|
P.ERMjTTEE=NAME/ADDRESS yn1•ludc.Facility NainelLocation if Different) • NATIONAL POLLUTANT DISCHARGE' ELIMINATION SYSTEM:,(A
<br />NAME' DISCHARGE MONITORING REPORT (DMA
<br />,ENERGY. F'UELSS ,RESOURCES CORP.,
<br />ADDRESS I*IHIRL I#IItID. PFtL)ti?ECT, G600'47562 001 'A
<br />°1 § s: ` 'PERMIT'NUMBER DISCHARGEN
<br />U% LACO 81?..
<br />N
<br />FACILITY PERIOD:-,
<br />MONITORING WL I EI7 f'ROJEC E YEAR' MO DAY YEAR N
<br />LOCATIONC? Y, : CCf ?rc'' 1 C3 C
<br />.': FROM' , 3 Q 43E3 TO
<br />! Ti" 1:> STEP'HtN AN7'Ht..fNY, '' EXEC'JI?fiC4l0 . ,
<br />i, ,
<br />Form Approved
<br />+ w ,OMB No; 2040-0004'
<br />M I NOR ?
<br />7'.???d 3?21?'4?'?b11. .J4? k .. ?1.1'_'' ?LI11?L ?.1-I "'{?1•i ?? ..1
<br />•3i•'•3t• I`?0.: I?`I?aCt"1€$ti??E I?' •?-ei-•ri• ?+;, _
<br />NOTE:'Read#ructlons befor?co Ipleting this form
<br />,
<br />:+
<br />
<br />PARAM,
<br />ETER ^
<br />..
<br />OUANTITY'OR'LOADING tr e a
<br />QUALITY,O+R,CONCENTRATION' '• :N6."; FREQUENCY
<br />OF I ` SAMPLE
<br /> x... 41 W
<br />
<br />? EX
<br />
<br />ANA
<br />+ ANALYSIS
<br />:TYP
<br /> A ERAGE+
<br />' MAXIMUM s UNITS MINIMUM AVERAGE
<br />,
<br />'MAXIMUM + + UNITS
<br /> ; , X: as
<br />i.. SAMPLE tC 3i iE3t >s T`r;# K 3f 3E . # s sF i€ ?': l; ?t
<br /> MEASUREMENT
<br />C PERMIT ?{
<br />' k t # Yr t. ? :a t ''^ sf irit a. t fr c it st C' 4 4t,1 l' rl; t y
<br />:;'.,' REQUIREMENT Y # # C'I Y ICI IvlLtiyl =,:'a ?k7dr-T rat) "
<br />
<br />LIF3?+a TOTAL:..
<br />:Q
<br />SAMPLE
<br />i##`#tiki
<br />?r?i#iFir
<br />?rYg #
<br />1',,
<br />C fi
<br /><fEt?EhI3I} MEASUREMENT
<br />1 #I rj ;
<br />a3'D' PERMIT x rat t# x t 7Y 3r ii :? i£ 3F#:, ?i #ir 3p w0 "fit: %
<br />;.
<br />-•F' 'l UENT' Gf455 . VAL UE REQUIREMENT II' tE3E#3i 3C?uP AVQ F 71? s'AV M(3:.`L '
<br />L E ?,EJ "l, T TA1' REr'ru SAMPLE kt# if iii n t #, ### iE # /i { .• r O,1
<br />E?'AL E MEASUREMENT
<br />e?l #
<br />k'
<br />C PERMIT fit ! i aXw?tt'yz Yt tb}l fig ° s?k 4'Sy ti
<br />v t", 'OR' f bt.L t` : CJ 3iF' C! E i
<br />+
<br />i
<br />'FLUE
<br />IVT GRi'.
<br />,„". _ VALUE
<br />REQUIREMENT
<br />
<br />?
<br />' #f
<br />
<br />? BkV?
<br />3t??
<br />.= ..'
<br />,. ?, +_'< Y. ? Iii X
<br />
<br />L)G
<br />;R wyl\I .t l FL
<br />; c SAMPLE . k+fi fi,i 3? i2 r #, I# #if kr.3i k f i?L3 )
<br />,
<br />s AS)
<br />t -t MEASUREMENT ?I
<br />'•
<br />-
<br />t
<br />2'CI
<br />? 2 O C? PERMIT s 41 3 }f IE 3-k `# i it fr ;f it # 3?: a xs: ft 1 i?Ct
<br />?; IwR b ILL 's ::f'i?
<br />,
<br />F l VENT. Gi 'Ct S :VIALU'E REQUIREMENT • ?, 3i'i ?.. 30D rral,( aVC ?u',z'??i_ ri
<br />` x
<br />'LJ?i? L:
<br /> SAMPLE: ,' 3t # 4E# ii # tb 3f tf3# 3k #4r tt: k # ?I ;: , Cf
<br />`^ t-7V ESt?4I3E E
<br />TOTi?9L
<br />'
<br />T? MEASUREMENT c?
<br />.
<br />,
<br />t
<br />s" } PERMIT ?;rSi 2ii 1 , !.s x # '. 4t 3E 9f i£ #•k'ick t rs:? ' `.'0: E DF E6s Y
<br />P Ia
<br />
<br />1z'FL?l t+4T' 1?G4SS REQUIREMENT
<br />30 AJG
<br />i??:s? =
<br />
<br />
<br />4 SAMPLE'
<br />' 1„ Ir ?= Y« sr # 3# ?* "; 3£ if K• g? # t ?;
<br />}t
<br />\{
<br />
<br />RECOERAIRLE
<br />!t)TRL ,
<br />.
<br />MEASUREMENT "
<br />1 .
<br />.
<br />'l rt j( PERMIT # i#it# :t i# # tc i= y, j PC V' 's.I V "GI'ii"tOS
<br />O"s VALUE
<br />Uc Per t
<br />R REQUIREMENT 30D !t d?U'G -Al: FIX IJ
<br />}
<br />?
<br />I'tIsl 1
<br />? SAMPLE ??##3t#3i ;i•4c3r t:. F? 3£tfaf# ##44#
<br />:.. MEASUREMENT \\
<br /> PERMIT tb,k 3 ' } i li # iF# 3E ##' yi r?r?cs iz 10 +:
<br />\` N{ }1' ?RAB
<br />
<br />UAL l7L
<br />f' LL)?.N T (1R S MENT
<br />REQUIRE 3t#tF r Z= it
<br />_ i 3r???,
<br />lYi i •.
<br />. ,
<br />:g
<br />. .
<br />
<br />NAME/TITLE PRINCIPAL+EXECUTIVE, OFFICER
<br />,
<br />.1 certify under penalty of law that diis'document and all attachtuents were.
<br />'
<br />
<br />TELEPHONE •
<br />
<br />DATE
<br /> preparerl under.'my direction or supervs,on in accdrdance with a system designed, •
<br />•^ •, ,••..• to assure that <Iualitied personnel. properly gather and evaluate' the information
<br />ersons who manage tht
<br />svstem
<br />uvv of the
<br />erson or
<br />ed on m
<br />,n
<br />b
<br />itt
<br />d B ,
<br />:'
<br />• r h
<br />,
<br />i
<br />.
<br />' ' ''? .
<br />p
<br />y
<br />y
<br />p
<br />su
<br />m
<br />e
<br />as
<br />for gathering the information, the mformahon .
<br />• or those persons du•ectly respons=hle , .,
<br />" " '
<br />- ;' ' `
<br />`'
<br />: ,
<br />ci?mplete
<br />true
<br />acc
<br />rate
<br />and
<br />u
<br />led
<br />a
<br />d beli
<br />f
<br />tof`
<br />'k
<br />?
<br />ub
<br />d i
<br />o
<br />h : ?
<br />• :.
<br />..
<br />, ?,
<br />, „ 1, _
<br />,
<br />,
<br />,
<br />w
<br />ge
<br />n
<br />e
<br />;
<br />u
<br />e lip
<br />my
<br />n
<br />. s
<br />mitte
<br />t
<br />s,, t
<br />SIGNATURE OF PRINCIPAL EXECUTI •; d ? ,,. i 1
<br />
<br />
<br />information,
<br />that there Are significant peualiies for submitting false
<br />1am' aware
<br />
<br />
<br />T
<br />U
<br />
<br />A
<br />'RE
<br />A
<br />
<br />'
<br />'TYPED OR'PRINT D including the possibility of fine and impnsonmcnt 1'or knowing vmlations:. THORIZED AGE
<br />"
<br />OFFICER , , ., . OR . A
<br />c , . .. „
<br />COD
<br />E NUMBER
<br />.. ,. ?? YEAR MO
<br />: DAY',
<br />. , . ..
<br />r
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference: all attachments here)^
<br />tni t t ERL i? ..°id?PL I1?l6-1i REPORTING, ;I.i?1STRUC'f ION •$EE I'. C
<br />EFA Form 3320-1 '(Rev'' 3/99) Previous editions may, be used
<br />E` 9. . G1L ''AND :,;'GR"rAS'E SEE
<br />^
<br />,.
<br />QOO 71 ?jL s! _4 ptOfyrm PAGE of
<br />?.
|