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PERMDTEE NAME/ADDRESS pnchde Facility Nmnr/Locarion iJOigercnq <br />NAME BONE AESCOACc= LI"IIEG <br />ADORESSBCMIE NC. 2 pl.•: <br />P.C. BCX UE_ <br />FACNI# CC t11~~e <br />FACiuTY <br />LOCATIONBOYI! CO E1419 <br />V~":W rlirTAll .. I•F11F .:6_ Yf6C A(;. <br />-~--_r .__:_____. _-. _. _- - -- { <br />NATgNAL POLLUTANT pISCHAROE EDMINATION SYSTEM MPDESJ Form Approved. " , <br />DISCHARGE MONITORING REPORT (DMR; OMB NO. 2040-0004 <br />(245) (1]- B) <br />t INCA Approval expires 0.5-31-98 <br />f 4l; 7 (SUER ~C) <br />PERMIT NUMBER DISCNARGE NUMBER F - F I A! L C E L T A <br />MONITORING PERIOD w Y T F T C C E E A 7 F A I I C I 1 C H <br />YEAR MO DAY YEAR MO DAY __ <br />FROM ~ TO +~#~^ NC CI`_ChAFCE ~__~ t4K <br />nn.n m-~,+ rzr-ael n5-~n rza~B+ crown NOTE: Read Instructions before comoleting this form. <br /> (3 Cerd Only/ QUANTITY OR LOADING (4 Card Ony) OUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER 4&53) (5x-91 (3a<5 (46-53 5x67) EX OF TYPE <br />(327) AVERAGE MAXIMUM UNRS MINIMUM AVERAGE MA7CIMUM UNITS <br />tsz-m) ~~~/s <br />64-68 <br />69-70 <br />'.:L, - AY SAMPLE '###~. OLOOOL ####><Y I ]c) <br /> <br />(2 U DEG . C) <br />MEASUREMENT <br />~ <br />~ <br />(o / <br />~ <br />U <br />UU.f1U 1 U C ;~ <br />z PERMI I ' :. °, . '.#x >,~ - ,~:~ ~, <br />~~ ~.'1{ <br />EF'FLUE'.S GhCSS YALL • <br />EOUIR <br />• , <br />~. <br />-~ #><## ~:' ~ ~ CG <br />I _ <br />+' <br />`~ # `~:` <br /> ~ , <br />.. / , .. <br />FH SAMPLE O###4# <br />Oi0CC0 #000.#;: ( ~]]) <br />~ _ <br /> MEASUREMENT Zj5 5/ 1~~ <br /> <br />rFFLUEN'I GHCS <br />° YALC 4#P <br />Q <br />1"d ~` x#00 s~ ~ c a~ z <br />r 35 `" <br />_ g <br />; _ ~ <br />f• U , <br />. <br />• <br />~~LIDS, TOTAL SAMPLE ##+7##0 <br />#>r##~*# 0##:## ( TS) <br />~; S P E N D E D MEASUREMENT U ~ ~ ~, c <br /> ~~ ~ ~ <br />trFLCFNT GA055 tiAIU ~ <br />~. <br />y z=## <br />~ ~ ' ` PC I ' • -+~"~' <br />1L AAG CFEAS'i SAMPLE # <br />:C:i:::', <br />##f0 #I ##01700 C#0#;# ( 15) <br /> <br />~~ MEASUREMENT ~ re <br />;, 1501 1 0 ,a ~ :~~~ ; , , .,_~ x## x ~'='~ +?~ _~w~~ ,. ~~ M,7i~ B <br />FFLUENT 680.'3° YALU REQUI`t~- •+ r•• * ##40 „'~;"K+. <br />~ ~ <br />r A~ <br />~ • ti <br />~ CG/L °'=`" 6tM <br />•~ <br />kLCw, Ih CO' DIT CL SAMPLE ( C3) # <br />COOAi ####'%;, #t7fa## <br />;?:nU TNEATFIENT PLAY MEASUREMENT = iJ 1C,L SX ~~~ / <br />%(~~' <br />~UUSO 1 0 U .~ <br />~ i <br />~ _:~ •L <br />~ ##Y „ 17314 G4` <br />EFFLUENT GRCS. YA1C N .• , <br />D~# tGD ~ ~~ r' ~ <br />~~+"~` ~'~~ #O>ta ~; ~00Tt '„~- <br />CHLOkIII$, TOTAL SAMPLE 0 iiAO# o00A00 0#000# #00#>;v ( IS) <br />~ <br />A ESI DUAL MEASUREMENT •• ~ ~,) ") <br /> x: <br />o •+_ <br />§ .) ~• <br />rrj4 r y ~`t~C~] S~ -. <br />EFPLUENS GFG5- YALU (1 [JT' ~ <br />~t- <br />,, ~ <br /> , <br />_ <br />SCLICS, TOTAL SAMPLE ^##0:0 <br />Y;=:~`#;` ##>0### 1 ]S) ] <br />CISSCLYED MEASUREMENT ~ U -'• C,( D /~ ~~ <br />1 ,: 19 5 1 U C rr<'~~Ml~`,~ _ . ~ ,`)` ~; t C 4 <br /> <br />~ ~ "` <br /> <br />'~ ,~i <br />.. 'JrL R <br />rL'JENT G8U55 YA1L H~S~fiEMENT t: r,~ ;~ '-~_.; ;,*'. ttY# ,~ ' ~ ;,;~ ~- CC/ .t <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 CERR FY UNDER E NALTV OF LAW THAT I HAVE PERSO NALLY EXAMINED AND ~ TELEPHONE DATE <br />TYPED OR PRINTED <br />VD EXPLANATION 1 <br />x VI69B smmlas mfy McluC9 r.+'MV up N <br />of heMSen B monfrts entl5 ysv:.) <br />attachments here) <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />OFFICER OR AUT}20RIZED AGEM <br />YEAR MO <br />i;.FOAT'"NCT• (AC CALC)IAE TAF.ATCT) IF NC CHICFINE L'SEC--.EE G/. CIL & CF EASE - I.E.1.C, FC. E. (F'iFLY <br />SRGFLING INSTF.UCTIC~`_-I.C.b, PG. 5. <br />EPA Form 3320.1 (DB-95) Previous editions may not be used. f (REPLACES EPA FORM T-a0 WHICH MAY NOT BE USED.) C r PAGE OF <br />