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PERMITTEE NAM .. RE55Ilnrlude NATIONAL POLLUTAyyyr~~'~~~r.yCHARGE ELIMINATION 6YlTEM (NPDES) <br />FeNtlry Name/L .: ! dlllemnrl DISCHARNITORING REPORT (DMR) <br />NAME-~ ~c>:?AIr~9A~RJ4µ~-------- (1-16 (17-19) <br />MINOR <br />ADDREf~~*~~~~------------- r ~ (SUBA NH) <br />---~3~rl~A~I~-R•~+Na+-A-~1-~-------- PERMIT NUMBER oucR ec.RUrea F - FINAL <br />V <br />FQr /~pProved. <br />OIA~NO. 2040.0004 <br />e B <br />---~~~~---------~-916+"1--- MONITORING PERIOD HE°T PIT SEtf7''-PTI <br />~~ 9A~LDR CRY. <br />FACILfr'! <br /> <br />--- <br />----------------- TEAR MO DAY TEAR MO DAY <br />LOGATK)N ---------------- FROM 1 TO y, r-[.. <br />------- 9u D7 C1 9u 09 30 ao Nn DI~.fIAPr,E ~ II aaa <br />(JO-an UI-2J) ra4-)s) rzb-n) (18-?9) rJO-n) NOTE: Read Inslructlone befor Dhfpleting thif form. <br /> (J CeN Only) QUANTITY OR LOADING (4 CeN Only) DUALITY OR CONCENTRATION <br /> <br />PARAMETER <br />(46-5J) (54-b1) <br />(J8-45) (46-b J) (Sldl) <br />NO. <br />EX FREOUEHCv <br />~ <br />SAMPLE <br />TTPE <br />(J1.37) ANALYSE <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITE (b16Jj (64bD) (69~]Ol <br />`R SAMPLE fifiaafia fi00ttfirY iL'afi0q ( 12) <br /> MEASUREMENT <br />auoo 1 n O Q afiaaofi aaaaaa a ~;Ta , 5 aaaaaa ; 9.0 EERLX RAB <br /> UIREMENT <br />RE f: <br />OLIDS, TOTAL SAMPLE afiaafia +raar~o:i aaaaafi ( lo) <br />USPBNDED MEASUREMENT <br /> <br />0530 1 O O PERMIT aafiaaa aaafiaa a ofi .aoaaoa 35 70 NCL/. SAB <br /> REQUIREMENT <br />#~ <br />- <br />OLIDS, SETTLEABLE SAMPLE a~aafia fifi~afifi aaaaaa aofiafia - ( 25~ <br /> MEASUREMENT <br />0545 1 0 0 ~ PERMIT as#aia aaaaaa a .sa 'aoaaoa aaaaaa; 0.5 ". NCB/• SAD <br /> REQUIREMENT - <br />IL AND GREASE '~lafififia oa#aaa aaaaafi aaaafia ( 1g) <br />REON EYTR-GRAY~METR MEA9UREMENT <br />0556 1 0 U PERMIT aaaaa# slaaaaa a as aaaaaa .aaaaaa 10 OIiTIN @AB <br /> REQUIREMENT ~ - . <br />RON, TOTAL :!•; SAMPLE afiaafia fiaaaaa aaaaafi ( 19) <br /> <br />(AS re) ; MEASUREMENT <br /> <br />10u5 1 0 0• PERMIT aaaaaa aaaaaa a fi:a aaaaaa 5 <br />3 7 <br />0 t YCE/• R-B <br /> REQUIREMENT . . - <br /> I t <br />LONI IN CONDUIT OR SAMPLE ( p3j vfiafiaa afiaaaa aaafifia <br />NRU TR EATnENT' PLANT MEASUREMENT <br /> <br />0050 1 0 C? PERMIT pTIONAL REpOkT , aaaaaa. aa>baaa aaaaaa fiafi BE6L'Y PSTAN <br /> REQUIREMENT <br />ULIDS, <br />OTAL <br />T SAMPLE afiaaaa aaaaaa fiaafiafi fiaafiaa ( 19) <br />;a <br />s <br />ISSOLYED MEASUREMENT <br />Oa95 1:° 8 c0 neM <br />Qu aaaaaa aaaaaa a +aa :aaaaaa aaaaaa REPORT T~tLT~: RAB <br /> wE <br />I <br />ENT r I <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF LAW THAT I HAVE FERSONALLr ExwMINEO TELEPHONE D A T E <br /> AND AM FAMILIAR WfTFI TFE INFORMATION SUBMITTED HEREIN: AND 9ASED <br />,``~ ON MY INOURY CF THOSE INDIVIDUALS IMMEpATELY RESI`ONSIBLE FOR / <br />I OBTAINING THE INFORMATON. 1 BELIEVE THE SUBMITTED WFOHMATIOIJ IS / <br />!.- TRUE ACCURATE AND COMPLETE. I AM 4WARE THAT THERE ARE <br />SGNIFICANT PENALTIES FOR SUBMnTING FALSE INFORMATION INCLUDNG <br />~ THE POSSIBILITY OF FINE AND IMPRISONMENT SEE IB USC / 1001 AND <br />33 USC 1 1319 <br />ft <br />l <br />i <br />M <br />A <br />i <br />N <br />f &ONATURE OF PRINCIPAL EXECUTIVH <br /> <br />TYPED OR PRINTED ( <br />na <br />( <br />a u <br />rr l <br />FSr aMlmn rtu~ <br />n[ <br />4r <br />iMf up fo <br />f/0000 and or maximum imprimnmenl N brlrren b mumha an4 t yrars) <br />OFFICER OR AUTHORIZED AGENT <br />F'REA <br />NUMBER <br />YEAR <br />MO I` <br />DAY <br />COMMENT AND~EXPLANATION OF ANT VIOLATIONS (Rr(ercn[e all aua[hmenrs here) <br />SETTLEABi;E SOLIDS LIttIT APPLIES ONLY IF <= 10-YR, 2u-HF PRECIP EVEt+T IS CLAInED. IF CLAtM APPAOVED BY <br />NQCD, TSS 6 IRON LIMITS HILL NOT BF. APPLIED TO REPORTED MF,ASUREnENTS--SCE I.B.lA, PG 4 AND T.B.1D, FG 6. <br />Form 3340.1 (Rev. 9-BB) Previous editlarls may be <br />IREPLACEf EPA FORM T-10 WNICR MAT NOT BE USED) <br />OOU07/9311U9-1331 <br />PAGE OF <br />1 <br />