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PERMITTEE NAME/ADDRESS (lnc(ude Fpci(iryName/Lpcadan ifDIJ(erenq <br />NAME FIC;<.1:TKIFf 1nC(EE~ING, LlC <br />ADDRESS N L k ELK C i K E <br />1.111 YFEATIICCC CFIYE: <br />EYAf•,JYILLF IN 4) <br />FACILITY <br />LOCATIONw E S :' C M1 C C E; <br />P;Tf:: AL Fk:RFY, r.AhecEF <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MP~sJ Form Approved. <br />DISCHARGE MONITORING REPORT IDMR „ OMB NO. 2040-0004 <br />tzasl fn-;el I n C :~, Approval expires OS-31-RS <br />PERMR NUMBER DISCHARGE NUMBER . i• - F T F F L C A t F <br />11 MONITORING PERIOD F}1NCk'F FCF;, `~/FCFCA7C1kE F7YEF <br />` i ~ MO DAY YF3+R MO D ~ '' ~ ~~~y -; .; , <br />FROM T y'r d+~~ irC L~iE)FCF ~\1 <br />rzo-z Rz-z91 Ra25t ae-vl (zazel (3631) TE: Reed Instructions beforee COnlpleting this form. <br />NO FREOUEN SAMPLE <br /> (3 Card Ony) QUANTITY OR LOADING Ony) QUANTITY OR CON TION <br />TYPE <br />PARAMETER (4B-53) 5487) 3Bd5 <br />~ (48-53 54-81 FFJC1 OF <br />(32-3n AVERAGE MAXIMUM UNIT ~ MINIMUM AVERAGE MAXIMUM UNTTS <br />r5~~( ,wuysls <br />se-se <br />ss~o <br />I, <br />SAMPLE <br />- .:. O <br />t r r {: {: r, , <br />+i r "' <br />( ] i ) <br />C04U;; I 0 U a <br />: <br />'~~ <br />P <br />1' <br />t~ <br />E <br />~ <br />h1 <br />~ 3+6~+p- _ Lt+: ~~' ~~ ~ ~ <br />k T L C E [. 'l V n u J~ YALL .{ <br />E <br />y <br />1 <br />~ <br />(~ <br />~ <br />i. <br />~+ <br />{1p4141111~1•~G~ , <br />' gyp- ~! d A -~ ~ ~ C L a'~ ,i t-i. <br /> <br />SCLIUS, Tf,TA SAMPLE dc~+a~» _ {;":v±t 1 ]5) <br />_° l: ~ P k~ C t R MEASUREMENT <br /> y~ <br />cFFLLLr~T eNC~e eALe YI: ~~ .~.~ ._~~' -.. xx.r! ~'- _A~ - re/I ~ ri„ , <br />`I_LILS, 'ETTIk.AiL SAMPLE ,.c~:w:> ar,>„ AlAC+ :z`':r,' ( ~`-) <br /> MEASUREMENT "s <br /> <br />"'~~` <br /> <br />~` <br />i ' <br />a <br />~ <br />""-4 <br />r *. <br /> <br />x <br />~~" <br /> <br /> <br />; <br />?. <br />ErFLUtNT G9r]<< YAIL QDIl3~iE<N ' <br />.... ~ FF/I s <br />~ <br />1F.C1:, 'l'CiAL SAMPLE JC,'.Adq r'{ <br />y [{ dd 1 1~) <br />(P~ FP) MEASUREMENT <br />J1u4_~ 1 L G ~ ~iMl'C-`" r,{+: , r ~ ~~~ ,~ , <br />CkFLUEG1 GiiC5: YALL ~~'QUIREM~NT {:+:~~ ~ ~_ CC/I ~' '~ <br />C[i AEI. Gl, E-ASE SAMPLE r: ~^dd Aq^*r'f*. -. ., OOA4t^ ( )`:) <br /> " <br />~ <br />~ ~ <br />" ' <br />~ L ' <br />` <br />tFtLUEt:1 CHCS` VALU ENT <br />~Fd <br />.F>)U <br />. . <br />. .=l ;r, :; :; ~' ; <br />- <br />„ CC/L 4„, ~• `~~ <br />kLC1+, Ih CGNCUI7 LF SAMPLE I !.3) ..;~`tt >"i48+:+)ri {•^{r, r,{ <br />7 r' <br />h J 'i h E 6 T t5 F <br />B S F I A F MEASUREMENT <br />. <br />. <br />'~CUS~ 0 C _. <br /> <br />~ ,~. <br /> <br />,; <br /> <br />~ <br />4 <br />:: L'^ <br />x <br />_ <br />F <br /> <br /> <br />tFLVES.I C~GSS VA1L <br /> <br />~~'!l1f~iEM~N1' <br /> <br />~6~~,';` <br /> <br />' <br /> <br />tCL <br /> <br />.. '; <br /> <br />.~~r <br /> <br />K~{r . <br />~:, <br /> <br />•- <br />CIL nNi: .,heA:iF SAMPLE x0944+) ( 44) .... {i1C :'I {: ^>;;; ;+~ <br />Y i . v r~. 1 MEASUREMENT <br />I YrJ F'U I V b I -`~ Fn_'1 ~ ~ ~i 3'" <br />~ <br />~~ <br />~ ~ - <br />`°x <br />~ <br />~rFLUE.T Gres= vAIL "~ U)~1Etv5k~rJT ~ >~ n.[`~~:, .~~~ ,,{r <br />x <br />~c=C '~~ <br />~ <br />~ <br />i . <br />NAME/TITLE PRINCIPAL E](ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WffH THE INFORM TELEPHONE <br />PERSONALLV EXAMINED AND <br />UW THAT 1 MAVE <br />ATION SUBMITTED HEREIN; AND BASED ON MY DATE <br />INQUIRY OF THOSE INDIVIDUAL <br />~~ ~~Y r y THE INFORMATION, I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />~`~/ ~l / ' ,.f• <br />E THE SUBMRTED INFORMATION IS TRUE, <br />" <br />• <br />1 ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITTIN <br />M q n h r POSSIBILfTV OF FINE AND IMPR ~' <br />1 AM AWARE THAT THEnE ARE SIGNIFICANT ~ ` / <br />~ /U <br />`~ <br />G FALSE INFORMATION, INCWDING THE L p y,~.~, <br />ISONMEM. SEE 1B U.S.C. 41001 AND 33 U.S.C. SIG TUBE OFPRINCIPAL EI(ECUT g F2 7' / ,T' , <br />q <br />1 0 , <br /> 000 end a <br />Include fine9 up rp 510 <br />§ 1318 <br />ndo/ Ness sfefules me <br />P <br />l(i <br /> , <br />y <br />. ( <br />ene <br />es u OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />PED OR PRINTED madmum,mpdsonmeixWSenreen5momhs e1M5y6ers.) <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />;I_ LAY AvEnAL~E IS EICFE_T Y.CKTHIY AVG. UOFIFr FEFICL' hE'FCF1cL. LI1 E CFEntiE - StE I.B.I.i, F. 5• T55 i; <br />TC'LAL LhCh LICI'I° ~3IL cE wA.IYEC, P."1C SFTTLEAL•Lt ~CCILS LI6IT5 AFF17F:. FC,? <=lOYF,:4dF FFFCIF EYEF7-_FT".• <br />'( , t f l C 1 T T 1 1 T 1 T r n \ T \ ~ ~ /` <br />EPA Fonn 3320.1 (08-95) Previous editions may not be used. ~~ ( EPLACE A ~b M -4b W ICE) Y N ~'rBE '•) Q~, C 0 7 / 9 9 C 7 ] E - ] ` ~ ] y - d E' 3 ' OF <br />