Document ykQpzJnp2KXRdj6Oj5oXD6Man

X' Vista Polymers A Division of Vista Chemical Company Highway 25 Post Office Box 91 Aderdeen, Mississippi 39730-0091 Phone (601) 369-8111 April 3, 1992 Mr. Taher Diab Industrial Wastewater Control Section Mississippi Department of Environmental Bureau of Pollution Control P. 0. Box 10385 Jackson, MS 39209 Quality Dear Mr. Diab: Enclosed please find effluent monitoring results for the month of March, 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, R. W. Seymour Plant Manager tjm enclosure cc: KGA, JCL ^4 ^ i -. * i -i r -. f -i----------- i-.-- | +-!. t > Ii ^ " i .fi'+r .................................... ,pf- -1,6 HI - VAB.0001152714 name/address (Include ^Fmcdity Neme/Leeatkm ifdifferent) NATIONAL POLLUTANT DISCHARCf ELIMINATION IVtTtM (NPDES) DISCHARGE MONITORING REPORT (DMRf { _______274.0___________ ` H) it it- : I*f4L *1 ' *-T' S' 1 t" 1K- . -- , -r ! 1 0 We#klv NAME/TITLE PRINCIPAL EXECUTIVE OFFICER R. w. TYPED Oil PRINTED ANO AM FAMILIAR WITH THE REFORMATION SUBMITTED HEREIN: AND BASED ON mV inquiry of those INDIVIDUALS immediately responsible for OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND CQMPLEjTE t AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 16 USC $ TOOl AND 33 USC S 1319 (Penalties under these statutes may include fines up to SHtJMMt and or maximum imprisonment of between 6 month r and .5 yearsJ COMMENT AND EXPLANATION OP ANY VIOLATIONS {Reference all attachments here) NATURE OP PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AOENT TELEPHON E DATE 369-8111 NUMBER 92 YEAR 04 MO 01 DAY EPA Form 9320-1 (Asv. HI) Predou* editions may be used. IAl (REPLACES EPA PORM T-4S WHICH MAY NOT SE USED.) `1 7 l \ \ \ \\\ \ \ t / VAB.0001152715 PERMITTEE NAME/ADDRESS (Include ^Facility Name/Location ifdifferent) LOCATION V1 PARAMETER (32-37) V > i ; t *i ! k*.* t ) NATIONAL. POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESl DISCHARGE MONITORING REPORT (DMR) \ PERMIT NUMBER DISCHARGE NUMBER Form Approved OMB No. 2040-0004 YEAR FROM (20-21) MONITORING PERIOD M1 O DAY YEAR TO it MO > (22-23) (24-25) (26-}l) (28-29) DAY j (30-31) As * NOTE: Read instructions before completing this form. NAME/TITLE PRINCIPAL EXECUTIVE OFFICER k. W. Seymour/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 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 lOOl AND 33 USC % 1319. (Penalties under these statutes may include fines up to StO.OOO and or maximum imprisonment of hetu*een 6 months and .i years.t COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference ail attachments here) 4' SIGNATURE .** PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE DATE NUMBER 92 YEAR 04 MO 01..... DAY ERA Form 3320-1 (Rev. 9-88) Previous editions maybe used, (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) : f: ` t * y. a OP T L % l VAB.0001152716 PERMITTEE NAME/ADDRESS (Include Fmcdity Nunt!Locution ifdifferent) WAMl 'J ' T <s / " AMRIM LOCATION . T - *+ 1 i *** C A :4V Ii * * jp \ b * J f. M 4 PARAMETER 132-37) L ^ -t r -= iJ f . ; i. t i. ji iT ?. .j '11 PL AMA ~I I" *T . * .r L . *i T> ' V u.. ,r * *) '- * r > .* i a 4 L ^ J ' IC f i;t *.< V A L J : - L O ; jl ,H * r r. a l if- . iL_ V A i, J ( " - v * : ' !':a ;, 17 L (cry?) 1 ' T /A L . i t (i Card Only) {46-33) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) ' t r* v i \ 14 X i . r) > r fc. t vi Form Approved T r<IMB No. 2040-0004 MONITORING PERIOD FROM YEAR ri ?p- 735137 MO j :r DAY i V TO YEAR 1 MO .j TmTTTIWWi DAY 1f ww * * '** sA ? rJ 5 !. J !4i, f>-. r J______| * Jr T* -V* + NOTE: Read instructions before oompletiiHl this form. QUANTITY OR LOADING {34-61) {4 Card Only) (38-43) QUALITY OR CONCENTRATION (46-53) (34-61) FREQUENCY OF ANALYSIS SAMPLE (69-70) NAME/TITLE PRINCIPAL EXECUTIVE OFFICER & W. Seymour/Plant Manager TYPED OR PRINTED i or icertify unocr penalty law that have personally examined AND AM FAMILIAR WlTw THE ^FORMATION 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 NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE ARID IMPRISONMENT SEE IB U S.C S lOOt AND 33 USC S 1319. tPenalties under these statutes may mriude fines up to S 10.000 and or maximum imprisonment of between { months and 5 years, t COMMENT AND EXPLANATION OF ANY VIOLATIONS {Reference all attachments here) TELEPHONE DATE ] SIONATURE^DF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT 601 369-8111 92 NUMDER YEAR 04 MO 01 DAY EPA Form 3320-1 (Rev. M3) Pravfou* editions may be used. (REPLACES EPA FORM T-AO WHICH MAY NOT BE USED.) A-----------------1M. .\ L '3*`7/V1 ?.>-! -A-- J I i, .i.fc/J. Us. L * \ 1. h. VAB.0001152717 WfMW'-i ihp~*MI'i4l. >*- ,,-|i-- f- r, n --Jl PERMITTEE NAME/ADDRESS (Include Facility Name/Location ifdifferent) LOCATION PARAMETER (32-37) 7> national, pollutant discharge elimination system (NPDES) DISCHARGE MONITORING REPORT (DMRJ (2J6I (17-19) 1 4 i PERMIT NUMBER Form Approved OMB No. 2040-0004 MONITORING PERIOD FROM YEAR (20-21) MO i 4 (22-23) DAY hfc- (24-25) YEAR TO i MO +" DAY ! (26-27) (28-29) (30-31) NOTE: Read instructions before completing this form. (i Card Only) (46-53) QUANTITY OR LOADING {54-61) average MAXIMUM UNITS (4 Card Only) (38^45) MINIMUM QUALITY OR CONCENTRATION (46-53 ) (54-61) MAXIMUM UNITS NO. FREQUENCY OF ANALYSIS 162-63) (64-68) SAMPLE MEASUREMENT J *1 SAMPLE MEASUREMENT m if f_ . ^ SAMPLE MEASUREMENT y i SAMPLE MEASUREMENT SAMPLE MEASUREMENT SAM PLE MEASUREMENT ._ * SAMPLE MEASUREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER W. S eyruoux* / PI an t Knr; a^ e r TYPED OR PRINTED 1 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 SlG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 16 USC 5 lOOl AND 33 U SC * 1 319 (Penalties under these statutes may include fines up to SIOJMXI and or maximum imprisonment of hetu*een fi months and ,i years.t COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) TELEPHONE DATE SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT 601 aREa 369-61U 92 NUMBER YEAR 04 MO 01 DAY EPA Form 3320>1 (Rev. 0-83) Previous editions maybe used. BPA FORM T-40 WHICH MAY NOT BE USED.) _7 VAB.0001152718 PERMITTEE NAME/ADDRESS (Include Feeditjr NomefLocation Ifdifferent) \f T T i. PACIU1TV LOCATION -awrr lr ' jpanso?-? NATIONAL. POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) (17-19) 1>*\ ijip*--f- v : nOil 1 o 7 ( '*i , PERMIT NUMBER i - l ' i A f. Form Approved OMB No. 2040 MONITORING PERIOD H. = r AC T COL IMC, FROM YEAR (20-21) MO H (22-23) DAY : > I (24-25) YEAR ^2 (26-27) MO > (28-29) OAY 1 (30-31) 'ab *, i*1 AQ 01 'CHAFjti ] 1% T* . NOTE: Read instructions beforecompleting this form |(j Cord Only) QUANTITY OR LOADING | (46-53) (54-61) AVERAGE MAXIMUM UNITS (4 Card OMy) MINIMUM QUALITY OR CONCENTRATION (46-53) 154-61) AVERAGE MAXIMUM UNITS 1 | NO. FREQUENCY OF ANALYSIS L6243) (64-68) SAMPLE MEASUREMENT )()-r * I> 1f Lp. a. .vi5 j* ; I\ L tT Li_L 1f ^ T1 1 T l -: . * L } k -4 % A VAt =*~ - - AMPLK MEASUREMENT V* VVN J' fcfp1. ATS* **-*#' s'- ^ ^ " * ^ P,, - " f 1 " * *P ^P N ( l L% j|L /u .Ap L*- *. +1* K*' 'i*1 *t* 'S i) ____________8J___________ v -V vmV- s'-f V '-h4 %T ^ ' v- ___________an 29 ( i. I Twice/ ill { I9J 1 Twice/ 11 A 1 \ *. ( i* it^ i a. VAL!J[ ; ! * r * T t r^ - f '* L - i- l. Twice/ Month Tristan r: I* !> 'T v> val;1 , 1. .*. .V * ' v- SAMPLE MEASUREMENT . ,vPy.V. PP< _________________________________________________________________________________________________________________________________ i^.LI ttiSvXv-vfr V . k.- V.V.-: : -x- v .-P- , , ;-Vv/; v; xiv/' y! !-!!' /! ;!;!v ''w!v [ -;::< --V A-' va'.v-y >!-' NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY of LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AftO 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 fOOl AND 33 USC 4 1319. (Penalties undrr thfsr statute* may mrtude ftnrs up to SlO.(HM) and r maximum impnaonment of brtu+rn 6 months and 3 vparxj COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) fys/slX: l|SNATURE 4r PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT wWM-;:: :>::w i=: It /.'/.`Vp W>i,!3?:A'?:ii:S|:S*S:=i TELEPHONE DATE 2 ] -8IU 92 04 NUMBER YEAR MO 01 DAY EPA Form 332(M (Rev. 9-M) Pnviout udhiona may be used. yhh (REPLACES EPA FORM T-40 WHICH MAY NOT RE USED.| 'W l / f i .' l ^ i ^ \ \ I. l \ J VAB.0001152719 permittee namc/address (Include Facility Name/Location ifdifferent) KAMI LOCATION i PARAMETER {32-37) (i Card Only) (46-53) NATIONAL POLLUTANT OISCHARGE ELIMINATION SYSTEM (NPDESI DISCHARGE MONITORING REPORT (DMR) P t Form Approved OMB No. 2040*0004 MONITORING PERIOD r FROM YEAR 441 MO DAY ii (2021) (22-23) (24-25) YEAR TO > MO DAY * (26-27) (28-29) (30-31) , 'r 1 ! ; - V .1 t '* ' NOTE: Read instructions before~compieting this form QUANTITY OR LOADING (54-61) (4 Card Only) (38-45) QUALITY OR CONCENTRATION (46-53) (54-61) NO. FREQUENCY OF analysis SAMPLE {64-68) {69-70) NAME /TITLE PRINCIPAL EXECUTIVE OFFICER k w Seymour/Plant hanager 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 TOO! AND 33USC 5 1319 (Penalties under these statutes may include fines up to SlOJMtO and or maximum imprisonment of betu*een I? months and 5 xears.f COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference ail attachments here) TELEPHONE DATE RP SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT 601 AREA CODE 369-8111 NUMBER 92 YEAR 04 MO 01 DAY EPA Form 3320*1 (Rev. 9-88) Previous editions may be used, (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.I A \ VAB.0001152720 PERMITTEE NAMI/AODRIII (Include Faetity NameiLocatlon Ifdifferent} flAHI \ ? r c> `T' Ma r.(' -r7 Wi ' ' rt. r* -<. )1 4> A, rACIUTY LOCATION urn: jso" > i /1 i. CAMPLE MEASUREMENT ATI ON A L. POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) (17-19) ' ?, ; l : Form Approved Li'4 < > - . Js.* 1 V 7 ' , PERMIT NUMSER MONITORING PERIOD (; u Tr ; ' AL r* dXlB No. 2040 FROM YEAR t. r <20-2/^ MO D (22-23) DAY -'J1 (24-25) YEAR TO MO 'k (26-^7) (28-29) DAY A1 !\-n v i c *; r l_ _ ii * Je* *>* ha A. ef# ,*e "* -s* V NOTE: Read instructions before completing this form, QUANTITY OR LOADING <54-61) (4 Card Only) (38-45) QUALITY OR CONCENTRATION (46-53) (54-61) FREQUENCY OF ANALYSIS SAMPLE TYPE {64-68) (69-70) v" V *-*4 L.*p l'-I pi Sr-*. ' r F- ** n *^p i- -v* i 'i*- * *.' Twice/ l) V, oc l 1 ^' *r ^tT ^ i. 1 J Y '+ T .- T' i3 * vi' >** ^L ^^ ;u ; PT' ;. i V A t .J r SAMPLE MEASUREMENT 'V,'. t NT - *"' v1 . .p .* V41 t)-- ~ i.. ! f 0 * i <-j at^: pLA^r t:: l: l Ah ^ , 'i VAL ? SAMPLE MEASUREMENT `*IC L' f 9 v* *t* > K* I *f R *wi S^ **; ^ *V t*" f A4- *+ f. t %,E p.'r gv* 74 :* 4 f- MUX ^ i* Lr ji -#i *' t -V.V .xfcvXv.-- 'I'MvKs'.v.'.1.' - m-Vy- ;i! SAMPLE easuRcment I CERTIFY UNDE* PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AMO 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 NIFIC ANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE ANO IMPRISONMENT SEE 16 U.S.C I lOOl AND 33 USC S 1319 (Penalties under these statute* may include fineh up to SfO.fMMt atid or maximum imprisonment of hetueen 6 months and .5 years.} COMMENT AND EXPLANATION OP ANY VIOLATIONS (Reference all attachments here) SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE DATE | NUMSER YEAR 04 MO 01 DAY EPA Form 3320-1 (Rev. 9*M) Prewfout tdHfcyi* maybe used. (REPLACES EPA FORM T-4S WHICH MAY NOT SE USED.) Vl* M SUN * C `v L / ' 4'*- 1/ * 1t ^P'r ^ -- L Y b \ \ VAB.0001152721 r w^r" w. permittee name/address (Include Facility Name/Location ifdifferent/ L LOCATION national, pollutant discharge elimination system (NPDES) DISCHARGE MONITORING REPORT (DMR) J y PERMIT NUMBER *1 P DISCHARGE NUMSEft { Form Approved dlUIB No. 2040-0004 FROM YEAR >- s (20-21) MONITORING PERIOD MO DAY ** L YEAR TO * MO (22-23) (24-25) (26-S7) (28-29) OAY !__________ ! NOTE: Read instructions before completing this form. t NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ft. W. Seymour/Plant 1 W A 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 ANO COMPLETE I AM AWARE THAT THERE ARE SlG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY FINE AND IMPRISONMENT SEE 10 U S C 1OOI AND 33 USC % 1319 fPenalties under these statutes may include fines up to SfltJHHt and rtr maximum imprisonment of hetueen 6 months and .5 years / COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) SIGNATURE PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE DATE 369 NUMBER 92 04 YEAR MO 01 DAY EPA Form 3320-1 (Rv. 9-68) Previous editions may be used. (REPLACES IPA FORM T-40 WHICH MAY NOT BE USED.) VAB.0001152722 1 PERMITTEE NAME/ADDIIKM (Include Fadtity NamafLocation ifdifferent) FACILITY LOCATION 1 Ti T! t ** jrr r !\ rA *\ - j r*r;/ j\ ij- ,J'~i: * PARAMETER (32-37) - -1 (NPDES)national bllutant oischarci elimination svstkm DISCHARGE MONITORING REPORT (DMR/ (2-16!_________________ (17-19/ A J I i m\ 3( u r * '!) l * A it,v ' i > i MONITORING PERIOD c T rl J Form Approved ? No. 2040-0004 r : At -V FROM YEAR 'J ! T- (20-21) MO u (22-23/ DAY (24-25/ TO YEAR " f' *+-F - MO s* ;. DAY 3I 7ttT7j (28-29) (30-31/ I _L >>r * *> ; 7 y ' f. H A, K ; f l;. I___| tf*# '>``f**^ ^^ NOTE: Read instructions before completing this form. x (i Card Only) QUANTITY OR LOADING (46-53) (34-61) AVERAGE MAXIMUM UNITS (4 Card Only) (38-43) MINIMUM QUALITY OR CONCENTRATION (46-33) (34-61) AVERAGE MAXIMUM UNITS NO. Ff?EQU ENCY OF ANALYSIS 162-63) (64-68) SAMPLE 169-70) SAMPLE MEASUREMENT "','i+* r-if^- -r*sefc h^r i' N S' '1*. - -J* i } 7^8_______________________ ____________________ r i'i- 1 % r' - i" _________8__L t L ' ) Twice/ NAMC/TITLC PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER FCNALTY 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 MFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE IB US.C $ IOOI AND 33 USC 4 1319. !Penalties under them statutes may include fines up to SIO.OOO and or maximum imprisonment id between 6 months and 5 years ! COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) rtf' SIGNATURE PRINCIPAL EXECUTIVE 6QJL OFFICERS OR AUTHORIZED AGENT AREA J rr r *" / TR y' , if * a i ' i* K. 1 p,_. ^ 9. 4 fr y H L G:f. ` r ' C ' J P -k i TH A r T r- if. , . *. \ fir t W?T L!.V -V 1 1T *!h I * t r's * * 1f v yi L 'J P r- 1 f # * v- rj 'H 1 p EPA Form 3320*1 (Rev. Ml) Pmviou* ditions may b9 used. (REPLACES EFA FORM T-*0 WHICH MAY NOT SB USED.) i i; / 'G ' i?g~ l 4 **r\ Vib ri>' 369-8111 NUMBER 92 YEAR - ITH - -'J T i * 04 MO 01 DAY oi f ^ H T1 Y \ \ i. s S ", \ \ f ij VAB.0001152723 (Include Facility Some!Location ifdifferent) UPCAT ION TT' 1 feLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCIHARGE MONITORING REPORT (DMRI r Form Approved OftIB No. 2040-0004 YEAR FROM MONITORING PERIOD z 0 MO DAY k YEAR [ TO ^ 1 (26-57) (28-29) OAY ti* f30-31) '\ ( ! NOTE: Reed instructions before completing this form. 1 NAME/TITLE PRINCIPAL EXECUTIVE OFFICER TM 4 r oiKtger TYPED OR PRINTED t CERTIFY UNDER PENALTY OF LAW THAT f 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 ANO COMPLETE I AM AWARE THAT THERE ARE SlG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING 4THE POSSIBILITY OF FINE ANO IMPRISONMENT SEE 18 IOOI AND 33 USC 1319 t Penalties under these statutes may include fines up to SHijMMt and or maximum imprisonment of hetu*een IS months and .5 years.* COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) ^7 '-M L. SIGNATURE p#-' PRINCIPAL EXECUTIVE 6G1 i 369-8111 OFFICEp'OR AUTHORIZED AGENT ln*l j =m NUMBER > YEAR i!4 MO DAY EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. La i (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) / > d VAB.0001152724