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PERMITTEE NAME/ADDRESS (Include Faciliry NameJLocanon ifO fferenq <br />NAME ;YF'Rtl5 Y'AMPA VALLEY DUAL ~ORt'. <br />ADDRESSglf«ES 1, 2Rr3 SOUTH, & ECKNAN PK <br />aiVO EAST MINERAL C.IRCLF= <br />i::Nl_~LL-f.JQOA ~ t:TJ 8019.: <br />FACILITY <br />LOCATION r <br />," T ,,.. Nn;':; P t y W 4~~.EISLF i. t~gNE.YAL. Al"NY <br />Oi <br />PARAMETER <br />AVERAGE <br />I~UT>'AL P.E>.:Cl'[FAGI-E MEASUREM <br />~ .~ <br />r'~'F?O _ (~ c7 <br />.: Ft UEPJT GRASS Vf,l_VE <br />,-.. - <br />"IL'/ I+, "OT F_fdTiAl.l._Y SAMPLE <br />iS~UL'/{ ;r MEASUREM <br />104 t O O <br />FF I_U[Nl f,ROSS VAi._UE - Q~I _E- <br />_, t ..-. ~ N Y SAMPLE <br />i I SSLI; .'JEL~ MEASUREM <br />~3~:16 t O O r <br />fFLVENT GR¢Ei8 VALUE: <br />'AN ;AN .:pE ~ AL SAMPLE <br />LC^`J:=Nn1?t E MEASUREM <br />FL-UEN I l~~:OJJ '/AL_UE: }}: 0. <br />L.rt•J, Iff :QNE'Ut:l~ OR SAMPLE <br />tlP~l TRi_FSTNEMT PLAT+I1- MEASUREMI <br />F F: DENT GR17 S VALUE <br />' f L A'~D ~-:N EA ~E SAMPLE <br />I S~~,'f• _ MEASUREMI <br />i~~~'~~ ~ ff D <br />F"Ft_UEN ~ ; I?OSS VALUE <br />SAMPLE <br />MEASUREMENT <br />NATIONAL POLLIfTANT DISCHARGE ELIMINATION SYSTEM MPDESJ Form Approved. <br />DISCHARGE MONITORING REPORT (OMR) OMB No. 2040-0004 <br />{;Ui,U~7154 001 _•,'.y... r~, .I . . <br />' PERMIT NUMBER DISCHARGE NUMBER .- ~ }~ j;;,;', „- F'_:~,!-fT <br />MON _~ ~G ERIDD `=t:li P•lAly I-'UND A TO F'1i PEL l',RE1: 4i <br />Y MO DAY ~„~?-~ YEAR MO DAY -~- <br />FROM TO ~ fy~I A2$C FIgRGE 1__V a.tu <br />NOTEyf~ead IhstrU(~Qn~before completing this form. <br />Y OR LOAD' OUANTITY~OR CONCENTRATION _ '}UD;{ FgEOUENC SAMPLE <br />F-X!; of TYPE <br />MAXIMUM' UNITS .MINIMUM AVERAGE MAXIMUM UNITS ANALysfs <br />#####~F #1#'J +l .~ <br />:~, <br /> <br /> .. <br /> ~~ in 't #I <br /> . _ T <br />3F#-, r i o o •J •. <br />Lf3+~`~ <br />LOtA~~ <br />~ <br />~'3I <br />~~~ <br />u <br /> <br /> as ,} <br />v.~ a ~~ ~ ~ - <br />~'ZL-F1 iEN. <br />~ !i :, ~, r~rv# 9F#~n#a#. #d.#-Jk+ <br />~ <br />BNOI TIONS ' fJl)1 uCt.l% ~ ~ / -1 _ IJf1l~hlr <br /> _ <br /> <br />_:, u <br />- <br />V4'k### - . •r.-. ~ s a:t .A###-}~- -s }t 'ka#it - <br />%i <br />I, 7 <br />I`~l'}~L <br /> <br /> ti, <br /> <br /> <br /> <br /> T°' a ~(? ' ,A a..".` to ,.~ $'P' . ~::~.` ..p„_xr '• i*c " •,~'`.;' <br /> NAME/TITLE PRINCIPAL EXECUTVE OFFICER ICeniy under penaly of law thatthisdocument antl ell anachments were ~ <br />l ~ TELEPHONE DATE <br /> gne0 <br />pr¢paretl untler m/tlireNOn or sypervision in eccortlance with esystem Oes <br />to assure roar qualified personnelpropedy gather entl evaluate the inbnnatlon <br />% <br />ij <br /> b <br />kt <br />d <br />e <br />t <br />tl <br />i <br />k <br />t <br />h <br />h <br />h " <br />~ -' <br /> <br />Xichar%'. .i?tc su <br />m <br />e <br />. <br />e person or persons w <br />e sys <br />em, <br />aze <br />on my <br />nqu <br />y b <br />1 <br />o manage t <br />,'7/ r <br />~ i <br />%i~;' <br />70-870-?71 <br /> or those persons tlirectly responsible for gathering Me Inlormation, the infonnmlon <br />( <br />~` <br /> Fnv i r o nnen? a .: n a : !e r submme0 is , to the best of my knowletlge entl ballet, true, accurate, antl complete. SIGNATU RE OF PRINCIPAL EXECUTIVE r s <br /> <br />TYPED OR PRINTED I em avrare that Here ere significant penalties far submitting false inbrmation, <br />indutlin the ssibrli of fine antl im risonment for know) Nolauons. OFFICER OR AUTHORIZED AGENT <br />~ <br />'NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />r:...7LN.'JA~?: .._:J`IIT~ F"Uk ~=.. °. S;:T?'I EAGr_E SOL1~5 (L._OC 'a'i~F!'t_; '..~iJL`r ,~P li -'~'t ~ ~ H;3 F'RE•'IP PVEPd" 1'^ <br />!LAII`1~iD. SEr 1 A L, F'G ilti • 1-JR EVRUEN OF ?F:UUI= RE:IUIRE!'?F_ti~I`-"i Oi:L ~• VR.c~iE _.t'P ~;)~71t•!O"iE {~ir .. 2 <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. ,~ . ~ THI~ ~S~-PART FORM PAGE .-, OF <br />