Document 3Qpbra6kBQk39g5NpNpvE9XB6
PERMITTEE NAME/ADDRESS (inch dr Facility Name/Location if different)
NAME
y_lilAPOLYME.Fi
ADpmtt P 9 Q m H 0 X 9 1 AJi^R DEL h______ '
1 P4 0
LOCATION
PARAMETER {32-37)
TEMPERATURE
000010
OXYGFN, DISSOLVED
000300
INC
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM l ,\77)M j
DISCHARGE MONITORING REPORT (DMR)
(2IS)
H7 19)
'\t , i r l>
Form Approved
OMB No. 2000-0015
01 97 0
CO 3
7 }1
PERMIT NUMBER
discharge number
FROM
YEAR
_JBT <20 21)
MONITORING PERIOD
MO
Ti
<22 2 1)
DAY
UJ
<24-2.1*
YEAR
TO 85 720-2?*
MO
r2
Hi29)
DAY
_0 1
f.w-i i)
Ti fK, > ^;;
XXX
NOTE: Read instructions before completing this form.
(3 Card Only) (46-53)
QUANTITY OR LOADING
(54-61)
AVERAGE
MAXIMUM
UNITS
4
(4 Card Only) (3H-45)
MINIMUM
QUALITY OR CONCENTRATION
(46-53)
(54-67)
AVERAGE
MAXIMUM
UNITS
NO
F REQULNC Y OF
ANAL VSIS
(62-63) (64~6S)
SAMPLE TYPE
(6 9-70)
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
as i"m i
******
******
l
**** * *
******
54 ******
63
* * ****
68
96
DEG
0 1/7
Fa* *1/7
jRAB
GR A P
**
SAMPLE MEASUREMENT
****** * * * ** *
****** ******
7-4
8.4
10.4
0 1/7
RAB
PERM IT REQUIREMENT
******
******
7.0
* * * ** *
******
MG/L
***1/7
Gr aH
PH, EFFLUENT
000400
nitrogen:
ammonia
000610
FLOW RAT*
074060
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
frees i >M,h^
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
ysi
SAMPLE MEASUREMENT
permit
REQUIREMENT
* ***** ****** * * ** * *
1.7
A * ** * *
0.96
*** A ** ****** *** ***
3.7 27.9
7.5
6
i i i i t i i i
< 0.1
LP3/DA ******
******
******
******
1 i tit ti
0.14
******
1.13
******
MG/DAY
****** ******
* * * * **
****** ****** ******
7.9
6 t;
l
-lx*
0.32
******
MG/L
**
1/7
**
* * *1/7
0 1/7 * * *1/7
jRAB
jr%7
PA
P
fe4 HR
0MP.
>4h
t- _
K
r. g
****** ****** ******
***** * * * * * 0 C0NT. * * * * * * * * CONT
RECORD :R q r r o n nr
4. l.
SOLIDS, SUSPENDED C99T00
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
156
* *** **
190
1 396
LBD/DA
4 * ejMii*
10
******
ini
13.4
** * * **
16
******
IG/L
0 1/7 * * *1/7
*M
Ik
HR
COMP.
2 fr HP
CO
VINYL CHLORIPE
099036
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
1 - - < * j
1.82
i w i
* * ** * *
1.82
S 1 frifr.
**** LBS/D
^L
0.180
******
0.180
******
0.180
******
MG/I
0 1/90 * * *1/90
RAB
GP A B
4A
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
John Friehd Plant Manager
TYPED OR PRINTED
f CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC lOOl AND 33 USC 4 13 19. fPenalties under these statutes may include fines up to $10,000 and or maximum imprisonment of between fi months and .5 vf'ar.sJ
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
TELEPHONE
S/GiWfTURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT
601 369-3606
AREA
NUMBER
-w
tiMa iii
DATE
85 04 04
YEAR MO
DAY
:
EP A Form 3320*1 (Rev. 10-79) previous edition to be used UNTIL SUPPLY IS EXHAUSTED
(REPLACES EPA FORM T-4C* WHICH MAY NOT BE USED.)
VAB.0001123823
PERMITTEE NAME/ADDRESS Unci tde Facility Name/Location if different)
\/J_ST A_ _P_0L Y)' Y R 5 I 1V.
P_pO._BOX 91
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (SPl)FS)
DISCHARGE MONITORING REPORT (DMR)
(2-16)
(17 191
Q IS IV.
001
'" a j r1
Form Approved OMB No. 2000-0015
ABtRDEBW
! 5
1 4 7 '5 :
PERMIT NUMBER
DISCHARGE NUMBER
1
FAQitmr
LOCATION
0
PARAMETER <32-37)
(j Card Only) (46-53)
AVERAGE
FROM
YEAR 85
(20-2/t
MONITORING PERIOD
MO DAY
YEAR
Cl t222 if
01 (24-2$/
TO 85 (26 27/
QUANTITY OR LOADING (54-61)
(4 Card Only) (38-45)
MAXIMUM
UNITS
MINIMUM
TND
XXX
MO DAY
02
01
(2H 29) (30-31/ NOTE: Read instructions before completing this form
QUALITY OR CONCENTRATION
(46-53)
(5441)
AVERAGE
MAXIMUM
UNITS
NO.
EX
T
FREGUENCY OF
ANALYSIS
SAMPLE
TYPE
(62-63)
(bV 70)
8 IS<2-ETHYL-HEXYL) PHTHALATE
SAMPLE MEASUREMENT
0.10
0.10
< 0.01
0.01
0.01
0 1/90
G99C37
PERMIT REQUIREMENT
Aii^
A * AA *
LBS/DA
44044
A A A AA A
******
MG/L
A A *i/co
4HP <
OI-N-OCTYL PHTH ALA TE, 099058
BOD * 5-DAY* EFFLUENT; 099055
2 0 DlC SUMMFR
SAMPLE MEASUREMENT
.
PERM' IT REQUIREMENT
fcaR
C SAMPLE MEASUREMENT
PERMIT REQUIREMENT
BOD* 5-DAY* EFFLUENT
20 DEG WINTER
d SAMPLE MEASUREMENT
099056
CHEM OXYGEN
SUMMER 099063
:
D E M AIV D
PERMIT
requirement
FBI 1^--
SAMPLE
M easurement
PERMIT
REQUIREMENT
0.610
A A iAA A
A*AA A*
158
A A 4A iI
#
0.610
444 A*A
LBS/DA
0.060
A A A A AA
pmipwpi
744 LBS/DA
A A A AAA
298
6 00
I I I I I||I Iji
3
LBS/DA
A AA A A A
OF OT
f, ' W W
LBC/PA
*44***
0.060
44*44*
26.5 13
32. n
AA AA A A
0.060
4**44*
Fr/L
0 1/90
p-
** *1/C
24 HR ^OMP 2 4HR
i
2
40.0 W/L 4 * k 1 / 7
22
Q ** fi
" #u
WG/L
0 1/7 4 4 ft 1 /7
2 4HR ~ r
24 HR COMP.
4 HP Cr
444*4*
C/L ***1/7
4HR
CHEM. OXYGEN WINTER 09906A
DEMAND
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
352
iA**l
Hi hi
474
22
2712
LBS/DA
AAA A AA
30
444444
36
AAA * A*
MC/L
0 1/7
44*1/7
24 HR
COMP. J
?4MP (
****************4 4 *
******4*4*44**44*4* *******444***44*44 *
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
A A AA*A A A #*A ^ A *** * A
*A A 44
AAA A A A AAA AAA
*44*4*
A* AAf AA AAv
AAAAA* AAAA A
44444
A AAAA
*4**44
444444
******
******* A*** A * ***** A
* *A A A
*A*A * 4444 4 AA
A AAA A
* A A A A A *A A A * A
*****AA*ifc*****il A A * A A * *
NAMC/TITLE PRINCIPAL EXECUTIVE OFFICER
John Friend Plant Manager
TY^ED OR PRINTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE l AM AWARE THAT THERE ARE SIG NtFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC lOOl AND 33 USC * 1319. fPenalties under these statute# may include fines up to $10.Ofit) and or maximum imprisonment of between IS months and 3 years.)
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
TELEPHONE
DATE
I
URE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT
601 369-3606
XKEa
NUMBER
85
YEAR
04
MO
04
DAY
EPA Form 3320*1 (Rev. 10-79) previous edition to be used 9 UNTIL SUPPLY IS EXHAUSTED .,.
(REPLACES EPA FORM T-4Q WHICH MAY NOT BE USED.)
I %l
VAB.0001123824
PERMITTEE NAME/ADDRESS Unci ide Facility A(ante/Location if different)
NAMf____ VI STA JL
RS_Ui C.
ADDRESS P.O# RDX 91
hi
1 84 0
LOCATION
PARAMETER (32-37)
9 7 3 :*+ -I1
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM \SPIH S)
DISCHARGE MONITORING REPORT (DMRy
(2 m
(17 m
01970
001
PERMIT NUMBER ----------------------------------- 1-------------------------------------------------------
DISCHARGE NUMBER
FROM
YEAR
85
(20if)
MONITORING PERIOD
MO DAY
YEAR
MO
02
02 2 1)
01
...............................................
124 2*I
j
TO
85
f2* 27) I2H 29)
0r o , :
1
_______________ !
DAY
01
110 III
(j Card Only)
(4653)
QUANTITY OR LOADING
(54-61)
(4 Card Only >
QUALITY OR CONCENTRATION
(46-53)
(54-61)
AVERAGE
MAXIMUM
UNITS
MINIMUM
AVERAGE
MAXIMUM
r a J r rv
1 (VO
UNITS
TEMPERATURE
000010
OXYGENt DISSELVED 000300 PH* EFFLUENT 0004C0
SAMPLE MEASUREMENT
PERM IT REQUIREMENT
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
-Mp
SAMPLE MEASUREMENT
PEltftiir REQUIREMENT
* A** A *
A AAA AA A A AAA A
******
* * *** *
******
******
* * * A **
*** ** *
******
******
******
******
5
*** * * ***** *****
*** * ** ****** ******
7.2 7*0
i#*h
7.7
6
59
A A A AAA
9-1
A A AAA A
A AAAAA A AAAAA A A AA A A
72 95
DEG.
11.2
******
.....................
8.2
8.5
M2 / L SU
Form Approved
OMB No. 2000-00 / 5
xx >:
completing
NO.
EX
f RF.OUENC Y OF
ANALYSIS
(62-63) (h4d>S)
SAMPLE TYPE
{69 70)
0 1/7
P A * *1/7
GRAB Ppp a
0 1/7 * * *1/7
GRAB GPAF
**
* * *1/7
* * *1/7
GRAB GP AP
NITROGEN AMMONIA 000610 FLOW RAT^
074060
SAMPLE M EASUREMENT
PERMIT
REQUIREMENT
SAMPLE MEASUREMENT
permit
requirement
1 .2
******
0.97
1.4 0.1
7.9 LRS/DA ******
1.18
****** MG/DA
AAAA AA AAA AAA
******
0.1
A A AA A A
* ***** ****** ******
0.1
******
******
******
******
MG/L
0 1/7
* * *1/7
24 HR COMP.
4HF
cr
***** * * * * * 0 C0NT.
* * * A **** * C r M T
RECORDER RECr r r I
SOL IPS* SUSPENDED
099000
VINYL CHLORIDE
sample
MEASUREMENT
PERMIT REQUIREMENT
A* H I
SAMPLE MEASUREMENT
L
133
* * ****
195 1 '96
LP-r/DA
8
AAA AAA
12
******
18
******
MG/L
0 1/7 * * *1/7
24 HR COMP.
2 4 HR Cf
099036
PERMIT
REQUIREMENT
* *****
* * * * * * LB2/DA A A A A A A
******
****** MG/L * * *1/90
GR A R
MU
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
John FrieOd Plant Manager
TYpED OR PRINTED
Mss*
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE IB US C lOOl AND
33 USC 5 1319 r Penalties under these statutes may include fines up to $10,000
and nr maximum imprisonment of hdueen 0 months and 5 years./
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
TELEPHONE
DATE
E OF PRINCIPAL EXECUTIVE JCER OR AUTHORIZED AGENT
601
AREA
369-3606
04
NUMBER
YEAR
MO
04
DAY
EPA Form 3320*1 (Rev 10*79) PREVIOUS EDITION TO BE USED UNTIL SUPPLY IS EXHAUSTED
(REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)
VAB.0001123825
Pff#
PERMITTEE NAME/ADDRESS (Include Facility Name/Location if different)
-NAM*
VISTA POLYA K?
ADDRESS P 0 B 0 X 31
ABR DrPN
T NC
w' V*..
EACibUY
LOCATION
,
t7*n
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM fXPOlS)
DISCHARGE MONITORING REPORT (DMR)
(216)
117 19)
019 7 0
' A!\ J Cr-'
Font) Approved OMB No. 2000-0015
PERMIT NUMBER
c
FROM
YEAR
85
CO2H
MONITORING PERIOD
MO
DAY
YEAR
02
aV1
01 <24-23*
TO 85
(26-27*
MO
r?
CS2V
DAY
01 (10 Uf
T vn
yyy
NOTE: Read instructions before completing this form.
PARAMETER (32-37)
BIS(2-ETHYL-HEXYL) PHTHALATE 099037
(J Card Only)
(46-53)
QUANTITY OR LOADING
(54-61)
AVERAGE
MAXIMUM
UNITS
(4 Card Only)
(38-43)
MINIMUM
QUALITY OR CONCENTRATION
(46-53)
(54-61)
AVERAGE
MAXIMUM
SAMPLE MEASUREMENT
PERM IT REQUIREMENT
4 *****
****** LBS/DA ******
******
******
UNITS
NO EX
F REQUENCY OF
ANALYSIS
(62-6 J) (6 4-6X)
SAMPLE TYPE
(6-7tt)
MG/L ** *1/90 n 4 HR rn
DI-N-OCTYL PHTHALATIl 099038
t A
BOO9 5-PAYf EFFLUENT! 099055
BOD* 5-DAY* EFFLUENT; 099056
20 DEG SUMMER
20 DEG WINTER
SAMPLE MEASUREMENT
PERMIT
REQUIREMENT
r SAMPLE
MEASUREMENT
PERMIT REQUIREMENT
Mil I M liMfril MilMi
C SAMPLE
MEASUREMENT
PERMIT
requirement
******
******
it ^ i 11 MRSs
158
**** **
****** LBS/DM
* i I I hi I I I
******
744
298
POO
LBS/DA *** * * *
I I Hi hi * .!>*
LBS/DA
3
******
******
26*5
13 32.0
1 1 1 1 i*
L -*
******
MG /L
1** * / o r
24HR :C
40.0 MG/L * * 1/7
2 4HR r
22
43.0
0 1/7
MG/L * * 1/7
>4 HR OMP: 2 4HR
:n
CHEM. OXifGEN DEMAND SUMMER i 099063
SAMPLE MEASUREMENT
permit
RCQ Ul REM ENT
******
2 523 LBS/DA ******
******
****** MG/L * * 1/7
2 4HR
CHEM. OXYGEN WINTER G99064
DEMAND
SAMPLE
MEASUREMENT
REQUIREMENT Ihl l M
; SAMPLE EASUREMENT
REQUIREMENT
328
******
* **** *
******
******
444 2712
****** ******
LBS/DA
:* t A i*
17
******
** * ***
29
I--******* ****** * * It 4k * *
39
******
****** * * * *** ** * ** *
MG/L
0 1/7
T>1<
* * 1/7
4 HR OMP.
24HR CG
**** * *****
*****
***** **** *
****** **** * ************ * *
NAMf/TITLE PRINCIPAL EXECUTIVE OFFICER
John Frien1i d Plant Manager
TYPED OR PRINTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE IB USC 5 lOOl AND 33 USC % 1319 (Penalties under these statutes may include fines up to $10,000 and or maximum imprison m4>nt of hetueen 6 months and o years t
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
TELEPHONE
DATE
601RE OF PRINCIPAL EXECUTIVE
OFFICER OR AUTHORIZED AGENT
369-3606 85 04
NUMBER
YEAR MO
04
DAY
* I
VAB.0001123826
EPA Form 3620-1 Ir.v. 10-79) previous edition to be used UNTIL SUPPLY IS EXHAUSTED
(REPLACES EPA FORM T-AO WHICH MAY NOT BE USED. >
r.t,
PAGE
C'Q"fhPB
PERMITTEE NAME/ADDRESS (Include Facility Name /Location if different)
VISTA POLYMf'R r
E_* Q_?_b_2 x_ -3
A0E RDt fN
1 P40
INCc
*'
LOCATION
PARAMETER (32-37)
T
C
P
1i
V
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (,V/V)/.V)
DISCHARGE MONITORING REPORT (DMR)
(2Iff)
(17191
01^70
001
PERMIT NUMBER
discharge number
(J Card Only) (4653)
FROM
YEAR
80 (20 2l>
MONITORING PERIOD
MO DA Y
YEAR
MO
0 3)
01 TO
85
04
(22 2 V 124 2V
t2b-27) t2H29/
day
01 f.W-.Ht
QUANTITY OR LOADING (54 61)
(4 Card Only) (38-45)
QUALITY OR CONCENTRATION
(46-53)
(54-61)
AVERAGE
MAXIMUM
UNITS
MINIMUM
AVERAGE
MAXIMUM
m (T- j r p
t mr
UNITS
temperature:
000010
SAMPLE MEASUREMENT
PERM IT REQUIREMENT
A A AA A A
AAAAA A A AA A A A AAA AA A
64
A A A A A A___________ '________
AAAAAlk
AAAAAA
67
ttit4 i
70
9*1
DEG.
Form Approved OMB No. 2000-0015
vhy
completing
NO. EX
FREOU ENC V OF
ANALYSIS
(64-6H)
SAMPLE (6V 70)
0 1/7
P * * *1/ t
GRAB
fr
O
r
R
OXYGEN DISSOLVED 000300 PHt EFFLUENT 000400
SAMPLE M EA6UREMENT
PERMIT REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT REQUIREMENT
A AAAAA A AAAAA A A AA AA
A AAAAA A AAAA A A AAAA A
AAA * AA AAA AAA AA A A AA
AAAA AA A AA AA A AAAAA A
4E#mErN
A A A A AA
AA A AAA
AAA AA A
m i i i' i >
AAA AA A
AAA AAA AAA AAA
8.3 7.0
7.7
6
8.9
44444*
4 4**4 * ******
9.5
******
ip M ^
8.2
8.5
MG/L
0 1/7 * * *1/7
**
* * 1/7
S Li * * *1/7
GRAB
Gp A
GRAB GG A fi
NITROGEN: AMMONIA 000610 FLOW RATf 074060
SAMPLE MEASUREMENT
PER M IT REQUIREMENT
SAMPLE MEASUREMENT
PERM IT REQUIREMENT
1.1
A A AAA A
M
0.90
1.2
27.9
LBS / D<\
0.1
*** ***
1.02
A A A AAA
MG/DAY
****** ** * * ** ******
0.1
******
****** ****** ******
0.1
****** ****** ** * * * *
MS/L
0 1/7 * * *1/7
24 HR COMP.
*!
2 4 HR
C
* * * * * iid
* ** * *
***** **
C0NT. CGMT
RECORDED RECOR Df
SOLIDS* SUSPENDED 099000 VINYL CHLORIDE
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
I *
SAMPLE MEASUREMENT
144
A A AAA A
204
1396
LRS/D
10
13
******
19
******
MG/L
1/7
* * *i n
-
-y R 24HR cc
099036
PERMIT REQUIREMENT
AAAA A A
AAA AAA
LBS/DA
AA A A A A
******
****** MG/L
* * *1 /DC
G13 A V
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
John Friend Plant Manager
TYPED OR PRINTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMiLIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION, t BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC 5 lOOl AND 33 USC & 1319. fPenalties under these statutes may include fines up tn StO.OOtt and or maximum imprisanmiait of betueen ft months and .5 yearsJ
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
TELEPHONE
URE OF PRINCIPAL EXECUTIVE 601 OFFICER OR AUTHORIZED AGENT
369-3606 85
NUMBER
EPA Form 3320-1 {Rev 10-79) PREVIOUS EDITION TO BE USED UNTIL SUPPLY IS EXHAUSTED
(REPLACES EPA FORM T-4C WHICH MAY NOT BE USED.)
VAB.0001123827
Pffa
PERMITTEE NAME/ADDRESS (Inc nde Facility Name /Location if different)
y_i$I a_ ILPJrY -E; R -
P.O. BOX 5 1
ABERDEEN
_________
1U TU
FACILITYLOCATION
rwc
7 973o
NATIONAL. POLLUTANT DISCHARGE ELIMINATION SYSTEM ( V/'Hf.Sj
DISCHARGE MONITORING REPORT (DMR)
(2 16)
117 19>
01970
r c1
PERMIT NUMBER
DISCHARGE NUMBER
FROM
YEAR 85
tm 21)
MONITORING PERIOD
MO OAY
YEAR
0 5 01 TO 85
)22 21) (24 IS)
(24-27)
MO 04 120 24/
DAY
01
(10-.U)
MAJOR TND
parameter
132-37)
(J Card Only) QUANTITY OR LOADING
(46-53)
(54-61)
AVERAGE
MAXIMUM
UNITS
(4 Card Only) {38-45}
MINIMUM
QUALITY OR CONCENTRATION
{46-53}
{54-61}
AVERAGE
MAXIMUM
UNITS
BISC2-LTMYL-HEXYL) PHTHALATE 099037
SAMPLE MEASUREMENT
PERM IT REQUIREMENT
DI-N-OC TYL PHTHAL A TEl 099 Go^8
1
BOD* 5-DAY* EFFLUENT! 099055
20 DEG SUMMER
SAMPLE MEASUREMENT
PERMIT REGUI REM ENT
******
>******>
d SAMPLE
MEASUREMENT
ranmr REQUIREMENT
******
******
LBS/DA
Hi
******
******
LBS/DA
******
744
LBS/DA
* * * * **
***** * ******
26 t *a
******
MG/L
** * ** *
MG/L
4 0*0 MG/L
Form Approved OMB No. 2000-0015
XXX
completing
NO.
FREQU EMC V OF
ANALYSIS
(62-63) (64-6H J
SAMPLE TYPE
169-70)
* **1/9f
24HP :o
* * *1 /90
4HR :a
** *1/7
2 4 HR C
BOD* 5-DAY* 20 DEG d SAMPLE
EFFLUENT!
WINTEF
MEASUREMENT
099056
PERMIT REQUIREMENT
CHEM. OxtGEN DEMAND SUMMER
I I ht
SAMPLE M EASUREMENT
099063
PERMIT REQUIREMENT
CHEM OMtGEN DEMAND WINTER 099064
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
93
******
A A**A *
IMSRUSS*
330
******
*************** * *** *******************
SAMPLE MEASUREMENT
**** ************ * * * *
permit
REQUIREMENT
****** ****** ******
i
122
800
LBS/DA
6
******
0'^+OC_ Xw
LBS/DA
******
464
2712
LBS/DA
19
******
i
9
32*0
******
30
****** ****** ****** ******
10
43.0
MG/L
0 1/7
* **1/7
24 HR COMP. 2 4HP
:o
******
MG/L
+ * *1/7
2 4 HR c n
38
******
****** ******
****
0 1/7
F/L * * 1/7
24 HR COMP. 2 4HR
n
L.'
4
***** *****
1* * *
***
******************* * * *
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
John Friend Plant Manager
TYpED OR PRINTED
I CERTIFY UNDER PENALTY OF LAW that I HAVE PERSONALLY EXAMINED
AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 10 USC $ 1001 AND
33 USC 5 1319. (Penalties under these statutes may include fines up to flt>.0()t> and or maximum imprisonment of between 8 months and o years.)
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
TELEPHONE
DATE
601 I SlGflf&TJMTC OF PRINCIPAL EXECUTIVE
FFICER OR AUTHORIZED AGENT
Emi bpi -n
389-3806 85
NUMBER
YEAR
0*
MO
04
DAY
!
ERA Form 3320-1 (Rev. 10-79) previous edition to be used
UNTIL SUPPLY IS EXHAUSTED
EPA FORM T-40 WHICH MAY NOT BE USED.)
VAB.0001123828
PERMITTEE NAME/ADDRESS (Include
Facility Name/Lota Iinn if different)
V 1 & T A POLYMERS
__
ADDRESS P0 BOX 91
ABE R DEE N
I INK:
MP
3 9 7 3r
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM \SPDh.S)
DISCHARGE MONITORING REPORT (DMR)
(2-lfil
117 19)
01970
002
PERMIT NUMBER
DISCHARGE NUMBER
m AJ?R
Form Approved OMB No. 2000 0015
1 p4 0 LOCATION
FROM
YEAR
85
,..
....
00 21,
MONITORING PERIOD
MO
DAY
YEAR
01
02 2 1)
01 042*)
TO 85
00-27)
MO
C.2
OH 29,
DAY
01 f.W-V)
if r> Mt , .
NOTE: Read instructions before completing
XXX
PARAMETER (32-37)
(i Card Only) QUANTITY OR LOADING
(46-53)
(54-61)
AVERAGE
MAXIMUM
UNITS
(4 Card Only) (38-45 )
MINIMUM
QUALITY OR CONCENTRATION
(46-53)
(54-61)
AVERAGE
MAXIMUM
UNITS
NO. EX
FREOUENCV OF
ANALYSIS
(64-6$)
SAMPLE TYPE
(69 70)
TEMPERA TURF
SAMPLE MEASUREMENT
****** ******
;
kS hi
0 2/30 RAB
000010
PH* effl(jent
PERMIT REQUIREMENT
SAMPLE MEASUREMENT
4 i ## I 4
ASM 4*4444
4 44444
******
****** ******
8.0
444444
444444 444444
Q9"V.X+'
8.0
DEG. F***2/30
44
4 4 *1/30
GR A R
............... I
GRAB
000400 CHROMIUM, TOTAL 001034
PERMIT REQUIREMENT
******
L . .L L
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
PPSIlM^
******
******
6*0
*** * * * LBS/DA
444444
444444 1 r`
8 SU 4 4 * 1 / 3 C
1 0
MG/L
4 4 ^0 /n
GR A B GR A P
ZINC* TOTAL
M
SAMPLE MEASUREMENT
001092
CHLORINE* RESIDUAL 050060
TOTAL
FLOW RATE
074060
PERMIT REQUIREMENT
SAMPLE MEASUREMENT
PERMIT
requirement
SAMPLE MEASUREMENT
PERM IT REQUIREMENT
******
******
4MM**
0.0085
******
LBS/DA
******
444444 LBS/DA
0.010
Af*
****** MG/PA Y
A44444
*4*444 *A4 4 A*
*** * **
0*5
---j
0.2
****** ****** ******
1.0 MG/L 4 4 *0/0
GP A F
0.2
****** ****** ******
Mf/L 4 4 *0/0
i tsi
444 444 4444 44
2/30
pm, ihp
4 4 4 4 4 44 4 * 2 / 3 C
GR A B
INSTAN 1IVSTA M
SOLIDS* SUSPENDED 099000
SAMPLE MEASUREMENT
PERM IT
REQUIREMENT
0.84
4 R44 4
0.84
*** * **
LBS/DA
7
* * * ***
8.5
100
10 200
0 2/30
MG/L 4 4 *2/30
GRAB 2 4HR cc
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
John Friend
TYPED OR PRINTED
I CERTIFY UNDER PENALTY OF LAW THAT i HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 10 U.S.C 10OI AND 33 USC 5 1319. (Penalties under these statutes may include fines up to Stti.OOO and or maximum imprisonment of between ft months and 5 years, i
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference at! attachments here>
ATU
OF PRINCIPAL EXECUTIVE
OFFICER OR AUTHORIZED AGENT
TELEPHONE
DATE
T
369-3606
NUMBER
85
YEAR
04 MO
04
DAY
EP<A Form 3320*1 (Rev. 10-79) PREVIOUS EDITION TO BE USED UNTIL SUPPLY IS EXHAUSTED r
f
(REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)
* *S*
VAB.0001123829
-n 4 i
f*
PERMITTEE NAME/ADDRESS (Include Facility Name/Location if different)
<N VISTA POLYPEK;
ADDRESS
HnX - 1
a f e r o r: : m
1 84 0
FACILITY LOCATION
IK'P
PARAMETER {32-37)
i c 7 3 *H- *
'
*H
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (.W'O/.Yj
DISCHARGE MONITORING REPORT (DMR)
(216)
(17 19)
019 7 0
0 02
PERMIT NUMBER _______1________ _ ...........................
1
DISCHARGE NUMBER
(J Card Only) (46-53)
FROM
YEAR
85
t20 2/f
MONITORING PERIOO
MO
DAY
YEAR
02
01
TO
85
<22 2*)
f24 2V
126-27/
MO
C3
..
(2H-29,
DAY
oi
QUANTITY OR LOADING
(54-67 )
(4 Card Only) (38-45)
QUALITY OR CONCENTRATION
(46-53)
(54-61)
AVERAGE
MAXIMUM
UNITS
MINIMUM
AVERAGE
MAXIMUM
IMP UNITS
TEMPERATURE
000010
PH* EFFLUENT 000400 CHROMIUM TOTAL
SAMPLE MEASUREMENT
PERM IT
requirement
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
M.hl* I I Wi
SAMPLE MEASUREMENT
******
*^ AAA A A A AAA A A AAAAA
AAA AAA AAA AAA AA AAA A
AAA AAA AAA A AA AAA AAA
AAAAA A * * * * * 1________61________
A A A A A ir
AAAAAA
AAAA A A AAA A AAAAA
ii *
8.4
6*0
62
AAAAAA
AAAAAA AAAAAA AAAAAA
63 95
DF G
R
8.4
5
$U
Form Approved OMB No. 2000-0015
xy X
completing
NO EX
F REQUE.NC V
OF
ANALYSIS
162-6.1) <64-6* >
SAM TY
{6^ 70)
0 2/30
r ** *2/
M
GRAB GP A
**
* * 1/30 ** 1/3(
GRAB GP A H
001034 ZINC * Tc t A L
PERMIT REQUIREMENT
SAMPLE MEASUREMENT
A AAA A A
AAA A A A
LBS/DA
******
1.0
MfciH ti
1c
FG/L
** *0/0
i>i~ " I^T ~i hi
GF A ,-F
001092
CHLORINF * TOTAL RESIDUAL` 050060 I
Ir
FLOW RAT?
074060
PERM IT REQUIREMENT
SAMPLE MEASUREMENT
permit
REQUIREMENT
M MEASUREMENT
PERMIT REQUIREMENT
A A AA AA
AAAAA A
LBS/Dii
******
NilMl
A AAAA A
AAA AAA
MM
0.040
0.040
AAAA AA
LBS/DA MG/DAV
******
AAAA AA AAAAAA **** **
0.5
0.2
****** AAAAAA AAAAAA
1.0
MG/L
***0/0
GB A
0 2 MG/L * * *0/0
G f; A
****** ****** ******
**** * A ******-- 2/30
********1*2/31
INSTAN
INST A T
SOLIDS* SUSPENDED
SAMPLE
MEASUREMENT
3.1
3.8
5 6.5 8
0 2/30 GRAB
099000
atria v it
requirement
Allii*
AAA A AA
LBS/DA
******
100
200 W G/L **2/30 2 4 HP
* R SiMfc
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
John Friend i
Plant Manager
TY^ED or printed
t CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE ACCURATE AND COMPLETE i AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC lOOl AND
33 U SC $ 1319. 1 Penalties under these statutes may include fines up to S 10,000
and or maximum imprisonment of he tween fi months and n years.)
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference alt attachments here)
TELEPHONE
RE OF PRINCIPAL EXECUTIVE FFICER OR AUTHORIZED AGENT
601
area
369-3606
NUMBER
DATE
0
EPA Form 3320-1 tR ev. 10*79) PREVIOUS EDITION TO BE USED
UNTIL SUPPLY IS EXHAUSTED
(REPLACES EPA FORM T-4 WHICH MAY NOT BE USED.)
N mu `|l- --
.........
VAB.0001123830 fWti
'I
PERMITTEE NAME/ADDRESS (Include Facility Name/Location tf different)
NAME ADDRESS
V I TA
P <p H 0 X ABERDEEN
91
1M0
LOCATION
PARAMETER (32-37)
temperature
000010
IMC
5-`
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM i\/7>/.S)
DISCHARGE MONITORING REPORT (DMR)
(2 Iti)
<17 I9t
'* , I r p
Form Approved OMB No. 2000 0015
79731
0 1 97 Q
PERMIT NUMBER
r^ oJ ^f CDISCHARGE NUMBER
MONITORING PERIOD
1KD
yxx
YEAR
MO
DAY
YEAR
MO
DAY
FROM 85 .03. 01
*20 2t* *22 ZU *24 2^
TO 85 L.04 i ...0.1
*26 27) *2H 2*t
*10 M)
NOTE: Read instructions before completing this form.
(3 Card Only ) QUANTITY OR LOADING
(46-S3 )
(54-61)
AVERAGE
MAXIMUM
UNITS
(4 Card Only) (J 8*45)
MINIMUM
QUALITY OR CONCENTRATION
(46-53)
(54-61)
AVERAGE
MAXIMUM
UNITS
NO.
frequency OF
ANALYSIS
(62-63) (644#)
SAMPLE TYPE
{6^ 70)
SAMPLE MEASUREMENT
PERM IT
requirement
* ft 4 * * *
****** ******
444 4 44
*44*4 4_______________________________ ___________________________________________
4 4 4 4 4 `k
444444
62
*44444
63 95
2/30 GRAB
DEG F * * *2/30
GF A F
PHf lFFlIjENT 000400 CHROMIUM# TOTAL
SAMPLE
MEASUREMENT
PERMIT REQUIREMENT
SAMPLE MEASUREMENT
4 4 ft 4 4 4 4 4 4 4 ft 4 444444
****** ******
444444
444 44 444 4 4 444 4 4
7*7
6*0
*4444* 44**4*
* * ** * *
7.7 P.5
J - " -1
AA
A A *1/30 GRAB
SU A A 1/3 r 2 A
001034 ZINC t TOTAL
PERMIT REQUIREMENT
SAMPLE MEASUREMENT
4 4 444 4
444444
LPS/DA
ihti M hfc
******
1*0
1.0
MG/L
A A *0/0
GPA
001092
CHLORINE RESIDUAL 05QC6C
TOTAL
PERMIT REQUIREMENT
SAMPLE MEASUREMENT
** t
PERMIT REQUIREMENT
4 4-4444
-fe<
******
LBE/DA
* * * * **
4AM4
....................I
444444
LBS/DA
4*44*4
0*5
0*2
1.0 MG/L A A *o/o
C- F A Li
0.2 MG/L A A *0/0
GR. A R
FLOW RATE 074060
SAMPLE MEASUREMENT
pERiiir
REQUIREMENT
0.0705
rp4
0.082
4*4 4 44
MG/DA'f
444444 444444 4444*4
****** ****** *4***4
****** ****** ******
* * * * * 0 2/30
A4**4
A A A 4 A * * * *2/30
INSTANI INSTA N
SOLIDS * SUSPENDED
SAMPLE MEASUREMENT
2.3
3-5
1 35
0 2/30 INSTANI
099000 1 I
PERMIT REQUIREMENT
****** LBS/D
44*4*4
100
200 *g/l * * 2/30 24HR
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
l> M J a* j
John Friend Plant Manager
TYPED OR PRINTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 U.S.C. S IOOI AND 33 USC S 1319. I Penalties under these statutes may include fines up to flO.Oltt) and or maximum imprisonment of between 6 month s ana 5 years t
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
TELEPHONE
Ml
DATE
RE OF PRINCIPAL EXECUTIVE FFICER OR AUTHORIZED AGENT
601
AREA
369-3606 85
NUMBER
YEAR
04
MO
04
DAY
C(
EPA Form 3320*1 (Rev 10-79) PREVIOUS EDITION TO BE USED UNTIL SUPPLY IS EXHAUSTED
(REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)
VAB.0001123831
f
PERMITTEE NAME/ADDRESS (Include Facility Name /Location if different)
VJLSJ A_ X QLIMJL S_JLN L
ADDRESS F Of POX 9 1
AerKOF_ifv!
84 0
location
I fr 73 0
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM i .VPDFS)
DISCHARGE MONITORING REPORT |i)MR)
(2 16)
(17 19)
n 19 7 g
003
PERMIT NUMBER
DISCHARGE NUMBER
FROM
YEAR
85
no 2!)
MONITORING PERIOD
MO
DAY
YEAR
01
ui :
01
124-231
TO 85 . <26 2 7/
MO
r2 .
(2tt-2*f
DAY
01
(io-m
*a jop
T l\' P
i ' i i.
parameter
{32-17)
TEMPERATURE
(3 Card Only) QUANTITY OR LOADING
(46-53)
(54-61)
SAMPLE MEASUREMENT
AVERAGE
MAXIMUM
ft ft ft ft ft ft ft ft ft ft ft ft
UNITS
(4 Card Only) (38-45)
MINIMUM
QUALITY OR CONCENTRATION
(46-53)
(54-61)
AVERAGE
MAXIMUM
62 65
UNITS
000010
PERMIT REQUIREMENT
t A ft ft ft ft
ft ft ft ft ft ft
***** *
95 CEG
Form Approved OMB No. 2000-0015
XXX
completing
NO EX
FREQUENT Y OF
ANALYSIS
(62-63) f
SAM TY
(69-70)
0 2/30 F ** *2/30
GRAB
SPAR
PH FFL
T
000400
CHROMIUM* TOTAL
001034
ZINC* TOTAL
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
SAMPLE MEASUREMENT
* ft ft ft ft ft
ft ft ft ft ft ft ft ft ft ft ft ft
ft ft ft ft ft ft
ft ft ft ft ft ft
ft
ft ft
ft
ft ft
*1 S
ft ft ftr ft ft ft
****** LBS/D
7.6 6*0
ft ft ft ft ft ft
****** ******
******
l*f`
7-6 8*5
su
*
ft * 1/30
ft *1/30
* * -- * L * >
GRAB
GP A B
"
1*0
MG/L
0/0ft ft
** *
GK A F
001092
CHLORINE* TOTAL RESIDUAL*
050060
FLOW RATE
074060
PER M IT REQUIREMENT
SAMPLE MEASUREMENT
PERMIT
REQUIREMENT
Ills*!*
M MEASUREMENT
pftfttfttr REQUmCMENT
ft ft ft ft ft ft
ft ft ft ft ft *
0.1085
******
IMUHHN
LBS/D
ft ft ft ft ft ft
05
******
LBS/Dil
** * * * *
0.138
******
MG/DAT
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
0*2
N-
ft * ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
1*0
i.j 1
mg/l
0/0*ft ft
GB A P
0,2
PG/L
0/0*ft ft
GP A P
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ftft ft ft
t>ft ft ft ft ft
ft ft ft ft ft ft
2/30
*2/30ft ft ft ft ft ft *
INSTANT TNSTA NT
SOLIDS* SUSPENDED
SAMPLE MEASUREMENT
13.2
21.6
5 9 13
0 2/30 INSTANT
099000
*
permit
REQUIREMENT
******
******
LBS/DA
ft ft * ft ft ft
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
John Friend Plant Manager
TYPED OR PRINTED
mmA
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC IOOI AND 33 USC 1319 (Penalties under these statutes may include fines up to $10,000 and or maximum imprisonment of between 0 months and n years.)
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
100
200 NP/L # * 2/30 2 4HR CC
TELEPHONE
DATE
E OF PRINCIPAL EXECUTIVE OR AUTHORIZED AGENT
601
369-3606 85
NUMBER
YEAR
04
MO
04
DAY
ERA Form 3320*1 (Rv. 10-79) previous edition to be used
UNTIL SUPPLY IS EXHAUSTED
EPA FORM T-4C WHICH MAY NOT BE USED.
VAB.0001123832
PERMITTEE NAME/ADDRESS lint hide Facility Name/Location if different)
^iAME VISTA POLYMERS
P 0address
BOX
91
ABERDEEN
INC
7 97?,;,
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM iSPDf.M)
DISCHARGE MONITORING REPORT (DMR)
(216)
f17 19)
01970
PERMIT NUMBER
M AJ0R
Form Approved OMB No. 2000-0015
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
John Friend Plant Manager
TYPED OR PRINTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED
ON MV INOUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION
IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC 5 IO01 AND
33 U SC S 1319. (Penalties under these statutes may include fines up tt> $lOfOOO and or maximum imprisonment of between ft months and n years./
COMMENT AND Explanation OF ANY VIOLATIONS <Reference Il attachments here)
TELEPHONE
DATE
TURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT
601
aWEa
369-3606 85 Oh
NUMBER
YEAR MO
Oh
DAY
1
ESA Form 1320*1 (Rev. 10*79) previous edition to be used
UNTIL SUPPLY IS EXHAUSTED
t
(replaces epa form t*40 which may not be used.
I
VAB.0001123833
PAGE FW*
r
PERMITTEE NAME/ADDRESS (Inc tide Facility Name /Location if different)
4t
VIST A P 01 Y Ml R S
IM C
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM i.NT/J/.S)
DISCHARGE MONITORING REPORT <DMR)
(2 Iff)
(17 191
^tlrP
Form Approved OMB No. 2000-0015
ADDRESS P . 0 . P 0 X ? 1
0197P
003
ABERDEEN
t f : 9 7 3"
PERMIT NUMBER
DISCHARGE NUMBER
164 0
YEAR
MONITORING PERIOO
MO
DAY
YEAR j
MO
DAY
I MI
XVX
LOCATION
FROM 85
120 21)
03
tu-iit
01
124 25)
TO 851 04
124 2?)
(2M2V
01 (MM/)
NOTE: Read instructions before completing this form.
PARAMETER <32-37)
TEMPERATURE
000010
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
Card Only) QUANTITY OR LOADING
(46 53)
(54-61)
(4 Cord Only) (38-45)
QUALITY OR CONCENTRATION
(46-53)
(54-61)
AVERAGE
******
MAXIMUM
******
******
******
UNITS
MINIMUM
****** ** ** *i___^___
***** I
4*4*4*
AVERAGE
65
* **** *
MAXIMUM
66
95
UNITS
NO. EX
FREQULNCV OF
ANALYSIS
(62-63) (64-6S >
SAM
TY
{6^ 70)
0 2/30 GRAB
DBG. F* * *2/30
Gw A U
PH* EFFLUENT 000400
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
******
******
******
****** ******
****** ******
******
i| Imiin
7.0
6*0
****** ****** ******
7.0 6.5
**
* * *1/30
GRAB
su * * 1*1/30 GR AB
CHROMIUM* TOTAL 001034 ZINC* TOTAL 001092
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
SAMPLE MEASUREMENT
PHI M IT REQUIREMENT
******
* *444 *
****** LBS/DA *4*4*4
*****IM * LRS/D
* * *4 *4
1.0
4b
0.5
1.0 MG/L * * 0/0 1.0 MG/L * * *0/0
GRAB Gw An
CHLORINE* TOTAL RESIDUAL 050060
FLOW RATE
074060
SOLIOS * SUSPENDED
099(000
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
M MEASUREMENT
PERM IT REQUIREMENT
SAMPLE MEASUREMENT
PERMIT
A * **4 *
0.230
4.0
******
****** LBS/DA
4*4*4*
0.241
******
5.2
*4 4 4*4
MG/DAT
44*4*4
******
4*4*44
-I--
1
LBS/DA
*444*4
0.2
***--*-1 ** ****** ******
1.5
100
0.2
******
******
******
I *4
2 200
HC/L
4 4 0/0
* ** * *4
* * * * * 4 0 2/30 * * * * * * * * *2/3 0
0 2/30
MG/L 4 4 2/30
GP t F
INSTAN INSTANT
INSTAN 2 4 HP CO
NAMfc/TITLE PRINCIPAL EXECUTIVE OFFICER
IP
John Friend b Plant Manager
TY>ED OR PRINTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. AND BASED ON MY INOUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE, ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE IB U S.C 5 lOOl AND 33 USC S 1319. (Penalties under these statutes may include fines up to $10,000 and or maximum imprisonment of between 8 monies and n years.I
COMMENT AND Explanation OF ANY VIOLATIONS (Reference ail attachments here)
TELEPHONE
DATE
URE OF PRINCIPAL EXECUTIV'EE ICER OR AUTHORIZED AGENT
601
AREA
369-3606 85 04
NUMBER
YEAR MO
04
DAY
ERA Form 3J320.1 (Rev 10*79) PREVIOUS EDITION TO BE USED UNTIL SUPPLY IS EXHAUSTED
(REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)
VAB.0001123834
Fffi
PERMITTEE NAM E/ADDRESS (/no ide Facility Same/Location if different)
NAME ADDRESS
VISTA POLYKt. RS
51 CX 91
AB.U*DF..NN
~i8*o
INC
m
7< q *, n
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM {SPDF.S)
DISCHARGE MONITORING REPORT tDMR)
(2 16)
01970
(17-19)
m--....
--
.
--
004
PERMIT NUMBER
DISCHARGE NUMBER
MONITORING PERIOD
M A JC I
Form Approver} OMB No. 2000-0015
XXX
FAQitUY
YEAR
MO
DAY
YEAR
MO
DAY
LOCATION
FROM
85
*20-21/
*1
*22 ; i;
01
124 2V
TO 85 P2 01 , (26 27/ t2H-20f <30 in
completing
PARAMETER (32-37)
TEMPERATURE
000010
(j Card Only) (46-53)
QUANTITY OR LOADING (54-61)
SAMPLE MEASUREMENT
pepm it
REQUIREMENT
AVERAGE
******
MAXIMUM
******
******
******
UNITS
(4 Card Only) (38-45)
MINIMUM
QUALITY OR CONCENTRATION
(46-53)
(54-6!)
AVERAGE
MAXIMUM
58
******
63
***** *
67
95
UNITS
NO. EX
FREQUENCY OF
ANALYSIS
(62-63) i64J>8 |
SAMPLE TYPE
(6V-7ri>
0 2/30 GRAB
DEG F * * *2/3 2
GRAB
PH* LFFLl'ENT
000400
t
i
i /
I
FLOW RATE
074060
sample
MEASUREMENT
PfcfttttlT REQUIREMENT
SAMPLE MEASUREMENT
****** ******
******
I Its* sss
0.0315
PSftMIT
REQUIREMENT
* *** **
******
******
7.8
6.0
0.033 A AAAAA
****** mg/daV *** ***
******
* * *** *
******
l l * * *-
A A AAA A A AAA A A A A AAAA
7.8
8.5
AAA A AA AAA AA A A A AAAA
* * *1/30
**
SU * * 1/30
***** * * * * * 0 2/30
* * * * * * * * 2/3t
GRAB GR A B
f NSTAN INST A NT
*******************
********^**********
********V**********
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
A A #A A A A *A*A t
iM MM
A AAAA A AAAAA A AAA A A A
4
A AAAA A A A AAA A AAAAAA
******
******
******
* ** * * * ** * * *** * *
* * * * * fc* * * * * * * *
* * * * ****** **
******** ******
**
******************* SAMPLE
*********" ********** MEASUREMENT
*********i ********** PERMIT
REQUIREMENT
A A*
******
A A AAA A
AAA A A A AAA A A A AAAA AA
4 i ||H
:*
A AAAA A AAAAA A
******-* -* -
****** ******
M
*** * *
****** * 4 -An
*****
**
**** *
* * * * * ****** * *
******-Pti
* *** * * * * ******
**
********4k **********
i
SAMPLE EASUREMENT
PERMIT
REQUIREMENT
AA AA AA AAAAA A AA AAAA
AAA AAA AA A AA A AA A A AA
;* * * * *
*****
A AAAA A AA AAA A AAAAA A
******
****** ******
*** * * *
* * * * * ***** * * *
***** *
* * * * * ****** * *
A * * * * ** * * * * * * ******
*A
******************* i
******************I ********************
1XjL * ****
SAMPLE MEASUREMENT
PERMIT
REQUIREMENT
A A AAA A AAAA AA
******
AAA AAA AA A A AA AA A A A A
AAAAA AAA A A AAA A A
AAAAAA AAAA AA AAA A A A
A AAAAA A A AAA A AAAAA A
* i > *ii h>i
******
******
** * * * *
**** *
* * * * * * * ** * * * *
* ** * *
** * *** **** A **
* * * * ** * * * * * * * ******
**
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
John Friend Plant Manager
TYPED OR PRINTED
MMUtWii
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 U.S.C 5 1001 AND 33 USC $ 1319. (Penalties under these statutes may include fines up to $W,000 and ttr maximum imprisonment of hetween ft months and .5 years.}
COMMENT AND EXPLANATION OF ANY VIOLATIONS fReference all aUmhments here)
TELEPHONE
ii i*it
DATE
E OF PRINCIPAL EXECUTIVE ICER OR AUTHORIZED AGENT
601 369-3606
AREA
NUMBER
85
YEAR
04 MO
04
DAY
i1
i t I
EP-'A7*- Form 33mf*u20*1 (Re
10>79) PREVIOUS EDITION TO BE USED UNTIL SUPPLY IS EXHAUSTED
(REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)
VAB.0001123835
fffa
PERMITTEE NAME/AD DRESS (Inciude Facility Name/Location if different)
NM
VISTA P0LYKER5
ADDRESS P 0 a BOX 91
ABR DE_EN
184 0
FACILITY
LOCATION
INC
r
79730
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM l ,V/>/>/.S)
DISCHARGE MONITORING REPORT (DMR)
(216)
0197 0
<17 19)
>
*SA JOT
Form Approved OMB No. 2000-0015
PERMIT NUMBER
r
FROM
YEAR
85
at-Mi
MONITORING PERIOD
MO
DAY
YEAR
02
(22 2 *1
oi
(24 25)
TO 85 .. (2*27/
MO
03
(2#-29f
DAY
01
mo
I NO
XXX
NOTE: Read instructions before completing this form.
l PARAMETER
<32-37)
(i Card Only) {46-53)
QUANTITY OR LOADING
(54-61)
AVERAGE
MAXIMUM
UNITS
(4 Card Only) {38^45)
MINIMUM
QUALITY OR CONCENTRATION
{46-53)
{54-6!)
AVERAGE
MAXIMUM
UNITS
NO.
frequency
OF ANALYSIS
162-OJ) (64-68)
SAMPLE
16V-70)
temperature:
ooooio
PHt EFFLUENT
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
SAMPLE MEASUREMENT
A 4k 4k 4k 4k 4k
A A *** * A A 4Ait
AAAAAA A A AAA A AAA AA A
AAA AA A AAA AAA
AAA A A AA A AA AAAAA
*****
** * * *
65
******
7.8
67
AAAAAA
AAAAAA AAAAAA
69
95
0 2/30 DEG r***2/3D
GRAB GR A 3
7.8
1/30 GRAB
000400
t
FLOW RATE
PERMIT : REQUIREMENT
MM I Shu
SAMPLE MEASUREMENT
074060
PERMIT
REQUIREMENT
********************
*
***
***************
*j
M SAMPLE EASUREMENT
******* ****** ******
REQUIREMENT
********4**********^
*******************
<|
SAMPLE
EASUREMENT
M
************ ***** * **|
4k 4k 4k 4k 4k 4k 21.5
siW b ` ili
MM**
4k A A A 4k A
AA AA AA
A A AA A A
A A AA A A A A AA A A A A AAA A
AAA AAA
4*
22
AAA AAA
*****
MG/DAV
6*0
******
****** ******
Mm* *
AAAAAA AAAA AA AAA AAA
AAAAAA
AAAAAA
A A A A A ______AAAAAA
AAA A A it
AAAAAA
p
AAA AAA AA A A A A A AA A AA
*****4
******i ........................
***** 1__******
*****4r ******
A A AAA A
AAAAAA AAAAAA AAAAAA
AAAAAA AAAAAA AAAAAA
AAAAAA AAAAAA
AAAA A A
8*5
AAAAAA AAAAAA AAAAAA
su **1/30
******
******0 2/30
***** ****2/3t
GP A ?
INSTTAN T INSTANT!
AAA AAA
AAAAAA AAAAAA
AAAAAA AAA AAA
4k 4k 4k 4k 4k 4k
4k 4k 4k 4k 4k Ik
4k4k4k4k4kik*4k4k4k4k**i*
4k 4k 4k 4k W______ 4k 4k 4k A 4k p- 4k 4k 4k 4k 4k Lk *6
4k 4k 4k 4k 4kk4k4kfc4k4k4k4k4kk4k4k4k* 4k I* AA
****** *************!! Ili II I--^**fc*****I
^ ll
nil *1
I l l
111
******_____________ ***********[**
***** k*******
4k * 4k 4k 4k A a
SAMPLE
A*** 4k4k4k*4t*4k4k4k + 4k4k4t*4k S M EASUREMENT
4k * 4k 4k 4kttiAttt
T
***s **************** p *
* *4***#*i4*******i
PERMIT REQUIREMENT
*A I > >
SAMPLE MEASUREMENT
A AAAAA AAA A A A A AAAA A
AAAAAA AAAAAA A A AAA A
MJ.L
AAA * A A AAA A A A AAAA AA
* ** * * ***** * ** * *
A AA A AA AAA AAA A *A AAA
*****
** * **
*****
AAA AAA AAAAAA AAAA
******
****** ******
I.... .
AAAAAA AAAAAA AA AAA A
AAAAAA AAAAAA AA AAAA
AAAAAA AAAAAA
****** ****** ******
*** ***
****** ***********4k 4k 4k 4k 4k A *
* * * * * ** * * * * I* * * * * * A * *********** * *** * * * * A +
4k 4k 4k 4k 4k
4k4k4k4k4k*4k4k4k4k4k
4k 4k 4k 4k 4k
4k4k4k4k4t*4t4k4k4k4k * 4
4k 4k 4k 4k 4k Uk 4k 4k k 4k 4k 4k * 4t |k 4k 4k * * * 4k *
NAMC/TITLE PRINCIPAL EXECUTIVE OFFICER
John Friend
L
Plant Manager
TY^ED OR PRINTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INOUtRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 U.SC lOOl AND 33 USC 5 1319, (Penalties under these statutes ma.v inciude fines up to $10,000 and or maximum imprisonment of between fi months and .5 years !
COMMENT AND EXPLANATION OF ANY VIOLATIONS <Reference all attachments here)
t
*
Y
J
TELEPHONE
DATE
RINCIPAL EXECUTIVE OR AUTHORIZED AGENT
601
369-3606 85
NUMBER
YEAR
04
MO
04
DAY
VAB.0001123836
EPA Form 1320-1 Ir*v. 10-79) previous edition to be used UNTIL SUPPLY IS EXHAUSTED
(REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)
PAGE
flfl
PERMITTEE Facility Name
/NLAocMaEtio/AnDiDf RdiEffSerSen(tI>nc,tide
9HI JU.&J.A--E QJ.XHL EL_lii C
NATIONAL. POLLUTANT DISCHARGE ELIMINATION SYSTEM {SPDFS)
DISCHARGE MONITORING REPORT (DMR)
(216)
(17 19)
VA JOR
Form Approved OMB No. 2000-0015
Cl 970
A_BLRDF!i-
EAG1&1I?
LOCATION
tf: >
39 7 3a
------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------
PERMIT NUMBER
FROM
YEAR 85
120-21)
MONITORING PERIOD
MO DAY
jYEAR
MO
05 <22It)
01
<24 21)
TO _85L 04 (2t-2 7) tltt-29)
DAY
01 t.iO-M)
un
*XY
NOTE; Read instructions before completing this form.
PARAMETER h i32-37>
(J Card Only) QUANTITY OR LOADING
(46-53 )
(54-61)
AVERAGE
MAXIMUM
UNITS
(4 Card Only)
()
MINIMUM
QUALITY OR CONCENTRATION
(46-53)
(54-61)
AVERAGE
MAXIMUM
UNITS
NO. EX
FREQUENC Y OF
ANALYSIS
1624*3) (64-6S)
SAMPLE TYPE
{69-70)
TEMPERATURE
000010
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
tt
A*
******
* *m * * *
******
* * * **1 *
***** j
****** k
A
78 ******
80 ***** *
81
95
EG.
0 2/30
F * * *2/30
GRAB
GR A B
PH EFFLUENT
000400
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
****** ****** ******
****** **** * * ******
***** \ *
* ** **\
*****\ *
7.7..................
6*0
****** ****** ******
7-7
8*5
***
* A ,1/30
GRAB
SU
* * *1/30
GP A
FLOW RATt"
074060
SAMPLE MEASUREMENT
PERMIT REQUIREMENT
15*5
*
15.7
******
MG/DA' (
*** ** *
****** ******
******
****** ******
******
****** ******
*** * *
***** *0 2/30
* ** * * * * * *2/30
INSTAN] INSTA
1********4**********
SAMPLE
1 MEASUREMENT
********ji***t***t**
* * ******4********** I PERMIT I I REQUIREMENT
****** ****** ******
****** ****** **** * *
*****1 K *****11[k *****1 k
****** ** **** ******
****** * ***** ******
** ** * * ** * * * * ******
* ** * *
***** * ***** * A
* ** * * 1 *
** * * * * ***** A A
*** * * ** * A * * * * * * ***** A A
W SAMPLE
( 1 MEASUREMENT
*********t ********** i
------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------
r : PEilMfT: 1 REQUIREMENT
****** ?******
******
******
r
******
***** -j k
*****i.
[
W
***** < k
****** * * * *** ******
****** ***** * ******
****** ****** ******
***** *
***** ****** A A
* ** * * *
***** ***** * A A
***** * * * ****** ****** A A
********4*********** f SAMPLE
1 MEASUREMENT r T"T.......... i PERMIT
REQUIR\EMENTpb
* *****
******
p
; * *****'
L
****** ******
******
* * * * * jk
*****| 1 *** *k
****** ******
******
****** * * *** *
******
** * * * * ** * * * *
***** *
***** *
* * * * * ****** A A
**** **
***** * ***** A A
** * * * ** * ****** ****** A A
******** * ********** r SAMPLE
********^*** ******* 1 MEASUREMENT ******* *f********** i PERMIT
i I REQUIREMENT
iH M
****** ****** ******
****** * * * * ** ******
*** ** * ***** ***** k
****** * * * * **
****** ****** ******
_b
*** * * * ****** ******
*** * * *
* * * * * ****** A A
*****
***** ****** A A
***** ** * ****** * * * * * * A A
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
P*
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY 1NOUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
TELEPHONE
DATE T
OBTAINING THE INFORMATION. I BELJEVE THE SUBMITTED INFORMATION
John Friend
IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING
Plant Manager
THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 U S.C lOOl AND 33 USC $ 1319, (Penalties under these statutes may include fines up to S 10,000
SrftftMTURE OF PRINCIPAL EXECUTIVE
6011369-3606
85
Oh
Oh
TYPED or printed
and or maximum imprisonment of between months and o years.)
OFFICER OR AUTHORIZED AGENT
>1S NUMBER
YEAR MO
DAY
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here>
**
EPA Form 3320-1 |R*v. 10*79) PREVIOUS EDITION TO BE USED
UNTIL SUPPLY IS EXHAUSTED
(REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)
-!*
|
| -II-
' y , *rtt-
VAB.0001123837
BF
m 3800, Feb. $982
P 4?7 785 569
RECEIPT FOR CERTIFIED MAIL *
NQ INSURANCE COVERAGE PROVIDEDNOT FOR INTERNATIONAL MAIL
(Set Reverse)
S#ntar 1 Mahaffey
Street and No.
M|s<; . npnt. of Na^:. Rps.
p
f'*M5r** 39209
1
Postage
\:
r
Certified Fa*
'
Special Delivery Fee
$
1 *
: Restricted Cjyellvery Fee
Return Receipt Showing to whom and Date Delivered Return Receipt Showing to whom, : Date, and Address of Delivery
|t0TAL Postage and Fees
|$
*
I
Postnnark or Dirt*
t
L
VAB.0001123838