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I PERYITTEE NAMEIADORESS /Inrlutlr <br />Frrdiq Name/Lorrlion j(tldlertnl) <br />NAME ~U 1140 i_J ~,_p~'lellt~__---__ <br />ADDRESS ~ O4Yl~r!I~__-________ <br />-- -5131 S.~ A"C.~ ~i-[~.ilh AY 1 L-- - - -- <br />FACILITY <br />LOCATION _-------------^- <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT/DMR) <br />/1-161 (17-191 <br />COG iSGp17 .;QI A <br />- PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />~, 1 <br />Fonn Approved. <br />r' - F' 1 iJ 11 L OMS No. 2010-0000 <br />Approval ellplrea 8-30~Bt <br />E6i+ 1{171E PITS 'f0 GUUD SY1;5 Cll• <br />I \. <br />~i <br />M/1TL. f]~aI I~n.~..~al \ • 1 •AI,. r <br />•., ,~.• :.ate. ~~.. ..r ~.• ,~a.. a~•~., lara./ laav+/ lam -a.•/ late. ' <br /> (3 Cord Only/ ~ QUANTITY OR LOADING II CaMOnly/ QUALITY OR CONCENTRATION ~ ~ <br /> <br />PARAMETER <br />/I6J3) /JI-611 <br />/38aJ1 (16)31 /JI.61J ~ NO. <br /> <br />EX FREQUENCY <br /> <br />O SAMPLE <br />TYPE <br />/31-3j1 AVERAGE AMA%IMUM UNITS ~ 'MINIMUM AVERAGE MA%IMUM .UNITS) <br />167-67 ANA <br />LYSIS <br />161-681 <br />/69-70/ <br />1,, <br />IIL At1D GR yASF. SAMPLE i7 is {::::#4 ~ ;~ ~' AL'%rr ~'i: .^- ~I ,::f i='3r CL >r#;: i.`,,J ~ •. C- <br />- <br />ISUA( MEASUREMENT n + [: Lt• C• ~ ~ <br />. r <br /> <br />uU66 1 O rO <br />PERMI va-.! <br />L ~,~++ <br />~1' l.C <br />'.1 S ..rt <br />ES=l <br />4 ~~ t <br />~'~ <br />°' <br />7, '.#~O## <br />0 <br />.^„y`?r <br />~ y <br />~'~',12~ <br />ISUAL <br />'FFLUF.NT GROSS YALU DuIREi^ I <br />, ' NbYU CS <br />` . )%'~t''.~,: y - S3 <br />L% r' ., SAMPLE _ - i. _ r 7 i r I n ~ 1 .1 i <br /> <br />VV `_ MEASUREMENT » <br /> <br />. 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C <br />~ _ <br />...A <br />"' ~ ~ <br />r <br />j <br /> REQUIREM <br />NT „~ ~ .. , ; <br />.1 - '~' ~- ~ SAMPLE - ~ ~~ <br />- 1 <br />n ~; ~ MEASUREMENT ~ _ ~ - ~ 1 <br />' - ~ ~' <br />' ,) .. <br />.. 1 ~ PERMIT'' Y .. ~.~ <br />' .., ,A ~ <br />` <br />b ~ ~ 1 `a } _ ..; 1.1 ` -, j._ G , <br />• (iEOU1REMENT ~ C .j . <br />- C ~ p r ,I ~ ~ w ~ ~' <br /> <br /> <br />L- <br />SAMPLE <br />- - <br /> <br />' 1 <br /> <br />~ <br />+ - .• <br />n- <br />- <br />1 ~ ' <br />_ -r MEASUREMENT ~ ~ ~~ + r. - I <br /> <br />'~ '' PERMIT ~ tL ~ Zi C <br />r ~ ~ 1 ~- O' o n <br />~ ' x' ~ <br />( r ~ ~ P <br /> BEGUIREMEN7 ; t <br />, y. ~I L ; - wd T. u i. <br /> ro <br />' SAMPLE ' ~ ~ ~ ' <br /> MEASUREMENTS ~ ' <br />r <br />F PERMIT _ <br />.. ~ ~ I <br />" F G ~ <br />5- t- ~ `s ~ <br />~ - <br />I <br />~ <br />' <br />- REQUIREMENT - .'i' i `~ •• i '~' r .: } .. - <br /> <br /> <br />' SAMPLE ~ ' <br /> MEASUREMENT ~ ~ ' <br /> ' PERMIT `- <br />! ` <br />~ <br />_ <br />' REQUIREMENT . - ~ ~ '• <br />~ - ~ c <br />NAME/f17LE PRINCIPAL EXECUTIVE OFFICER 1 CERTI <br />D AM FY UNDER PENALTY OF LAW THAT I HAVE P <br />FAMI <br />R WITH THE I <br />FORMAT <br />N SUBMITTE ERSONALLY EXAMINED <br />D HEREIN <br />A <br />D BASED 7ELEPNONE DATE <br /> ; <br />AN <br />LIA <br />N <br />IO <br />N <br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ~/jj <br />j/ <br />~ ~'J <br />,' <br />' <br /> <br />R <br />'"ATKINSON <br />G OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION <br />P . <br />/_ <br />l ~ ~ ` <br />1 <br />. <br />. <br />AFFAIR. <br />VP LAND~ENV IRUNHLIJTAT IS TRUE. ACCURATE AND COMPLETE. I AM AWA <br />E THAT THERE ARE SIO~ <br />NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING <br />FI <br />MPRIS <br />BI <br />E <br />M <br />T <br />SE ~ <br />~ / <br />~ <br />3U3 8_4-4451 <br />I ~04 l4 <br />~ <br />. THE POSSI <br />LITY OF <br />N <br />AND I <br />ON <br />EN <br />. <br />E t8 U.S C. 1 1001 AND <br />l <br />k <br />A <br />1' <br />l <br />S C <br />7 <br />P <br />P <br />M <br />d <br />/ <br />J10 <br />LG6 SIG NATURE OF PRINCIPAL EXECUTIVE <br />' ( <br />ne lmlulu maY <br />ee vy la <br />. 1 1 <br />1 <br />. / <br />nm <br />l u <br />n l <br />I <br />u <br />r ) <br />, <br />33 U. FFIC <br />UTH <br />RI <br />ED AG <br />NT RE <br />TYPED OR PRINTED rndwmrrunum lmOlLlonmrnlo/Drlnarn6monlAf and lyemt/ ER OR A <br />O <br />O <br />Z <br />E NUMBER YEAR MO DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (R(/rnrntt aRallathmrnts hrrtJ i <br />f7!1 0T1, ,'GPF6S1''r S!'I;; t'IjOft:uTE FI I9 'litL ?E3"I'1'. SF.TTLEAbL:: 4~)L[D.i TL•ST itF.'.:!Ilich:l.l ORLY 1F E= lU-V[s, :'t- <br />.~%t2('IP },7PH•I /'LRI""1. 3F 1:'Lh1" •~.t,ll,.yl.1~ IIY 4,,CJ1 "1'SS t. (i,l=t (,('T";5 7l LL ((~7'i !'F :'f%Lic'i: T:1 f1 El OilT•,'~. <br />EPAFOr 33261~Rev.9-BB) /bv/ou8bd/t/oba~ma bAUadd: "'' ""' (RERACES'ETRFORYTJ~WHICNMAYNOiBEUSED.I -1 ~~ OF <br />