PERMITTEE NAME/ADDRESS (/ndude Facllip~Name/Location fDi$erenrl
<br />NAME CYii!i9 YAMFA YALL1'.Y COP.L COkP.
<br />ADDRESS" i ^F ~~i 1, 1E3 SOLT}ir ~ PCiC >7A{J FR.
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) FDrm ApprOVed.
<br />DISCHARGE MONITORING REPORT (OMR~ ~ OMB No. 2040-0004
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<br />CnlJ7154 OU3 .T (SUER C4) Approval expires 05-37-98
<br />PERMIT NUMBER DISCHARGE NUMBER }' - F I ;r .4 L 3Ji'
<br />MONITORING PERIOD "I~iL 1, FCE~ c: TC FOIL}L CREE'r.
<br />YEAR MO DAY YEAR MO DAY
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<br />PARAMETER (46-53) (54-67) (,38-45) (4fi~53) (54-61) EX OF TYPE
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<br /> REQfIIREMEN7 1
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<br />I CERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSONALLY ENAMINED AND
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />AM FAMILIAR WRH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY ~ TELEPHONE DATE
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<br />K G erd MI $ INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATION IS TRUE.
<br />Environmental Manager ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
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<br />COMMENTS AND EXPLANATION OF ANY VIOLAI IONS (Reference ell attachments here) ' "
<br />ALXER6".?'_ LIihI?S FCF TSS, IROti E SETTL1:AflLE: SGLIDS (LO:. 'Ur) APRLY CNLY LF G= 10-Yr, 14-ti5r:-CIP iYENT
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<br />EPA Form 3320-1 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) 0 0 0 3 9 / 0 0 L' 4 0 ~- 1 `~ L 1 PAGE 2 OF
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