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PERMITTEE NAME/ADDRESS (/nclude Faciliry Namr/Lacanon lDi$ermr) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form ApprOYed. <br />NAME ,`.YF'~i ', ~:0 '~,'AI''PF+ VALLc`! C'.+r~_ '.:GRI'. DISCHARGE MONITORING REPORT (OMR) ,,,I~ r, OMB NO. 2040-0004 <br />ADDRESSeIItJtS 1, 2~<3 5UUTH. .< ECl4MAN PH CU442,' 154 •OCg A + 3~ IL%,S. .,~,,; <br />°10'J EAST MINERAL CIRCLE PERMIT NUMBER DISCHARGE NUMBER F - `-i?d`~~_ ii!JUi( <br />ENGLEWGUD r:G dU195 MONITORING PERIOD "IIN'r: PC:(4i' L TG FI_:Z EL LP%EI~ <br />FACWTY <br />LOCATION ~ YEA ,• 0 DAV ~ YEAR MO DAY <br />~ -- <br /> FROM TO .. :+#~+ 'Vi: itlS<:IiAF ^!= ! .. -: +a <br />;•, !'T N: "MQRF IS W. FtEG;_EV, ,ENERhI. ATNY NOTE: Read Instructions before completing thisform. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER ~ EX OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~!-yS/S <br />:+JN U", .. Y SAMPLE <br />MEASUREMENT #~###~ <br />~ #####~ <br />~ ####+1" <br />„ 5 (.4-~j 1-7 1I <br />~ ~ 4 p ( ~ .. <br />(~J '7; I <br />~ I <br />f'~ +l ~ <br /> <br />FF"F'_U~Nf GRGSS VALIJ ~.. :';; F^#et I~ ~Ky +~e lM ~{~{ <br />9N :: <br /> ^- y" <br />_ <br />t .v. <br />I~' SAMPLE <br />MEASUREMENT #####w ##~n#~;+=t ##?i#a# <br />~ ~ <br />` <br />~ L'' ~ G~ + ~ !~] ) <br />~' <br />~ <br /> ~ <br />~ Ir lY ~ <br />.; ~i <br />I <br />J <br />r <br />CG4~UU I G G ~ tj -L <br />F <br />a <br />' <br />~ ~ <br /> <br />. <br />- a#,r ., -;,,,. <br />gg ~- <br />E.FFLUENI- SRU:;S VALUE ~' ~ ~~' x.` <br />'; <br />;,-~I h <br />~ = . <br />~ <br />- a.t=.r=, `f'~33~3tMt11'~ `~` Rar" ~1: S " <br />is <br />wOL.IDS, TOTAL SAMPLE iF pia#~n: '+ xiF aa~#~s =sn»-.t# " <br />81)5?EidUED MEASUREMENT <br />Na <br />u({ <br />4;1 <br />,~fn <br /> y u " ' <br /> <br />:EE CJMMENTS HELUW L <br />'^ _ <br />,.,~^ <br />_ <br />#*,r.M <br />`NS; <br />~'. <br />,~ <br />hG <br />;" I ~~ <br />_ w~, <br /> <br />:'-!SF ENDc=. ii SAMPLE <br />MEASUREMENT ' <br />"~(~ <br />~LI-,~ z <br />3/J~ ~r` <br />~~9i <br />s^5~0 G 4 +.. , ,r ~ ,~. <br /> <br />' <br /> <br />.. <br />,t ; <br />L F FLU~N'I" 9R~65 VA4 <br />U ^a~ n , <br />~~ # ~> ~ ^ <br />i '' 9G r I ~': <br />~ ~{ =. s <br />- , <br />, .j <br />= : , <br />;;ULI .ter -. A SAMPLE '^.#><## ##iF #9t s####'w ~ <br />~ 1 ~ <br />' <br /> MEASUREMENT ~di ~ L DI I ~ .J/3! ("`f <br />S~ <br />J <br /> ' ~ '~ ''` <br />EEE CIMMcNTS iiEL.UW ~" ,[~~' `t~" ~ _ ,~~ <br />. <br />; <br />:: <br />"' ~! <br />,w <br />,';JL TG:;, BF ~ TL A LE. SAMPLE #.a s### ####;F;r" ., ; :•:., Yh• - .• • <br />.. <br />. __ <br /> MEASUREMENT ~N~k A)A ~,Jh ),)/1. ,'.~ <br />iJSeJ7 ~ .] 4 ## <br />' ., <br />F' F I UENT GR055 VAL.U <br />NT <br />':... { "" <br />: P .;, ,. <br />### ¢ ^`''~ ~ <br />e t '`~,5 <br />fi <br /> <br />.. ... <br />l i I <br />t ^' <br />'` <br />,'• <br />t k '. <br />•... <br />r tL ?' Gf' E"A.~ SAMPLE ###### :~ #iFiF9t# a a-v-i;F# ~ ". #### 1 <br /> MEASUREMENT ~ rJA ~~ (LIA nJk <br /> <br /> <br /> <br />h .~ F L'JENT GRU~JS VAt_U <br />~ !J i <br />i~1 ~~I <br />~ - <br />#~'~ <br />'' ! <br />~+?s <br />~;, _ _ <br />G %L <br />_ ,. <br />.a' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICenity untler penalty of law shat t <br />d <br />d <br />i <br />ti <br />n his ddcument entl ell anachmenb were TELEPHONE DATE <br /> <br />Richard .I ! ! s prepare <br />un <br />er my d <br />rec <br />o <br />or sypeNisian in accordance with a system deslgnetl <br />to assure Ihat qualified personnel imPedygether and evaluate Na inlomwlion /~ <br />/' // <br /> submitted. easetl on my lnquiryMtlla person or persons who managethe system, / 97Q-Q,~Q-271 <br />Frv i r o rr. rn t a ! a n a ge r or (hose pereore directly responsitila br geNedng the information, Ne Iritortnallon <br />~ <br />~ <br /> eubmiaed Is , to the best of my knowledge end beliel, tme, accurate, entl mmplere. SIGNATURE OF PRINCIPAL EXECUTIVE ~J " <br />~ ' <br />~ <br />TYPED OR PRINTED I em evrere that there are sjgnRCerlt penalties for submining false information, <br />inclutlin the osslb~li ot7ihe nntl im risonment for Nnowi violations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence,all attachments here) <br />r._ILRNAIE LIMITS FOR TSE 8< Si=TTLEADLE SOLIDS iLUC 'O A~F'LY (.RVLY I:- -_ ;.1-rF;. ;'~~-rift PF.ECIP EtiEPIi IS <br />C~L.AIMED. SEP I. A. 2. PG iH, FUR BURDEN UF' PROUF REi3UIREMENi:7 OIL £. 6'P.EA.SE-~-~t.F' FCIOTNOTE F1, P~; 6 <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. OOG57 / 401 12~t~It~S~~rPART FORM PAGE 1 OF <br />i <br />