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PERMffTEE NAME/ADDRESS (Tnchrde Faciliry Nmw/Goralion ifDifferenr) <br />NAME F1Ck:tIYLFc (nCCES.`Iti:,, LLC <br />ADDRESSN E M ELK .`. I h E <br />l~li BAchT~CCC CFIV~ <br />fVRN9yILLE Ik. 47711 <br />FACILITY <br />LOCATIOFESTCN CC t1L"I <br />AT7N: RL EHi:Y, P'A;+FCEF <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) FORn ApprOVed. <br />DISCHARGE MONITORING REPORT (DMR; OMB NO. 2040-0004 <br />R-rs~ (ar- a/ Y I ~ C h Approval expires OS-3T-98 <br />rr (`:GFF SE) <br />PERMIT NUMBER gSCHARGE NUMBER F_ c l A (I L P t P ~. <br />MONITORING PERIOD FrJnCfF FCEL 7/FCFCPICIFF FILiF <br />Y MO DAY YEAR MO DAY <br />FROM TO - =' '~C II`CFAFCk ~__~ {;{ <br />(~ zz~zs) (z.-z5) Razn as-zel Boar) A ~ NOTE: Read Instructions before completing this form. <br /> (3 Cerd Ony) QUANTITY OR LOAD (a Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (a6-53) 5461) (38J5) 40-59) 54-81 EX OF TYPE <br />(~~~ AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNRS <br />rbxa0) 'W~~/s <br />(B4-BB ~ <br />80-70 <br />Fr: SAMPLE <br />MEASUREMENT "" <br />w ~ A~ t A n, S <br />~, 3 I 1 . ) <br />Q <br />I~> <br />=~}T <br />e~uuo ] c c ~,R~R~fI~-~" = ~'~ e.i~t~ ~a~ a>Q># <br />. :;:. >i.-•,u ~,~~,,, :,~ 'n, l~ ~rttx i~SI't~ <br />EFFLUfhT G}iCCL yALLE ~~UTFfE t" <br />... '~ ~ <br />" {r,;:~ ''~ ._ c1 <br />:iCLICS, TC'IRL SAMPLE •. ••.. .• '' >o00t1 tc <br />( ) <br />~ <br />G~ <br />SI,SF'iNUFL• MEASU <br />R <br />EMENT y3Q Z4s Q 1 <br />3J <br />(/L jjI1 1 lr V ~y <br />~g <br />~~+'+~~-,E,t IimfF~~ ~.~' ~~ ,y <br />~>~~~.5~`5~. <br />,- {•'. :: <br />~"` -, .~fF"~ ~~~'`" <br />EfFLUE1~1 G5C;;°_ YALE T+eQ ~MENT {t.{ : F6/L <br />`GLIf`., SiETTLEF~FLE SAMPLE ~'::~^.~:: 4:'A>rnL bq~ir?{+ ( eC) <br />/ <br />G P <br /> MEASUREMENT Q, y Q I <br />3U . <br />CL54S 1 G G F~`FIMI:': 90®rfil~ R>pII9Y>dr; ~::-: C Cd/ Ea.~ <br />EEFLUEbT GBCSs YAILE ECIU1pEMENT ,{ ~ `r2 F[ [ <br />[ h (: '1 , I L T A L SAMPLE Y,.:::; :...: .. .. :~ ~i t' ': q O ( ] 5 ) <br />U <br />I <br />(A F E) MEASUREMENT ~L1, ~ ZI.9 I <br />3~ ~ <br />C1G4', 1 C C ~~: :.fCIb6Yk+D1p ~OxO~64 <br /> <br />~ ~ <br /> <br />~~ <br />~; . :Al~- <br />tFF1UFt71 GACS= VAILE ~ NT ~ > °="•' (1 L <br />.,. <br />~"~~ <br />'ice Ahl: I=HEIISE y, Y, z;.. -:::., .~ .~ •,~~~ ''{"~Q~ R'~"O i'dC L~ ( 15) 1~3J !`i 12 <br /> MEASUREMENT 0 <br />I' ~ a 1 I U G ;; °'-. ;'. .. ,4tw~l+G+6!6 ` ~ 7}' >Ik~ _ .. ,}.8 <br />~" <br />tFFLUENT CHCS, YALGE _ :~NI~ ~` ~ ~.<P!i *~~ . I'G I ,'"~= <br />h Ll:w, LN CONCCIS CF SAMPLE I '%=) •^~~^'~ {{p{. {: •; :~{{:; e; :; <br />~ _~~ <br />;.'t+V 1dLf TnEN7 FIANI MEASUREMENT Qe Ob7~ O, <br />Q <br />) <br />Z~ ~ 7 <br />( <br /> <br />`. ~ v `J (I I U L <br />> "rtr a <br /> <br />~ p <br />~~ <br />µ <br />rah P:'i.4 - <br />~ #~ <br />s <br />Q C { ,~, ~p~yy,y <br />.T i.~:)F <br />.FFiL'ih7 GH059 YAIIE I ~'";~ <br />~ '~ ~~s~~' PCL' -" {~~ rz '~ <br />w <br />i,!L nN:' :]6'EASE SAMPLE f,. ..a;. ,},,. ( S4) .. {*i+i{.Y :{:tt{ / <br />7 ~r <br />Y! j it F. L MEASUREMENT Q ~ F <br />1Lh, I U L •~ ~ <br />: , <br />: , <br />,{>< <br />,f ~~" <br />,ti E`-I ° <br />~ ~',~# <br />~T ~r <br />ri~L(rEi.l i;F05'_ YAlli 1*r~ , <br />l~F <br />rL <br />~ ~,z <br />~x~ '"DC=G `:s. ~`' "~,tt{ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE DATE <br />AM FAMIUAA WITH THE INFORM ATION SUBMITTED HEREIN; AND BASED ON MY <br />11 INQUIRY OF THOSE INDNIDUAL <br />)~ a r f THE INFORMATION, I BELIEV <br />A . L S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~ / , <br />E THE SUBMITTED INFORMATION IS TRUE, ~~ 1 <br />. , <br />1 ACCURATE AND COMPLE rE. 1 AM AWARE THAT THERE ARE SIGNIFICANT T N <br />PENALTIES FOR SUBMITTIN <br />q n c / POSSIBILfrV OF FINE AND IMPR G FALSE INFORMATON, INCLUDING 7HE n `~. ~~i <br />ISONMEM. SEE 18 U.S.C. 4 1001 AND 33 U.S.C. SYGNATURE F PRINCIPAL IXECUTIVE ~S I~ ~ q p' <br />~ 1 J a <br />ED OR PRINTED ~m~m m~ o n~i ent or ~rwse n B monua~entl5~i~J~ up b 510,000 arM w OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />~'i ('RY AVfFAGE I` EICFE_-T TCNTHLY AVG. DUFIFG FF.FICC F~'.FCF:EC. :.II :~ C;FEA~~E - ',F I.i..].[, F. `.. T`_C t <br />'iGTP.L Inch LItI75 ~IIL F YRIYEC, RNC SETTLPAFLf SCLiCS LII''IT° AFFLIk1 FC:•. <=1CIF,~4tiF FFFCIF F~EN,1-_E11. <br />EP711-orrrr~33~b1 (Q9~J5) Arevlous a itions may no be used. • C A R T HICH Y OTB U$ d.)` ` ~ " ""' '~ ` A ~ ' ' r <br />00009/99G7]E-15i~^ 1 <br />