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Vista Polymers A Division of Vista Chemical Company Highway 25 Post Office Box 91 Aberdeen, Mississippi 39730-0091 Phone (601) 369-81 1 1 January 11, 1993 Mr. John Taylor Industrial Wastewater Control Section Mississippi Department of Environmental Bureau of Pollution Control P. O. Box 10385 Jackson, MS 39289-0385 Quality Dear Mr. Taylor: Enclosed please find effluent monitoring results for the month of December, 1992. These results are submitted per the requirement of NPDES permit MS0001970. Please direct any questions concerning this report to Kenny Akins at 601-369-3637. Sincerely, /w R. W. Seymour Plant Manager cc: KGA Houston: VEM A VAB.0001152610 bApbmp W ".ill 4 'i.1 *n i lip i iniJ!iii|ipp^g nRMiTTll namc/addriii (Include <Facility Name(Location ifdifferent! hamm v I \. ; A C ^ - - if. A w1 NATIONAL. POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) ,y (17-19) f . . Cv\;T.- r\ 7i ' ; -9 ,/- < PERMIT NUMtKR DISCHAftCI NUMBER J 3 >L. - t ))- V r * <- i 'a* i4.. Form Approved r -- 6MB No. 2040-0004 J1 FACILITY YEAR MONITORING PERIOD MO DAY YEAR MO OAY LOCATION FROM -j s I/ u 1 TO ..., j T JW- >o r ;.cha \a i*- r'l I* -s* rt1* i >i i v-t ^ *' i. * t* , V: ^ fr * . r J V** ^- * l *.:>'* :. 3; - i (20 21) (22-23) (24-25) (26-27) (26-2(1) 753777 NOTE: Read instructions before complating this form. 4 i (J Cord Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION PARAMETER (46-53) (54-61) (38-45) (46-53) (34-6. NO* FREQUENCY OF l\ (32-37) i AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS (64-68) f r ) f +J * T ; * f #i i .,, I : i' * r hru- h t AMPLE MEASUREMENT ;ii 11 i -nt * m* ' -.'j j. ,** * ++* ^4 P\* ,* ( > Ifi ih''1J k' IQ-M_rd. s-* I. 'li ' "pa - *4*. w*m ' l` T* #t* f 'I'1 ___________________ v.;.v ' ^ * Jr \ f . < f"j *'i* \t \ t r: e^e Sr 1l y r,: i * 3 I > : v rJ j If. ( V? SAM RLK MEASUREMENT ** T*jf *' ' l *- - v- kV 4j f S^A |* m JL M ^ **4 ,rT^ */p */p * f* S^S k+|r +1** %* rA* -fr* I F^p -I* > d` 1 3i < 1i . f 4:i;;.- nr 4 idrc XJ*L d I..kd r t. , ` ' YJ ** SAMPLE r ii% f 3 .p \ * A< * > MEASUREMENT lAJv^l 21Q.0 .,* *>k. - * A Bfr S f I ^ *p S*r 's^jr' a"s ^4 |%# ^F +*** i#' ti|F-j +*+ -* %- * t- i : z<?m Jh, j i - HI* v*.- 4 1*1 Wesklv Como 2 )0 :. ' . -* 1 Li i * a i\ j sill r iiu__ii l , m: m>* SAMPLE ;l M EASU RSMENT Spd sNssw III iX1.'-1'r.I:,.-i'-|iV,H-i .' fi ' - ^ h .* .-;. 'i *.1 * k * f *S^| ,+ j< a r.F * (.* ^K|Mj# 1 <ri \/ ) . --- . . v/.V/.'.V.T, - -.-... .. -.. { _________________ _____ -LJi______ i: ) l* tri v.'" ** s"-! k'.v,* jky-::;;:pV. xiV-.; . , ,s .`.v.'.yAY.y.V/ViV, . . d Q Weeklvl "-mm sfc:.:*iilfe5* ^-"r.,; I\ .r SAMPLE EASU REM ENT K^P ^ s* f L^G p . .%*/ 'i V#V --V ^ ^ ,,*. r-. mw-. *'p i ' *L-' 1 r :--y mm. UjfiiY -dV. k^ i _(L Si; Ini *fr4i l-i^iF^ SAMPLE MEASUREMENT *I^P p'* f s^* St^ J.* * s k*P ,L - a,*. \ Jt ";, V *-* ^ *sp SAMPLE MEASUREMENT W:\: m.L-.V .5- p:;? 1 <. c: / ;:i Yi ^*V w f-* I CERTIFY UNDER PENALTY OF LAIS THAT I HAVE PERSONALLY CXAMINEO AND AH 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 CQMPLCtE. I AM AWARE THAT THERE ARC SIG 1 NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY JOF FINE ANO IMPRISONMENT SEE 18 USC I IOOI AND 33 USC ! 1319. tPrnallieit under theur statute* may mrMf fine* up to Sltl.tHM) SIGNATURE OIVPRINCIPAL EXECUTIVE and or maximum imprisonment <4 between 6 months and .i years.) OFFICER OR AUTHORIZED AGENT COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) -A* A. <V -' ; TELEPHONE ATE 1---------------------------------------------------------- NUMBER 93 01 07 YEAR MO DAY EPA Form 3320-1 (Rsv. 0-M) Prrvfou* rditions may be used. SPA FORM T-40 WHICH MAY NOT BE USED.| J 3/ I ;\ - l ' - k i 'MSI 1 wv*i^ 1 \I y I; r i', i.' t-' i i, i i: r i' i; I- i :j li II l I; I It \' fI I f: I , I 1i II ; i' I; li j l' Il;- li I; I I I ,1 l II \ \^ \ i 4 r r j VAB.0001152611 PERMITTEE NAME/ADDRESS (Include Futility Name!Locution ifdifferent) ^m ^m ADORES* i LOCATION ^ i .^ -m- -mi-- -P ' (NPDES)national pollutant discharge elimination svstem DISCHARGE MONITORING REPORT (DMR) (17-19) t1 , 11 < PERMIT NUMBER DISCHARGE NUM BCR Form Approved OMB No. 2040*0004 YEAR FROM (20-21) MONITORING PERIOD MO ! p- (22-23) DAY (24-25) TO YEAR F MO (26-27) (28-29) DAY J (30-31) If * NOTE: Read instructions before completing this form. NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ri 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 16 USC S lOOl AND 33 USC I 1319 (Penalties under these statutes may include fines up to SfO.(XM) and nr maximum imprisonment of hettveen If months and > years. I COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) TELEPHONE SIGNATURE OR RINCIPAL EXECUTIVE OFFICER O AUTHORIZED AGENT 369t.SH 3, AREA NUMBER DATE Q1 YEAR 01 MO 07 DAY EPA Form 3320*1 (Rev. 0-68) Previous editions maybe used. (REPLACES EPA FORM T-40 WHICH MAY NOT RE USED.) VAB.0001152612 j rir* mi pyMni ~ jim--hk--Ji umm nm'ai1 w;iitfj-nHihipmniirt.toi-i>MHj.u . jd.i mi |Pfl.( -J ^PERMITTEE NAMC/ADQmu (Include Facility fiumefLocation ifdifferent) i* * ** * > 1 A r ' 4 , fc * r 4 iLLtl NATIONAL fOLLUTANT DISCHANCI ELIMINATION IVSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) (17-19) -a JCI- ' *^ -^ *AJ ni J i1 =* t r\>! ( ;i :: PERMIT NUMBER r l ) Form Approved OMB No. 2040 MONITORING PERIOD LOCATION YEAN FROM 'j C-* MO 14* -/ m YEAR lJT1 rv "' MO 'JL J^ DAY JL t i0 |___1 4* v fZ ** Al V f' v '>*)1 '' tI NOTE: Reed instructions before completing this form (i Card Only) QUANTITY OR LOADING (46-53} {54-61) (4 Card Only) (JS-4J) QUALITY OR CONCENTRATION (L5J) {54-61) NO. FREQUENCY OF ANALYSIS i average MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS l62-63)\ {64-68) f .1 J J` ** \r i*- L `i rL ^ i X AM RLE f MEASUREMENT l A* a- p < 'A .-S'* - *. p'^ +* ^ p " V . e- ^ ,,L +, *V fc. *. fV. p tT Contin- $ 1 * - A. S LJ. ' >L - * vrfw: :->xx*:-ray w;1# ^xsSE*: ^^ -wx<>t:- ;.>v .y->v-v ; v: :v^ *- /* i I V V'AL:J^ SAMPLE MEASUREMENT ,* SAMPLE MEASUREMENT > /^V r- ^*lJ,t N4i* **'r** ** r*# `d"4'* **V .* V *>** ^ * - <L-P ". ^ - *0 SAMPLE MEASUREMENT ^ 'WSPS* -; _" a | SAMPLE MEASUREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNOEft 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 Nine ANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC I 1001 AND 33 USC 4 1319. fPenalties under these statutes may include fines up to SlO.fHM) and or maximum imprisonment of hetoren 8 months and 3 years.) COMMENT AND EXPLANATION OF ANY VIOLATIONS {Reference ail attachments here) SIGNATtUuRrEe oOfF PPRrIiNnCcIiPpAalL iEXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE DATE 601 369-8111 93 01 07 NUMBER YEAR MO DAY EPA Form 3320-1 (Rsv. 333) Previous editions maybe used. l ic -.A I 0 1 u;? 0 122-In 40 L. ih \ \ VAB.0001152613 W' ^permittee name/address {Include Facility Name/Location ifdifferent) (NPDES)national pollutant discharge elimination system DISCHARGE MONITORING REPORT (DMR) (17-19) fS ; ''v i- 7 PERMIT NUMBER MONITORING PERIOD Form Approved T OMB No. 2040*0004 1r m; V H MS DATE 93 YEAR 01 MO ui DAY VAB.0001152614 permittee NAMK/AOORCH (Include feetHy NmmefLoeetkm ifdifferent) NATIONAL POLLUTANT OIICMANOE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) (2-16) (17-19) Ak-l I r" i r , Form Approved KJf ^ M 1 O h > ;:* ^ t ft 1vi; ift i T No. 2040-0004 r; i PERMIT NUMMR OltCHARGl _ l ft A 1, uI r i' MONITORING PERIOD * 'ft T 4* * 1 * I* f (ML I i* Tf " m rt paciutt LOCATION YEAR FROM pj - N MO i * ^ DAY ?\ YEAR TO MO x .. DAY ;l ft l'' IT4, J a! 4. p J__ \ v>. i11 < e* ' . > *, h ? A f-i } *r > . 'J _i J * *' T1 J: PARAM KTIR * )- (32-37) I; (3 Curd Only) (46-33) 72071)12213) 724^25) QUANTITY OR LOADING (34-61) (4 Card Only) (38-43) AVERAGE maximum UNITS MINIMUM (30-31) Read instructions before completing QUALITY OR CONCENTRATION (46-33) (34-61) NO. AVERAGE MAXIMUM UNITS 162-63) SAMPLE TYPE (69-70) f; t i i St. I fK .V j * i * h -P Lli V r *JT I**1* -r ^ ftt CAMPLE MEASUREMENT .Rb A .BS fr J*h 'h. * <y*l ___________________ > =_______ -_____ ______ _____.____.________ LI V4mr: ft ^ >iti*. 'S*- *- v-- >* '** F. - ( > 7Q 'J ++ I* K +T- -6 __________ft 1 i 1?) Twice/ ?L I 1 T ? 4k .* U * r 11 L ; * r !J 4 P \ p SAMPLE MEASUREMENT I , i F > L ftft f L + i-*__v A L J t \nL Lr t i r ` * \^ t r f 4 ^1 1 "*r Tr. - - J PL > `\ * 1 | * 1 F-^ Fl LJ *T ji k. v A Lej. .{ t i J h i J 4 T NAME/TITLE PRINCIPAL EXECUTIVE OPPlCER ant Hana TYPED OR PRINTED I CERUrV UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND SUED 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.SC f too I AND 33 USC $ 1319. IPenalties under them ttatutem may include fine up to S 10.000 and or maximum imprisonment of between 6 monthx and .i years ! COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) /fa TELEPHONE | DATE ! | 601 369-8111SUIGONNAATTURE OF PRINCIPAL EXECUTIVE 91 OFFICER OR AUTHORIZED AGENT W.T.l f.W NUMBER YEAR Q]____ Q7 MO DAY ] EPA Form 3320-1 (Rsv. 338) Assfout sdftfcms may be uaad. 4N (REPLACES SPA FORM T-40 WHICH MAY NOT BE USED.) -ji MA- M* f/ft?ir ;> ^\ ;* t'i 1r 1 0 l \ J VAB.0001152615 .HMfe - (Include Facility Name/Location ifdifferent) WAMK ADDRESS i PACI Cl TV LOCATION *I PARAMETER (32-37) -"tF .1 H11 HI . *, h < * * NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) (17-19) .' "X i s' f PERMIT NUMBER Form Approved > T OftlB No. 2040-0004 (J Card Only) (46-33) MONITORING PERIOD year FROM MO (20-21) (22-23) QUANTITY OR LOADING {54-61} DAY b TO YEAR (24-25) (26-27) (4 Card Only} (38-43) MO - (28-29) DAY - (30-31) > 4 1.. 1 NOTE: Read instructions before completing this form. QUALITY OR CONCENTRATION {46-53) (54-61) FREQUENCY OF ANALYSIS SAMPLE {69-70} I NAME/TITLE PRINCIPAL EXECUTIVE OFFICER R- W ur/Plant Manager TYPED OR PRINTED t 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 1 AM AWARE THAT THERE ARE SIG NIFtCANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 16 USC lOO I AND 33 USC 4 1319. (Penalties under these statutes may include fines up tn f/O.OWf/ and <*r maximum imprisonment ttf hetu*een 6 mtmths and .5 years. 1 COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) iA IGNATURE OF PRINCIPAL. EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE DATE NUMBER 9^ YEAR 01 MO n7 DAY EPA Form 3320-1 (Rev. HI) Previous editions maybe used. REPLACES EPA FORM T-40 WHICH MAY NOT SE USED.) t1 i i i I I i I I I l \I I I I i i il ii i i ! i I ! i ii i \I i i i i i\ i j I\ i !i i ii i i i li I I i I i i i I VAB.0001152616 i I i pumittic name/address (Include Facility NmmeJLocmtionifdifferent) SAMI LAIi--i Ut /. address; K'. \t Lilli' NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) ^J Y Form Approved < Si.s o I T rQMB No. 2040-0004 MONITORING PERIOD V' TA \ AL , t u^ Ar' fr j LOCATION A * Ji r j *--. j -*1 PARAMETER {32-37) (J Coni Only) {46-53) YEAR FROM f MO 14 1 QUANTITY OR LOADING (54-61) DAY " ?'amJ " *f i YEAR TO TT 72637} (4 Card Only) (iA-45) AVERAGE MAXIMUM UNITS MINIMUM MO T7 t1 L1 {28-59) JWJTJ b . . * .. * \ ri oi I_____1 .V NOTE: Read instructions before completing this form. QUALITY OR CONCENTRATION (46-53) {34-61) AVERAGE MAXIMUM UNITS NO. FREQUENCY OF ANALYSIS [62-63) (64-68) SAMPLE {69-70) SAMPLE MEASUREMENT *+ S* *?* *'*1 - .* F.< + djk ^ ____________ _______________ _____________________ Sp ** A*-* Three/ / A L 'J : ir' o .1 * V s' " ' i4 ' if , AMPLE MEASUREMENT r L Aw t ` tn T * i. r- 4 f EL '4 > V T Lfc * C u I r*. ' "i_. r' > 1 T ; T 9 Lr * *. ^ - -t 1 . * s^ % j .% ' J* 1#* i, ,/ L' y 1 T, j 1 * ^ 6T A J fe \ J! r ^\ j1 +* H-* AL ii ,T -f -f SAMPLE MEASUREMENT ft ft * ' 1 -** w Jp ^ ^ J* ^ -p ' 1* Yh -/* * F if* ^ L*> O' "'I- A 1 9? Vf4* - V*** -P>h' ^* ^4 H1*!* '1^** % hv# A|*- > I-4L iP S'^ N Ptr IT# - v^-"" h * '* *- H j >I*1* *v* /y n** nV*. .1# Mv- J -X'-' ,i-Xv> v: AMPLE MEASUREMENT m AMPLE MEASUREMENT y-` y.rms'j SAMPLE MEASUREMENT wmmM , ,>. i*VWk r NAME/TITLE PRINCIPAL EXECUTIVE OFFICER R. W Seymour/Plant Maftagar TYPED OR PRINTED I CERUFV UNOCR FCNALTV OP law THAT I HAVE PERSONALLY EXAMINED AND AN 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 ANO COMPLETE I AM AWARE THAT THERE ARE SIG MFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 U.SC t tOOl ANO 33 USC I 1319. iPrnalliTM under these statutes may include fines up In tW.OIXl and ttr maximum imprisonment of between I! months and 5 years. I COMMENT AND EXPLANATION OF ANY VIOLATIONS {Reference all attachments here) BIONATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT i w: Ivs. > 369-8ill 93 01 NUMBER YEAR MO EPA Fens 3320-1 (Rsv. 033) PmiouM editions may be used. (REPLACES EPA FORM T-*0 WHICH MAY NOT BE USED.) mY , jM S'- i - s 'J / ->? ji:' 1 U-i isT -S4 i W- *rin \ j VAB.0001152617 Of PERMITTEE Name/address (Include ^ Facility NemefLocetton ifdifferent) LOCATION 1^1 til I NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESi DISCHARGE MONITORING REPORT (DMR) (17-19) t ST. . * t h Form Approved i i OMB No. 2040-0004 ,fc4 PERMIT NUMtlR MONITORING PERIOD PROM YEAR i- (20-21) MO 1 (22-23) QUANTITY OR LOADING (54-61) DAY ! TO YEAR T (24-25) (26-27) (4 Card Only) {38-45) MO (28-29) DAY --T 1. (30-31) L* * NOTE: Read instructions before completing this form. QUALITY OR CONCENTRATION (46-53) (54-61) FREQUENCY OF ANALYSIS SAMPLE TYPE (69-70) NAME/TITLE PRINCIPAL EXECUTIVE OFFICER R Vs Seynour/Plant Manager TYPED OR PRINTED I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AN 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 S1G NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC lOOl AND 33 USC i 1319. (Penalties under these statutes may include fines up it* SltiJHM and fir maximum imprisonment of hetueen ft months and .5 years, t COMMENT AND EXPLANATION OF ANY VIOLATIONS {Reference all attachments here) 4f t* / SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE DATE 369-fell 1 NUMBER 93 YEAR 01 MO 07 DAY I I 4 I I I I I I I I I I II ! i II i I I l I I % 4 1 41 1 I Ji II 4 I- i ki i i l j I II j 1I I s4 \ i 4I II 14 I i lI l ii rI i i i i J 4 VAB.0001152618 i W) BRMiTTifc Namk;aoorcu (Include J<MU> Nmme/Looetkm Ifdifferent) HAMl LAI__ ` r -->4* > J.J. ' t V >y : * LOCATION X i-iJLl L,pJ\ NATIONAL. LLUTANT DISCHARGE ELIMINATION SYSTEM tsciHARGE MONITORING REPORT (DMRJ (2-16)______________ * .* .-"O "i w n - "T , T J Ilf J FKRMIT NUMHR DISCHARGE NUMBER FROM YEAR j ^ (20-21) MONITORING PERIOD MO L (22-23) DAY 1* (24-25) TO YEAR 'f** V MO 12 DAY *1 A J5 As r* 4, * < ^U r h -: -i Form Approved Tr'QMB No. 2040-0004 U ' * P ~ A L V-J A T T *' I I4 F ) T: , f H A '< r *: > - NOTE: Reed instructions before completing this form. NAM /TITLE PRINCIPAL EXECUTIVE OFFICER R. W. Seymour/Plant- Manager TYPED OR PRINTED CERTIFY UNDER PENALTY OF LA* THAT i HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTEO 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 ARC SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 10 US.C ft lOOl AND 33 USC ft 1319. (Penalties under theae 9tatutea may inrWr finen up to SlOJMMi and or maximum ithpruumment of hrtween I? month* and .1 yearn, t COMMENT AND EXPLANATION OF ANY VIOLATIONS {Reference ail uttachments here) * r r 'r kI r M\ A" * ;aL : =v 1 ? hl c A : 1PL tA i1 EPA Form 3320-1 (Rev. HI) Previous dditions may be used. *T A. J/ 1 i^ L i r l A `. C r kA - * * T A f A- L L r A f T t I 1 FORM T-40 WHICH .1 N TELEPHONE SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT NUMB *. 1* f u T f V NOT BC USKO.) / r"1 . i T Nj. 1- 1r <, Ay 2} V?'.-/'*?*'I 2.1-1 I TH + ATE 93 YEAR 01 MO 07 DAY ; 7 T^: n I :"s V 1 \ \ \ \ f /j VAB.0001152619 IV ERMITTEE Hamc/addresi (Include PdcUity NamkfLocation ifdifferent) LOCATION PARAMETER (32-37) V" ' NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT fDMRj ( f i Form Approved j QMB No. 2040-0004 FROM YEAR < (20-21) MONITORING PERIOD MO 1 Ar (22-23) DAY i (24-25) YEAR MO TO a L. (26-27) (28-29) DAY t - (W5T) %. * NOTE: Read instructions before completing this form. I NAME/TITLE PRINCIPAL EXECUTIVE OFFICER U. Ssymtiur/PLuit M/irri^r 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 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 5IG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY FINE AND IMPRISONMENT SEE 10 U.S.C lOOl AND 33 USC $ 1319 (Penalties under these statutes may tnciude fines up to SlOJHMt and or maximum imprisonment of hrttiern 6 months and 5 years, t COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) K //A, +* / * jj .f 7K SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT r ?' EPA Form 3320-1 (Rev. 9-88) Previous editions maybe used. a* EPA FORM T-40 WHICH MAY NOT BE USED.) 1, ^ i. TELEPHONE DATE &3axn NUMBER YEAR 01 MO IU DAY VAB.0001152620