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NATONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />' DISCHARGE MONITORING REPORT (DMR; OMB NO. 2040-0004 - <br />lals) m~ e) N I NO R Approval expires 05-31-96 ` <br />000045161 009 A ($U8R NN) <br />' PERMIT NUMBER DISCHARGE NUMBER f - FINAL - tl0 P,lt <br />' MONITORING PERIOD SEC 16 POND TO.ggOA SPdIlG C8 <br />YEARt ~;MO DAX. .'. .. YEAR MO DAY <br />FROM '+(, •17•~<TO 7y Oy ~u 24~ NO OI`~'~~l~1 >QOs <br />nazn3rzz-z3l nazs)' (zazr) (ze-ze) (3oav) NOTE: Read Instructions betore completing this form. <br /> (3 Csrd Ony) QUANTITY OR LOADING~`~^ <br />~ (4 Certl Onty) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER 08-53) (5a-61) '~~~T 38<5) (46-53) (5a~1J EX OF TYPE <br />(32.37) AVERAGE MAXIMUM UN- MINIMUM AVERAGE MAXIMUM UNITS <br />rsz-sa) ~'a-~18 <br />(ea-88) <br />6&70 <br />U14 AAU la if GAJG SAMPLE iT ~:FC GR y ) iIIWIP vg Xf ,'F .^•3:^is .: >r 41P OIP ' <br />Y I SU AL MEASUREMENT <br />, <br /> ~ <br />f14066 1 0 0 PERMIT'' ~ BS=1 ~ ' <br />~*~ <br />! <br />EFFLU EiT GROSS YALU f REQUIREMENT ~ ~' " "? ~' -"" WL`OIoI ~ <br />~ <br /> ~ <br /> SAMPLE ~ <br /> MEASUREMENT <br /> <br />~'.'" PERMI~~£-~ ..~~aa <br />t;~` $#~` <br />~,~ ~.f. to _N <br />~ <br />,;, <br />~ <br />.. <br /> ,REQUIREMENT, <br />., ..,_.c-+~='.+~.;` "` "~~ <br /> SAMPLE <br /> MEASUREMENT <br /> .~,~,. <br />*aPERMIL'}~ <br />-~•.,',a r~,~ <br />~ ~~ max. <br />_t <br /> REClL'/IREMENT "~~ r <br />~ <br />3 ~ sh. +i ,_ <br />?r <br />'' x£ ' . <br />i <br />~s <br />?5 <br />'Ti` <br /> r W,. ~ <br />.: <br />. , <br />.. :?~ _ . <br />, <br />: <br />.r <br /> SAMPLE '" '' <br /> MEASUREMENT . <br /> }PERMIT ;.. ~ <br />~ ' ~. .~ <br />~ <br />Y ~ ~ <br /> REQLIIBEM~NT _- <br />- ' `?~: ~~„ . <br />7, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ` '. #ct,-:. " .~±' . .: ,~, a r~~ 4~ ~,~.... ~. -.. ,.. <br /> REQUIREMENT: <br />,- ;~; s.. s,.„ _ .,. _t w ~ ~-,±`4 s: <br /> SAMPLE ~ '~ 1 <br /> MEASUREMENT <br />SAMPLE <br />PRINCIPAL EXECUTVE OFFICER <br />TELEPHONE I DATE <br /> INQUIRY OF THOSE INDNIDUAL <br />THE INFORMATION <br />I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMnTED INFORMATION IS TRUE All... r~~~ <br />i WV~/"~ ~ ' <br /> , <br />ACCURATE AND COMPLETE. , <br />I AM AWARE THAT THERE ARE SIGNIFlCAM <br />l!'~ <br />~ / N <br />J PENALTIES FOR SUBMITTIN <br />POSSIBILDY OF FINE AND IMPR G FALSE INFORMATION, INCLUDING THE <br />§ 10D1 AND 33 U <br />ISONMENT <br />SEE 1B U <br />S <br />C <br />S <br />C /}-yam <br />`/ /U <br />~~D <br />~Z i /] p <br />~l I <br />~O <br />O~ <br />(J <br />ip h . <br />. <br />. <br />. <br />. <br />. <br />. SIG ATORE OF PRINCIPAL EXECUTIVE . <br />TYPED OR PRINTED ~mum/mp slrnmen~beMeenBmonfhc~5u~~rres uprof10,000 aMw OFFICER OR AUTHORIZED AGENT C D NUMBER ~ YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) - <br />SETTLEABLE SOLIDS LIlfIT APPLIES ONLI IF <=l0YR,24RR PRBCIP EYEi? IS CLAItlED. IF CLAIM APPROVED 8T ffQCD, <br />TSS E IRON LItlITS MILL MOT 8E APPLIED TD REPDBTED tlEASURElIE9t5 - $EE I.A.2, PC. 5 FOR 8U9DEN OF PROOF <br />OOnO TD Vr VY4C n7F r /'aal eo r v ~ r nr c ~nwo~~ c.rnt rwr +jrs~no~..+r..r r .. o .. <br />EPA Form 3320.1 (OB-95) Previous editions may not be used. ~ (REPLACES EPA FORM T40 WHICH MAY NOT,BE USED.) ~ $ ~ ~ <br />Q ~ PAGE OF <br />' f ~. _ .:9'ti .._ .. ~f.<. ii. _a: .-. ~ _ i~Y'~~.i-_ .y_ _ ~w-.rs'.Ra-'~ w ..a .6 i:jilL..:. ~. ..~a_ .. <br />