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PERMITTEE NAME/ADDRESS l7~d. FrWryNaw/focana UDld....p NAME TERHJ3 .R°. ~~( .: ~51•Ahf ADDRESS Tr;RRJR GAEEK L~pJJUT 1940 HL::KYAT 133 PAONIA CO 41429 FACILITY `~' ~:~F ~' - LOCATION ATTN: KELLY FRITZLER '' FROM ~P4RA'CrOts n;g ..~. - - 'HMOE ELIMINADON SYBTEM INPDES) Form Approved. )NITORINC REPORT lOMRI 4R ~ ~ N rn-ISl D'J ~.'• Li l 1' ~ t; D '. 6 N gMgtMo. 20/ -004 (/ 0 ~ .. ~ S U rJ 3 a C) APProva! e~cRl~)jO~31-98 q DISCHMGE NUMBER F- P I N A L 1 .S I~• .RIDD HINEIR + YEAR MO DAY ~ ~•-~•• To us ~~4:YD DIS`~ ROe' ~(,YY1 #aa L151 !1617/ I16-191 /3x311 NOjE: Rsed jrwtl~'before compltlinp this form. PARAMETER ~ 13 Grd On/yl QUANTITY OR LOAD/ !I Grd On/yl QUANTITY OR CONCENTRATION a ~Np, ~ FfiEOUENty OF SAMPLE (46-53) l5bbll -b) i38-15y 116-531 f5 `• X~ ras TYPE l31-371 µAL AVERAGE MAXIMUM ITS MINIMUM AVERAGE MAXIMUM UNITS l67~e7/ !66681 /69-701 ... ` SAMPLE .. • •, ~. s#a#p :' ::aa fi. ( ]~~ . MEASUREMENT , ' r ~ ~ ~ ~ ..... ... . ~ .: .. 5~ .;.r .; . 0400 1 ~ 0 PERMIT aa•:z..a wGSR?# . ^•atr• . ;:' .. #~ta~a;~#. ' 4.0 . 88SLY N5ITU FPLUENT vKOSS YRLJE REQUIREMENT *~# 'asus ,:. ~satlrDe~. su OLIDS, DOTAL SAMPLE ++ •+ • r r#~#ar :-'~#a;:*=~ ~ 19) U 52ENDiiD MEASUREMENT US3D 1 0 :l PERMIT 4G#a?# a;Y,xp:#>s:a•11~ AIfia 'k#a. Oi:`j ..~5 Tfl ~..f`.B.f : :CiAB FPLUENT ;:RJSi YALUF. :REQUIREFu1EN7 ~ 9D0~ `„ YG DAIL7 "`,$ :YG/L : aNTH 5, 52 LLP.A'}LE SAMPLE :k?ter': ;Fait#f #;F4al#fi as#, ;•r ( .'S) MEASUREMENT 0545 1 0 D PEgMIr +$%;.a# gp#gLa/t •• #9~4~axa f13:.o<a.. Os5 ~C:g! . :HiB FPLUENT i:RD35 VAL'J2 REQUIREMENT • =AL'<? j;..•:: : nAILY h!Y ML/L <:af: '. gNlN R • 0 AL SAMPLE v~#+r~~~ Y+r+-~ a°a~~4«a ( 19) . (A, Fg) MEASUREMENT i' lUJS 1 0 D PERMIT tk'xkaaa :Gaaaer v=.-s '~~"01'i1O :. :~aU 6d(j. ~~,,~{ rA~,B 'FPLUENT vBO55 VALUE -REQUIREMENT _ O'.'+a ~ •;3QDa .vG. aAZLt t~Y• "~/L. `~. ~ ~~d H O uREdSE SAMPLE •'.'rR*rfaY +-,::aa ~ #Cfa~a+ a?#_..Aa ~ 19) ~ r MEASUREMENT ~~ 3502 1 0 0 PERMIT as#a?t Lt#R#ie~# c a~xx ~ xMa~i~#4~;~ •:; aa~.+~~~ls ~ 10 .~~~IR. •Ri9 FiLUEMT L;RUSS VALUE ;REQUIREMENT ;F~x ~ DAILY riI HG/L Glint ~, N ~ HDJ R SAMPLE ~ ( D3) aaaa,fi fiF~## xcs:-Y . L'HdU TREAT~E!1I p4ANf MEASUREMENT DUSO 1 0 J - PERMIT PTIO~AL HE.POBT #fiFPafA. .`:. >p~a~, ~ as#uc+r- a;~4 ~HicLL .wS.TAli FPLUENT GROiS VALJE REQUIREMENT. X00}:AyG t3AILL !!% lyGD .. ., V, ~ . ~ ~f°?~ , U SAMPLE ~ #?: aasP#a fi a+Akfi aC# 4tr ( 19) ISSDLVED MEASUREMENT - T029~ 1 D D PERMIT '~"+'~- a¢ ~#~~"''~' RGEORT T&LY 'RAB FPLUENT oRUiS YALJE REQUIREMENT..: aaa# DAIL7 Ml: AG/L NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I cERnFr /RIDER rENALrr of Lww TNAT I NAVE RERBOrIULr ExAM AM FAMILIAR vNiN THE INFORMATION SUBMITTED HEREIN; ANO B weD AND TELEPHONE ASED ON DATE MV INDUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPONSI BLE FOR ~ ' OBTNNING THE INFORMATION, I eEDEVE THE SUBMITTED INFORM _ ATION IS TRUE. ACCUMTE AND COMRETE. 1 AM AWARE TNAT TH SGHIFIDANT PENALTIES FOR SUBMITTING FALSE INFORMATION, IN Ke 1 1 Fritz 1 e r 0 e r M ~ THE POSSIBILITY OF NNE AND IMPRISONMENT. SEE re U.S.C. E 1001 V P 9 ERE ARE CLIl01NG f AND 77 // 3J0 z9-~855 2001 0 27 . OA ar. ro F/0 000 IP lOi W d nr m NcN S C f rate b U SIGNATURE OF If~CIPAL EXECUTNE y , wr . . . . r ur ww F ru A . /V e OFFICER OR AUTE}ORIZED AGENT E NUMBER YEAR MO DAY TYPED OR PRINTED new rN6ywa1 .nercmui•wn nlRHON+wrtd MnFwne r COD . COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRs/rrsnce e// eHschments here/ , SE,A'TLEABLE S7LICS LIMI." ApPLIP.S ONLS iF := 10-XR, 24-NR ?Rr:_iP L'JENT IS CLAIi9EC. IF CLAIR APPg7V°D OY HQdU, TiS 5 IRDN LIYIfS PILL NDT B~ APPLIgD Tl REPCF,Ts'D 'IEA3UddG6.~Ti--S is I.B.lAT PG 5 AND I.fl.1D, P, E. 'T")ti NY BTPR MBNi'pM TNT DF ea nUc T La°9 EPA Firm 3320-1 108-961 Previous editions mey be used. /REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) ~ D1 6 9 / 9) 0 819-12 S 4 PAGE 1 OF _^ ~..