENT <br />JOJUU 1 U J PERMIT #fip#~4;" <br /> <br />. >::'#~.#.O,fG. <br />~ <br />A <br />~,-:; ,5. '^:.;;.;.. ...#9t#C ~ 9.0 EEKLY 'VSITU <br />EFF'LUBNT GRJSi VAL'J F. REQUIREMENT. .. :. ~~'~ "`~~ <br />~~ ~ <br />:: :. :.:.: :. O'fP'.r <br />!Il~I.lf#f~:;' <br />:.... <br />lCAYIRUti <br />S!1 <br />OLIDS, TOTAL SAMPLE #:piFP ppppp# ppfip~# ( lq) <br />U~ P E: N U E U MEASUREMENT ' <br />U S 3 J 1 O J .. PERMIT ~ C fFp ~ '¢.~ . ~ ~~ M:R ~~~`ar, # r;r <br />,:~?iWfiO~'" <br />~: <br />~5.. <br />7.D <br />( <br />.ytCE/ <br />TRAP, <br />FFLUENT aR755 vALUF, .REnuIREMENT #fi~a . <br />;`~..:,,:.r,,::..° v;;3.ppA. YG DAILY nF 1^•/L +40NT't <br />DS, SET LEA9L" SAMPLE .~0#p; R3PxpR - ip### :iv# ## ( 25) <br /> MEASUREMENT <br />0545 1 0 O .PERMIT ~T,:p#cl 4t. ~ r.'t'~1.y7tp it ;--k i-03-~t art :: . ~tp~t#~ # ~ O,>. ~ <br />~ <br />NCE/ <br />>RAF <br />v <br />FFLUENT GROiS YAL'U.. REQUIREMENT #0.;S <br />~~ {-AZLY rIY !1L L <br />:. <br />- NONF:i <br />N, A SAMPLE Cx;:; t :G~px~.Y ;Y: p~Y-# ( 19] <br />(A $ F E I MEASUREMENT <br />1045 1 0 J PERMIT aMsp~a #p#ptc~I - r-_x p3a4~M-...: :~sD 5.0 CE7 tRi9 <br />FFLUENT GRJSS YAL7E .REQUIREMEN7 4`4C:3 `iODp. .YG DALLY 'IY Rf,/L I.;:•~- #lflNTH <br />ND .,REASF SAMPLE zp .k3;kr 3Rp?Cry pVtr#!# 3#fi #tt ( I9] ~' <br /> MEASUREMENT <br /> <br />3582 1 0 it PERMIT. x '+ti?ri L~!/'t1691#AC #':'s pCra!~:#~I%.':: :~"'fi#p~r:p <br />. 19 "~a <br /> <br />>~, ~IFtIli .RAB <br /> <br />'FFLUENT i;R0.SS VALUg <br />:AEOUIREMENT <br />##as .....:. <br /><: » ? <br />i;;= <br />~~ <br />DAILY C1[ <br />MG/L . <br />'`"` . <br />- '$1t'j. <br />L F U R SAMPLE ( 03) p#pp~0 fi#,'*, 'F; :l t:; ;:Ot <br />. 'i <br />HNU TRtipiRENI PLART MEASUREMENT . <br />005;1 1 0 O PERMIT. TIaR'AL REPO&F piEii~~#', .:'.- ##:A# O Qt•fir,.Gfi sfs LYCLY :i$FA\ <br />'FFLUENT GRDSS VALUE :REQUIREMENT . jDDI . pYG : <br />~ DAILI hI RGD . <br />'+ #*.•R: '" s'r"•. <br /> SAMPLE pp7 <br />k pCp7p4 +i$F# ##fi Ov ( lq] <br />IBS OLYdU MEASUREMENT <br />1` <br /> - <br />10295 1 0 D PERMIT. ~ C 4 firkG ~ #iY-0F tSIYI i?E?0~.'!' <br />- a.i~ ~ .RAR <br />FFLUENT GROSS YAL'JE REQUIREMENT 9tt:<C DAILY CY ^!,';/I. <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM fA FY UNDDI PEMMTY OF LAW THAT I HAVE PERSONALLY EXAMIN <br />MILIM WITH THE INFORMATION SUBMITTED HEREIN <br />MD BA ED MD <br />SED ON TELEPHONE DATE <br />' ~ ; <br />MY INQURY OF THOSE INDINDUN.S IMMEDIATELY RESPONSIBLE FOR <br /> OBTNNIMG THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />~ <br /> TRUE. ACCUMTE MD COM0.ETE. I AM AWME THAT THERE ME <br />SIGNIFILNIT PENALTIES FOR SUBMITTING FN <br />SE INFORMATION <br />INCLUDING ;" <br />~ <br />r <br />- <br />r~ <br />O <br />~ I <br /> , <br />. <br />T <br />PoSSIB <br />T <br />F ~ (, <br />7 l2 <br />I_~ <br />. <br />S p~ ~ (~ I <br />' <br />K 1 I v C. i t ~ 1 lnn. M,.. <br />' <br />' HE <br />IU <br />Y OF <br />NE MID IMPgISONMEMT. SEE t8 U.S.C. 1 1001 MD JO E O P <br />INCWAL <br />UTN <br />E <br />G ' <br /> <br />TYPED <br />PRINTED u.S.c. f tDtY. IPr+rw. urW 8ww mlub. m/r iKA.l. n+a W ro tro,000 <br />i p <br />SI <br />N <br />EX <br />C <br />E <br />di~ <br />~ <br />CO <br />NU R <br />YEAR <br />MO <br />DAY <br /> AM wmlu <br />nun wwiz+vn.ntW NMwnsmarNa rW6ywA1 AUTHORIZED AGENT <br />FICER <br />C DE <br />cummtn I s Anv tnrl,Ann nun or nnr vwLn I wns rnsrsrencs en sttscnmsnrs nerel °'' "~ <br />SETTLEABLP: SJLIDS LI'3I1' APPLIES ONLY IF <= 10-YR, 24-HR PRBCI7 EVENT IS CLAIBED. IF CLAI!! APP4JVED 9Y <br />IiQ^D, TSS^5-IRUA-LItlIPS GILL NUT 8E APPLIED TJ REPUdPEO'7ElS0iiEGcUPS--S E i.B.lA, VG 5 AHD I.N.lp, PG 5. <br />I-95) Pravlow etlrttona mey t <br />.. :~ <br />70819-125V <br />PAGE 1OF <br />