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PERMITTEE NAME/ADDRESS (1nC1YE[ NATIONAL POLLUTANT DISCHARGE ELIMINATION 6YlTEN (NFDES) <br />firlllry None/Caatlon 1! Cllferrnrl DISCHARGE MONITORING REPORT (DMR) <br />NAME_~'.~-~'E~~`15.1.~~~UL ~Di~~L.L~--- (1-I6) (17-19) ,'~i ~~71)R <br />ADDRES~n ~j~~O~I ~' ()N ~LL---------- r:n6~00~?13 .^.G7^aF NUN (SUBR YC) Ff4S19'llpBroved. <br />rj jZa`F}~ ~ A ~ Q - PERMIT NUMBER o~. e.w F - FINAL OM6 No- 204o-000A <br />------------ <br />---.. n... ..~ ..~.-. .. _.. .._.... .. -..a..w.rwl sr..lr..1r1~M Aln. nn <br />---ULSJad----------ILL yl.c=-- <br />FACILT' <br />MONITORING PERIOD nursvrr 4 n~..-F!'-~"1T1l.VL-Vasrc vn-s r. <br />----------------------- YEAR MO DAY YEAR MO DAY ~~ <br />IOCATgN _ ___ ___ _ FROM ~ TO I sk-'.LY= f~Q DiSGHARGE ~_J ~`~~` <br />A T T N : H . L A Y C e. V A t? E MINE M A ~1'A G'c.' k (1a11) (71-7J1 (74-291 (76-v) (18-19) (3a31) NOiE: Read Instru'ctione before comploting thle form. <br /> (J Grd Only) CUANTITY OR LOADING (4 Grd ONy) \\OUALITY OR CONGENTRATX)N <br />PARAMETER (46-yJ) (54-61) (3845) ~) (46-SJ) (5461) N0.' FREDUENCY SAMPLE <br /> l ~ ANALYSES TYPE <br />(JI J7) ~ <br />' AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (67-031 (6168) f6i70) <br />iL AND :, Ii s'iLSE SAMPLE tis s}f4¢Q,} ( LJ (j) . .:;:!sye C: yJ glr/rt. :X >fJl-'fO00:z - T <br />I <br />I S U A L MEASUREMENT ~jfZq ~~ <br />34066 1_..:0 u PeRMIT ~T711d l01# <br />~E ~ Y E:i=1 tLurSl6#91 vti~71419+p .- !01Dt1!al!Olgl. #IS_:+ <br /> <br />FF.LUE~' GRJSD V;,'.U£ <br />.REODU~.lgrrr , <br />- 1 <br />.INS"!'. !S <br />NO=0 <br />_ '~ _.~_ . <br />4v#o . <br /> ~ - ~~ <br /> SAMPLE <br /> MEASUREMENT _ <br />I <br /> PERMIT <br />- <br />~ ~ , . ~ .... <br />''(. ~, ". _ ~ <br /> REGUIRHMENT - ~~.'. <br /> SAMPLE <br /> MEASUREMENT 4. <br /> <br /> PERMR M1 .. ~r`~ <br /> RECUIREMENT ~ <br />5:; "'" <br />>: <br /> ~ - ' <br /> SAMPLE " <br /> MEASUREMENT .s; ~ ' <br /> ` <br /> ' PERMIT ~ ~- I\ '. .:I <br />~'' `e <br /> <br />RECUIREMENT <br />~ <br />~° <br />~\ <br />.(:-:. <br />'~.'~^ `f <br />i'Y~~ <br /> i <br /> SAMPLE ~ <br />~ <br /> MEASUREMENT ~ ~' ~ _ <br /> PERMIT ~~ - ~ ~ .~ ~ <br />~~ i <br />` .p4 <br />~ <br />~ <br /> REQUIREMENT ~ `. s / I <br />s .~F <br />} `~, <br /> SAMPLE <br /> MEASUREMENT `_ <br />. 'PERMIT ' ~ ~ .. ~ ~ <br /> , <br /> /! - - <br /> SAMPLE J <br /> MEASUREMENT <br /> . - .5. . <br />. <br />rafiXr7S <br /> 'r PERMIT <br />UYTpAENT <br />BEQ .. . r ~ s. <br />.1= , <br />, <br />~ ~{ ~ I <br /> , <br />NAME/TITLE PRINGPAL EXECUTIVE OFPICER ..I cEFrIFr UNDER PENALTY aF Law THAr I HAVE PERSONnuY EItAMINED - - NE - '. D A T E <br /> AND AM FAMILIAR WRFI THE INFORMATION SUBMnTED HEREIN. /WD BiSED <br />' a MY WOURY OF THOSE WDVOUALS MMECUTELY RE-SLVN5IBLE FOR - <br /> OBrAWWG TFIE INFORMATMJt1 I BELIEVE THE SUBMITTED INFORMATION LS -' <br /> TRUE ACCURATE AND COMPLETE I AM AWARE TWIT THERE ARE <br /> SIGWFKANT PENALTES Fpi $UBMRTWG FALSE INFORIMTIpf1 INCWpNG <br />THE P0551BLTY of FWE AND MPRISOIJMENT SEE IB U5. 1 loot AND <br />3a USG / uls <br />(Rnsflie roger fhne sRNta ros <br />ine/u0e !roes u <br />ro <br />SIGNATURE OF PRINCIPAL EXECUTVE <br />,I <br /> . <br />y <br />y <br />GENT AREA ' <br />TYPED OR PRINTED f/BAIO asM or marimum impviwnmem d heNTen 6 months and 5 years) OFFICER OR AUTHORIZED A NUMBER YEAR MO DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Refertnce all affachmenfs hert) <br />T55 R FE LI"i'f.i GILL 5F, GAIVED E SET?_eFL:F. SO,..:C'S '. I.".:. E.PP:..IED FGii <=1`:YRa24HR F'RECiP EVENT O9LY MNEN <br />HUNO'rF CCir:,S'CIT:ITES `1AJUfiITY OF LOAD-SEF I. A.1(D), ?i; Y, FCR RF;1'IIFi£'fEN25. DETECTI04 LIryITS-SEE Z. P. 2. <br />3 - Ine y a ~ IR ACES~EP O M -40 W ICH MA Y ^ US ~ J~ pA~ Op <br />