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PERMITTEE NAME)ADDRESS(7ne"For•thryNa.?La•eri. tfD(pbw.t) <br />NAME SNUiC.AP CU.:1L CGI-FANY, INC. <br />ADORESSHUADI iIUc: NORTH S SOUTH HINES <br />P.U. -'OX 14JU <br />NATIONAL POLLUTANT 043CMAROE ELIMINATION SYSTEM //NPDES) <br />DISCHARGE MONITORING REPORT (DMRJ MI <br />N O R <br />(SUER La) <br />PERMIT NUMBER ..SCHAROEML*AOtt F - FINAL <br />Farm Aporoved. <br />pV8 No 2040-0004 <br />i'GS P. <br />FOND,-'5- T(. CUAL (.F.EFK <br />FAj,i?AUC: c:u ti15Lb MONITORING <br />FACILITY HOA DSIUE WhTH E SOUTH MINEr ; <br />YEAR MO DAY OAY <br />R <br />LO?T1ONVEAR PALISADE CO 61526 FROM 1-T -6-1 TO I -J-0 t;0 015CHARIiE 7r -Old' 1 <br />i <br /> <br />T I N' N t; L S Q N L. K I U D h fi V. P. v V () ( NOTE: Read Inetructlone before completlnp this form. <br />A, If I -1 <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FACOU <br />ENCY SAMPLE <br /> 1 <br />F <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br />(1 SAMPLE r,:e?R :!sV7?yt)t 1 <br /> MEASUREMENT <br />)i14UC' 1 U U PERMIT ,4 `s3 w,.f. y3T ?t to <br />?n <br />r ,Y3 i t' t <br />) <br />?.1: . <br />rr'zatr <br />' <br />y.C <br />Cr',KIY r. ?.»i <br />d.?11I <br />' iEQUIREMENT v <br />' ^ a <br />" <br />`? M1 <br />:E <br />FUEIv' V((U5° AL t,.{ Tt <br />_ ?4, ,. <br />.. <br />z Ir,f SU <br />SOLIDS, TOTAL SAMPLE i + I ( ICJ) <br />S U S P E N D E D MEASUREMENT <br />I <br />U C . <br />) 3 U 1 U J PERMIT. ter: rt'r : r <br />+? " fi S? Y: , „ i Y?x b <br />5; <br />k'Y ti <br />7 Q ti i u ;. <br />N. C': / <br />; h A f? <br />. T <br />R j <br />;E'FLUtN1' V1tUS5 V Ul EQUIREMEN MC, I T11 <br />ji-LIDS, .3FTTLEkBLt; SAMPLE ( 25) <br /> MEASUREMENT <br />UUSUS 1 U U PERMIT ??ilia` c y t'slt{$ha t ?YiSY}),ifa ?'?rr^sr>x 1i It ^i°}iL'?LEi1- t.• `t/,. _ftc^i <br /> <br />LI'f'LUEN 6V.055 VP.LUk REQUIREMENT <br />ti <br />r +?,dr <br />?ylq <br />? rn< <br />?;' ?,i!' <br />yI-I.4 r;{ <br />ML I <br />^^ <br />iwGtiZFI <br />r n?jh, TOTAL SAMPLE ( 26) <br />(AS YE) MEASUREMENT <br />U <br />UlU4S 1 0 ,i PERMIT ><? rt <br />??? urn r t r y <br />„ r•I# s; 1 <br />h c*'F,? <br />aS;GG,xiF, <br />'I0UO <br />l <br />2iC1? <br />'rtifi <br />Ei't LUt,il1' GicOSS VALUr REQUIREMENT <br />x <br />UL.,,.>,'V <br />^n t? f <br />UG I <br />rrc;;-17 <br />UIL AND GREASE SAMPLE 19) <br /> MEASUREMENT <br />0 J:)(31 1 U U PERMIT ctn. +tt : r u{ r a is ?.. by A, !?Lf?Oc T lU <br />L <br />"kE'LULNT GNUSS VhLU' REQUIRE-ME NT MG I Ctt'I <br />f <br />PLOW, IN C;ONL'UIT Ufi SAMPLE ( 03) Y-N -. <br />77 <br />T8tiU TREATMENT PLAN1 MEASUREMENT <br />5ULlSU 1 fJ U <br /> <br /> <br />' PERMIT <br /> <br /> <br />REQUIREMENT <br /> <br />r <br /> <br />G <br />-, ""M <br />?'?Sl`? >, <br />r <br /> <br />DIIJ¢ <br />''?SXs <br />' <br /> <br />y <br /> <br />< u <br />I ?3 ?I bitty. <br />>, : r :. <br /> <br />?1sc <br /> <br />v <br />i, <br />11,I? <br />#y1R' <br /> <br />(,^?S <br /> <br />ti <br />1=?'YLY <br />r 3 <br /> <br />y <br />F <br />t:3TA1 <br />is <br />LUtYT GROSS V A L U r <br />t E! , 1 <br />' < Px r .,. ;: <br />, <br />,-)IL AND GhhASE SAMPLE 4xrzF 94) t;. ,?=r=!"r r_?{Mtrl;? ;t*Zt;?i ?v <br />V I S U A L MEASUREMENT <br />64Ubb 1 U U PERMIT wi' `?=rArM• F +Y?` r t 1 .5=1 ?r??, I. {? t •. <br />tiFE'LUENT GROSS VA.LL RECUIREMENT NC=O <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER t <br />pr.p.red r -',' ° 1.- m.t <br />.nerr , eirKtM?.?r. e«.n+."t.ne .n .u.chm <br />*.++-1. veto d.R...tth enu men <br />. r.n.,e e.r,..e <br /> <br />77 TELEPHON E GA TE <br />) <br />'\ <br />4 to. " <br />i <br />ltt that R..Il red p.n mmi Pr <br />.tr <br />b <br />r„ <br />Iw <br />V t <br />d <br />d operty jobw and e..I..te <br />m or <br />. <br />tr <br />h <br />h M. 1.11" <br />. <br />th. <br />MNw <br />a Y1 <br />1 ?i u 0. tm <br />e <br />w <br />w II»r re <br />en <br />7 <br />a <br />t <br />. <br />Pener dlrMty mp.r.dbk e P <br />tw <br />p <br />? <br />o m <br />rer E.thm"t tho Inrerm.tl. s <br />op <br />tI <br />., the Int-molle , <br />rt <br /> <br />7 <br /> wbmitt. to tnt ?nt or my Y.o+ <br />d Is kdte .M Mtlef, trw, . ? We, .mt templet .. II a J- /? (,Q /( (J <br /> , <br />ifl <br />A <br />i <br />M M <br />? <br />ll ti <br />t <br />k I <br />r <br />tl SIGN TYRE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED 1 .m ... <br />Ir.-Wing c. <br />n !AN 1 <br />er..n t <br />tn <br />thepedsltlttefflow-dl P.T. <br />. ter w <br />m <br />me <br />. <br />mPrltswmeMler?ro?Iwtrl .rm. <br />e <br />n <br />ew, <br />el.uora <br />OF <br />? R OR AUTHORIZED <br />AGENT ARE <br />COD AJ <br />E NUMMR <br />YEAR <br />M <br />O <br />OAY <br />:OMMENTS AND EXPLANATION OF ANY VIOLATIONS (Referonc• Nr a"ecAmenta Atrrtr) <br />ALE i.A.1.8. FOR ALIEFNATE LIMITATIONS WHEN IUYR.24HR PRECIP. EVENT OCCURS, SU13JFCI TC BURDfiN CF PFCCF <br />h`?uU1Kt!1F.TiTS - 5)?i? I.A.Q. <br />PA Form 3320-1 (Rev. V99) Previous editions may be used. O C 29 8/ C .Sh' V? 1 L?Qrm' PAGE OF <br />1