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PERMITTEE NAME/ADDRESS pu;r„e.t'„ruyxo,wrawmeUn~~p NAME YE:STERN FUELS-CCIOFADG, L1C ADDRESSNEii NOitI"LCN t!]iE P.C. liOX 626 FACILITY7iUCLA ~ CC 81424 LOCATION ATTN: R. LANCE :ADE_ !TN£ nAAIACFu NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSAT~EM (NPDES) DISC~IAR GE MONITORING REPORT ~!1 A~ta1 _ ~. , PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD YEAR MO DAY YEAR MO DAY FROM G C C 1 01 TO G G G 3 3 (1611) (21-13) 8413) (26-41) (2614/ (3031) Fonn Approved. MIN 0 A ~ OMB No. 204DD00~4 Applwel exoIIBB 0¢37 -pg F - FIFIL r~.._: NN2F5 FGNC FL'ICFF C!L]-7>:77LI CFA aa~ NC []SCNAiGS E~t~~:+.dad I NOTE: Reed'Inetructlone betor6L~rrlplaynp ihls Corm. (3 Card Ony) QUANTITY OR LOADING (I Card Ony) QUANTITY OR CONCENTRATION - NO,. FAEWENC SAMPLE PARAMETER (1653 stet 38-+s Ie-53 7 'E)r .: oF, TYPE (~~~) .AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS '~'~ ~~ 7'N SAMPLE oaamaa aaca;+a oaataa 1 I ~ MEASUREMENT ~ , ~ E:..t- UU40U I 0 C PERMR aaaaaa aaaa0a- a caa e5 aaaaaa 4.0 . •., ~ '". N EfFLUEN GROSS VALU REgWRE1.lA-'7T zz~,fi hl B C , , sD - . OLIDS, SETTLEABLE SAMPLE aoa~xaa aaaaaa is ( ]~) '• ,~ _ ~ MEASUREMENT F'. _- __ ~' ~ I w 0545 I 0 U PERMIT aaaaaa aaaaaa zaa P; 1CNA1 RT :: 6RFG .$!; *;y , EFFLUENY GROSS YALUE REQUIREMENT - aaazl p;B. AYG , '30~ i' AYE; , ~ ::~ ' NL I ` " ~ IL AND CA CASE SAMPLE aaaaaa aaaofia aaaaaa aaaaaa ~ °., `~ .1 ~ S) ~ ~, I is~ MEASUREMENT - ~ - ,_ ~„ 3582 1 0 0 PERMIT. .aaadCA aaaaaa za:, aaaaaa aad;ada _,. Q ~` ~.~ - r EFFLUENT GROSS VALUE REOUIREMENi ~ _ Y'r~~, ,~ ~G FLOiI, IG CONDUIT. GF SAMPLE 1 C3) aaaaaa a4aaaa df6,ida0 ~ - _ ` ¢~ NRU TAEAT8EN7 PLAR7 MEASUREMENT _; ~_ _ ~ I as 50050 1 U 0 -:PERMIT ArFORT •AEF06T daaaa+G agdtlda %< O a as .- 'a ~ EFF UE ; GROSS VALUE RE~U(PEN)ENr CDA.AYC DAILY y lC:; aaa ' 'GELDS, TCTAL .SAMPLE aaaaaa aaaaao aaaaao - ( ]5)" - _ DISSULYED M SUREMENT -_ - 0295 I 0 0 PERMIT 'aaaaaa aaaaaa zat aaaaaa AEQQNT ~, 0P _~ t~ s t l~ i F F L U E N T GROSS YALUE REQUIREMENT a a a ;7 t '' y ,~• 7 `` r - 3r IL AND ~AEASE SAMPLE a»cz:at I 94) aaaaao aaaaaa aaaaaa _ ~ !:_ Y I SU A L MEASUREMENT ~ ~ "" _ c ~~ ~ ,• ~~ . 4066 1 U U '~PERMR ~~d40daa ~ ~ ] t<.L Oaadaa aQa-_ddd °~ .°~){»: ~0 .ad~ - Y , F L AT USS VALU REOWFiEMENT I 9 K 1t C=C ~ ' •t}'"'~ ~i ~'-, Ldaa~- ` • .SAMPLE ~~ `, c ._ ~ 4'~ ~ MEASUREMENT ~ I ~~ I - ~ - ~ '~ •- r~~ ~~,'~~ -~ _ •>' ENT R~UI9EM ~ .,~ + NAMERRLE PRINCIPAL EXECUTNE OFFICER ~ ' I CF3RI AM FAM FY UNDER PENALT' OF ILIM WRH T}IE INFORM UW THAT I HAVE PERS ATON SUBMRTED HER ONALLY EXAMINED AND EIN AND BASED ON MV ' I- TELEPHON E= •~ n, DA TE _ ' ?Q/J~ ~D~~ S INQUIRY OF THOSE INDMDUAL THE INFORMA710N 1 BELIEV S IMMEDVITELV RESPON E THE SUBMfITED IN : SIBLE FOR OHTNNINO FORMATION I6 TRUE ~ =_ - '- ^. y - ~ ~ - ~' ' ~ / r ~~ ACCURATE AND CbMPL£TE. PENALTIES FOR SUSMRTIN I AM AWME THAT TH O FALSE INFOMUT , ERE ARE SIONIFlCAHT ON INCWDINO THE ~ `( 1V) : I. ~%"", ~~ ~ ~V"' , ~' ~ DS vY~/ /V L ~ N~a ~+~G"'G Z POSSIBILITY OF FlNE AND IMPR ~ e ISONMEM. SEE 1e U.S. ae r 0 Nd M , C. ! 1001 AND 33 U.B.C. 00 tl SIGNATURE OF PRINCIPAL EXECUTIVE ,__ 7y : ~ Z "~ n ~ TYPED OR PRINTED ase ~m~J 1f prbo,men OrbM.w a mry nc an e m e u up m 110.0 or ,ennnew ene 5yeva.) OFFICER OR AUTNOR~D AGENT NUMBER+~ _ YEAR M O DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell effechmenLS here) ~~ ~ '_. `_. 4 1 SETTLEABLE SOLIL'S L]hIT KILL BE I+AIVEU f0A ~1CYF:,i4HN ['FECLF EVENT-SEE S.A.1{D), FG -Y~_!.C! li:E('.UlAkr Il;S. QfiTkLY SAYPLIt;G INSIFUCTIUNS-Z.C.E, PG XI. 30 CA1 A1'G IS BIGtiE51 CCNTBI] AVG CUi]6G BEE,]CC BfFCF.'llC. EPA Form 33261 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) . . ..... . ... . .. . . . PAGE OF