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i'hRMITTEE NAMEIA"'—ESS(lnc/ude NATIONAL POLLUTA— 'CHARGE ELIMINATION SYSTEM(NPDES)
<br /> Pari/uyabne/Gocnr Ynr) � Y ^`- E //���� L` DISCHA INITORING REPORT(DMR)
<br /> NAMEU L—CDLL r — ULIJ—ZIYE1 — (1-1 (17-19) F — FINAL
<br /> ADDRESS UQf, �C,1)t1a_j1L,L_ -- - _ f'floof)(".1c1 001 A STORMWATER, SPOIT SPItG f MI !;c
<br /> r r —�— —— A 4 t L� PERMIT NUMBER DISCHARGE NUMBER
<br /> FACILITY MONITORING PERIOD
<br /> -----—------- — — — YEAR MO DAY YEAR I MO DAY
<br /> LOCATION--- FROM 'il v TO 11 �. CIN0P MNTR3
<br /> D ':"T; S?c•4 z,[4:i Ct tv P R tc SZ D F NT (20-21) (22-,' (14-15) (26.27) (28-29) (3a31) NOTE:Read instructions before completing this form.
<br /> ~ (3CardOnly) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION
<br /> NO. FREQUENCY SAMPLE
<br /> PARAMETER (4653) (546/) : (38-43) (4633) (34-6IJ EX OF TYPE
<br /> (31-37) ` AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS
<br /> (62-63) (64-68) (69-70)
<br /> 4�7t SAMPLE — ? . �itA i� ro[,'wi�So %t �tiSc�,lsYtrI; '
<br /> MEASUREMENT:- kx 7.63 $ 07 0 1/7 GRAB
<br /> PERMIT.--',, �Q� �>Or1Q1>6ta11�>t,` %r =% 6j:J '.iI {L.r� ',. EEKLX Ra8
<br /> t f1^t1 C f)Sci 't� tF ,REQUIREMENT,;k' (.. .r=' a t' 0. i
<br /> ` -lit e1i
<br /> t)S i n T A L SAMPLE tiT +fCcf�ilt(ffl fr r Tk =:c :�
<br /> I E N' E D MEASUREMENT
<br /> I:J fl 0 0 PERMIT !� r tOc >Q�?0►?a+IM tx# 101�Ce [alQr # •`
<br /> t T [ ! T r /� REQUIREMENT !~ e .: ;lb..w ' + _ ;ftc tk:.3? 35 w, '"'' 0 l
<br /> N " i. {
<br /> �OL10S, `ETTLEABLE SAMPLE
<br /> MEASUREMENT c �y<� y 1r
<br /> } q t. (� Q O PERMIT"� • �% acaoll>�>� . . t' PR` iQIQAL KGE/ RAf1
<br /> ..sa r t;?` {� REQUIREMENT-, ..,` ..`c^ rS' f:Y,:f,:r4 %' T."a "� r' t 4 M s,
<br /> OIL Asr iiECAsE SAMPLE - L`ttr 3i :ii"t '�1."J4� iiF i i:Jlftf:
<br /> F R£0 N £.X T R—GRAY !� T MEASUREMENTS
<br /> v 5 5 b 1 Q 0 `� PERMIT, o mi 1tt=1R 3 ?.***� �C-.'.'Z s ��$�Xll��G 5: w#�><k�xk� '�4�a _� ° ; E$K Lr- t{A 0
<br /> n" }iEQUIREMENT �' '� ;a '{ �. { V; ' 'I «n; _
<br /> G J s F -a f t 4 v �!_�;ti; X' J k r wTwh
<br /> Mf T j=
<br /> 1"r.;l N TOTAL SAMPLE =:'al;`f;** X` f:Lc ?* I is
<br /> I
<br /> (v MEASUREMENT-
<br /> 1 0 4,s `1� 0 - O is PEgmrr :;.'°'" ; ?(f ' ,y # K ti f.F;'f 41!� t'' "� .�•t7^ ..� • . ��£/- A E1
<br /> C P f REQUIREMENTS ad u A,, L•^. 7: c! �+ w
<br /> FLL/Oii:, IN C014DUIT OR SAMPLE � ^" v,t;:>"e`ft 0 t/7 YNSTAj'
<br /> l/ i T P E A T M E N T PLANT MEASUREMENT.,. - M 0.064 0.110# ,
<br /> �0 1 4 -_0 PERMIT " P£1R '? *€� ;PtaRT E'' �F1%K= # # '� d-`''fit##!I ><S. :,,;is t1STA!I
<br /> REQUIREMENT 7 v j2 4's : # '.. E Y.L Y
<br /> A♦ 4
<br /> !SOLI OS, TOTAL SAMPLE L
<br /> MEASUREMENT niSSOLVED _« 3414 0 1/30 GRAB
<br /> 70295 1 0 �'4 r PERMIT # b ,, ?IrfeOl�%#sQt- rL`zs 14t�t't##+C�# #"Kx�cs z,,'REPORT' 'fRLY RAf3
<br /> REQUIREMENT ,.,�'z,n �' %;�n :.•..3 �. n <,�• v ,,,„,r ,• } •)
<br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT i HAVE PERSONALLY EXAMINED TELEPHONE DATE
<br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN;AND BASED
<br /> ON MY INQURY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br /> Brian P. Dunfee OBTAINING THE INFORMATION. 1 BELIEVE THE SUBMITTED INFORMATION
<br /> c; IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG-
<br /> Manager NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING
<br /> p THE POSSIBILITY OF FINE AND IMPRISONMENT.SEE 18 U.S.C. 11 1001 AND SIGNATURE OF PRINCIPAL EXECLITIVE 02 774-52S3 91 04 29
<br /> 33 U.S.C. 1 1319. (Penalties under thew statutes may include fines up to $10,0W
<br /> TYPED OR PRINTED andormaxbnum imprisonment ofbet*wn6monthsandsyeart) OFFICER OR AUTHORIZED AGENT ARLA NUMBER YEAR MO DAY
<br /> CODE
<br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS(Reference all attachments here) j
<br /> 01L AND GREASE; SITE FOOTNOTE F/. 0—MUST REPORT IF EXEMPTIONS CLAIMED* TSS MUST 113E RFPORTED AT ALL
<br /> TIMES.
<br /> EPA Form 3320-1(Rev.A•8ti)Previous editions may be used. (REPLACES EPA FORM Tres WHICH MAY NOT BE USED.) PAGE OF
<br /> 00029/100509-1 T,1;; 1 Z
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