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PERMIi`CEE NAME/ADDRESS pnd~de Facility Name/LUCanon ifD~errny <br />NAME ~""T~tXPPEN hININ[;, INC. <br />ADDRESSrR1P?Ek tfINE <br />P.d.:~ BOX LU7 <br />PACIUTY E`Rlic Co N1626 <br />LOCATION ~ - <br />" ATTN: "ti ='~JRDON PETERS, PHES/GEN t1GR <br />DU <br />I PAHRMETER ~ " <br />~~ AVERAGE <br />UU4UU 1 '~ 0 0 <br />Ck'YLUENT BHOSS Y'1LU <br />SDLID5,.FpTA6 <br />SUS?h'NU@D.~ <br />Et"e LUEti1' y <br />SOLIDS, SE <br />•EFFLU@tl~ GR 5 YYLU <br />I RUN, T TAL '; <br />(AS F~),, <br />U1U45 1 U_; 0 <br />EFFLU@NT GRp$S YALU <br />DiL RtlD.,GRL~$£ <br />U.iS82• I J'''0 <br />tFfLUENT GROSS YALU <br />E'LO~, Itl CJNDUIY OR <br />THdU TREATM2NT PLAN <br />~uusu ~ u u <br />r:FYLU@tlr: ~,HOSS vALu <br />~JLIDS,,20TRL <br />7ISSOLYp~D' <br />/0195 1. U U <br />:'YFLUIINT :GROSS VALU <br />SAMPLE <br />MEASUREMENT <br />"!q`' <br />IfiENi~Nt <br />SAMPLE <br />MEASUREMENT <br />N <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />aaaaa <br />uamaaa I a <br />c <br />;t <br />ao <br />p;~.._ <br />a>;axaa I aaaaaa <br />aaaaa~ (12} " <br />- +.. ii. <br />' .r. <br />L" <br />anaa ( 25}. <br />1~L Y <br />( 19) <br />k "_ 41. <br />rrgtalaa a{~aaaa ( 19}. , <br />a4a <br />(: S9) I .. <br />NAME/TIT1F~Pi1,INCIPAL E%ECUTIVE OFFICER ICediry under panalry orlaw that Nis document and all anachments were -___ TfrLEPHON~T DATE.-~ <br />. _. - - _. _ ~paredu~ jai ion er s9s=' 'm =^[dypcawithesYStdNdasigned - __ _ - .... _ <br />- ~- -' - - - - to assure th91 qualldetl personnel properlYgather antl eveluale me inbrfiatibn ~ ~ ~ ' <br />{~]. GOti(OII•~PlCEIB. submited. Based on rdY inquiry al the person orperdo7rs who manage thagyslem, ~ ~~ ~, ~~ ~ 970-R34-d+~I. ®~ QI 1 <br />Presid~tlt/.General Manager orthosapdROnsdlrecJyresponSfPlebrgathednythalydormetion,}help/ortnatfon <br />submitted ls,to the best almy knowledge and baNel, true, apbtRete, and cotnPlate. ~- SIGNATURE OF PRINCIPAL E%ECUTIVE <br />/em aWartithat there a[e aignTcanl penaltiaS for suhntltling Wise in/ormptldh, ' <br />D OR PRINTED incbdin the asst, ~" f and rlsomnent forkrowi violation" OFFICER OR AUTHORIZED AGENT. ~, NUMBER, .YEAR MO DAY <br />COMMENTS- DFFkPLANATION OF ANY VIOLATIONS (Re/eience all attachments here) ,. ~ .. . <br />TSS , `Tq"!i}L I:ROtl LIl1IT5 YZLL B6 iIAIYED, AbID SETTLERBLE SOLLDS LIMIT ApPLIEO FOR" t=lOYA,i48R'~PRECIV EYE9~T- <br />~EE BOR~6~I OB: PROOF REQC2R8C@NTS ONDER I. A. 3. . TDS !lONITORItlG - I. B. 3. DIL & GREASE •- S'Elt I'. E. i. (D) . <br />cPA Form 332 1 9) revioNS a Itlons may be used. ~ ~ ' _ - _ _ _ THLC Lcp mPAat tnor.a oer_e ..~ <br />- - - - -,.---r- -_-_ ____..~. _ _ _ <br />NATIONgL POLLUTANT DISCHARGE EDMINgTIGN SV5TEM (NPDES) ~ Form ApPrOVed. . <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />MINOR <br />'' (~UBR NN) <br />PERMIT NUMBER DISCHARGE NUMBER F - FINAL - ~NOFAT <br />MONITORING PERIOD POND AZ Tp P.AST R7E6?T" GDLCN <br />- YEAR MO DAY ~ YEAR MO DAY ~ ~ ~ - <br />FROM TO U 1 1 a6B ND DISCRA~.RGE ~). aas <br />. ~ NOTE: Read IostrudionsbefoT plating this form. <br />ry LOADING QUANTITY OR CO CENTRATION NO. FREpuENC SAMPLE <br />:' ~ ~~ ~{ ~~ ,~]( bF TYPE <br />.iv1AXIMUM : UNRS - ~:M~JIMUM ~ AVEF7AGE MAXIMUM UN)TS-. ~ ~-~/S <br />•• pa4r.a 4,Y <br />