Document Gmk8ngXNeGBVMoYXYw1LbYLE4

^amt/Location if different) name PPG 1N0USTI KIES_____________________________________ asBM1IG* lSTKICKLfcK W0KK8 MGK. !_ loop rwuLuiAni uikiHAN^t bUMINAHON SYSTEM i.\fUKS) DISCHARGE MONITORING REPORT (DMR) (1719) F - FINAL LIMITS LA0000' 001 FINAL OUTFALL PERMIT NUMBER DISCHARGE NUMBER rurm Hppiaveu 1MB No. 2000-0015 _LA KE_ CHARJr t_SLA_70b02 rAciUTvPPG IND . uocATioii.aKE CHARLES________ __ ______________ lA 70602 YEA* 83 f2$-2i, MO monitoring period DAY YEAR MO 11 01 TO 83 11 til 21} 124 (2*27) till 24, DAY 30 t t9Jt/ NOTE: Read Instructions before completing thl* form. PARAMETER 02)7) (3 Card Only) (46*5J) QUANTITY OR LOADING {34-61) AVERAGE MAXIMUM UNITS (4 Card Only) {38-43) MINIMUM QUALITY OR CONCENTRATION (46-53) (34-61) AVERAGE MAXIMUM UNITS FREQUENCY OF ANALYSE I l62*6J) (64-68) SAMPLE TYPC (6 V-7W)} TEMPERATUR WATER DEG* FAHRENHEIT AMPLE MEASUREMENT ****** ****** ****** 10 NA CONT RECORD 00011 1 0 PERMIT EFFLUENT GROSS VALUE REQUIREMENT ****** ****** ****** ****** ****** DEG.F CONT IlilRCOROR UOUS FLOW RATE sample measurement rnsoo ****** ****** ****** *****1 NA CONT RECC..J 00 058 10 PERMIT t EFFLUENT GROSS VALUt REQUIREMENT ****** ****** GPM ****** ****** ****** ****' r j '' CONTIljlRCORO^ U0U$ PH SAMPLE measurement ****** ****** ****** 142- s.a ****** CONT RECORD 00 400 10 PERMIT EFFLUENT GROSS VALUt REQUIREMENT ****** ****** ****** 6.0 446 MIN/MO MINIMUM ****** 9.0 su CaNTINKCORD* uou$ SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT C SAMPLE MEASUREMENT MUM IT RISMIMMIMT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAMI/TITLI PRINCIPAL EXECUTIVE OFFICER G. C. Strickler Works Manager TYPED OR PRINTED I CERTPY 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 SKJ NPTCAWT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE ANO IMPRISONMENT SEE IS USC t IOOI AND 33USC t ISIS. iPtm/irj uodt* Ikftf tlotutn ntmy includ* ftnt* up to SI0.0OII l*;v RixIttH tmpfttomptmt <4 Spfnvp i wxiAi oho & yton.i ..... : SIGNATURE OF PRINCIPAL EXECUTIVE officer or authorized ajsen'x'H w?* **-- ^........... TH01E SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM EXCEPT^! *Duration`;of excursion did not exceed 60 minutes, and so, therefore, did not constiti - * --- ---------------------- R Rrr 1 TELCPHONK DAT! 318 491-4500 83 11 TWIX con* NUMBER YEAR MO 30 day jC;otia-i*j'S> . - i './ fhyaj ..... MM&M sl 046852^gp PERMITTEE NAME/ADDRESS (JnciuJf facilit* ftamt /Location tf dtQtrtnf) PTO^KDUSTI Ries -555M2555*______ rxr-Bnx~nKJi---------------- pooe-chart: fs~ cxnrubor CftCi:UfpI^X'LIin~b-Lt--------- C R ESlocati ip^ ha l _________GS 70bD2~ NATIONAL. POLLUTANT DISCHARGE ELIMINATION SYSTEM {XPDtS) DtSCHARGEjJION1TORlNG REPORT iDMR) 07-19) etul. . r * rlNAL LlHllo laououJW-- 005 SURFACE RUNOFF PERMIT NUMBER DISCHARGE NUMBER Form Approved l No. 2000-0015 prom YEAR 83 04 3It MONITORING PERIOD MO DAY 11 01 YEAR TO 83 MO 11 fi:Hi 0413) a*m 041*1 DAY 30 <t*U) NOTE; Read instructions before completing this form. PARAMETER 02-37) >< (J Card Only) QUANTITY OR LOADING (46-11) (3441) AVERAGE MAXIMUM UNITS (* Card Only) (1S-43) MINIMUM QUALITY OR CONCENTRATION (46.31) 0441) AVERAGE MAXIMUM Tt rtPER ATUREt WATtEK DEG. FAHRENHEIT SAMPLE MEASUREMENT 00011 1 0 EFFLUENT GROSS PERMIT VALUE REQUIREMENT ****** ****** ****** ****! ****** ****** ****** ****** Q\ ****** &V3 ****** FLOW RATE SAMPLE MEASUREMENT ais ILOO ****** ****** ****** 00058 1 0 permit _ EFFLUENT GROSS VALUE requirement Ph AMPLE MEASUREMENT ****** r '/ . ****** ****** GPM ,; ;r; if; ****** *****a ****** , .V n.\ ****** ****** ****** ~1.4- 00400 1 0 PERMIT EFFLUENT GROSS VALUE REQUIREMENT ****** *****Ot 6.0 MINIMUM ****** t 9*0 MAXIMUM UNITS NO. FREQUENCY EX OFj ANALYSIS (64-6A) SAMPLE TYPCj DfcG.F NA 3/7 SRAB THkt E. "GRAB ****** t WEEK NA *****' r 3/7 qRAL Three 'GRAB WEE*. * L= H= SU o o 3/7 3RAB THREE 'GRAB WEEK SAMPLE MEASUREMENT 4 muni ' REQUIREMENT' SAMPLE MEASUREMENT > ' : * "t. v ., SAMPLE MCASURElfCNT PERMIT REQUIREMENT SAMPLE MEASUREMENT * : t PillMIT REQUIREMENT < NAMR/TITLC PRINCIPAL KX SCUT I VC OFFICER 6, C. Strickler Works Manager I CCATTY UNOCR PENALTY OP LAW THAT I HAVE PERSONALLY EXAMINED ANO AM FAMILIAR WITH WE REFORMATION SUSMffTCP HEREIN: ANO BASED TELEPHONE ON 'MY MOCWVY OP THOSE NCXVOUALS IMMEDIATELY RESPONSISLE POR OSTASHNG THE FORMATION. I BCUEVE THE SUSMTITCO MPORMATK3N IS TRUE. ACCURATE AND COMPLETE < AM AWARE THAT THERE ARE ^ -v-v MPICAMT PENALTIES POR SUBMITTING FALSE INFORMATION. INCLUDING WE POSWSAJTY OP FMC ANO IMPRISONMENT. SEC IS USC I 1001 ANO HUK I tfrmttm amdtt *knr WRaM mi MaW fv*n ap to $10,000 mEj IONATURK or PRINCIPAL CXCCUTIVC ornccR "or authorizko aobnt ^fap^fctwTTweSolids or visible foam excepx in 1trac j 318 JSA 491-4500 NUMRZR ;J , I , c x -1 x L v l' '' * " tJ-'V ? C- * O j. p . . r ^V * ~z ' DATE 83 11 YEAR MO 30 DAY SL 046853 MM __ Ji N0U6T I_ _K ______________ address^* C^STRICKLER _*^RKS_MliK_, P_(_1000_ LAKg^CMARLbS LA 70602 facilityP PG IND e ________________________________________ u3catioA-*ke Charles________________ la_?ot>02 .1 mnuc muhi lUKinu Ktruxi (LIMK) (2-16) 111-19) LAOOOO'Uj PERMIT t____ 010 DISCHARGE NUMBER F - FINAL LIMITS 0M8 No. 2000-0015 AREA B UNCONTAMINATE TBD , FROM YEAR 03 amt MONITORING PERIOD MO DAY YEAR n 01 TO 83 tJJtb tuiy MO 11 fl* DAY 30 NOTE: Read Instructions before completing this form. PARAMETER (J2-J7) FLOW KATE SAMPLE MEASUREMENT 00056 1 0 PERMIT EFFLUENT GROSS VALUt REQUIREMENT CHROMIUM* TOTAL US CR) SAMPLE MEASUREMENT 01034 1 0 EFFLUENT GROSS VALUE RETIREMENT CHLORINATED HYDRO CARBONS* GENERAL SAMPLE MEASUREMENT 74 052 1 0 PERMIT EFFLUENT GROSS VALUt REQUIREMENT (J Card Only) QUANTITY OR LOAOINQ <46-3J) <34-61) AVERAGE MAXIMUM UNITS 4ST ****** ****** GPM (4 Cord Only) OM) MINIMUM ****** ****** .08 DAILY AV 16 LBS/DV DAILY MX ****** ****** ****** 6B4 1368 LBS/DV DAILY AV DAILY MX ****** QUALITY OR CONCENTRATION (46-3J) {S4-6I) AVERAGE MAXIMUM ****** ****** ****** ****** ****** ****** ****** ****** ****** ****** ****** ****** FRIQUENCV OF ANALYSIS UNITS 161-6J) (6r-6M|| *****:c SAMPLE TYPE (6V-7f)) NA CONT RECORD CON Til IRC OR Dll UOUS ****: r O 3/7 24 *****: r THREEf/CCJMP24 WEEK *****: 1 ***** THREE/C0HP2 WEEK SAMPLE MEASUREMENT PERMIT f REQUIREMENT SAMPLE MEASUREMENT - _TERMIT , requirement CT'/.- SAMPLE MEASUREMENT PERMIT ' REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/TITLE PRINCIPAL EXECUTIVE OPPICER 6. C. Strlckler Iforks Manager TYPED OR PRINTED I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AMO AM FAMILIAR WITH THE INFORMATION SUBMITTED HERON: ANO RASED ON MY INQUIRY OF THOSE BKXVEXMLS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I SCUEVC THE SUBMITTED INFORMATION * TRUE ACCURATE ANO COMPLETE I AM AWARE THAT THERE ARE SIC MFICANT PENALTIES FOR tWSMrfflNQ FALSE INFORMATION. INCLUDING THE FQMQEITY OF FME AND BIPSQONMENT. SEE IS USC I I0OI AND Muse ms. Ifrnmltin amdrr Ant ilalalta may Iatladt firm m m tlU.OOll arnd'm amtImiir tmpriraamml of Viatva i month* and I ynn.1 c oie. V See Outfall 018. * TELEPHONE DATE --V SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT 318 xmx 491-4500 NUMBER 83 YEAR 11 MO 30 DAY 0^ A F m 3320*1 (Rev. 10*79) previousS EpITTIION TO BE USED UNTII Rl1"PP) V IR FXHAIJRTFn (REPLACER EPA FORM T-40 WHICH MAY NOT RE UffQQO 36/83 06? 1 --<1? 1 4/M PAGE 1 OF PERMITTEE NAME/A DOR ESS {Include fmetUty Namt/Location if differtnt) u.yi PPG jUpUSTI Hits SToacrar [WdKKS_HBR.____________ "tt"m'Bnx_njDif L70CE~CFfSHT.ES- FPCTfJBT--------------CAC1MI* ------------------------ C*~T06D2~ 70602" NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM {SPM.i) DISCHARGE^UNITORING REPORT (DM*) "Laoooo iw-------- (17 19) run F - FINAL LIMITS MERCURY CELLS SEWER PERMIT NUMBER OIICHARSe NUMBER Form Approved Ni o. 2000-0015 MONITORING PERIOD YEAR MO DAY YEAR FROM "83" ~itr 01 TO "53" *22 2 h (! tutrt MO 11 DAY 30 tt+Jtt NOTE: Read Instruction* btfors completing this form. parameter (.32-J7) K.UW KAi t 00058 1 0 9= FLUENT GROSS Mfc RCUft Y t tOTAL (AS HG) 71900 1 0 EFFLUENT GROSS SAMPLE MEASUREMENT PERMIT VALUE REQUIREMENT SAMPLE MEASUREMENT P*HMF'- VALUE requirement (i Car4 Only) QUANTITY OR LOADING (46-S3} (J4-6U AVERAGE MAXIMUM UNITS (4 Card Only) (JM5> MINIMUM QUALITY OR CONCENTRATION AVERAGE MAXIMUM UNITS NO. FREQUENCY EX OF | ANALYSES (6J-6J) {64-6H) SAMPLE (6V-7H)' H3 ****** *** GPM ****** ****** ****** ' ****** ****** *****! C NA CPNT,,, RECORD ****** ****' c CUNT II IRCORDK UOUS .08 . -1 .il DAILY AV .43 .92 DAILY MX ------------****** LBS/0\ ****** ****** ****** ****** *****) '1 ****** *****! 1 3/7 , M_hv-- thr t. rtOHP2` WEEK SAMPLE MEASUREMENT PERMIT REQUIREMENT ' , -( SAMPLE MEASUREMENT PERMIT t REQUIREMENT' SAMPLE MEASUREMENT permit ' requirement -- 1 SAMPLE MEASUREHCNT PERMIT REQUIREMENT SAMPLE MEASUREMENT 1 permit REQUIREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER $. C. Strlckler Ttorks Manager ffe'T ;*' > TYPED OR PRINTED I CERTIFY UNOCR PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE AND AM FAMEiAR WITH THE INFORMATION SUBMITTED HERON: ANO BASED CM 'MY INQUIRY OF THOSE MOWOUALS IMMEDIATELY RESPONSIBLE FOR QETABUMQ THE WFORMATIQN, I SEUEVE THE SUBMITTED INFORMATION i COMPLETE t AM AWARE THAT THERE ARE SHE R SUBMITTPIC FALSE INFORMATION. INCLUDING THE POBNBUTV OF FVRC AND XPRI8QNMENT SEE IS US.C I 1001 ANO 318 491-4500>|WC 11 >1*. (frmtUn ttmkv'UUm mtiiM may ihU /iari m Vo.ooe BIONATURE OP PRINCIPAL EXECUTIVE BBC Yp psMRimR iMpiuPRaifRr SrlR*fa S mbMt aS * XPBNU OFFICER OR AUTHORISED AGENT HUMBER e-BbrS^wtR"! SfE WDw6 iOA-l-I577-*-6YST*SAtf n* -- THERt SHALL BE N0 DfSCHARGEOF FLOATING SOLIDS OR VISIBLE FOAM EXCEPT IN TRACE A8QUNTSb: For Hg -- See Letter of ipf4/83. Attachment I \ ~ DATE 83 11 30 YEAR MO DAY 0^6855 st rn - i tern > r*n /. \ ~ i r> m 4 n -*>1 "nr T-l A -- f KtflMH Ifct HAMt/ADUKLbb kim Facrif/j Same /Location if different) NAME___ P PS TJLNDDUSJI_ R_ItS^ ABes>jL*-J*>JSTKJCKLER____W__O_R_K__S__M__G__R_.______ BOX OX_1GOO LAXE_DtARLSLA_7_0o02_ facilitvP P6 1 NO . locatioa.are Charles______ la 70602 NATIONAL. POLLUTANT DISCHARGE ELIMINATION SYSTEM i,\PVtS) DISCHARGE MONITORING REPORT (DMR) i2-1(17 IS) F - FINAL LIMITS LA0000TW 111 MERCURY TRACE SEWER PERMIT NUMBER DISCHARGE NUMBER farm Approved MB No. 2000-0015 YEAR FROM 83 MONITORING PERIOD MO DAY YEAR MO 11 01 TO 83 11 *122U (Ult) turn (!*) DAY 30 f-M-JO NOTE: Read instructions before completing this form. PARAMETER (J Card Only) QUANTITY OR LOADING (U4I) AVERAGE MAXIMUM UNITS f4 Card Oniy) MINIMUM QUALITY OR CONCENTRATION AVERAGE MAXIMUM UNITS NO. FREQUENCY OF ANALYSES 16243) <64-6H) SAMPLt (6V-7W)! FLOW RATE SAMPLE MEASUREMENT 00 058 1 0 EFFLUENT GROSS PERMIT VALUt REQUIREMENT ****** 4"l?> ****** ****** *****^ ^lab ****** ****** ****** ****** ****** ****** ****** ***** t NA CONT RECORD ****** ***** r CONT11 IRCOROK UOUS SAMPLE MEASUREMENT * * PERMIT 'i REQUIREMENT SAMPLE MEASUREMENT 1 '1 i PERMIT REQUIREMENT SAMPLE MEASUREMENT --h-- i PERMIT . REQUIREMENT " -><' - SAMPLE MEASUREMENT PERMIT REQUIREMENT '. " :: - . ': c. . - SAMPLE MEASUREMENT PERMIT J REQUIREMENT SAMPLE MEASUREMENT t PERMIT REQUIREMENT NAMC/TITLE PRINCIPAL. EXECUTIVE OFFICER 6. C. Stickler Works Manager TVPCO Oft PRINTED wrcmv 1 CERTIFY UNDER PENALTY OF LAW THAT t HAVE PERSONALLY EXAMINED ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. AND BASED ON MY INQUIRY OF THOSE MOIVIOUALS IMMEDIATELY RESPONSIBLE FOR OBTABHN6 THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION TRUE. ACCURATE AND COMPLETE < AM AWARE THAT THERE ARE SIC WFCANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FWf ANO IMPRISONMENT SEC IS USC f IOOI ANO 33 USC 1 131. (Penalties under three ttatutet may include fine up to tt0.000 end'or maximum imprimnmmt of between month* and S years.) *"> TELEPHONE DATE SIGNATURE OF PRINCIPAL EXECUTIVE 318 I 491-4500 OFFICER OR AUTHORIZED AGENT urn 83 11 YEAR 30 DAY SL 046856 PA Form 3320>1`(Rev. 10*79) previous coition to be used , ,iimtii PMBoi v te rvmii^rrn (REPLACED EPA FORM T-4G WHICH MAY NOTRE ufff)0092/8 306? 1 --0? 1 4/H page 1 o f FaciUt) .Same/Location 1/ dtQerent) name PPG IflPUSTl JUtS ^KL ER_ _WORRS_HGK.______ o^_TOxioqo LAJtjE_ CHARLESLA_7^602^ E&GlMXlliLFJiL -1 ?QjL uocat.oA.AKE CHARLES LA 70602 NAIJUNAL fULLUTANT DISCHARGE ELIMINATION SYSTEM i.M'Oti) DISCHARGE MONITORING REPORT tD.WR) 11719) F - FINAL LIMITS LAOOOOl 012 H6 CELL COOLING THR DISCHARGE NUMBER t-oun Approved OMB No. 2000-0015 Imocmn FROM YEAR 83 m-itt MONITORING PERIOD MO DAY YEAR MO n 01 TO 83 11 uau (2*2*1 DAY 30 NOTE; Read Instructions betore completing this forms parameter FLOW RATE 00 058 1 0 EFFLUENT GROSS MERCURY, TOTAL (AS HG) 71900 1 0 EFFLUENT GROSS SAMPLE MEASUREMENT PERMIT VALUE REQUIREMENT SAMPLE MEASUREMENT '= rwatirr f VALUE REQVIRE*SffF (i Card Only) QUANTITY OR LOADING (46-53) (34-61) AVERAGE MAXIMUM UNITS l ****** 1M. ****** GPM (4 Card OnlyJ (iW5> MINIMUM QUALITY OR CONCENTRATION (46-33) (34-61) AVERAGE MAXIMUM ****** ****** ****** ****** ****** ****** .002. ****** 00? LBS/01 ****** ****** ****** ****** ****** ****** UNITS FREQUENCY OF ANALYSES 16/-6J) 4*44#} SAMPLfc TYPE (60-70)1 *****;[ *****m NA 7/7 24 HT ThREEfCALCTP WEEK *****:[ *****i c NA 3/7 24 THRE E/C0MP24 WEEK SAMPLE MEASUREMENT rsmur 1 REQUIREMENT SAMPLE MEASUREMENT PERMIT ; RCQUIREMEnT SAMPLE MEASUREMENT swinrr v RCQMI^CMENr SAMPLE MEASUREMENT WMMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT requirement NAME/TITLE PRINCIPAL EXECUTIVE OFFICE* $. C. Strlckler Works Onager Wt'* r" TYPED 9* PR INI I CCRTPY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMIUAR WITH THE INFORMATION SUBMITTED HEREIN. AND BASED ON MY INQUIRY OF THOSE POVKMMLS IMMEDIATELY RESPONSIBLE FOR OSTAWNQ THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION * TRUE ACCURATE ANO COMPUTE I AM AWARE THAT THERE ARE SIG MFtCANT PENALTIES POR SUSMITTINO FALSE INFORMATON INCLUDING THR PQRMR.ITV OF FINE ANO IMPRISONMENT SEC IS USC. I 1001 ANO ElUPC I l*'t. IAmmMm mmdrr Anr Mafpln m> iMi fmn p M 1/0.000 'ifttimm RuRwbibniIBf tlAPWP <ulti mmti ynn.) TCLCFHONC DATE ^--\ 318SIGNATURE OF PRINCIPAL EXECUTIVE 491-4500 OPFJCC* OR AUTHORI ICO AGENT * Tnmr NUMBER 83 11 YEAR MO 30 DAY MERCURY SAMPLE TYPE EERRMnusi. FLOATING-SOLIDS OR VISIBLE FOAM EXCEPT InVrACE *AH0tNTsV LINEAR OR TIME COMPOSITE - ^w i 1 Zt t *4 t 3 w - c .r ^ -uj - : q/,6857 3A fsm 3320-1 (Rav. 10-79) PREVI UB EDITION TO BE UEED UNTIL SUPPLY IS EXHAUSTED (REPLACE-! EPA FORM T-40 WHICH MAY NOT BE "080046/83062102 1 4/M PAGE | OF1 j~ PERMITTEE NAME/ADDRESS t/mWr Fmetiilif Same/Location tf different) NAME PPsdK^STI KIES_ address*** rreiCTT6R TSCiRICS-ffBRV P"TJ"BDX 1000 CTflE~CFfSTILES-- CH rosDT ttiwarPPG NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (,\PUf.i) DlSCHARGE^fcNITORING REPORT tDM*> "005000 f6T a? m ~DT3 FSUM FINAL LIMITS OF 013,015,016 t-onmri Approved w No. 2000-0015 FLOW PERMIT NUMBER DISCHARGENUMBER YEAR 83 MONITORING PERIOD MO 0AY YEAR li UI TO 83 112 2 tf IJF-J.H MO U t2*-2*t DAY 30 tJ+J/t NOTE: Read Instructions before completing this form. PARAMETER 0**7) X U Car4 Only} QUANTITY OR LOADINQ (44-JJ) (1441) AVERAGE MAXIMUM UNITS (4 Card Only) (J84S) MINIMUM QUALITY OR CONCENTRATION 04-61) AVERAGE MAXIMUM UNITS NO. EX FREQUENCY OF | ANALYSIS SAMPLE TYPE | FLOW KATfc : SAMPLE MEASUREMENT 00058 1 0 fcFFLULNT GROSS PERMIT ' VALUE requirement -a.a/US, i ****** ' -l . - .- ******* GPM ) ?i ------------ ******- ------------- ****** '------------******- -****> f ****** ****** NA CONT CALC ****** ****= 1 CONTIf ICALCTI UOUS SAMPLE MEASUREMENT \ r,SS&*t \ ":i; A. ft*' ' =X i\ SAMPLE MEASUREMENT rS PERMIT r REQUIROIENT .i 4i SAMPLE measurement JAEO^SiW r % -- \ ' SAMPLE MEASUREMENT - .-"--X- - :'X ;* .** ' i - ;' ' :fs SAMPLE MEASUREMENT PERWTf" * REQUIREMENT - < ". -: >- `; v r'v t * : SAMPLE MEASUREMENT PERMIT REQUIREMENT A NAMy/TIfLS PRINCIPAL EXECUTIVE OWCff I CERTIFY UNOCa PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND MS FAMSJAR YSTM THE PPORM.TIOII SUSMRTED HEREIN AND RASED t;i; $trickier Dorics Manager TYPED OR PR INTRO I TRUE. ACCURATE AND COMPUTE. * AM AWARE THAT THERE ARE SW WFICAMT PENALTIES POE SUSMITTMO FALSE ^FORMATION. WCUIONO THE POSMPUTV OF FINE AND IMPRISONMENT SEC IS US.C. I 1001 AND 5 use I ISIS. IRmMn aadrr Iknr Uatatn m> ImMi Am p M HOMO and'or tmyimam imf'itmmrml r4krtwrra t mentkt mi! i. MCf^T EXPLANATION jf AHIf VIOLATIONS tlr/FPTACY V MMKtMMMl ir) . vv : X. 'r i i t. i 'aM i : 1 !-------- 1 ': T I TELEPHONE DATE 318Ugl.-a00SIONATURS OP PRINCIPAL EXECUTIVE 83 1L OFFICER OR AUTHORIZED AOENT - ggg* i| uNUuMuSmER YEAR MO 30 DAT " : 'i?s.5:v5 >T . sl 04 046858 PERMITTEE NAME/ADDRESS [Include facility iS amt/Location tj dtQtrtnt) >USfI KIES aporiii^ CUTR__1_C_K__L_E__R____WORKS ___________ P_ j3 JlOX 1000 MGR._ _ LAKE_ CHARLESLA_70o02] EASILIir HPJL _i ________________________________________________________ locatioR.AKE CHARLES________________ LA 70602_ NATIONAL POLLUTANT DISCHARGE; ELIMINATION SYSTEM DISCHARGE MONITORING REPORT (I>MR> 117 19) LAOOOO70T' 017 PERMIT NUMBER discharge number Form Approved F - FINAL limits [No. 2000-0015 LEAD TREATMENT DISCHAl FROM YEAR 83 t:$ih MONITORING PERIOD MO OAY YEAR MO xi til ih 01 <U)V TO 83 12*21} 11 auv DAY 30 t-lijlt NOTE; Rtad Instructions bcfors complstlng this torm. PARAMETER FLOW RATE 00058 1 0 EFFLUENT GROSS SO LIUS TOTAL SUSPENDED 00530 1 0 EFFLUENT GROSS LEAD, TOTAL (AS PB) 01051 l 0 EFFLUENT GROSS sample MEASUREMENT PERMIT VALUfc REQUIREMENT SAMPLE MEASUREMENT PERMIT VALUE REOVlREMRMT SAMPLE measurement PERMIT VALUE REQUIREMENT (J Card Only) QUANTITY OR LOADING {46-5)) (54-61) average MAXIMUM units (4 Card Only) US-45) MINIMUM QUALITY OR CONCENTRATION (46-5J) (54-61) AVERAGE maximum a ****** ****** ****** ****** ****** GPM U8 ****** ****** ****** ****** ****** ****** **** ****** LBS/D'll ****** ****** ****** 3 5.1 DAILY AV .43 10.1 LBS/DI DAILY MX ****** ****** ****** ' ****** ****** ****** UNITS NO. FREOUENCY EX ANALYrSISi I6J-W) SAMPLE TYPE f iW-70) ****' r NA CONT RECORD *****j r CONTI! IRCORDK UOUS ****1 t NA 3/7 24 h ****) i *****i o - I t ____ THREE. 'C0MP2'i WEEK; 3/7 24 HC *****i t THRE rCQMP2n WEEK SAMPLE measurement PERMIT REOytl|gMNT * SAMPLE MEASUREMENT PERMIT .` REQUIREMENT I ' r 3 -v o' ' 3 i sample measurement PERMIT REQUIREMENT SAMPLE MEASUREMENT 1 PERMIT requirement NAMC/TITLC PRINCIPAL EXECUTIVE OFFICER fcj* stickler Works Manager TYPED OR PRINTED 1 CERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. AND BASED ON MV MQUMy or THOM NOiyiOUAL* IMMEDIATELY MSPONMBLC FOR OBTAIMING Q* INFORMATION. 1 BCUCVC TM* SUMRTTXO mfONMATION It TRUE. ACCURATE AND CQMEETE 1 AM ARARt THAT TMCRf AM M NFICANY MHALTEt ROB lUtfaTYIIlO FALM INFORMATION. MCLUONG THE pomwutv of *m amTemmonmcnt. wt u*c i loot and 39USC l^ifL (frmahmt mdm mam may iatiade fmf* p H tIOfiOu and'or mfYifi imjn--amM tfA/ttrrrm 1 mnukt ami t ytan.l TELEPHONE (p**- Sift 1 491-4500-------------*----T-," 1-------------- - . IQNATUEE Of tfRINC|PA|.` EXECUTIVE ml'OFFICER OR AUTHORIZED AGENT -* " Ssss- DATE 83 11 YEAR MO 30 QAY fppp it'-*--' T. ^ Jr *r rt *wt #. 5hall be Np discharge fop floating solids or visible A Form 33?Q-1 fRov. 10.791 previous edition to be used =. ,, SL IREPlAfFT ERA FORM Y-40 WHICH MAY NOT BF ITSFBOO Cf 4 0 0 0* -TV A A 1 / # * gL 04686G SL 0468f>l lAML/AODHt FmcUit} Natmet/jLLootcation jf difftrrtu) tAUfHi&AM--lf^PnPnGrScTU_IBDncUUnSSiTjiTi]rCloKKTEIERS CXKE THTKXES- r*c.LiTvP^"iro. WORKS-MGtT. --OTTOSOZ* Z ~ Z Z Z Z^Z3^?! NATIONAL. POLLUTANT DISCHARGE ELIMINATION SYSTEM (\POti) DISCHARGE MONITORING REPORT (DMJt) (17 m F - FINAL LIMITS ~ liujiiuu -------------- T5T5" PROCESS WASTEWATfcR PERMIT NUMBER DISCHARGE NUWCIR torm Approved OMB No, 2000-0015 YEAR PROM ~BT t&-W MONITORING PERIOO MO DAY YEAR u 01 TO 83 m}*t tUH> at-in MO 11 0*1*1 DAY 30 o*-w NOTE: Read InitrueIton* btfora completing thl* lorm. <J Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION PARAMETER W-*J> Q8*4S) (46-JJ) {U-61) W-17) R.G* rate 00 058 I 0 SAMPLE MEASUREMENT PERMIT AVERAGE 'SOtB.O ****** MAXIMUM UNITS (--a*\*A**c*t* GPM ******MINIMUM ****** AVERAGE ****** MAXIMUM EFFLUENT GROSS VALUE REQUIREMENT PDD7 5-0 AY (20 DEG. C> SAMPLE MEASUREMENT 00310 1 O 3kln 584LBS/DI ****** ****** >**** ****** ****** UNITS FREQUENCY or ANALYSIS sample TYPE 162-63} (64-6* > l*V-7fi) | NA CONT RECORD CON TililRCORDK uous 0 1/7 24 WEEKL'tpffP2 EFFLUENT GROSS VALUtf RSQUIREMENT SOLIDS, TOTAL------ ----- SAMPLE SUSPENDED MEASUREMENT 00530 R 0 SEE COMMENTS BELOW PERMIT REQUIREMENT SOLIDS* TOTAL SUSPENDED SAMPLE MEASUREMENT 00530 X 0 DAILY AV n<p\* 3100 DAILY NX ****** 4$**** LBS/DV lilaS H8& ' N 4|00 ^ 8700 LBS/DIr ****** ******. :` ; . , sir- *Y ' : - 'V- S* ****** ****** ****** : ` -C t ****** ****** ****** ****** *****: T ****** *****r 0 3/7 SEE 24 HC ****** *****i i PERMIT ***** c**** 0 3/7 24 HC THRE b' C0M$>2^ EFFLUENT GROSS VALUE DAILY AV IDtAl ORGANIC carbot SAMPLE I TOC) mkasurimint 00660 1 0 EFFLUENT GROSS VALUfl W:| *fvP DAILY AV CHLORINATED HY0R0- SAMPLE CARBONS, GENERAL MEASUREMENT \K\ 74052 1 0 PERMIT 5 684 EFFLUENT GROSS VALUE REQUIREMENT DAILY AV DAILY MX \SOO 26d0 LBS/DI DAILY MX 1368 LBS/DI _DA ILY MX ****** ****** ' ' > f;- ****** ****** ****** ****** ****** ****** ****** *****1 c WEEK ******i ' ****** . 0 |3/7 24 HC **** E THREE'rC0MP2^ ***** I WEEK ****** *****! 03/7 24 I THREEfC0MP2`i WEEK SAMPLE MEASUREMENT PERMIT REQUIREMENT A, NAME/TITLE principal executive oppicer G. C. Strickler Vorlts l^nager TYPED i PRINTED 12 months, average! & (if. I CCMTTY UNOCM PENALTY or LAW THAT I HAVE PERSONALLY EXAMINED AND AM FANUUAR WITH THE INFORMATION SUSMOTfO HEREIN: AND SASCO ON 'MY MQURY OP THOM SOWXJALS IMMEDIATELY HWOWtRLE FOR OSTARRNQ THE iNFORMAflON. | REUCVC THE SUMTTCD INFORMATION m TRUK. ACCURATE AMO COMPLETE i AM AWARC THAT THKRC ARC SttMFaQANT PENALTSS FOR SUSMfTTlNG PALM INFORMATION. INCLUDING THE POSTSILITT OF PMC ANQ RMFRSONMCNT. SEC IS UJC. IO01 AND U_V4 iPrmftk* umdtr Mew tiatuUt may iaciudt fimea ay tm tWjOOU - jW|rXimi> wpii--wif Nww I *wl*< r-3 `------- OlS AND OtO. --n SIONATURE OP PRINCIPAL EXECUTIVE OPPICRR OR AUTHORIZED ASCNT . ?.r * r-, ^ v v* - u, - - ^ 01 j , i . 7i S !') TELEPHONE DATE fai-45fld ZL YEAR 'j *<!s* -y > - r is w/, v " L 30. DAr PERMITTEE NAME/ADORESS Unchidt Facility Hamt/Location i/ diBtrtnl) UAH*_____P___P___G___^___p__U____S___T_ _I____K___l_f_c_ S apmmfG* (^STRICklER ______ Fo BOX 1000 WOKKS_MGR.______ ____ _ _ L_AKI=J CHARLES___________________________ EAClirirrfIPJL _I Np. ^qcatichLAKE CHARLESLA_?0602 NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM | FUf-.S ) DISCHARGE^fcNITORING REPORT (OMX) rilU (1719)_____ F - LA000076T 01V SUM Foarm Approved FINAL LIMITS wNo. 2000-0015 OF 01I017,019tFL0W t TSS PERMIT NUMBER OIICHaMCE number FROM YEAR 83 /:* it/ MONITORING PERIOD MO DAY YEAR 11 01 TO 83 112 2 h 12413/ 126-27/ MO 11 124 2*/ DAY 30 *34-39) NOTE: Reed instruction* before completing this form. PARAMETER flow rate 0005B 1 0 EFFLUENT GROSS SOLIDS* TOTAL SUSPENDED 00530 1 0 EFFLUENT GROSS SAMPLE MEASUREMENT PERMIT ' VALUfc REQUIREMENT VALUt SAMPLE measurement ;.j r-,y :i. POTMIT J rrqvieement (i Card Only) QUANTITY OR LOAOINQ (46-53) (5441) {4 Card Only) (J8-4S) QUALITY OR CONCENTRATION (46-33) (54-61) AVERAGE 3*\*2*_*** MAXIMUM UNITS 44(a ****** GPM MINIMUM ****** ****** AVERAGE ****** ****** MAXIMUM ****** ****** Ilia 44_ 2236 LBS/DV ****** ****** ****** ****** ****** ****** NO. EX rwtOutNCV OF I ANALYSIS *****11UNITS 162-63) (64-6ft) SAMPLE TYPE I 169-70) NA CONT RECORD ****=[ CONT IlHRCORD* UOUS *****i< *****: c0 3/7 24 K THREE/C0HP2+ WEEK SAMPLE measurement PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT , if ' PERMIT' L REQUIREMENT V ,T SAMPLE measurement REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/TITT.E PRINCIPAL EXECUTIVE OFFICER ,, Stickler J^ger orI CERTIFY under PENALTY LAW THAT I HAVE PERSONALLY EXAMINED AND AM PAMEJAR WITH THE INFORMATION SUBMITTED HEREIN: AM> RASED ON MV INQUIRY op THOSE MXVIQUALS IMMEDIATELY ACSPONSIBLE FDR OQTAMNO THE INFORMATION 1 BELIEVE THE SUBMITTED ^FORMATION IS TRUE ACCURATE AND COMPLETE- I AM aware That THERE ARE sis NPICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. MCtUOING THE NQSWSRIW OP PS* and IMPRISONMENT SEC If OSC. I I0OI AND " ' ^-- Pll(n H./atn im> MrfiF* fi*n ap ta tiojxni I- -- --a Stiym*j pWMisr.111 Wr TELEPHONE DATE te-! sionature of principal executive QFf ICER Of ^UTWPAIEEE RjMPNTf* 318 , 491-4500 83 11 30 **** I NUMSER YEAR "P OAY mm -riftfr!'VVir : i ; sr v <E 3 ? v k. i > 1 $ * 5 ? `T? ; *4 5 PH^ q \^*** -sc &1 -3 | . ->V A fform T17.T-1 pnrvmus rnmoN to mw used f d poi a rr^ fp cnoM Y-/*6 UfWtru mv PERMITTEE NAME/ADORESS {ttuhuit FactUty SamejLvcatm^if different) HAMt Pfc jUSTI R Its ^^ru-BDjrTDcro---------------------------------------- LAKb CFfSiTtEr" utauxxwm~im7 Txnrorsor NATIONAL t-OLLUTANT DISCHARGE ELIMINATION SYSTEM \.\FDt.S) DISCHARGE J^NITORING REPORT (DM*) w-w F - FINAL LIMITS LA0000767 TO COOLING MATER PERMIT NUMBER OISCHAROE NUMBED Form Approved (^^No. 2000-0015 FROM YEAR 83 t24Jti MONITORING PERIOD MO OAY YEAR 11 01 TO 83 HO 11 tilits tmt) turn mi*/ DAY 30 0+30 NOTE: Read Instructions bsfora completing this form. ii Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION PARAMETER IbMHbHAIORb'r MATbt (4653) AVERAGE -* (34-61) (iW) ****** **** ******MAXIMUM UNITE MINIMUM (46-33) AVERAGE (34-61) MAXIMUM UNITS N . FREQUENCY EX ANAOLFYSIiS [62-63) (64-6H) SAMPLE TYPE , P |6V-7fl) deg, Fahrenheit AMPLE MEASUREMENT oo on i o ' __PSRM|T . EFFLUENT GROSS VALUE RstKifGSHRM? FLOWRATE------------------ t***w : : -.y i^ ffTOT ****** TfCTff -V ****** 8**1**** ****** ******\00 NA CONT RECORD DEG.F CUNT IfURCGWD* ******* **"*+*' r UOUS 00058 I 0 SAMPLE MEASUREMENT -******2.1, A5b GPM :--****** ****** *****i TNA C0NT RECG. TWiTTSFRCorOk &FLUENT GROSS VALUE; fpr---;-------------------- SAMPLE I MEASUREMENT 00*00 i o JfEfttMT >*' ****** ****** *****1 .'v % IE***** ****** - .. "*1**3*** ****** <*1*.*8*** su UOUS NA CONT RECORD CONTIjirCoROs: EFFLUENT GROSS VALUE MINIMUM MAXIMUM UOUS SAMPLE MEASUREMENT if-: PERMIT--^ s> t: '. . y t. tV'-V; SAMPLE MEASUREMENT -- ENT . ji ;i - n<" fi1- J, . jj " : Y i-;:-*-- 4'-: <* *' SAMPLE MEASURESfENT ! "T"|',-^;i|".-- ' PERMfT i - ' RRQUIflSMSMT SAMPLE MEASUREMENT PERMIT REQUIREMENT 1 ? -. HAMIt/TITLE PRINCIPAL EXECUTIVE OFFICER I CfETSV UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE $ C. Strickler OfTASSNG THE INrORMATMM. I RELIEVE THE SUSMKTED ^FORMATION TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SMS- --K Works Manager 318 i 491-4500Si' iI ' ' MFICANT PENALTIES FOR EUMHTTING FALSE MFORMATIOH. MCLUONG THE POSWBETTY OF FME AND IMPDAONMCXT SEE IS USD. I IOOI AND 33 USC I ISIS. tfnmUn mdrr Aw lUtutei mmr imetut* /Sun tp to SlO-OOtl SIGNATURE OF PRINCIPAL EXECUTIVE W'w maximum impnnmmnt W Srtums $ mmAi *m S ynn.t OFFICER OR AUTHORIIEO AGENT xim NUMBER DATE 83 11 YEAR M<? - 30 DAY .M.. SAAtA E / PA I: j : !; ; j. 'I ' i ! " 'rM. ' " 'Tjfeijj': '' ' ^' * ?U sz "V * ~kr \ zz" ) kZ;&X^..vzisf ;SL O4 Jr*JUSJl_ _RIEi.__________________________ ABtawtCKL tR_ _WORKS_MGR." P OH 1000 LAKjFCHARLES' FACILITY P PG I NO AKlqcatioiL 6 CHARLESLA LA 70602 70602____________________ UldUMAttbb MUNliUKtNO KbfUH I iOMK) am mm LA00007A 024 PERMIT nOVKR OIKCHAMK NUHIM F - FINAL LIMITS UMO /VO. aUJUU-OUIO SURFACE DRAINAGE - Pf^p STRG FROM YEAR 83 tfcih MONITORING PCRIOO MO DAY YEAR u U2 2h 01 tUi%! TO 83 iitif) MO 11 OAY 30 (MJl; NOTE: Read Instructions balora completing tills form. PH PARAMETER (Shit) 00400 1 0 EFFLUENT GROSS X (4 Card Out}) OUANTITY OR LOADIN0 (M-JJ) (J/l Cara Only) <4145) QUALITY OR CONCENTRATION (H4i) {U-Sl) SAMPLE MEASUREMENT AVERAGE #***66 MAXIMUM UNITS ****** ****** MINIMUM fl.o AVERAOE MAXIMUM 8.1 466646permit'- ;'= :.i VALUE REQUIREMENT s |***#* 6*0 MINIMUM .666466 11.0 MAXIMUM UNITS L 81 H= SU NOt EX FREQUENCY OF ANALttl* SAMPLE TYPE , 16J4J) l ML) 0] O fi/7* GRAfl . WfcEK- GRAS OAYS SAMPLE MEASUREMENT 1 * -- -- t SAMPLE MEASUREMENT ` ' ' - : -i1 If , i ' THERMIT^:' REQUIREMENT '; `' ' L SAMPLE MEASUREMENT . -. - . ?.* : PttMIT REQUlRsilEMT SAMPLE measurement ^isissM. ' ft *- : `i' - ' VI- : ' / J- c : . = ;; yflSts It. . * -i SAMPLE MEASUREMENT ! 'PERMIT^--1 5 ' ; i -REQUIREMENT - : r\ i z^ '"v ^ ^ SAMPLE MEASUREMENT PERMIT requirement NAMp/TITLC PRINCIPAL EXECUTIVE OFFICER 6, Stricter |)r|9 Onager TYPED OR fIMHTtO mb I CtRTrV UNOCR PENALTY OF LAW THAT I HAVC PERSONALLY EXAMINED ANO AM FAMRJAR WITH THE INFORMATION SUSMTTCO *-----on mv mgumv of those mbwouals immcouttly ORTAWMOTHE MFORMSTHtm EEUSVE THE SLMRRTTSO CWORHATIQII TRUE. ACCURATE ANO COMPLETE t AM AWARE THAT'THERE ARE moMFICANT FSNALTNS FOR SUEMNTlNO FALSE MFORMATION. TLUaNO THE POSMRLITV OF RNE ARO1MPRWONMCNT. SEE IR use. f tOOt ANO *3 use I ISIS. /RnwMc* mtar tikew ftotMtn may intinOr fima M tlUMO an4<atmaahmnmlmaiiammntWhftmanimamtka*n4tytuHj m flowing. Vt TELEPHONE OATf SIONATURE^OF fRINClPAL EXECUTIVE 318 I 491-4500 83 11. 30 - OFFICER OR AUTHORIZED ASENT -i = \mi iT^"* ?MIPR- YEAR NO ' OAY ^an {'. *y ( i - PA Form 3320*1 (Rav. 10*79) previous Edition to re used * I fNTM EUPtl V iq FKHMI9TFO (REPLACE EPA FORM T-40 WHICH MAY NOT P* UtF0OO76/830621~0214/M 1 s*s ** PAGE 1 OF / 1 facility Samt /Location ij dtfjtttnt) ___ PPG^JL^OUSTI RlbS Tin CKTEK " WORKXMbRV FTrifTBnrofftr cwcE"CH7on:FF ~LaT86D2" FPGXND.--------------- EAtlLUT wsAnE*EEI5(M^IKIZZZZZZ^?Z?[5??IZZ / w i-L, 33 1 1 uidLUAnut LL.I,'l:llAIILJi< 3 1 b 1 LM k . W DISCHARGE MONITORING REPORT (DM/t) (216^*. mm 1 ....................... 025 PERMIT NUMBER DISCHARGE NUMBER OMB No"2000-0015 F - FINAL LIMITS STORM DRAINAGE 1500 CHLRN YEAR TMom 83 MONITORING PERIOD MO PAY YEAR II U1 TO 83" MO 11 OAY 30 tx-to <11 2 ij <2413i <2*27l <2*`2V NOTE: Raid instructions bsfors computing this (orm. PARAMETER U2-S7) X {J Card Only) (46-33) AVERAGE QUANTITY OR LOADING (34-61) MAXIMUM UNITS (4 Card Only) (JS-43) MINIMUM QUALITY OR CONCENTRATION (46-33) (33-61) AVERAGE .MAXIMUM UNITS NO. EX FREQUENCY OF ANALYSIS 16243) 11 SAMPLE TYPE (6V-7U) | FLUW RATE ; sample measurement \a02_ (nL2f{ ***"***"" ------------******" ****i t i NA 5/7* GRAB 00058 1 0 PERMIT EFFLUENT GROSS VALUE REQUIREMENT ; ****** ~--****** GPM i ****** ****** ****** ****^ = j 'r DAILY GkAB ZLfr* SAMPLE MEASUREMENT ****** ****** *****^ : ****** A Qil NA 5/7* GRAL 00400 I 0 pwwmt- t EFFLUENT GROSS VALUE REQUIREMENT ! ****** ^ ' < v , :V. y- . , . ir s ****** ****** :****4* MINIMUM % ****** A*'*1 ' su MAXIMUM ; DAILY GftAB %' SAMPLE measurement .i i PtmstT ' REQUIREMENT SAMPLE measurement j {' 'permit * i; REQUIREMENT* 1 SAMPLE MEASUREMENT ,T V -A . REQUIREMENT 'i SAMPLE MEASUREMENT PERMIT V- ` REQUIREMENT ' ; V X*'+X# >** s. .; ' vX'.JX . > *z, \A ;1 ^ ; j. 1 ' v t ` V ' : z '^ ^L, % - t -L " " * , , Z ' ' d* ; , ,u " ^ ,v,;r ^ - 'J ^ : i Lt * ^v '> ;.,'Y l'*. c^w Z '* ,S c i` r 1 ` t 7 - _ _ ..1 v` SAMPLE MEASUREMENT * PERMIT REQUIREMENT '' 1 \ - . - , > > . NAME/TITLE principal executive officer G. C. Strlckler Morjli Manager TYPED OR PRINTED I CCRTFV UNDO* PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED ANO AM FAMILIAR WITH THE INFORMATION SURASTTIO HERON: ANO BASED ON -MV INQUIRY OF THOSE REFVTOUALS IMMEDIATELY RESPONSIBLE FOR obtaimno the informaton, i bcuevc the suMrrrto information W TRUE. ACCURATE ANO COMPLETE I AM AWARE That THERE ARE smNtFICANT PENALTIES FOR SUSMfTTINO FALSE INFORMATION INCLUONO THE POSRWUYY OF NNE ANO SAPRISOIIIIENT, SEE IS US.C. I 1001 ANO >3 use ISIS IAhhUh hmf Sw ttntntn mi iurludt finrr V to HOMO VnE'ar maalmnm imptitmminl tf Attow < monthr nnd I ymrt.l iyy wjlstoi^ripNS ^Rf/ftfrc* nil miuekmtuu htt*~ ' THERETSHALL Bf Np DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM.EXCE HONITQR HILE FLOWING ALL PARAMETERS. * When flowing;* nliR i1 t-', 3 A Pnrm TT70-1 IR>-w 10-701 PRFVI niTtON TO BE USED 5 3 X /prf Ar fa* ropM T-Ao wHirH mav mot nr TELEPHONE