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PERMITTEE NAME/ADDRESS pnclude Facilirr Name.4ocafion i/Dj/jenmy <br />G NAME ER6PPEH IJINING, I'1,. <br />~' ADDRESS?RAPPEtl (1LNE <br />P.O. HO1; 1B7 <br />C@A-IG ~ i blb?o <br />FACILITY <br />~~ LOCATION- . <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ FOrm A~ppfOVed. <br />DISCHARGE MONITORING REPORT (OMR) OMB No.2040-0004 <br /> Mj>i0ii <br /> <br /> ~ ~ (SUBR NY) <br /> PERMIT NUMBER DISCHARGE NUMBER - F I d A L - ~ MOr' b T <br /> <br /> MONITORING PERIOD ~ DA'". R1 TO ELK: GULCt~ <br /> YEAR MO DAY YEAR MO DAY - <br /> <br />FROM <br />_ ~ <br />I- <br />ro <br />00 <br />i2 <br />32 <br />aaa Np _ <br />pISCN]lR6E 111 ~a#. . <br />A T'IN: .R.~ uJ$UUIy NLTGN], 1'R CS/oEN RGR ~ Hurt: nceu uiauucuviis ue~~ie e.vrr+P~r=ur~y.q,~,~~,,,. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO,- FRt;DOENc -SAMPLE <br />PApAMETER 'EX -0F :TYPE <br />"~ - ~'~ - AVERAGE .MAXIMUM{. ~ UNITS ~ MINIMUM AVERAGE ~[,~ MAXIMUM :UNITS. ~' ~~'~~/s <br />PR- ~ SAMPLE #####a 3t.##At# AA4fia3t ~. 17) <br />.- ;: MEASUREMENT ;'+ t• ,` ' <br />. <br />Ov 0 0 1 D 0 t ol <br />~ t« <br />! <br /> <br />Et'FLUEN~' GROSS 0 U , , <br />.,, <br />~'7 . <br />> <br />S6.LIDSr ?a2AL <br />. <br />~, <br />~ <br />~5 ' i <br />t~a ~ <br />} <br />~y~ ~ <br />~~. <br />^ <br />~/ ,.s~. <br />;~ <br />Sl15PEN0[CO; U ENT. ~.. , , J <br />„ ' <br /> + J <br />SAMPLE <br />Yxsa#a{ #e#a <br />twgi <br />uUSUS k ~ br'>~I~f <br />' <br />~,:~c~# ~~ <br />w: <br />n: , - <br />k ~~~ <br /> <br />~ .ls <br />F" <br />EFPLUENt S@ ~ VALU ENT •~' w r} ~„~` e _~.?' t,.tA.. <br />a <br />~ <br />`. _' ;~ <br />ZNDN, TD:TAL~,i ~ SAMPLE =#+=n3~3 (d+?a;; qea r# <br />#;} <br />;c t lg' <br />1 <br />(Ag -P MEASUREMENT 11 r , <br />UlU4S 1 D n, .~ ~~ .u t,, ,~ [ ~; V <br />#r.:-~ ;# waw` tt". a ~ <br />6FFLUEN; GROSS VALU ,p~~NE: ..-' n,~ <br />4 <br />_a •~t~ ;!t,. "•, ~ ~ ~ G <br />DLL AND G9645E sAMPLE .;:x#'::s #r.# 44 4OR##o ~~~*s~i" ( 19)'• Iv <br />' ~ MEASUREMENT -- <br />0lStl2 I 0 O "1.P6 M v; <br />' ~ <br />~ <br />` *~' ' ~~y <br />"'- ~'~~ <br />i:FPLUE4T GROSS VALU FYE <br />QUIREMENT :i '~.: ~_ .,.rt :,~, tfl .~ <br />' 'a <br />h'LOY, IN CO\DUI^ JH SAMPLE ( 03) a#4xa~a adOaard~ a###4t <br />PrHU licEAT?J!''NT PLAN MEASUREMENT <br />7UUSU l U U =P ~ '.~ - ~kap <br />:t'FLUENi GR0;,5 YAL'U RE r ~J !1GD ~,`^M`~ Ora#a <br />i )LIDS, TOTAL SAMPLE a4#Sa# pct###a WrYO#44 ~. 1'9) <br />:iLSSOLV$D MEASUREMENT ~ ~'r <br />/Ul9S I U 0 t+ax , <br />~ t'FLUEN; GROSS YALU ~'_ '~ ~"~• t+## <br />NAMElfRLE PRINCIPAL E%ECUTIVE OF FICER I,Certtly under penalty of lAw Nat {his document and all eua chmenh: were ~ <br />--- <br />- - TELEPHQNE - __ -DATE . <br />~ prepared untler rtry tlir¢clign or superyl9igIl irlflCC4[ddnCfl~rcith85yslemd¢tigrKd - <br />ha _ <br />-- - - - - <br />~ <br />- <br /> <br />{d, GOLaOII PEtetB To avaura t <br />t grub ed personnel properly garner and a~awma tna imormarion <br />in <br />i <br />ifi <br />b <br />itt <br />B <br />d <br />m <br />ltn <br />wh <br />d _ ~ ~~ <br />C _ -.~/ _ ~.,~.~ <br />r <br />'- 9 ~~;;~8$4 ; 44Q 1 Ol Ol 16 <br /> ryp <br />m <br />ase <br />on <br />y <br />qu <br />aparsonorpersons <br />gmanage <br />su <br />e <br />. <br />a5ystem, lsy.r . _ <br />~G <br />l N <br />d 4r those parsons dlreglyr,spgnsibleYJrg~theringtneinlonnation <br />In~inlotnlatign <br />enerd <br />8II1g61: <br />PYeBi <br />tllt , <br />i ,. <br /> submitted is,totha bastdmyfmowiedgeand belie/, true, accurate, er <br />d COmplgte. ~ <br />i <br />- SIGNATURE OF PRINCIPAL EXECUTIVE - <br /> <br />'~ripEDORPRINTEq lam~w~rethatthAra are signifra <br />4 penell[es lorbubmining lake intorMation, <br />incWdinpthepgssibilirygt9neandimprisqnmentlprknowinpvbladona -OFFIOER OR AUTHORI ED AGENT , <br />$ <br />ctXJE NUMBER- _ <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATIOITJ]F ANY VIOLATIONS (ReleYence all attachmenl~ here) <br />E55 6 TQY~L L80Y LI!llt5 PILL 8E +)AIYED, AMD SE?7LEABL£ SOLIDS LIRIT APPLIED PO@ <=1tli~~~4bR~PRECIR EYEdiT- <br />~Et.' BOEbB,N OF .P@0OP'REQOI@Ett6NTS UNp£R I.A.3, TDS NOttI?0@IHG - I.B.3~ OI4 6 G.LtB15E -•3,EL Y.$.1.(D). <br />.Pp Form 33 -T 9) revioUS e i Ions may a use - ' ~ ~ _ _ ~ _ - - THIS LS q.}-PART FngLe oA(~c ..~ <br />