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PEPMITTEE E/ADDRESS (Inclode NATIONAL POLLU DISCHARGE ELIMINATION SYSTEM (•`1'I)I.A) orm Approved. <br /> Facrl/q IAam non fJ d0jerrnf) DISCHAI MONITORING REPORT (I)AIR) M8No.2040-0004 <br /> NAME—_Mill-CUNIIN_LNT_COAL & CUKE CU _(: 161 -(1719) F - FINAL Approval expires9-30-8b <br /> ADDRkSS ___ff__F3 _ _= GU OUOU 5►6 � ��__—� SECT 10 <UFZ=10YR24HR <br /> C AkeUNUALE C lJ1b13 PERMIT NUMBER DISCHARGE NUMBER <br /> ------------------------- MONITORING PERIOD <br /> EA�iLY___--------- -------- YEAR MO DAY YEAR MO DAY <br /> LOCATION FROM $ 0 TO MINOR <br /> A IN: UOUGLAS BOWMAN LNV CLl'OKD (20-21) (22-23) (24-25) (2627) (2s-29) (40.31) NOTE: Read instructions before completing this form. <br /> (3 Card 0n11) QUANTITY OR LOADING (4 Crod 0.11) QUALITY OR CONCENTRATION <br /> PARAMETER (46-53) (54-61) (JS-45) 146-53) (34-61) NO. FHEOOUFNCY SAMPLE <br /> (32-37) < — 1 EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (6263) (64-68) (69-70) <br /> PH SAMPLE <br /> MEASUREMENT <br /> 00400 1 0 PERMIT * #* *** * *** 06 V *****# 9.0 WEEKL GRAB <br /> EFFLUENT GkOSS VALUER EQUIREMENT **#- <br /> SOLIUS! SETTLEABLE SAMPLE ***#* ** * * <br /> MEASUREMENT <br /> 00545 1 0 PERMIT ** *# ####* * #*#�a** REPORT 0.5 ONCE/ GRAB <br /> EFFLUENT GROSS VALUE <br /> REQUIREMENT #* <br /> 01 L ANU 6REASE SAMPLE * ***Ik <br /> FREON EXTR—GRAY MET EASUREMENT <br /> 00556 1 0 PERMIT *****# ***** *max* *****# REPORT 10 WEEKL GRAB <br /> Mr <br /> FF VENT GROSS VALEQUIREMENT ** <br /> FLOW, IN CUNLAJIT OR SAMPLE *****31 ##**# #**#* <br /> THRU TREATMENT PLAN <br /> EASUREMENT <br /> 50050 1 0 PERMIT JR\4 PURT REPORT *#**** #****# ****#* **** WEEKL INSTA <br /> EFFLUENT REQUIREMENT <br /> SOLIDS, TOTAL SAMPLE <br /> UISSOLVEU (MG/L ) MEASUREMENT <br /> 70295 1 0 PERMIT *##*#* #*# # **# #* ** REPORT REPORT QTRLY GRAB <br /> EFFLUENT <br /> F GROSS REQUIREMENT *** <br /> 01 L AND GREASE SAMPLE <br /> VISUAL MEASUREMENT <br /> 84066 1 0 PERMIT R EPORT *#**** YES=1 WtEKL VISUA <br /> EFFLUENT <br /> EQUIREMENT <br /> Cf f� V SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE D A T E <br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED l/' / <br /> T ON MY INQUIRY OF THOSE INOIV IOIJALS IMMEDIATELY RESPONSIBLE FOR <br /> T-/ f/ � + ♦ OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION <br /> V / IS TRUE <br /> THE AND COMPLETE I AM AWARE THAT THERE ARE SIG ^ <br /> �4 <br /> NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING, <br /> THE POSSIBIUTv Of FINE AND IMPRISONMENT SEE 18 USC S 1001 AND SIGNATURE OF PRINCIPAL E CUTIVE / <br /> 33 USC 51319 rP. 1f,— under rhr,r 6ww— n uu lade• /mr, up n, flee ouu <br /> TYPED OR PRINTED oral n.ma umunr rmprnnrrnu of��(hrmeen Fnl�rnrh,rend;.emu r.r OFFICER OR AUTHORIZED AGENT AR A NUMBER YEAR MO DAY <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (Re/ereme oll uffaehnrerol here) <br /> IF NO UISCHAKGt UCCUKS KtPCKT "NU UISCHAKGE".SALINITY SFIALL bL MEA;,.AS TUS=704-,95 MG/LB <br /> OLG NOW 2 PRAM. NU S FkEN: 8406o=0, 556=0.A ShLiEN :84066=1, 556=GRAD SAMPLE, <br /> A Fomi 3320.1 (Rei. 10 79)"OEVIOU5 EDITION TO BC USFD (REPLACES EPA FORM T-AO WHICH MAY NOT DE USED.) <br /> UNTIL SUPPLY IS EXHAUSTED . U05 IV/1006L%6-1646 PAGE 1 OF <br />