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PERMITTEE NAME/ADDRESS(1Mi6frd~ryNw/TxnlwdDler...r) NAME ThAke':'` "I_ .:, i'._. ADDRESS p i'. ,~ I -' i. ~~ ` ? '1 ;- P.U. 4r`v ~-7 ~. rf (. I'~ CU 5152-- FACILITY LOCATION ,;; r,+: a. :;w+DO~I „ITa:F:;, I,,,:a/_::N ~~cN NATIONK POILUTMT DISCHMOE ELIMINATION SYSTEM /NPDf$l pISCH~R6E MONITORING REPORT lOM9/ CD0032115 C1I A PERMIT NUMBER DISCHMGE NUMBER MONITORING PERIOD YEAR MO DAV YEAR MO DAY FROM ~ ~ TO tl _ (1671/ l17-731 !1475/ (7617/ l7B-79/ 13031) Forth Approved. S C 11 G A; T U F A S T rA(.18)-+p.,2o~D7ogo~k (c t~ F 6 ! ;) Approval AxD~r ft;-OS-91-98 F - F?tiA1 "iNCS NOTE: Reed Inetruetlarr bafaa eomplatinp this form. PARAMETER IJ Ard only! QUANTITY OR LOADING 11 Ord On/rl QUANTITY OR CONCENTRATION ND FREOUENCV SAMPLE 115-591 15b6/l /38J5I (1663 15L61 DF lJ737) EX MKVes TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !f7-eJl (5/_6g) /6'3701 ~!! SAMPLE L'4 #': r, Cr ::'p#C#^ >r r,C#t:: ( 12) MEASUREMENT ~.O ~ t d i ,wrr~v .)U4UU 1 0 0 PERMIT.. . #Cr0!-4+p . .i'FQ~•L11Y.# #II:; ~5~5 ~ Q#t;At+~ry .q~~Q ~ ~EF:KL~ Iy~ITt r.FfLUEN"T i;RU55 VALU :~iEQUIREMENT ~ ~ ##~`# '•'lI:R$i19t~ : :. }AgTFljl}f: 5U .. ..~ =:U ~ ~, i) AL. SAMPLE k~:`. rj ## II-710##Y Oti00;t) ( 19) ~ U :i P :: N CI E v MEASUREMENT 1 y~ ~ ~ 0~ / ~~ vo,3o 1 0 0 =<.pR~u4r:::: # ~:r .; ,:. aeII~a. b-:. al#a aia:lea:s?a ' 33' 1:~ k.Cg/ ~&A~+ :PFLUF.NT GRDSS YALi: REQIIIFEFAENt : C#II1O ', ?QE A;: YG .. LB:'.TY MY ?7G/L ` !1#'yt'Tt . ~E Ail .- SAMPLE ~: L~##ir# #;e;:#u:} ~ OII4#4t ( 25) MEASUREMENT L(), / ~Q• / p / Jtr P' JU145 1 Q' 0 PERMIT '~~ #Cs.~. .r p~'xr## ;`~i•'.~ .#Y*fA## ~CFRICNAL P..~FO RT Nir F:/ G!}A it EFFLUENT 1, RD55 '/ALL' REQUIREMENT. #q::# 3CC~ .A VG .. .GA; IY ftR r.t7L f~Ufl-^' U F L ~ SAMPLE -.: >%~7;~ :::.3:~P;' ~ t,:#IIOtl:. ( 7.9) (A.`i F°) MEASUREMENT fj,31s, d p,l~ U / fV G~ .i!)4S 1 0 0 PERMIT ~~ ~ #4': ~ G ` :'s#+.srt#;~ #O'.: - ##IIdOC ?~0 ~ ()./~ ~ ~KCF/ .RAB r_Fp'LUENT GRA55 VALJ. REQUIREMENT -;'. :)a: ##fi;Y 30CA_:AYG CAS I$ t!% !!•'/L ' rIDN"'? !i L AN ~ ASC SAMPLE ~IkII•v;Y: a:`r,:#.:7: •'..r,tOCr :;1F#': :` ; 9) ( MEASUREMENT ~r /) y~q ~ y~q ~~.5',J2 1 0 U PERMIT.: ~' .# :' ##~C## #II;t ~.#OA#0 . A#A#>K :F'FLUENT GRO55 YALU ?EQUIREMENT 40#R -. ,~L '~.(, N '~`~. SAMPLE ~ ~ 03) #IDCL'fi t: #A r., i, #>: t+><## ...-IaU Tk6AiF1EAT t'I,.iS MEASUREMENT d,rf// /,/l~ (J / ~..~INa- ;,JJSU 1 0 !1 PERMIT NE OHT. .: ~. fi S.P~~Tt~'f ~ ~- -~~~~~=II #+0X4II+: fi~.Ywa)~Ip .Q:Y:~ ~ EE!?LY IN iA' FFLJENT GP.D~:; 4Ai.J'. REQUIREMENT .30 DA ,IYG: IIA1LT MY MGD #a;4 .~:1L • SAMPLE " 'F- -~#7 :~I.iSJLYt:i1 MEASUREMENT /~j~ ~~.'~ U /~~ /ra.t 7UL95 1 0 C PERMIT ~ + • #'/'~ j C I bAL .F.08T TRLY "dAli cFPLUENT. (rfi05 ~ALU REQUIREMENT S~II•wrF F:A1fG. G 14-1 ... :.~A.L,II ft.}L dG/L .. NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI AM fA FY UNDER PENKTY OF LAW TNAT I NAVE PERSONKLV EXAMINED MD M111M WITH THE INFORMATON SUBMITTED HEREIN; AND BMED ON TELEPHONE DATE MV INOUIRV OF THOSE INDIVIDUKS IMMEDIATELY RESPONSIBLE FOR OBTNNINO THE INFORMATION, I BFLEVE THE SUBMITTED INFORMATION IS /F {Y. Gordon Yotere TRUE. ACCURATE MD COMPLETE. I AM AWME THAT THERE ME SIGNIFICANT PENKTIES TOR SUBMITTING FKBE INFORMATION INCLUDING ~ (~~ 9~o-aza-gaol 98 /f 28 PreeidantlGaneral MBna er . THE POSSIBILITY OF RNE MDIMPRISONMENT. BEE IO U.S.C.I 1001 M09J iIONATUpEO fNi1NCMAL EXECIlfNE TYPED OR PRINTED u.B.C. 1 tats. rn.We:• uqw- dwr .rrems nrr ~+eAW rnrs w ro rloao0 wa.rw:n.n~.rwlovn.~rrdsra.rremmnr rwsrrra/ OFFICER OR AUfHORRE0 A0ENT AREA COpE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS lFa/ar~nea U/ ettechmants hare) 1~5 6 'TOTAL IKU1 LIr.IT:i HILL 8F. NAIYEO, ANO SiTTL£A[iLF. ~DLIC`i CItlI7 AFFCIF.^ FC9 <=lOYR,[uPR PP°CIP tYEiIT- :~~.F'i HUHDEK OF 6'fiOUF f.EUI:LRE!1F:NT5 UNDEn I.A.3. TDS H01+I:DRI>tiG - I.C.?. CI[ :' GFEASE - ^EE 1.51.1. (Dj . 3y UA/ AYcBAGF T; HTf.HFC•r IRn Nr:ILY AYC•a sl=c IInaTNr. Ovn rnn ar p~cTCr_ EPA Fam 3320.7 108.951 Prsvloue edlDane may bs Geed. IREPUICES EPA FOAM T40 WHICH MAY NOT 8E USED.1 0 ~ n rj ~ / U 7 1211 - i 64 [ PAGE lOF