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PERMRIEE NAME/ADDRESS (Incrudr Facifiry Nane/Locaion ifDi$errnq <br />NAME <br />bOYIE RF.SOI!RCr" LL.".LTf~ <br />ADDRESSNOY.I E DO. 2 " f ~~ p <br />P.Q. HOx 4'a3 <br />FACILITY PAONIA CC N14)-I <br />LOCATION. <br />dO;IIE C'J P142•' <br />r,mpp~~ Lff. LTfh t_ :'eu t .•r.!r rro <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DIBC~A6 GE MONITORING REPORT (DMR~BI <br />•T -r <br />• PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM - ( ~ TO ~ 4 T ? ~ T <br />(10.111 71~Y31 (34P5/ R&3]1 (2&Z9) (30,11) <br />Farm Approved. <br />r I ~I n L OMB No. 2040-0004 <br />Approval expires OS-31-98 <br />{.r.'roq VC) <br />F - FIVAf, fF.I.1A <br />^-~,CH:. OF Sy T'T DF~R TRAIL ITCH <br />~~NOTE ~ReaATlristiucllons`~efor~mlrt~leting this form. <br /> (3 Cad Ony) QUANTITY OR LOADING (4 Cad Ony) QUANTITY OR CONCENTRATION NO. FREQUENC SAMPLE <br />PARAMETER a&53 54-sf (38-45) 46-53 s4~f) EX OF TYPE <br />~-3n AVERAGE MAXIMUM UNRS MINIMUM AVERAGE MAXIMUM UNITS ANALY3/s <br />70 <br />69 <br /> fezsll Be-Ea - <br />t~I:, ;iD GP.FAiE SAMPLE -: r,. .ta R4 ( 94) 'k#pr:.^.~ ': tf#!x r~.e ": :t .':!: r„+. <br />Y I ~ 1: }, L MEASUREMENT <br />+.4 ,:~Fi 1 0 [) -a`PEWNII s.~` <br />_ .'; ; £Illfllrtr ;~ vg=1 °~l~ ~ <br /> <br />~., <br />- ,4 ~ <br /> <br />x <br />k.i <br />• ~ tp:' ? ~. <br /> <br />... T <br />I ~ c M. ~ N O S S 1 A L r. <br /> <br />REf~UI~ <br />_ <br />~+a <br />~ <br />., <br />t <br />~, <br /> <br />_ <br />~ <br />f Jx <br /> <br />r s <br /> <br />.~. <br /> <br />.-.~', <br /> <br />' t . . <br /> <br />~., -x <br /> SAMPLE <br /> MEASUREMENT <br /> + }i ~• <br />~ ~ :' <br />"~ r . <br />r s <br />` " <br />~ ~ t' <br /> #iEQ{jIAEM6PtI' '~' "Y <br />9• •' _. u. <br />d' , <br />,.fl <br />, T <br />a < ,p( <br />,, <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />' <br /> <br />~ , <br />• <br />; <br />' <br /> <br />~ <br /> EMEN'P ~ <br />" <br />~ a~` <br />+ `~ <br /> , .r k= <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ <br /> I31REMENT~ <br />AEt ;'t~ , :.. ,,~.:~ <br /> SAMPLE <br /> MEA <br />SURE <br />M <br />ENT <br /> Y <br />a <br />+~ <br />. <br />4 <br />~~ fERMR.. ~~ rq' <br /> <br /> <br />~ ' '~ <br /> <br /> <br /> <br />o <br />"' <br /> <br />~, <br />i ~ E+~ ~`'' ~ ~f <br />n <br /> <br />. <br />r . '.. <br />~` ~' <br />k <br /> <br /> <br />P <br />3 <br /> <br />x <br />~' '+ ~ P ` <br /> <br /> <br />Ri <br /> <br />REOU(REPh <br />~ <br />. „ <br />~ <br />1 <br />~~-` : Y' <br />`• <br />~~, .3 <br />i ~s $ <br />.. .~ <br />~a~.;x <br />, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT "_: ~ <br />~ <br />r 4. `' '~ <br />t~. ,. <br /> REOUHTEMEI>pC. ,~. <br />• ' r;; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT + <br />~ ,, t. , _ <br />~ yt <br />- <br />~ ~ <br /> gEOUIREMENF ( <br />t , { <br />' f K <br /> . <br />.. <br />~ ~ <br />i _ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WRH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMffTED HERE NALLY E%AMINED AND <br />IN; AND BASED ON MV TELEPHONE DATE <br /> <br />~ ' INQUIRY OF THOSE INDNIDUAL S IMMEDIATELY RESPON SIBLE FOR OBTAINING <br />~ ~] <br />~ THE INFORMATION, I BELIEV E THE SUBMDTED IN FORMATION IS TRUE, <br />~ ACCURATE AND COMPLETE. <br />PENALTIE <br />F <br />R SUBMITTIN I AM AWARE THAT TH <br />G FALSE INFORMATIO ERE ARE SIGNIFICANT <br />N <br />INCLUDING THE <br />~ ~ <br />~ ~ S <br />O , ~ <br />.~~~ ~ ~ ~ ~ ~ , ~~~~ <br />~~ , PQSSIBILffV OF FINE AND IMPR <br />P <br />h <br />' ISONMENT. SEE 18 U S.C. § 1001 AND 33 U.S.C. <br />I <br />l <br />tl <br />M <br />1 SIGNATURE OF PRINCIPAL E%ECUTIVE I- !J <br />' . ~ i L ) J ~ <br /> <br />TYPED OR PRINTED enerties antler T <br />ese s <br />4 tat B. ( <br />madmum lmpnsom+em of oereee mlules may <br />nc <br />u <br />e <br />nes up m 5 <br />0.000 erM a <br />narrron(lu entl Syeen.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rererence ell attachments here) <br />:aTTLEAiJLc 5`_)i7:>5 LIsIT a?:LIF:S O`Jl.f IF <=]DYP~~4HH PiECIF FP="vT I$ CL.AI"~D. IF CIAL'" PPPNOV*'D i•Y r;1':I` <br /> <br />f5~ E IN7h <br />LI"IT; <br />ilI1I. <br />NOT FIE APPLIiD <br />T:T ?EPORTh:D !f r <br />ASORRR^.~TS-Sp,? I, !,, 2r P; ~ POF T?I+yrfN CF F90(1F <br />EP~~)S ~ 0- 9~ Prev use Itio d the uSetl' • `-• (REP CES~E T- AY 'B .) ~ `-~ • ~ r ~ ~ PAGE OF <br /> OCl O~!/4~ 0?L 2-t 221 <br />i <br />'ll s; <br />