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PERMITTEE NAME RESS IIIICInd[ <br />F{ciliry- N{me/Coc dilYerentl ~ <br />NAME =D1 _-r~~~-~~~L.~L{~~_--_ NATIONAL POLLUTAN CHARGE ELIMINATION 6Y{TEM (NPOkS) <br />DISCHARG ~ NITORING REPORT (OMB) <br />_ (1-16: (17-19) <br /> <br />!!ti7~?{ <br /> <br />~ ~ It~ <br />ADDRESS ('. D[,DHtD MI!! ~~.~ <br />~____ fD;De:O~ 17 1':q ~ (ST-aR Ny) FprgEllpprovetl. <br />_ _ _ 5 T 3 ~ $ T 11~~.`' H LG H li~, ~ J"~_~_ _ _ _ _ _ _ PERMR NUM9ER oucrrwwos RuR{cw P ~ P I v A L .. OMB Np. YOAO.OOOO <br />M C P Y c' D ^ ~ D I[ t t wAnwnvnL-vNr. 1lL,9.1 dA - <br />-----=~~ ---------~~ifsu__ ,~r. ~._ 1n r~n!r- a--1,1T•~-:*•/T(r~~-, -G ItR <br />MONITORING PERIOD <br />FACILITY_______________ __ _ .. '. YEAR MO DAY YEAR MO DAY - ~ ~~ ~' <br />LOCATION ________ ~ <br />FROM ~ ~ 70 y aa-'S ND DISCMdRGP <br />'(. (~:-aar ; I <br />~ <br />__~~_ <br />_ _ <br />. <br />T <br />~. !' T N :: R . D . U ; I L TO N , P R B STD r". N T' Izo-zu (u-zn !z4-zt) (z6-n) (ze-zv) paJn 'NOTE: Read Instrucfbne befor mplating Mla form. <br /> (3 Grd Only) QUANTITY OR LOADING (4 G!d ONy)' QUALITY OR CONCENTRATION <br />PARAMETER (46-53) (f4fin <br />' (J8-43) .( i.' (46-57) (641) :7~~ ~ <br />' NO•' FREOUEIICY <br />~ SAMPLE <br />(J1-J7) , <br />~ EX ARA <br />LYSLR TYPE <br /> . .AVERAGE I MA%IMUM: UNITB MINIMUM, AVERAGE .MAXIMUM I UNRS,; (616!) '_ (646!) (69-]0) <br />~'i .SAMPLE ~ Qafsk f,[4 raaaa: _ aC:=RQv ' 1Z <br />( <br />~ <br /> MEASUREMENT o. _ :1 17 <br />~ ~ C <br />. 1 .. <br />; <br />r <br />a :J'` a 1 .1 <br />`• . <br />D)uDD L D 0 <br />~ I~EaMIr.' <br />'~ ~~ °dza~'.=a;tr: aaaa.a]~° o ~" <br />aa : ~ .. <br />d,5 ~;:~ ; "~. _ ~: <br />~'~aaa~a:., ~ ~• s <br />9.0;'x,*~ ~~' ~ <br />. <br />,~ ;. <br />„ : r <br />EE t; RX8`" <br />' <br />'~FI <br />O£NT <br />;ROSS <br />Y11LU? wsoumEMENrt; , ° ~ aaao~~ MINI~fU' <br />~ x' *;. U <br />~ <br />l <br />k~ <br />~ U <br />` ~ , <br />=« , <br />, <br />. <br />. !. !1 <br />r <br />A <br />I <br />F s <br />~ t' <br />- <br />,iDi.I DS{ iD!'.4 L.. 9AMPI.E DZ-:t!Y 4`. $',`. ry. G.s: a1ff Q'21 :' <br />j ~ (. T9j~ ~ -. <br /> <br />. <br />SJSPENDfD <br />MEASUR MENT L: <br /> <br />~ <br />(' <br />~ '~ C.i <br /> <br />• <br />~ 'i 1 <br />, 1, ,, ., <br />I .,. .I <br />~ I _ <br /> <br />" „:. <br />I ., <br />•' r) r•o <br />~ <br />I <br />0)530 1 o D '° <br />`PERMrr a <br />daaa ~ -aaaaaa as°~ <br />~ <br />h bdada <br />~ <br />35 :~~ ~ ' ~, <br />70 <br />,:'," c <br />o lA <br />x;'~ ^~ <br />BCP,I <br />R~~~ <br />RFF1.'1FNT ~R)55 :P6LU° raEOU1REM~+r: ?' <br />~' ,. ":: Raad'~) `~ `I c• I <br />.==3DD1-- ~1~Y~~ r <br />A T ' f;~ MC/L t~''?~ ~ <br />!10l0 N <br />:,JLI~S, SETTLE\PLE SAMPLE aaa <br />~'k;•. aaoaa.k ;. ,.aaaaax 3aacaa I ( <br />25) . <br /> <br />MEASUREMENT . <br />.. ;~ <br />~~ .. <br />- -1 <br />i. ~? <br />: <br />.j ~ , _, <br />[• •yt ; , <br />.L , <br />-• kr.~ <br />~• <br />nl5tti• L ,. ; ; <br />~~;: l~ '-rERwr~'( •aedcra-> <br />~ <br />~ da'+~aa~:, aa,~ <br />.•i ;: <br />o-.:•aaaaa'', <br />~ .~ <br />;dr~ad+s,~„ r ..~;~-;-..~' <br />D. <br />f <br />'++ L. ,. <br />+ <br />`~ r ~ NC~ <br />' d11g' <br />P,PFLO?NTROSS ~Y11LU., ^aQU1r+EMerir_' :-:~! r t::iR`e;~x. aaao`- , <br />.~ <br />~' x",-t:;~ ' ,).; .# kr--:z `. ~ <br />,~ <br />+~s~r ,. <br />•D!t-ILt]~171(: . w <br />eL/L'' y: <br />~'~• •~ <br />Mf1NT.A ~" <br />JCL AND :AFfiSE <br />SAMPLE i' X mamaas aaaeax <br />~ aaaaax aaaar--: <br />. <br />~. <br />I ~' <br />FREDN EXrR-GRIT V <br />-BETH MEASUREMENT (~ Si :o .. . <br />l <br />t lT '~_ ~ : <br />~ '~I <br />U Fr <br />~ <br />i .' •. <br />. _ <br />, <br />i , ,~ <br />' . <br />• <br />~ <br />:- . <br />0)555 1. D 0 - °, '?mda+sR'.'~ - ;aa OBa' <br />~, db': '1 <br />` OrQd3d <br />d, ?;a'dtka6.a:~ <br />~ = <br />{ <br />] 0 •~ ;.,j b~ T.N. R'!ITS~ <br />^FFLDf <br />+IT SR9SS YfiLDP rieQUlwvaErir ~+ <br />~ } ~" <br />' `~ <br />:a <br />• aaas <br />. ,- <br />^3 ~ <br />€ <br />~ v? <br />: .<.;^ <br />` ..~ <br />a ~ <br />A <br />I <br />~ <br />I <br />"H <br />~ ! ~+zt ' <br />~ rlr <br />, . <br />.~ - <br />,: <br />. <br />~ ., - <br />. , <br />_ , <br />. <br />.rr <br />,~ _ <br />E <br />t <br />l <br />! <br />S <br />T 1G/f_ ? <br />, R <br />9 <br />! , <br />IRON, TDTpL .SAMPLE `vaPC`a~[ a <br />aaaak <br />' aaaca~l- <br />' ,; <br />! ( IO-, <br />~ <br />(R $ F F,1 - :;. MEASUREMENT Yj __ ~' ~ <br />n ::. <br />y V. `• °' ~ . . ~i, h <br />,. <br />.. <br />., '~] i ~ 1 <br />- 'i ] U <br />+~ <br />_ <br />D1045 L D 0. ~• . -. ... <br />~ <br />~ ~~ ~a Q'.,, :~riaaalet'?~:° aaa~ ~ ':pa3 d4. <br />y r. <br />~ <br />,~.~' <br />" <br />.'. <br />3'.S ~ I:. <br />r,!<-:~: <br />r <br />•D` ~•. .,~ <br />~ <br />`~ ~ ~ <br />~C'~ Rap ,.. <br />i <br />RFLURNT :ROSS VRLIIg QU <br />iR¢i <br />p6 ~~ ~- <br />~ <br />,~ <~9.: c <br />: ~ <br />~ <br />°'~ ,I <br />aa`aa'°' p <br />~ ~. <br />;.; <br />•~ fit <br />. <br />. <br />136011 <br />71KC' i ;v <br />,TIAlIi1T <br />t •`. ... <br />MG/G~ ,. <br />. <br />hOR <br />N' ~ <br />. „ <br />- <br />... y,. <br />. <br />; ,,..:• : R? T . <br />FL~JWF IN 'Dt7DUC~P DR SAMPLE... •.. .• (~.~'3r hasRC:~. ytaoa', ap.~.Qax I <br />i <br />. <br />TIRO TREK tN~NT PLRNT MEASUREMENT ~ <br />~~ .;i p~~, - .y '~ _ _ ,I-~ , ? I C in• .I^r-,• <br />5)057 I 0 D :;w~ie„IT,~_~ DP.fI~A~AL:• F':R*.Pt2AT:~ ~. ~ oa+s3a9~°Sc .•;°t~stsaaa'.~> :: a~. <br />"ddGdtk aao,. ~ :;n[• veJSti '>~S'* <br />+R• <br /> <br />EPFLUENL GROSS Y1ILOE <br />R6OU1rrE~ENT: <br />D:D.DB:•:.ARG" <br />'D'ttIl„K'11r~ <br />!I;D <br />, <br /><~i;•aj <br />_ <br />~. z"'r`3'wrY <br />daaa, <br />_i;~" <br />~,xx,;.~ . <br />. <br />;y•rp.~-,; <br />S7LID5{ TOTAL. SAMPLE• aaaaQa caaaax' ; <br />aa4aa'x aaaaax ( L0~ ,. ,:, <br />D L S S D L Y E D ~ <br />- <br />_ MEASUREMENT : (~ •'S• <br />1 - <br />I')' .. J~ ,.'1 .. ~ ~ .] ~ ~j "> .:•' <br />iJ 295 L D <br />' 0 "sii+E:iMrr.' -:xdalr a::;. ti.:#.daaa4:s`: a0a `d!!aoax::r~ ~~b.d-d:a~d.... ~RP,t- 'RT"'~, • ? ~: '~R.f; ~~;. ~:~g~,,, <br />YALOy <br />oFFLOP <br />NT GROSS ;REQUIREMENT'' ~ iEy Mi ~' '`!''~ <br />t <br />; <br />''- aaas <br />• ' <br />' <br />~`"" <br />l "` i `` <br />i <br />i <br />~- `~D <br />I1 <br />T <br />` <br />X f <br />G/1 <br />'~ t <br />A <br />~ y <br />A~ ~.. <br />. <br />. <br />, . <br />;, <br />, <br />. , ) <br /><, <br />^ <br />. ? <br />G <br />. ~ <br />. k <br />; <br />, <br />ii- I <br />. Tf <br />X U <br />NAME/TTLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF LAW TFIAT I HAVE PERSONALLY ExAMINED .. _ <br />' ~ <br />' <br />~~' TELEPHONE ~ D A T E <br /> AND AM FAMILIAR•WTi THE INFORMATCN wBMITTEO MEREI1k AND BASED ,~` ~ <br />-.. - <br />:~ <br />• <br />' <br />R.G. ATKINSON, : :. :. DN MY INQUIRY OF THOSE WDVIOWLS IMMEDIATELY RESPONSnLE fOR <br />OBTAWING THE INFORMATp1y I BELIEVE THE SUBMITTED WFORMATON IS :, <br />- <br />~, : <br />/~ q:~~A,~ p11 ~: ': • <br /> <br />~5~ <br />'• TRUE ACCURATE AND COMPLETE I. AM AWARE TIMT THERE ARE <br />dGNffIUNT PENALTES FGR SUBMf1TMG FALSE INFORMATION <br />AING <br />C ~ <br />~ 97llSLYWyO~' ,L { ~ <br />'I O <br />HSEQ & LAND MANAGER ~' " •. IN <br />LI <br />THE POSSIBLRY OF FINE AND IMPRISONMENT SEE IB USO f 1001 AND . <br />J3 USC 1 131{ <br />(I4n/In <br />'u <br />der fh <br />velum <br />lude f <br />!o <br />i SIGNATURE OF PRINCIPAL EXECUTIVE <br />~ ~' <br />e <br />TYPED OR PRINTED . <br />n <br />pu <br />CS <br />m1y <br />nc <br />mn YO <br />flOABB {rM or maxunum imyruorunent N henrorn 6'monlhr xnd S)tiw) OFFICER OR AVTHORRED AGENT NUMOER YEAR MO DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (RCIC2RCe dl {ll{ehmenll here) ,'I ; ' '• -•• <br />~.S6rTLEADLE SOLIDS LIyIN 'A'PPL.I`E4 ONL`f ~F' ~=. L~-fR~, 29-HR PRF.CIP P.~P.N"'•IS C6A~Tl1F.D.' 'IP. ~,CC.A7M ;APPROYP.D RTC'. <br />tI~~G{ T55 G'IRON LI!1IlS PILL 40r AP. APPLIED. TO REPORTED f1F.ASDRENENTS--SER I. D.LAE P:~'IN AND~i.P.1D{ PG~fi. <br />EPA Form 3320.1 (RBY. 9.88) PIBV)016 BdifIgLS Ir18y dB ~II5ed. (REPLACES EPA FORM T•40 WHICH.MAY NOT OE UBED.1 ~ PAGE ` OF <br />• OOL07/OND922-1657 <br />