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PERMITTEE NAME/ADDRESS /ynclude Fmvliry Name/Cxarion if D~ereno <br />NAME CYPRUS YAP-PA VALLEY CCAL COhk'. <br />ADDRESS"1h~:~ 1, 1,d CCU?H, :; 3C~.;'At. i'h: <br />91U'J r:d:;':' "lflT dAi CIdCL <br />„r.d000 ~~"~ e0I S7 <br />FACIUTr <br />LOCATION <br />3iY,"iC "U •.di.i M. tiii i~L!'Y, l:C'~c HAL R`,i <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR OMB No. 2040.0004 <br />tz-ts1 nr~s) °`:')" Approval expires 05-31-98 <br />COOO17154 UU2 (~t:_'~' t:~) <br />PERMIT NUMBER DISCHARGE~NUMBER - I ~ :I +, UU V i i <br />MONITORING PERIOD ~ L ~' '' L , ' (` ~+.1 i C r L' U E L C ii .'. F; '~~ <br />YEAR MO DAY YEAR MO DAY <br />FROM :v vv t TO vv v%I - ~1~-,C Iii". (__~ •./%' <br />Izosu rzz~z3) rza~zs) rzs~zzJ Iza-zsJ r3o-3rJ NOTE: Read Instructions before completing this form. <br /> (3 Certl Ony) QUANTITY OR LOADING (4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (as-53) (54-s t) (3B-45J (as-s9J (ea-sT) EX of TYPE <br />(32-a7) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNaLrs/5 <br />~~ SAMPLE ~... ...; ... ~F <br />(J :K-~#%`:c ~{ <br />~~ ( 11) !~ `~l <br />( <br />; ~' <br />t(Ct~ <br /> MEASUREMENT a ,. ` <br />, <br />' , <br />1:uUU 1 U U yg <br />PERNIIT r':,aR >P G>=" +k <br />5.5 :,'Y ~ + ;; : t@R;:F %RAB.', <br />~ <br />:. f'r'LU 6.'~T ;5055 YALUv , <br />ppEOOUIREMENT + [ t l~ ~ v#=`~'' n <br />tyIK ~ ) "r'x~ ~ y y{Y " 5 ~ <br />~ <br /> <br />T': L1 U.rF :' L'A <br />('END :' <br />J " <br />` SAMPLE 'n •n=:,:u ,,F v s:i'.;%47r ,,1 p <br />~ I' JA <br />N ) <br />~ <br />"~ ~~ A <br />~~Tr <br />:, <br />~, MEASUREMENT 1 <br />I V 1 rC <br />)VSSU l~ J U ~ .PERMIT g <br />~ r ~~~+L <br />aI~ <br />H ~ c6,• ,. ~ <br />- ,.~•. +, ,~ <br />• H&p '!~ T ,>g~,l=r <br />-•° O N ~ ~l <br />r~: ~ •I1AR- <br /> <br />c E CO:"! .: t' t'S UELOrA <br />REQUIREMENT <br />>' ~ f <br />+ <br />~~ ' - <br />I` `v'-. ., .~ <br />• n'-;:. <br />r~ ; <br />-` <br />Y:d+~ <br />30DS <br />~ i~} <br />~EJ~"rJ; ;<i'-~ " <br />ryG /[ <br />- <br />. <br />A <br /> ; <br />.. , . <br />., <br />- _ <br />.. - . <br />: <br />'%Ll U:,. '~. L'1 AL <br />~ SAMPLE ,: `'z i+#Z :t4•nv-=..~ #X+#:=~:C G <br />O <br />~ y <br />L <br />~ ( 19) (~j <br />~ <br />' ,.~-~~q /1 <br />i <br />O <br />="SPENDS') MEASUREMENT .h, J- °~ : '~ ~~ <br />(C <br /> <br />~ <br />' <br />' ~ c; <br />Y <br />.'U~~ tiALU <br />` <br />LNT C, <br />: RED I MENT <br />m ### ,~1k2~Y IIX 'G/I; <br />' <br />.' C1 ~ b C. ~: C 0.A .' L t <br />~ ... <br />kSAMPLE .. <br /> <br />- • ~ :<-,,,. >R <br />~ rnp ~:.up:? .:nrr <br /> <br /> <br />~ I <br />( ) <br /> <br />~ <br /> <br />N~ 1R <br /> <br />Tl ~ h~ <br />', MEASUREMENT - ~ _ ~'. <br />)u5u> c, c v <br />% ;~ <br />`'PE[aM1T~- F89` I X <br />~.?FIR r"'' ' 3r F. i-~E;FCHT -Q j~ <br />~ j{LI1b3 <br /> <br />iELr COIi148N15 r;~~:LU~ ,{~, <br />REOUIREME~ <br /> <br />. <br />-.; <br />~~ A <br />~~ <br />~' + <br />1 <br />r`~"••~ <br />; <br />p <br />a' <br />y'$RD~~ AVv' <br />L/L , <br />~;~1 <br /> ~. <br />w ,, <br />~ , <br />; <br />y,y <br />-, .. ~ <br />~U LUJ, 1":LtHtlLr. SAMPLE z'7 rA m r, *A• a-~ #>F>r.#: <br />~ <br />~ ~ <br />L <br />I <br />I 2 S) <br />~•, ` <br />/~ <br />~ <br />~ <br /> MEASUREMENT ~ n ~ r <br />)US4~ ~ 1 U U 'PERMIT k r ~ ~ r~ Os+: 7RRFR;3Lt BEi~ ~"1 <br />T ,~~ SP +,'st O NCE/ t $~I' <br />EFFLUENT GRO55 YALUv R~OUIREIdENT j:- + <br />~`„~k ~~'_ <br />" ~ !#'•° ~~ ~~ `~ I ~ _ <br />- ;~~.~ <br />~bAS~i tlL/L CET!? <br />. <br />~' ' <br /> _ .~~ ,, ~'- <br />J1L VHEIISL' SAMPLE ~- ~` r,. r„-%# <br />~ ##Y### <br />N~~ <br />( 1~) <br />~ <br />N~a ,t <br />aln <br /> MEASUREMENT . <br />)OSh6 1 0 U ,RERMI `{~? <br />~ ~_ r. 4## za)'~ 1.. sb~',P,?1~i~r'~I`, ~ ~~';,." C ~3rTIM~. ~~~_~ <br />FF411ENT ";70:r-~ VALUE . <br />,REQ~'11R~MENY ~ #.~7 >=~JIY' My/i. "iNY <br />N ~ N~~ ~~~' ~ L ) ~ ~ <br />~~ <br />~ ~~~ <br />(AS f~) MEASUREMENT ` I ~ <br />I <br />)1045 it U U <br />-PERMIT' ~;Rans ,+ <br />( ~ t <br />a C#'t #4ir ~A <br />~ : RE'F 7 R1aFQ6T C RCE/ r.AE .. <br /> <br />TEE CO'St BSI-i 9FLOM <br />REQUIREMENT. _ <br />,~v ,;, , <br />G-'~"r' <br />. <br />3QCA AfG <br />,Di1I I.T F`X <br />'.;/T. <br />UBTH <br />NAME(fITLE PRINCIPAL EXECUTVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WRH THE INFORM LAW THAT I HAVE PERSONALLY FJfAMINED AND <br />ATION SUBMITTED HEREIN; AND BASED ON MV TELEPHONE DATE <br />Richard ".4111 s INQUIRY OF THOSE INDNIDUALS IMMEOIATELV RESPONSIBLE FOR OBTAINING <br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, <br /> <br />// <br />,' <br />Environmental R4ana er <br />9 ACCURATE AND COMPLETE. I AM AWARE TNAT THERE ARE SIGNIFICANT <br />N <br />G THE ,, <br />""~ ~ 970-070-7712 -- <br /> <br />PENALTIES FOR SUBMITTING FALSE INFORMATIO <br />, INCLUDIN ~ S ~~ <br /> POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1B U.S.O 4 1001 AND 33 U S.C <br />i <br />l <br />0 <br />M <br />tl <br />li SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED nc <br />ar <br />a <br />u <br />e <br />nes up to 510,00 <br />4 1310. (Penattles untler fosse statutes may <br />maximum imprisonment of benreen6monrhs entl Syears.) OFFICER OR AUTHORIZED AGENT <br />O <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANA710N OF ANY VIOLATIONS (Re/stance all attachments here) <br />AL1.`: FiNl: ~i- LIMITS .: Uh 155, IiW la - SP'~~~i L'AP L'c vS.TU`_- ('LOC 'U') :. i•PL7 ',"LY Ir C= 1C-~~i, %I-r i• 1~:~-.C IP !'Y~:1T <br />CL~I`E.. _::F I.A.1, PS Lti~ F%fo ,s7::~~ `.F "'F'1..' =~F~;;CIRE:°".".~.. .'TL y -~. -. :..~...1` f%, 7i; ~.!. <br />. u9'FIY •-.1 DITAIC Y'. n: iinL`TT Nq 1. •: ~~1!"n r'14~-C.-, (gym 4i.mC n/ <br />EPA Form 3320-1 (08.95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ~, ; I, r ~ PAGE OF <br />