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PERMITTEE NAMFJADORESS (/ndlde Facility NanINlocatbn iJOiJferenq <br />NAME F1CntiT'AIh; FnCCtS.IN,: LLC <br />, <br />ADDRESShE.II :LK lIhE <br />Lill F.hEhTACCL CEIVt" <br />EYAhSVILLF I6 477713 <br />FACILITY <br />LOCATION - <br />.t S' <br />C <br />h ..i <br />C C i. ; <br />. <br />, ` <br />r`.i~iN: AL FEhhY, !'fAeCri- <br /> (3 Card Ony) C <br />PARAMETER (4a~53 <br />(~~~ AVERAGE <br />r,l <br />LCvOu 1 0 L <br />`_FiLi;kh7 Gk05= VP LC <br />JG:~HE.hC~cL' <br />.t!LUE!,7 .;MOSS YALC <br />I'~i.N, TCTAL <br />(F: Ft) <br />Glt;'~S 1 0 C <br />r•FFLUE;i'I GE,G55 YALC <br />C11 FhC, G!IE.ASE <br />f. i~6: 1 0 C <br />LtFLGEh7 4h(iSS YELL <br />ECG., Ih CChLOI": CF. <br />,--: :,i; 7dEA7"~k'rI FLdh <br />~Ul~~ I G C <br />iltLl;E'~7 ~hCS,S TALC <br />:,ti ~KL '~;nASf <br />Yi~LAL <br />r4Ct:C 1 U L <br />~.!rLUE!•'I ~5C5~ YALC <br />SAMPLE ~ ~ ~ ' <br />MEASUREMENT <br />SAMPLE •' <br />MEASUREMENT <br />SAMPLE <br />NATX7NALPOLLLJTANTDISCHARGE EIJMINATON SYSTEM MPOES) FOrtn AppTOVBd. <br />DISCHARGE MONITORING REPORT (DMRI OMB No. 2040-0004 <br />tz.+el nr~ W C I N C h Approval expires 05-31-98 <br />'-' 1 (SUFh eT) <br />RMIT NUMBER DISCHARGE NOMDER f - , I L A !. A `_ <br />MoNITp ERIOD ~ ' "~~'~~ 1C FChEA1C7FF FTYfF <br />YEAR MO DAY - YEAR MO DAY <br />~~~ <br />•~ ` <br />C>: '~"-~ <br />NC L]9 <br />FROM Y L L t ~ <br />(PB-2lf Gaze/ law+1 NOTE: Read Ins <br />(20.21) (2443) (2445) ns befon~ completing Mis forth. <br />~ <br />Y OR LOADING p card ony) QUANTITY OR CONCENTRATION ,~ ~ ~~ <br />" N0. Fal:ouEN SAMPLE <br />(Sd-61 (3945) (653 54 } ~ EX OF TYPE <br />MAXIMUM ;_. UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />rezml avuYSla <br />!aa-ea) <br />89-70 <br /> ' <br /> ~. <br /> <br />~ <br />~ranoo iota{{ ( 15) <br />^:017 i+0#_ as <br />a :,• ,. ~, <br />~..: <br />PFy()MI~." JAI j ; ~ ~ ri il~e <br />SAMPLE +i Lr,. •:At vaYa 'I ,. ~ ~ r, :'. ~: +{ at <br /> <br />SAMPLE ~ ~ ~ I C3) ~ a44'•';' I {Ci{{'' <br />]k1113EM~l1F ' ; 39 7 ~~'~ ! c n <br />SAMPLE Cr, ;.'.a;: ( 4i!) ~=`aA00 carat';' <br />\SUREMENT <br />NT :~ ~ k; A C = G ``, <br />SAMPLE <br />MEASUREMENT <br />(~\ <br />'G/I <br />( lc1 <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO NALLY EXAMINED AND TELEPHO <br /> AM FAMILIAR WITH THE INFORM ATION SUBMITTED HERE IN; AND BASED ON MV <br /> ] <br />l y <br />1 Q f ~ INQUIRY OF THOSE INONIDUAL <br />THE INFORMATION, I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMTRED INFORMATION IS TRUE, ~ <br />~ ~~ <br />/ <br />/ <br /> ^' <br />1 ACCURATE AND COMPLETE. 1 AM AWARE THAT THERE ARE SIGNIFICANT ~ <br />~ <br /> <br />/ PENALTIES FOR SUBMnTN <br />POSSIBILT' OF FINE ANO IMPR O FALSE INFORMATION, INCWDING THE <br />SEE 1B U <br />4 1001 AND 33 U <br />S <br />C <br />ISONMENT <br />S <br />C <br />PRINCIPAL EXEC IVE <br />TUR O n ~ <br />U o`..(_ <br />O <br /> (., ,~ p ~ 3+ <br />P <br />lS <br />V . <br />. <br />. <br />. <br />. <br />. <br />. <br />000 e"d or <br />lude fines <br />ro ff0 <br />f <br />I IGNA <br />F <br /> <br />' § 1 <br />9. ( <br />ene <br />es under <br />ase s , <br />ss may <br />nc <br />up <br />(etu OFFICER OR AUTHORRED AGENT <br />NUMBI <br /> TS <br />PED OR PRINTED madmum impnsonmeM OlbeAree nBmm~au end5reers.) <br />:OMMEFITS AND EXPLANATION OF ANY VIOLATIONS (Relerence ell~ehachments here) <br />DATE <br />59 to ~g <br />YEAR MO DAY <br />~~ LAY AV.hAi.E I5 t1CtLSI CCNT1iLY AYG. DUEIEG pEM1CC niFCr7~L. Cit :. GFf6=;: - SEE I.E.].[, E. 5. <br /> <br />EPA Form 3320.1 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) 0 C 0 0 2 / 5 9 G 7 ] t - 1 ~ "s I PAGE I OF <br />