Laserfiche WebLink
PERMR7EE NAME/ADDRE55 (include Faciliry Nmne/Lotadon ifOgerenq <br />NAME FLCF'ETaIhF cFCCe55Ir:G <br />LLC <br />ADDRESSh ~ w ^ L R F L h F <br />1311 5iiE~T>.000 C6I7F: <br />FACILITY EvASSViIL1E Ih 4-)711 <br />LOCATION C .. ~ E 1 C 9. <br />NBST(.Fi r 1 <br />NATIONAL POLLITTANT DISCHARGE ELIMINATION <br />DISCHAP GE MONITORING REPORT <br />r <br />PERMIT NUMBER ols[ <br />FROM <br />on <br />(NPDES) Forth Approved. <br /> OMB No. 2040-0004 <br /> " I N C c, roval expires OS31-98 <br />A <br /> (S;~EF pp <br />5F} <br />+uMBER r F I ~ F L L A" r .` <br /> <br /> ?::U".c :E1 TF5IIFG FCF CC1A <br />DAY <br /> aC <br />~ [1°CHPFCL ~~=~ <br />m2~•i NOTE: Read Instructions before completing this form. <br /> (3 Card Onry) QUANTITY OR LOADING ~ 71'1 QUANTITY OR CONCENTRATION <br />(a ' NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (5461) , <br /><5 Olg-53) (St-Bi) EX OF TYPE <br />(32-3n AVERAGE MAXIMUM ~ ~ UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(s2m) ,wa-YSIs <br />(W-59) <br />69-70 <br />LC S(, STATf1C ULNF iCL SAMPLE :~'`~:: ..,::"% %+'~•'•%'%: ti'>:;=:~'~ ) i?} <br />I: E F 1 C~ A i' Ft's I A MEASUREMENT <br />;p; 3P I G C 'F.`P~R~NI a') Iq~O qr,~: tf- ..:C ~ FIB fll~ <br />hFFLUEn1 i;hC~S YdLLE , <br />. EQUTAEMENT e <br />}p~`"` r~~' +~~ ,.a <br />~ r~~~ `~~• - ;;~:: _ <br />.~ _ <br />m~' ';t: <br />LC'1U STA:i:E 4L`'.F FCl SAMPLE r~:#~;~ 0%L9#L~ tO; CCCr. a:<~~:; 1 ._) <br />i 1 !`. E Pr! A L t 5 MEASUREMENT <br />r'. t. i• C 1 U C ~::;- ~C~". is ... '+ `: " z;; E F ' '<;t ~:L ~>~ ~ 4 ~.. , . <br />FrLUE!•T t,hC55 VALU: ~1~~U~EMENT = ~ e`:, t~.:: - ~'~ #`- '= CFhT ~' <br /> SAMPLE ..~~." <br /> MEASUREMENT , <br />,7s, . ?sip ~ 'i' • . -- <br />SAMPLE <br /> <br />SAMPLE <br /> <br />SAMPLE <br /> <br />SAMPLE <br />1 <br />NAAAME/fITLE PRINCIPAL IXECU7NE OFFICER <br />M a •. e..~c- Y <br />TYPED OR PRINTED <br />COMMENTS AND EXPLANATION OF ANY VIOI <br />HITTING FALSE INFORMATION, INCLUDING THE ~"~~LL '- (y~ ~i-F--}•)Z-) Ipl ~l <br />D IMPRISONMENT. SEE to U.S.C. § 11D1 AND 33 U.S.G SYGNATURE OF PRINCIPAL EXEC NE b (V <br />Ness sRtures mey /ncNde lines up m S10,ODp erN or OFFICER OR ABTHORD:ED AGENT <br />EeAwenSmartks end5yme.) NUMBER YEAR MO DAY <br />'achments here) <br />_. l.~.1, hF L-7, FCF CE.iPi1.`. i:F TEST PFCCfCUFf.. ^E90FT 1CcC - S'1tiTI5".IC61 ICIAT E571M~7E IIH7CN I` I <br />iITF:nL TC 5C:, CF 1ii'1 L:F~AhISC., ANL` nTTACH ACUTE TCXICIT7 TEST F.EECF'1 FC5P TC LFF. CCFI!! CP Pll <br />i <br />• A Form 33201 (083}'" P~revious~editions may no be used. (REPLACES EPA FORM T-90 WHICH MAY NOT BE USED.) PAGE OF <br />CCCG3/59Ci1E-157] I <br />