Laserfiche WebLink
PERMITTEE NAME/ADDRESS (IncluJe Facifirv Namr.•locauon JDiJjerenq <br />NAME SEN~CA CCAL CGi!FANY <br />ADDRESSG k A Y E N D <br />NATGEN CO 91639 <br />FACILITY ~ - <br />LOCATION~AYGEfr ".M`h IQ ~:: <br />ATTN: T,. UUU EHUYN~ GENERALAGtk <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />. DISCHARGE MONITOgING REPORT (OMR; <br />t " 1 ::=, 6 h <br />PERMIT NUMBER I$cHARGE NUMBER <br /> MONITO ING PERIOD <br /> YEAR. "MO DA Y YEAR MO DAY <br />FROM Y Y ~ l U ~O Y 7 J[ .J 1 <br />(zo-z+r (zz z31 (za= (zszr) (ze-z9) (30.91) <br />Form Approved. 3 <br />I4I YU K OMB No. 2040-0004 <br />Aoproval expires 05-31-98 <br />~suaA,N~) <br />F - fI~/l BC~,2Y <br />CISCHAF6E 1C RGEBEESY;1 GUiCE <br />NOTE: Read Instfp-c IBns before pleting This form. <br /> (s Card On <br />UANTITY O~ sOADING ~ - ~ OUANTIT FOR CONCENTRA X10 ~ <br />CeN o <br />) EO. FREO <br />FENC MPEE <br />SA <br />PARAMETER , <br />53) g 4 <br />5j O iY <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMU -: <br /> <br />~ <br />~ UNITS <br />(6Y~631 ANALYSIS <br />(S[. Sa) <br />69-70 <br />PH SAMPLE ~ t1a84OA >.~~aaaa ,~ <br />, + ~[ <br /> MEASUREMENT <br />ODUUU 1 U 0 ., :.PERMIT .. it ~ ~ ~ .° .I ,~~ ~ ~ N T <br />EFFLUEaT t:it059 YALUE AEgU~REMENi ~ ~ ~1;. !~; ~.IpOM ;iIkCR .'U $'I$ ; <br />SC,LIU5r T SAMPLE `"'"5~1d4 4>a0 ~ ~'~ I <br />SU.iPE.f:UFG MEASUREMENT _ <br />uoSiD 1 0 0 -P~RMIr ~ z~~ <br />~ `, ~ y <br />EFYLUEhT GRO~.S YALUE BEZIUIREMENi ::~~ <br />,. ~ ~ xaaa "~_ ~ '`~~ L <br />II~ . ';` ~~-:, CG/L '>..' Gt'Ii} <br />SU U ~ 5 t. A6 E SAMPLE ~ <br />'' : X' ri• L ( [ <br /> MEASUREMENT <br />UOS4S I U 0 <br />EFFLCF.KT GH08J YALL'E ~:~'_ ~JFiMIT~ <br />{f~ IR6MENT 'G <br />~t'~` KOC <br />SanC <br />~~~ <br />'~;- r <br />. s <br />dL/L r ; <br />~~_` ~ <br />~~q } <br />.' <br /> <br />IliOY~ TOTAL SAMPLE `7~T'"" 4n"a ~ I <br />(A-`i P8) MEASUREMENT <br />01UaS 1 U 0 •.,pEFiMIT ~' RaYF ,.,~... ~ $ ., <br />EFt'LUENT GkOS•S YALUe dUiAEMPriT ';air= $E <br />: ; i~t1'll;.: FG/I $;i$ r`' <br /> _ , <br />; . <br /> SAMPLE <br /> MEASUREMENT <br /> ~ <br />tFE-LUEKT GROSS YALU ~puIPPM~NT <br />... ~ _ saar• -' ~.$$4• .q;$ CG/I ;~~fS: <br />U • A SAMPLE 1 "4;+ <br />TtSkU TkBATMEYi PLA6 MEASUREMENT <br />SUUSU 1 0 0 <br />E?E~MIi. e'~ O ~ aaa j. ~ <br /> <br />LFFLU6ST GRASS YALU . <br />~QUTA~MRfJ~" <br />.; 30D,i1 3Y& <br />OAY11' ~,_ <br />.-` <br />!GG ~ a t a <br />5 • SAMPLE 4 >aY L :., • „ ( <br />U I S:iO LIi E U MEASUREMENT <br />~ <br />~ Ede .r.- ta~~ <br />hE'fLUENT GROSS YALUE --REQUI <br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY <br />~ <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, <br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT ~ <br />PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE /1 <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1a U S C. § +001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL E%ECUTIVE V <br /> <br />TYPED OR PRINTED § 1318. (Penetties untler these statures mey inclutle lines up ro 510,000 entl or <br />rrenmum lmptlaonmant ol6eMreen6manrhs end5yeers.J OFFICER OR A THORIZED AGENT A <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSB t; IfiON LIMITS YIIL BE YAIYEC G SETTLEA8IE SOL]CS LICII APPLIED fUB <=lUYR,24Ffi FFFCIF FYfiTI 155 E <br />IRON LIMITS YAIYED ~Cb ~lOTR,2gHR PRECIP EYENT SUE.7ECT TC 9UHCrY Cf P&GCF IN I.A.T. CIL G G6El,SE - SEE <br />I-u t n *?c •nN r14 ~]N!w - 3.°+T.~ <br />EPA Form 3320-1 (08-95) Previous eQitighg.may OOl'6e~seB. ~_: (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) 0p 180; 99 QR.i 7~S QS ,~_ , - - PAGE I OF <br />