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Form Approved. <br />PERMITTEE NAME/ADDRESS (T dAk I.rWgAo.WLdrorto. (/D(A t) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /INPDESI OMB No <br />2040-0004 <br />. <br />NAME DISCHARGE MONITORING REPORT (DMRJ <br />?;?i;?CAP (:UAL CGlKrANY, INC. MlfiUii <br />ADDRESS;{v„p?1UL tlUNTN 8 SCUTH h14F; / (SUSfi 0k) <br />P.U. d0A 14JU PERMIT NUMBER asCHAnotNUnteEn F' - FINAL I' <br />. ESA <br />rALISADE CO H1526 <br />POND 1 <br />IL CCLOEALC FIVER <br />FACILITY <br />MONITORING PERIOD <br />FACILITY <br />RUALSIDt; NGRTh f :SOUTH MINE;; YEAR MO DAY <br />YEAR MO DAY _ <br />L <br />'Tt'D ir,Ah PALISAL'L co 81526 FROM TO NG CISCiIARGk ? 4fir• <br />' ' <br />1 i 1 <br />. ' 1 : NELSON L . K I G U E F V. P. V 0? 0Z 3( NOTE: Read Instructions Wore ompleting this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX ANALYSIS TYPE <br />?h SAMPLE <br />MEASUREM <br />NT <br /> E <br />U U'tl U, U 1 ) J PERMIT t r. ce y+ a? ?t :v f" r ? ri. t <br />Ft N l' +; %IJS A REQUIREMENT <br /> 7! u C <br />f 1 <br />:iOLIllS, TOTAL SAMPLE <br />MEASUREMENT r,.;T. st .< ,:r ( <br />19) . <br />.. <br />U:i }' E tl UE U <br />J U 5 i U i J U PERMIT sr 1, rat <br />k r' L JLCi'1 (,'ROSS VA . <br />I. REQUIREMENT <br />>:,1 <br />Q t?.,,r <br />M G I <br />V <br /> <br />?ULIUS, SE:TTLHAULL <br />SAMPLE <br />M <br />A <br />rltr <br />-:fit '7r*[ <br />XsxtXX`Yf <br />??, V <br /> <br />2?S) I <br />. h <br /> E <br />SUREMENT <br />!r1545 1 U 0 PERMIT + rfi <br />w? <br /> <br />'FFLUkce1 (,i{U5` Vf.LUr <br />REQUIREMENT <br />14?9?ttQt PC c? <br />a \CE? ?BAB°{ <br /> Ail Y?? <br />r1I L <br />??Cii.I u <br />TOTAL SAMPLE <br />MEASUR <br />MENT !t1 <br />;. 'x:rR` <br />t t- ? •>je <br />ri .???t P <br />L L' <br />(A S F• E <br />11U45 1 U U PERMIT <br />E <br />1 <br /> <br />? <br />" r -? <br />'SJQ? r' <br />7Q'?tJ+> <br />h'CE/ : <br />'nA <br />L <br />?FFLUEil1' (iklJ 'S V U R <br />QUIREMENT <br />+4? <br />n? <br />1 <br />w a i' r <br />r r Y <br />UG/I <br /> <br />)1L ANU GREASE. <br />SAMPLE <br />MEAS <br />M ?i E <br /> URE <br />ENT <br />).37U2 1 U U PERMIT t oy +*:q y!;`?} <br />`?' <br />Err <br />I Q <br /> <br />,k FLUENT GROSS V1iLUF <br />REQUIREMENT` . r <br />AL: <br /> <br />'LUFt, IN L(JNDUI'T oh SAMPLE ( U3) r ? <br />I HRU rh6AT;];ENT P LA [r'1 MEASUREMENT <br />)UUSU 1 U U PERMIT N10#r1?` <br />n <br />!?.?kUP at'Jrb'Y? <br /> <br />>+ <br />E. <br />4 <br />,.. <br />? <br />' <br />r- r <br />:FFLUENI' GkOJS VA LU; REQUIREME?l1 '.,jUD f.V?" TiA`ILY'r'MX CGD I "`' ti v T <br />; <br />xt;, -?? r} i c <br />L Y I N <br />?iAt <br />)LL AND GREASE SAMPLE 94) <br />J <br />I is U AL MEASUREMENT <br />14'J66 1 U U PERMIT 't ?-?? F, st kGhT u ES=1 t Li4:LY V <br />1:;Un <br />:FFLUbNT GfJOS VALUr REQUIREMENT CS`# MAX i+t'=U , <br />VAMEMnE PRINCIPAL EXECUTIVE O FFICER Ce""' ° <br />P-per.d ""' p'"' `' ` "' "'" U <br />r^d'r m, dlr-rtlo„ or mr* "'° ^" ° •'' •"?^" <br />-Mon I^ .crord.- with. ^u'•^ <br />q,tet. d.Wg..d TELEPHONE DAT E <br /> <br />[li ?C?' Orl rn rY- c <br />` to aa-re <br />.obrrdtted tA.t q-C'ned-p^o^ A p. <br />. lamed ew r.f Inquiry of th ". both- a d e. ot..te th <br />e PC w w proem he. . I.for...tle. <br />61* th. e <br />,t..y <br />_ Ih i y <br />V or <br />ow P enes. d <br />rectly mp.rodblkf or i.th.r1.S the I^/orwrtle ., the Infornrlle . <br /> w,bndtl.d <br />I or^ a.. h4 to the beet of m7 t..rl <br />n Chet then an a1ENnritN .d I. 11.41 lt.le/, Ime, atcvn <br />p.t.ttts ter mbndln^ <br />r.Y. tr, and ee..pkta. <br />I^rer...tf <br />•IGNA <br />4 OF PRINCIPAL E <br />XECUT <br />?? <br />°?``! -?i <br />J <br />9 <br />v <br />2 <br />U <br />TYPED OR PRINTED I.r1odl^s the poswIbitlll of f1.e and f. E <br />epL..tne^t for ka l.E .I e., <br />e1.tlo.ta. OFFV GEIt OR AUTHORIZED IVE <br />AGENT CAAEA <br />OD <br />NUMBER <br />YEAR <br />MO <br />DAY <br />DMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ill sttschments hsrel <br />:L 1.A.1.'3. FOh ALTERNATE LIMITATIONS WHEN 1UYP,24HR PRFCIP. EVEN1 OCCURS, SUBJECT TG EUFCFN CF IFCCF <br />tt;VLJJx MINTS - SEE: 1.A.2. <br />)A Form 3320-1 (Rev. 3199) Previous editions may be used. U U 4 `O Q / U I f s z 814-j a1i0(pl7p, PAGE 1 f <br />1 <br />t.?