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~ ~ ~ ~ ~ ~ ~ <br />PERMI7TEE NAME/ADDRESS (Include Facility Name/locntion if Different) <br />NAME ,4~1R.:~I~1= F:,h#:~RGY~ IIVG. ' <br />ADDRESS CAFtt'~.1:}~ YJk1i~1CTIDM f'1INI= <br />~•:al~ w+~C#~iSD~RC's MIi=HWAY <br />b•1I'L•i~i I "s.',~ F'Pti..'s,_~ T X : ~,3d3~: <br />FACILITY z.: lii~i ~'.~Pi . ,.1~i`~t..l~ I i"Ii~i 1•'~ I i~lE <br />LOCATION ~ld,jFsf^i'~IG[~ {_:s'j g13''..~~. <br />AT'TPI: ~AI~;S.}C~A i'sAU"1'~I•'-'s', PRESI~?I«ItiIT <br />TIONAL UTANT DI RGE EL TION SY ((NP~ <br />DISCHARGE MONITORING REPORT (DMR) <br />TGGFTst > ~ ~. <br />PERMIT NUMBER DISCHARGE NUMBER <br />., <br />MONITORING PERIOD <br />,:_ ~ Foii~ved. _. <br />M I Nf_IR OMB No. 2040-0004 <br />f SUDR G;3.) <br />F .- ~'I~AL L.I•'L..TA <br />~L'~I i~c']i~I3. Tt:i •,`:AR~;C#P~a U~.%f~l~'T ~;i~iY4~+' <br />Y D Y 6 D .~ ~ ~ €~ICI L ISGH~fiRGc ~~: '~ ~'~. <br />FROM TO ' " <br />.NOTE: Read Instructions befor completing this form.. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION. NO; <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ' ANALYSIS <br /> AVERAGE MAXIMUM UNITS . MINIMUM AVERAGE MAXIMUM UNITS <br />P <br />,~ SAMPLE ' <br /> MEASUREMENT <br /> . <br />,., <br />' <br />_ <br />'; <br />~ <br /> <br />~ <br />- <br /> <br />.. <br />~ <br /> <br />FF'F'LU~ra-~~ ;~r~c~~s VALU <br />~IrQU~~+iEI~T <br />....: . <br />.. ... <br />v <br />#~••~~• ::r±r>tr~ur~ <br /> <br />~ ~ ~., r~~-x•xr~Ul~c- <br /> <br />_ su TH <br /> <br />, <br />;aC,t_:C'DS, qtr T -A iw SAMPLE <br />' MEASUREMENT <br /> ~ <br />IrF'FLU~IVT GF~CI~.i~ VALU .RUiR~ME>+I't <br />. ###•# :~QAA A,VG <br />_. UA~L.Y ~f'IX L/iT P'tL~1AtFM i <br />•~t~ D... ~'•~ . A a SAMPLE <br /> MEASUREMENT <br />/-~ pp <br />~F'r LU~lrlT ~;F2Q~5 VALU ;:.;.:.;.P~R11~fI' <br />l~EiRU~rINCEI~T; <br /> <br />~ <br />,; •. <br />:: <br /> <br />, <br /> <br />. <br />, <br />, <br /> <br />. ... <br /> <br />.. <br />L , .; :, L SAMPLE t ,,~ ,` <br />'` <br />THRtf` T{~EATMEAIT I'LAt~I'1 MEASUREMENT ~c <br />5U1:3 SC7 1 • is U P~R1d11T . <br /> <br /> <br />i' <br />.. <br /> <br />•~•~# <br /> <br /> <br />~ " . ' <br />EF'~"L.U~iVT Gi•~L'lS~ ,VALU REOt1kREMENT ~3t~DA Ay~J~ U#~t~3~.Y 1~1X I'1GD - ,. ' - ~~ <br /> <br />. ., <br /> <br />,. <br />•;t##•tf <br />' I'~btV'rtH <br /> <br />, .: . <br />' '~! ~'' SAMPLE <br />UI~`~`'I~~-•V~~ . MEASUREMENT <br />70.=?9a :f. t) O P~>r31kiE1T ~ ~ #~•~t•' <br />~ - <br />I~F'~'l..ULRIT Gt~O~~-',5 VALU <br />Rirtil~fRE141EN'f' I ~" <br />. <br />## <br />. <br /> <br />. <br />O'l7F1 AVM <br />1~AI1_Y :1'~iX <br />t~fG,rL <br /> <br />.. <br />.., s• •-+ SAMPLE <br />V I `~:lAL MEASUREMENT <br />C•i4•GE~tS 7. t] t3 <br /> <br />PERMIT X5"-1 ' <br />.. •~•## <br /> <br />,~ ; <br />LF~i•'L,UJ~.1~~`I" GR[1~5 VAt_U RI"Git~ERE~.MENT. ; ` ~'T• t'~AX fVU =U ,=' ~ ~'~'~~ M~lN~H . <br /> SAMPLE - <br /> MEASUREMENT <br /> R MIT <br />h <br /> <br />. I~I±+f~I,IIR <br />...:.:.:.:.:.:._: Elul~lil'1' <br />.:..:...:.. :: <br />u _ . ' ~t <br />~ <br />, <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' l certify under penalty of law that this document and all attachments were <br />ervision in accordance with a system designed <br />ared under m <br />dlreclion or su <br />re TELEPHON E DA TE <br />,1rt ^1 `' <br />v , ~ <br />M~ n ~-ki y- 5 y -• y <br />p <br />p <br />p <br />to assure Thal qualified personnel properly gather and evaluate the intormatloa <br />~ <br />~~„v~L~+. ~ ~ V~~ <br />I iV C submitted..Based on my inquiry of the person or persons who managethe system, <br />or those persons directly responsible for gathering the information, the information <br />~ <br />y~'~ ~ / 1 <br />tpl(`~ <br />6~ <br />j"~ <br />f _ <br />~ <br />~ ~ submitted is, to the best of my knowledge end belief, true, accurele,~and complete. ~ <br />enalties for submittin <br />false information <br />1 am aware that (here are si <br />nificant <br />SIGNATURE OF PRINCI L EXECUTIVE , '(~ ~ <br />{7 t oV,~~ ~ <br />V ' <br />1Q <br />• TYPED OR PRINTED g <br />, <br />g <br />p <br />including the possibility of fine end imprisonment for knowing violedons. OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />;~iETTi_.:1=Ai'i_,1~` 5C7LID5 !._I-"iIT t~F,IVDD FCIF~ 10--YR, ~4 Hi:3 i~REC:EIF' ~V~NT, FxUD~I~GT T~ DURDEf~i CJF' r"~Ri7G'F' FtEE~UIREt'IEI~tT~~" Ill <br />e''ART S . D. 1, ll. <br />EPA Form 3320-1 (Rev. 3/991 Previous editions may be used. ~~~~ 1 %~~~ j~~7~_~~~~p. PAGE 10F <br />