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PERMITTEE NAME/ADDRESS /IM14 FxlbyN NAME POYD!' NHORA C A wWfaaumVDIO ~^d '~,'S{". ~:~ .~:-:{.,gt~,y0 $flLL~~,,~~..~~T~DISCtlMGE EUMINATIq!}~sYEM~.INPDES) ~ " "'t'' ISCHA^Lf6EMONITORING REPORT lD 91 - ~ ~ .FGEMAppr2owed. . CI L COMPANY 1133 ~ 7-f 7f POND 4 TD GGYT MI L ~Q ADDRESS ROAUSI JE C;IN E', H L S PGRTAL;i 7 U _ ~cp1 (SUBR {IC) pproYS ~GJ45 98 !' • U. l: U Y 14 3 0 PERMIT NUMBER DISOHMGE NUMBER r_ F I A A L PALi~AJi' CO 1;1525 MINOR FACILITY MONITORING PERIOD , YEAR MO DAV YEAR MO DAV ~ LOCATION FROM TO - tr40 NO CISC HARCE 1f~'K' A T T II 3 .7 011 l1 A. H L N A d, P H E S I C E N T 114111 111-131 12415/ !16171 l18-191 !34311 ~ NOTE: Rssd Irutructlom Mfor co Istlnp this for PARAMETER l3 Grd Only QUANTITY OR LOADING /1 Grd Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPL (<6531 /5451/ 138451 !4653 51-6/1 EX OF T1,P 131-371 MALY515 E AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lslasl /64581 !53701 PH SAMPLE 47044? 004trQQ Qf,Q0Q4 ( 12) ' MEASUREMENT O4VD 1 D U . . .... ....PERMIT. ' .: . 0070:tt0 00#~#0 7::R e5 Iatygl~ta:.. qeD 1l61tLY C1~S L:FFLUENT GROSS YALU . . .. . ?REQUIREMENT :.. , . ,. .. ;c644 lLI ~'3:dUlS `'~:.'.: . .. . :. ~::.. . ::u Li 05, TOTAL SAMPLE 4;17400 Quaoatr aiQOSts ( ig) .:U.iPENDED MEASUREMENT ! ~ U.7jU 1 U 0 +~'.s~.PERNl1T - 0bc.0.O0¢~::..:. ~~ ~ - ~ ;.::,:OQ101AI+.Q 04C ~.<..'O+:Oi~lt4~~. .. :~~~.'~: ~~ ~l:Q~ ,:. ~N~~.E/. iRA6 :. Ff'LUrNT GROSS YALU :REQUIREMENT: ',~ - ~~~ ~' ~~~ ~ ' ~ ~ - ~ ~~ ... ..: ~ 0004 ~ ~ - ,. ' ~U , TLEABLE SAMPLE QOaacrtr 0700trtr IF0007o ~ - i 25} MEASUREMENT ~ US45 1 'fro: 1ST PERMIT +:':?:.4~*000 : ~kOY, stir;?... OX:X~ 010404 ..; : ; RF FORT :< ': B ~ ~X{ NCEI i*AB 6FF'LUEY? ~i~ ~' YALU REQUIREMENT; Yt i<; :r ;: !X ~ j ;.'3OOA A{IG .. .. . YIA:x h . N R ' [aUR, ? T~L~. '::g' SAMPLE -34 ? ' 0000A>0 ,'.J f41k000 ~ ( 19) (AS !E) MEASUREMENT V ~1U45 1 0 0 .§ PERMIT : -:000QQ: .: ::. tll: 407 000 ...Al. #000 3.5 -: ?e0 '; ,i ~iCF/ ~RALi FFLUENT GA0S5 Y REQUIREMENT. j?-4:: OOOQ '`~' 3UOA >A!~" . A '.. I: e. AIL AHU UREASF ',1!1 SAMPLE 00iIS100` ~ t~474101; ~ ~ t1000tr0 ~ 19) ~,y, MEASUREMENT 3581 1 0 ..0 .' PERMI.J.:~;':: .. 010tk~Ot00. ~ ~~tLfYrfLA al' ~PQk ~~SF 4+d+Y'6?Oi ~ R~~r O:RT~~ . :~: ~): ~'. ~; :~... ~' =: .CIYTIN >R~1E :FFLUEN'f GRO45 YALU REnu1REMEgrr. ;:; 4+oma ` 300A X11G F' rq. e I !IG L CENT L V, A I:ONDUIT OH SAMPLE . ( 03) tr0II>pQ0 000000 0tY04tr tHkU TLi f:e?NL~NT FLAN MEASUREMENT UOSD 1 0 0 ~'.'pERnnir::. .' REPORT : :: R;d?f~$4 Q-4C'~i±e+a 7#AX1Q+a "70tT747 , Qati '1:e1(LT . NSTAN FFLUENT vROSS YALU :'.REQU.IREFIENT 30DA:AYG ' :: Dal I'LT. Il X:. flGD 0000 ~UL , 'PO AL SAMPLE 0004X+0 044tr0? #OOtrtrO .( ],9~ i3SOL9BD MEASUREMENT ]U2'JS 1 0 U PERMIT: ,. ,.. 0 OCM4#.; '0#0.aia. 704 Qa!Ob#0. :: .REF<36.11 AE'FQAT ITRLY iRAB F'F1UBY? uRG_iS YALU REQUIREMENT ' 77trtr ,: - R?F A r G : ' ~R~e ~ a x QG/L , : . . : . : . . : ' NAME/TRLE PRINCIPAL EXECUTNE OFFICER I cERn Fr uNOeR PENALrv of uw THAT I HAVE PERSONALLY EXAMINFO MD TELEPHONE DATE AM FA MILIM WITH THE INFOI UTATION SUBMITTED HEREIN: MD BASED ON ~ ] I + I S E 1 r '' ~ j ~e.~ A [ ~'lL ~~/" ' ~~~ ~ J EV E T~ S~WM ITE ED T I R N A M O ~ / / M H UE. A000MTE MD CO PLETE AT THERE ME SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING , THE POSSIBILITY OF NNE MD IMPRISONMENT SEE 19 U S C 1 1001 MD 3J ~ V . . . . SIGNATURE Of PRINDIPAL E CllTIVE _ ' U.S.C. E 1316. IPnWSr. Wr IMw wnm. mry McNW fvws Ip ro f 10,000 TYPED OR PRINTED wnmuhwnl inp/wmwlrWSrtwwn smmdx,M6real OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY sBY~. a COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rdsrmes ell ettaehmmts heel aET?LEABLE SOLLDS LIMITS APdLIES ONLY IF G=l0YR,24HR PRECIPITATION EYENT IS CLAI!1ED. PEAI!ITT£E HAS EiURUEM OF PROOF YHEN RE~IUESTING Rl;LIEF FROM SETTLEABLE SOLIDS PFINARY LIlIITATIOAS. EPA Form 3320-1 108-961 Previous editions mey bs used. IREPLACE6 EPA FORM T40 WHICN MAY NOT BE USED.) 004 29/98 C 2 2 3-1256 PAGE IOF