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PERMITTEE NAME/ADDRESS(/ne6e. irYlryNw./L,~anan //DI~...N) <br />f~ OAl(HID~B ENER„7 IN,;. <br />~ CARBON )UNCTION 1INE <br />~ Z18 SAiI[E@ DRIVE <br />~~ DUHiNGD CO 813)1 <br />~m OA$~IDGB ENER;C CNC. <br />- N <br />N06L PAUTSRf PRcSIDENT <br />NATIONAL POLLVTMT DIBCMMOE ELIMINATION SYBTEM lNPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />/1-16/ 77.19/ <br />^A F1 E19 n~ <br />- PERMIT NUMBER DIBCNMGE NUMBER <br />MON170RING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM GD 10 DL TD DO 12 31 <br />l~o-sn va~3/ Ub7f:1 navn l~Ra9/ /srien <br />Form ApProvsd. <br />N SEDI Pq 2 TO CAQ~Q'~r~ooga E(v <br />/Ib$io~~I expires OS'~3'1-98 <br />(SUER SN) 12345 <br />P - PINAL y,'T O,,l <br />MINOR U <br />CoG RD DISCRARC~P. ~ I ~~r. <br />NOTE: Raed In.tructioru elore LrbfiDletiny thw form. <br />PARAMETER l3 G/d On/Yl OUANTRY OR LOADING. /4 G/d On/yl QUANTITY OR CONCENTRATION ND fREOUENCY SAMPLE <br />_ <br />~~ !4653/ !546/1 l38-451 !46-53 l546I <br />I31-37I EX Y518 <br />µA TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 163.6x1 L <br />!6468/, 6.4701 <br />UIL AND G$6'lSB SAMPLE oa:asa ( gy) 3iP010# #g# 9p p>sgpplp / <br />V I S O A L MEASUREMENT <br />84066 1 0 0 PERMIT. a~aaaa~l- : :.. R:BPQRT E5=1 aR:4!0~~#.. yf?01p~. A q~la~rg~f . soy <br />e Ic <br />Li YI;SDII[ <br />d F P L U E 6 R 3 V I E REQUIREMENT :: ~ .= ~ : =: ~ ~ • . R - [ls ~- ~ ::; . <br /> <br />..... <br /> <br /> <br />~~~ ~~ <br />::.... <br />,. . <br />~~~~ ~~ .. <br /> SAMPLE <br />- MEASUREMENT ~ ~~~ <br />~. <br />- .. PERMIT. ~.: .: .:...;, .r .. .. .. <br />... <br />.. <br />~ <br />~ <br />~ . <br /> REQUIREMENT ~ . ~ . .~ . <br />~~ <br />~ - <br />.. - . <br /> SAMPLE <br /> MEASUREMENT <br />I <br /> PERMIT ~ ~ - ~[ <br /> REQUIREMENT ~: <br /> • <br />L ~ <br /> SAMPLE _ <br />J <br /> MEASUREMENT <br /> ~. ~. PERMIT ~ ~ ~ ,n ~ . <br /> REQUIREMENT ~ V <br /> SAMPLE <br /> MEASUREMENT <br /> .: PERMt7 - ~ ~- <br />, <br />,. <br /> REQUIREMENTS ~ ~~ ~ '~ ~` ~~ <br /> SAMPLE <br /> MEASUREMENT <br />~ <br /> PERMIT ~ .. ~ ~ - :.~ :.. <br />.. .~ . . <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT. ~ .. :: <br /> ~REQUIREMENT~ ~::. ~:~~ .: ~. .~ ' ~ ~ ~~ <br />~ <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I aCRnFr UNDER PENALTY of uw TNAT I NAVE PERSONALLY ExAMINED MD <br />ANI FAMILIM WITH THE INFORMATION SUBMITTED HEREIN <br />MD BASED ON TELEPHONE DATE <br />~J <br />yr~/a /EI (L'~ M - <br />' ; <br />MY INQUIRY OF TXOBE INDIVIDUALS IMMEDIATELY REBPONBIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />^> <br />' TRUE. ACCUMTE MO COMPLETE. I AM AWARE TNAT THERE ME <br />SIGNIFOMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING J <br />~} <br />ss <br />If <br /> <br />d* AT ~ <br />re s, , <br />THE POSSIBILITY OF RNE AND IMPRISONMENT. BEE 1B U.S.C. 1 1001 MD ]] <br />f 1310 <br />U <br />C <br />/Mr/ni. up <br />u <br />r m[ <br />S <br />ti <br />YN <br />6 <br />~ <br />SIGNATURE OF P111NCIPAL EXECUTIVE ,''' <br />7~Q ^~ (~ <br />.7'B T1L d~ <br />/`['{~ /~ ~/ <br />TYPED OR PRINTED . <br />. <br />. <br />w <br />. <br />r <br />wu my <br />r <br />n.s y ro s70,M0 <br />i <br />nl,anluirlMn Ynsri.Nxrl.+r a/bnywlemmllN rg6yra.1 OFFICER OR AUTHOp1ZED AGENT CODE NUMBER YEAR MO DAV <br />VvmmCnlJ Nnu [ArLnnnllVn yr nnr vlvLnlwno lnsin/enc'v en slmc/nmm~i nala/ <br />SETTLEABLE SOLIDS LIBLT APPLIES DXLI IP C= 1D-i@, 24-H@ PRECIP EVENT IS CLAIBED. IF CLAIM APPROVED Bf• <br />Y D, T54 E IRON LIIITS HILL RDT BE APPLIBD TJ REPORTED "1BASUKEtlENTS--S E I.B.IA, PG 5 AND I.B.1D, PG 6, <br />,r <br />(REPLACES EPA FORM T~0 <br />0388/970814-1535 <br />2 <br />II <br />