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- -- - - -- -- - - - -_. --~,_.w..~...,...~--------- . <br />PERMITTEE NAME/ADDRESS pncluJe PaciBry NamrlLocanon ~Dij/zrenq NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) ~OYm ApprOVed. - <br />- <br />NAME P R A P P H R N I N I N G~ I `I C. DISCHARGE MONITORING REPORT (OMR) M I N O R ~ - OMB No. 2040.0004 <br />ADDRESSCRAPPER NTNE ~ <br />(SUER NN) <br />P:. O. BO% ltl7 PERMIT NUMBER DISCHARGE NUMBER F - FILIAL ~ IiUFAT <br />CkAIG ~0 91b2i MONITORING PERIOD POND 13 TO MIDDLE PSBATT;GULC'R <br />FACWTY <br />~ <br />~ <br />~ ' <br />LOCATION' ~ YEAR MO DAY YEAR MO DAY <br />' <br />~ <br />II~# <br />FROM 0 10 01 T.O <br />00 12 3 '~## NJ DISCH4RGE ~ ~ <br />P, t' T N: . w. 6 O k U 0 i~ P E T E ti 5, 4' u. E S 1 G S ti r"' °. NOTE: Read Instructions beforpleting phis form. <br /> QUANTITY OR LOADING ~ ~ QUANTITY OR CONCENTRATION NO.~ FREOU Nc SAMPLE <br /> 'PARAMETER ~ ~ ~(=x,; y~.oE: TYPE <br /> ~ ~ Is <br />~ <br /> AVERAGE MAXIMUM-. ~~ "UNITS) MWIMUM ~ AVEitAGE <br />~' MAXIMUM UNITS. <br />. ~ <br /> I'N. i <br />.. <br />, SAMPLE "`G'•`'O^ i~#a#.6 ##+¢4##" LZ <br />~ <br />j'- ~ ' ~n <br />' *`„ <br /> . i ~ MEASUREMENT ~ - t <br />, ~4 <br />'i <br /> U J 4 U 0 i U U ;:..::FERMfT;` ' A~IR"1~}~ .; :. <br />' t#: ~. ,~ <br />' ~ - . ; <br /> 'aF`P>L~UBN GROS:: VALU REQUIREMENT , <br />~ -:, -; ~~dL;. i <br />t <br />r <br /> SJL1D9~ :TOTAL SAMPLE ::a;:una #?01 , *{F`! <br />' ;,r. >'i.',. ~, ,- I.. .: <br />f~ ~ r,.. <br />Y:g <br />' <br /> SUSPEIIDiD MEASUREMENT .'4 ry: s. I µ~ <br />~. <br /> UblU T U U -.rJPkRMCf' ..- ~ ±aaa ,'.', <br /> i;FiLUNN'P fsRU53 VALU: RE~UIREMEN~ ? ~;r IIa !! <br /> SOLID3• SHTTLE.4RL~: SAMPLE a##:#0 c#a IIO4### ( 25j.. ' <br /> MEASUREMENT <br /> 'JU~4S 1 U U `;p~ ##r <br /> EFFLUEN'j GR055 YAL!'" REOUI ': >ntxrua <br /> IkON• TOTAL SAMPLE cat=oa .:~ a aaa 4##' ( 14) <br /> (A S F E } MEASUREMENT ~ ~ <br /> JLJVS I U U <br />- +~ <br />' <br />" II <br />~ <br />' 6FFLUHN,j .6RQ5S VALU (1 ,. > # <br />' <br /> JIL A D',GReASE SAMPLE ~~ C+?4x9! #aoa # ##? ###R#7 ~ . <br />~. 1Ay. <br /> <br />- <br />MEASUREMENT <br />. . <br />, <br />~y. ,. <br /> Diyaz •, i ~ D ,~ , . ,.y:,. <br /> tFFLUEN.T GROSS VAL'Jp fl ## #' <br /> FLOY', III .CONDUIT JR Sf,»P "~ <br />,` <br />~~ ( 03j *#Caa# c##a#a. ~rogaus ~^+~"_ = , <br /> TR RU~,TR~ATtlEtlT PLAN M ~ IVIENT , <br />, ~ <br />~ -• - ~ - <br /> 5U05~1 1 U U ~#! ' <br /> ::FFLUEN~ ROSS VALU ` { „. 11GD #II# <br /> S3LLUS• TOTAL SAMPLE ;='ree'k= #4R#b# 4/~aaa# ~ I~j' <br /> ULSSDLYED MEASUREMENT ~ ' <br /> /DlY~ Z U U r.~ = IIa# <br /> -:FFLUHNT GROSS VAL a~.,, ~. <br />t <br />#+~# <br /> NAME/TITLE PRINCIPAL EXECUTIVE O FFICER (Certify under penalty of law that this documentand ell ena chments were .- __ TFI,FPHONE_ _ •- -AA ~E ~-- <br /> <br />W• GG I~TOII Peterr ~ ~- ~ prepare <br />to assu <br />ll <br />b tl under my algcl4npi ap, ~_ ^n 'darksr <br />retret qualniedper5onnel.proparlygalhar andevalu <br />en <br />ns w <br />in <br />f Lh <br />W <br />n pr <br />d 8 <br />d lhasystemdoFgrMd--- <br />ale lhainlormatbn <br />e ing <br />stem <br />ho mana <br />' ~J <br />~~,~~ /~~(,~i~^ glp <br />;,~Zgr4101~ , <br />O.t <br />d <br />l <br />~~ <br /> ~ - <br />l Ma <br />id <br />fG <br />a su <br />m <br />ar mos p <br />e <br />on my <br />quiry o <br />q p <br />p <br />asa <br />Sp <br />s persons Oireptl <br />responglble lpr <br />athering dra infpr g <br />yy <br />, <br />matlon <br />meipfortnatidn ' ~ <br /> enera <br />nag <br />es <br />P <br />ptrt er g <br />y , <br />, <br /> submitt ed is,to the best of my knowledge aM belief,true, atpurate, and rAmPlete. SIGNATNRE OF PRINCIPAL EXECUTIVE <br /> <br />~~ 'TYPED OR PRINTEp Jem aw <br />'inclu' are that there are ai~nelcant pgnaltles for;utif9ibing <br />the ossi ili or eq antl isornnent brWOw' lalse inkrlpalion, ~ <br />vioWiau. ~ OFFIGER OR AUTHGRVED AGENT <br />NtlM ER ~ <br />Yp-AA <br />M <br />O <br />DAY <br />COMMEM AND EXPLANA7 I$OF ANY VIOLATIONS (Reference all attachments hero) ~ ~ - ~ ~ ~ ~.- - <br />- <br />_ <br />ryy E.~'~E~IL;IRON LZ4ITS PILL BE YAIYHD• AND SETTLEABLE SOLIDS LIMIT APPLIED'POR .<=lOSI)~x49R'.P$ECZ? pYENT- <br />`;F.E BI3`RB6~M 3F PRg08.R&Q(IIREN$M?5 UND$R i.A.3. TD5 NOpITORING - I.8.3. OIL E GREASE' ~''d.E$ 1.'S.I.(D). <br />~ <br />e'ppgr ty+e~• ,.Any -~- <br />EpA orm 33 -~ 9} .feYlouse Mons may eused° - '•' ____ _ _ TuiCl <br />j. <br />