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'ERMrITEE NAMWADDRESS (Include Faeifily NomclLocation if Different) <br />DAME `N'ER Y ° ,J1-LS RESOURCES CDRP. <br />1DDRESS WHIIRL'wIND PROJECT <br />1 `SCli}A tn `7 'ti <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) MINOR <br />C0004,7SbG CEO A (SS jr.R 7 gI <br />PERMIT NUMBER DISCHARGE NUMBER F - i iVtL <br />Form Approved. <br />OMB No. 2040-0004 <br /> <br />114 }J s.,r.l3 C ? 'LAP 1"Lt i j1i It% 1'M <br />MONITORING PERIOD <br />' <br />' <br />ACIL.IT <br />Y <br />r . <br />YEAR MO DAY YEAR MO DAY <br />OCATION GAT .CWAY C-0 5;. 522 FROM ::. J 71 3 1 NO DISCHARGE i <br />F4: S'E = HEN P i''OC NOTE: Read Instructions before 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 />F SAMPLE ### G <br />o 12) i(? <br /> MEASUREMENT r <br /> PERMIT Sit # #. # # c N # Ca. S 'i ## }? 3t 9. 0 WEEKLY 1R AB <br />EF'FLIEN T GROSS VALU REQUIREMENT;: ap i I"[i Ue Irl:i}ri i <br />U lri Sli <br />SOIL I L S, SAMPLE ? # # x# ? st<: # # ### r ? ? O ' t ? 9 i rr? jj / <br />SUSPENDED MEASUREMENT l V ? <br />01.33 f O 0 PeOMIT R,? 30 aEEIKL.Y OMF sO <br />EFFLIJErdT GROSS ;J:aLU 'REQUIREMENT; ##??# OdDA °6 MX 7D AV ri1GIi_ <br />E5 EL EN1'.J11, 1 017 AL R E C SAMPLE ?c r:## cA? 3 z*i-Ka# ?, ` <br />l <br />f" : 2S? r <br />4 <br />VERABLE MEASUREMENT l 7 <br />CIO?8 .. 0 0 PERMIT ??### ? r??#?# n #?? ?# #? ?# 20 REPORT WEEKLY OM PEE <br />EFFLUENT GROSS VALU REQUIREMENT` i ?sx# TJA P.VG <br />30 DAILY MX VG/L <br />AR5E€•aI C, 1- C. SAMPLE » ? 3 ar .• • i # x zr? r ?: ^ <br />I S) - Q <br /> <br />(AS AS) <br />MEASUREMENT <br />7 <br /> <br />O <br />{1 <br />C 1+t0? C° 0 PERMIT S r # x #c? •z?c# . ?c>S# # #?3? 100 REPORT <br />cFFL'JEN+. G t©SS VA; U REQUIREMENT <br />. #s?7:f 30 DA C?rVG DAILY r'x :JGJL <br /> <br />?TrtiG <br />' <br />' <br />SAMPLE <br />h##yc# <br />E•xrit <br />.#"`^# <br />L O <br />L ?S <br />{ 5? /? <br />qH <br /> <br />OTAL RECOVERABLE= <br />T <br />MEASUREMENT L li <br />0 PEf3MIT: 3i: # ?, t,x? a? x?> ?rO 1000 i ;li~E?LY ..tiS!f <br />M; GROSS VALUE REQUI1FtEMENT' # # ODA AVf,', DAILY VIX, GG: C. <br />CADMTU <br />Il Atm. {Y? vt ?.`i'? <br />SAMPLE <br /> <br />.. :- # :L•# <br /> <br />^:; :r R..x •'?•.. <br /> <br />art.•## •# <br /> <br />f l <br />h 1 <br /> <br />( <br /> <br />_ f /?? <br /> <br />I J J <br /> <br />g <br /> <br />70TAL R>r-".COVERASLE <br />MEASUREMENT <br />` <br />` 1tJ t t <br />t ' i„1 PERMIT ?? •-? ?r r # n :? 3fx # 10 REPORT E <br />EFFLUENT GROSS VALU REQUIREMENT: <br />1-1 - x##?: Opf?r? FVQ iJ(kIL 'f i;:? <br />^ ' <br />U i?JL <br />?1 r t?rti.i> GREASE <br />r SAMPLE <br />MEASUREMENT ???#x y{? x? ? # .cam n.x?x xx:h#r ? i' y ? <br />DS551' C 0 ftsviT ## r# # -, r r##x# ###### i ' <br />EFFLUENT GROSS V AL 144 U REQUIREMENT` tt? ? ?1`?ST Mr;; GENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were <br />d <br />d <br />di <br />ti <br />i <br />i <br />i <br />d <br />ith <br />t <br />d <br />i <br />d TELEPHONE DATE <br />/? <br />Gt <br />/ L1-A hTOM Lf <br />?T? Prepare <br />on or superv <br />un <br />er my <br />rec <br />.. <br />on <br />n accor <br />ance w <br />a sys <br />em <br />es <br />gne <br />toassure that qualified personnel properly gather and er.Juate the information ` <br />/? <br />V er 11 <br />(v G/ r' 1111 tr V r vt .submitted. Ow; d on my inquiry of the person or persons who manage the s7,tenu 1 <br />n or those persot directly rt•.ponsiUlc for gathering the information, the Information 111 <br /> <br />- <br />x C VF/ V <br />C co <br />submitted is to the best or my knowledge and belk-f, true, accurate, and complete. w <br />? <br />?K Zr?O /? 2 <br />1 <br />1 nm aware that there are. Penattics ror submitting false information SIGNATURE OF PRINCIPAL EXE <br />nVE V <br />TYPED OR PRINTED , <br />including the possibility or[iceandimprisonment forknowing violatlom. OFFICER ORAUTHORIZEOA NT AREA <br />CODE NUMBER YEAR MO DAY <br />?VIV11vi G7V1J N1vV Gnrr.r+?.r+?.vrr v1 ?1r: rrvu?rrv:•rv trrcr cr crn,c an PlrR4r UrrQrllJ rrcr c/ <br />li E;^r1_Y SAMPLING >r:. REP OR l rJ <br />" REPOR e ING IN[Sl .,t.?:'UCT:tL. SEE O ? i. C. 9, PAGE n I L n t., GREASE SEE' 1'. C. I`v'. <br />I?.J <br />iYS.t='4?:T1? <br />ep. PAGE ' iOF <br />.PA Form 33201 (Rev. 3199) Previous editions may be used. COG 3 rC ?g P <br />tfq