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RMITT6E NAM REgg (IIITIuds <br />rll6y Neme/L dlRuenl) <br />"'ME-y6.,6~ ~ -ESA-L-66lEP-ABY--------- <br />)DREgtrV ~~~E_____________ <br />-_p-iL~~R-_-I_____--~~~,I+6-~~--~ <br />CILTTY <br />)CATNDN <br />:Tlii RICHARD G. ATKTNSON <br />NATIONAL POLLUTAN CHARGE ELIMINATION EYETEM (NPDES) ~ ~ y <br />DISCMAR -' NITORINO REPORT (DMR) <br />l1a riz-l9) MINOR <br />(S U B fl N N) ~~Q,~pproved. ~ <br />' PERMIT NUMBER olacRAR•c •~HeeR F - FINAL ~r~~`•2040-0004 <br />- MONITORING PERIOD M,EST :PIT SE~'PPfovalglcDlLOg~~tL~R CRK, <br />YY DD 7~V <br /> TEAR MO DAT YEAR MO DAY ~ <br />FROM g5 07 O1 TO 95 09 30 ~ '~#a <br />4#~ RG DISCHARGE ~ <br />(zo-zr) (zz•z3) (z4-zs) !zb-n) /z8-19) /3o-3u ~ NOTE: Read InsVuctions before'CSmpleting this form. <br />' (J Grd Only) QUANTITY OR LOADING (4 Cold Only) ~ ~ CUALITT OR CONCENTRATION I <br /> <br />PARAMETER ~~ -' <br />(46-53) (54-61 )~ ~ <br />(38-45) ~ (46-53) (54-61) <br />' <br />NO. <br />E% FREOUEnCY <br />~ <br />SAMPLE <br />TYP <br /> <br />. (J1 J7) !; <br />' <br />- : <br />ANALY56 E <br /> AVERAGE MAXIMUM <br />' UNITS 'MINIMUM ~~ ' AVERAGE MAXIMUM UNITg !616]1 (6468) (69-]O/ <br />) ~ SAMPLE <br />M <br />S -###### <br />~ '.##aa## <br />-- ~ ~- - ~ > <br />' #>.~##a#. ~ (-y2), ::, / <br /> EA <br />UREMENT .. <br />. ~ <br />)400 1 0 0 .. ~ <br />P <br />~e <br />r <br />E <br />fYq#!b+0#' <br />~.9±Pg10i#,9r;# <br />## - <br />~•.t:: _ <br />~' <br />r ~ <br />SEKLY <br />RAB~ <br /> ~o <br />i <br />U <br />ri <br />.. <br />.. . <br />) <br />LID5, TOTAL SAMPLE <br />M <br />S ~###### =4###q4 <br />- - ~ ~~#q####: ., (~ 19)~ ~ <br />t <br />/rJ PEN D~ED •- EA <br />UREMENT ~ ~~ <br />`.~ - <br />)530 1 O D. PERMIT i ##*#~#: '##~### ~ <br /> <br />A ## <br />;~#04>D## <br />- 1, k' *` <br />35 ° ... i <br />0: <br />~ `F.. <br />~ ~ <br />NCE/. <br />RAB~" <br />~ REQUIREMENT , h ., . y . ~ -i. <br />' , <br />a <br />~ ~ . <br />.) <br /> <A aR .nom <br />u U/-0fl- <br />->f <br />~ <br />. . <br />e L:. ~.• <br />)LT DS, SETTLEABLE SAMPLE ###qa# .as#~a#s ~ R ###### -' ####4# 1 (?:25) / <br />- 3 MEASUREMENT ~• - _ '. - L <br />' <br /> ' <br />~545 1 D ` a' ~ 19 PERMIT = 0##~Iq# _ .~ Og401##; 4 ## lade#?CI#:.~:' . ~sl#+~aoe:~. 4.5 <br />:. ~'~; Ncel' AAH: <br />D REQUIREMENT x.: - _ <br />a~, <br /># ~ <br />_ e <br />_ ;m . <br />, , <br />. <br />, <br />fL AND GREASE ~' ;'` SAMPLE <br />M <br />S ~-###aba <br />~ :; '#a###a ~ :~ -~ %##a### : <br />~ ~. ###### - { (.19). <br /> <br />{EON EXTR-GRAY I.hET <br />N EA <br />UREMENT lr - <br />~ . <br />~ ( <br />y <br />1556 1 ~ 0 "0' ' <br />CU~i <br />i ~!pqq'###-"~• ~o.~s~Y~ <br />a#q ## ~ ~~~;id4~,pq ~a ~qa####~ '~ - <br />10 w '~~~ ~ ONSIH RAB~:-~' <br />.. <br />- RE <br />Enr <br /> <br /> <br />ry4 . <br />_ <br /> <br />- <br />' , <br />> .,.. <br />a <br />te~rultSVW .[~ x <br /> <br />J~ N <br />0.. ~r \ <br /> <br /> <br />•6e r <br /> <br /> <br />••r <br /> <br /> <br />- <br />i0li, TOTAL r ~ ~ ~~ SAMPLE '-###q## <br />~ '###### <br />y ;.. - _ •'aq##a#-" <br />~ -- ~ { (: <br />i.g); ~ ' <br />(AS F ) ~ O ~ <br />E T- f MEASUREMENT r ..~ <br />~ - D <br />• . ` <br />Q <br />~O4S 1 d • D~ h^ PERMIT <br />I 4#~>p# <br />, ~ , ,~~a~~# ~.a a# y.~>a#~~# ~ <br />i y <br />3. 7 .Ix,'x i~s2~ Y <br />7~ ~~~1 <br />~ ~ ~CE~, EAB'. <br /> REMENT <br />REQU <br />,)'F ~~ ~ <br />ON, IN CONDUIT OR 9AMPLE <br />MEASUREMENT ~ :? <br /> <br />'~ -< ( Q3) 'a#4.>p##: <br /> <br />~ ~ .(, #####>0' ;:#####a' <br /> <br />~ <br />NU TREATMENT' PLANT _ ~ ;' SY~IY/ <br />OSO 1 0 ~6' ` ~ <br />~ <br />• RTIONAL' ~-.flEPOAT~~ - s~#4#~y#, ~<. ~Ip#4A##~ ;aat+s~#a : a# ~:' EEKLX NSTAN <br /> I~ <br />IR <br />ENT <br />- -.Z 1'w - .,H~~.7Y 2iT..+'tY'SVt :. , <br />.-:£Y~^ n... mf'r' G:"+ >i-r ~- a . <br />LIDS, TOTAL O ~ SAMPLE <br />M <br />S , . ~a##>!a# ##a##~ :; ~c'####ae; = #10#q## <br />- ('19) e / <br />SSOLYED _ _- EA <br />UREMENT - .. <br />295 i~. 0 '0~ ~•- ~ ''`PERMIT ~ ~ o##±e## ~.. ~,a##o,!a#'# ~a~a <br />•• <br />3 <br />'~=aew#~x# ~ <br />~ ~~#tp~o#e~ x" ~,A6POHT -~- ~ `~~` ' <br />. 'tliLY~: RAB: <br />' .REQUIREMENT • ~ ~. i `: .~ ;. .L f . <br />.'j. <br /> D <br />E/TTTLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY. UNDER PENALTY OF <br />LAW THAT I HAVE PERSONALLY E%AMINED - .'y ~ ~ TELEPHONE DAT E <br /> <br />R <br />G <br />ATKINSON ~~ ~ AND AM FAMLIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED <br />O <br />A ~ ~EY <br />~ <br />~ <br />o <br />l~ ~~~E <br />~'a1 <br />~ <br />Ed <br />- <br />~ ~ T ' <br />. <br />. <br />' <br />HSE~ & LAND MANAGF~? <br />" T <br />I <br />R <br />„ <br />, <br />THE <br />^JJHMITTED ~ <br />,~; <br />TRUE ACNRATE AND COMPLETE I AM AWARE THAT TFERE ARE <br />SIGNIFIUNT PENALTIES FOR suBMrrnND FALSE INFDRMATION INOLLDING' <br />- /~ /I <br />97O-H24.44~1 <br />~~ ^ <br />`+' <br />• THE POSSIBIL?Y OF FINE AND IMPRISONMENT. SEE IB USG / 1001 AND <br />33 <br />C <br />f <br />9 <br />l <br />i <br />ft <br />d gIGNATURE O~ PR GIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED US. <br />. <br />131 <br />( <br />na <br />l <br />n un <br />er (heft alem(e1 may ine/ude lines u, fa <br />SIOp00 and or maximum imprisonment o! brmnxn 6 mpnrha uld 5 yvn:) <br />'OFFICER OR AUTHORIZED AGENT <br />AREA <br />NUMBER <br />YEAR <br />MO DAY <br />IMENT AND EXPLANATION OF ANY VIOLATIONS (Re/en:nCe BIl a((Behmen(s •hlR) <br />:TLEABLE SOLIDS LIMIT APFLIES ONLY IF C= 10-YR, 2/(-HR PRECIP EYF.NT IS CLAIMED. IF CLAIH.APPROVED BY <br />:D, T5S E IRON LIhITS SILL NOT DE APPLIED TO REPOP.TED MEASUREMENTS--SEE I.R.IA, PG U ARD I.A.1D, PG 6. <br />corm 3320-7 (Rgv. 9-88) Aevkws edilKVLS may 6e used (REPLACES EPA FORM T-10 WHICH MAY NOT BE USEDd PAnc nw <br />