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PERMffIEE NAME/ADDRESS (Include Faciliry Nmr,Nlocanon ifDigermr) <br />NAME PICSeiLlnk FnCCt':'ING~ LLC <br />ADDRESS N E li ° L K L I N E <br />1311 EAFN7.LCC CFIVE <br />EV'AhSVILLk IN 47711 <br />FACILITY <br />LOCATION t 51' ~ I, C 0 61 C 91 <br />417!1: 11 F!.i,hY, I!AFFCL•F. <br />NATONAL POLLUTANT DISCHARGE EUMINATpN SYSTEM (NPQES) <br />DISCHARGE MONITORING REPORT (DMR; <br />(z-151 !n- s) <br />A <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONIIgRING PERIOD <br />YEgR . 'MO D~A' YEAR MO DAY <br />FROM TO '~~~ CS dC <br />(.021J '. J), 1RbY5/ (364]J (Z&18) (3P31J <br />Form Approved. <br />h' : ~ C h OMB No. 2040-0004 <br />Approval expires 0&31-g8 <br />(SUFF. EE) <br />r - FIn1[ LAMAS <br />1'It;E ~ATEF TC AFACFF CANICN <br />NOTE: Reed Instructions before completing this form. <br /> (3 Card Ony) QUANTITY OR LOADING ~ (4 Cerd Ony) QUANTITY OR CONCENTRATION NO. FflEOUENC SAMPLE <br />PARAMETER (46-53) (54-6p 38-45 4&53 (St-61) EX OF TYPE <br />(~~~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS ~J ~6q BIS. 6370 <br />E SAMPLE ... ~.. . C n n .. . , .. ( l n) I <br /> MEASUREMENT - _ <br />V G ~! U L 1 G C ~~ MIS` "~ '" `k .: <br />- " ~ a zf ~ ~i(f I -! ~3 ~ <br />kkFL'JEhT GAGS°_ VALL' y <br />-~~1~I~iEMEN'~~ <br />" " - ~:"- ,fix:' <br />m. C>:+Cd '(, '~`"-"a .. . <br />~C1 D5, tC AL SAMPLE ': ,:•%i:cc: ;; ,: ,; r,~s tCC;qC I ]~) <br />S i; S P e N l: k L MEASUREMENT <br />u C ~ f C 1 0 L <br />`- <br />~ <br />.,;>s MIT ~ r -' + ~#~~ ~t~. <br />EFFLUEtiT ~,FC55 VALL , <br />. <br />41~4IU1FiEMEhIT - ~ f <br />ra-~>6 tC/1 .. <br />4~ ,. <br />~"#~$ ` <br />I bLP.~ T'C'"F SAMPLE :7 r, ~:..:~~: tr,. :; .~~,r, r, ( l5) <br />(A :, }' F:) MEASUREMENT <br /> <br />` <br />' 'r `-. <br />~ <br />kFFLUG~ 1 GROS <br />° PALL NT '' <br />~ _ 5 <br />~ <br />. lIG/I <br />_ ._. - < <br />L AA , GAEA SAMPLE "[.,"::::' ,.. t: ,; i~~t.: ;t L;:,>.tr, I ]5) <br /> MEASUREMENT <br /> ^ ~ <br />,.FFLG_° i GHOSE YP.IL `1~1,G~ ~ '~ T <br />~ ~ ``: /L ~ ~"' <br />E i,w~ IN l76 IT CE SAMPLE I ':=) +:..-.;~~: ,v.:ti; ><Y'.+., <br />i t, i, U T F. e A T d E N T F L A D MEASUREMENT <br /> .. ,w <br />F i } L L' E : ~ I G h C S S Y A L L EM~N7 ; ~`~ ~ ~. ~ ~Y G '. D # ~#. T N r(" t C L '~ ``~*t,:: ~; „. " '~.k,. t, r ,p y ,~.: #- ,e~. <br />",.L ANC. GA AS SAMPLE r; or„ ( 54) .,:tl,~,: .;,:... f::.:t; <br />Y I~ U R L MEASUREMENT <br />t 4 (, b G ] U G µ; -~~'- , <br />~ <br />~ x =~` ~' f. F `- - 1 w <br />- 'r 4 A E '.- <br />E f rLULhT CAGSS VALL F _ <br />~ "'' . <br />~ AC=U n + - • <br />~ ~ "~ ~ ~ stit 1 <br /> , <br /> SAMPLE <br /> MEASUREMENT <br /> ~Y ' <br /> F -,:i ~C <br />~° ~t <br />i., y" x s: a.Y <br />~ 7 ka is <br /> „ {, p p _ <br />~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO NALLY EXAMINED AND TELEPHONE DATE <br /> <br />~ <br />~ ~ AM FAMILIAR WITH THE INFORMATON SUBMITTED HERE <br />INQUIRY OF THOSE INONIDUALS IMMEDIATELY RESPON <br />~ <br />D <br />I <br />R <br />I IN; ANO BASEO ON MV <br />SIBLE FOR OBTNNING <br />O <br />,[ <br />C ~ r Y <br />' ` - AND COMPLETE <br />E AM AWARE <br />THAT <br />TH <br />M E ERE ARE <br />SIGNIFICANf ~ <br /> . <br />CCU <br />' IN T <br /> <br />M ~ ^ (~ / G THE <br />PENALTIES FOR SUSMII <br />TING FALSE INFORMATION, INCLUD <br />POSSIBILRY OF FlNE AND IMPRISONMENT. SEE 18 U.S.C.S 1001 AND 33 U.S.C. <br />S NATURE OF PRINCIPAL EXECUTTI~ <br />(7 <br />- 1 ~) aaQ <br />-1 ~1 <br />1 <br /> <br />TYPED OR PRINTED § 1318. (Penettlas urMer Mass .ttehrtes mey /ncNda Ahes up b f10,000 arM a <br />maximum impdsanmenl of beMSan6morrtha end5years.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />GUMMtN I S ANU FIYLANA I IUN UY ANT VIUTA I IVNS (HBI6/BnCa all aR8CnR1eRI9 nareJ <br />., DAT AVERAGE IS EIChEST NCNTh1k AVG. GUAING FEF.SCC' FbFCF7EL. CII GEEn=: - EfE I.E.I.C~ F. S. <br />EPA Form 33261 (085) Previous editions mey npt.be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) ~ . PAGE OF <br />