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<br />PERMITTEE NAME/ADDRESS lln[lude <br />Pa[iliq' Name/lorulion if di!lemnN <br />NAME_ YLKREL~y-hfCa_____________ <br />ADDRESS }I ()AT11 THhMpJtnx rRQE~. r7~gF5______ <br />---1hl~L-iQpB_TS_RAALftLRI^Y ~~i-'! -- <br />____f_~ARnNryJI.E-------~Q 9.LF~Z-- <br />FACILITY ^ <br />LOCATION <br />- - - - - - - - - - - - - <br />ATTN: JIM STOVER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES ) <br />DISCHARGE MONITORING REPORT /OhIR) <br />(_'-lhl (17-191 <br />} ~Or ~ 9 <br />PERMIT NUMBER olzcen PCS IavracP <br />MONITORI. C~ PERIO-D <br />YEAR MO DAY YEAR MO DAY <br />FROM 1 TO I~ 0 O <br />,~. <br />I10-v+1 171.1.4) /3adc) Rn-'7i' (1F-?91 rJ0-III <br />0): r. 007 <br />(~I1RR WC) <br />~' - FIRAI. <br />~TROR <br />w <br />~o~al~:°D arCya~ <br />Form Approved. 1 ~ 3 0 <br />OMB No. 2040-0004 <br />Approval expires 10-31-94 „~~,,,,; <br />fit+r HO Di5"HAZG'. ~ ~ "~n <br />NOTE: Read instructions before completing this form. <br /> (= Cold Onll 1 QUANTITY OR L(~' 1%1 G.;,•'~ ~ ~ <br />z N Card Only) •~OUALITY OR CONCENTRATION <br />FREQUENCY <br />PARAMETER U <br />fib-;) (i4-Af' <br />""` °~ <br />t7F-a5) NF-J?I U9-EI) NO. <br /> <br />Ex <br />of SAMPLE <br /> <br />TYPy <br />:, t1) ANAVSIS <br /> AVERAGE MAXIMU IJI.11T5 MINIMUM AVERAGE MA%IMUM UNITS IF,t VI rnJ nBl (bY~iO) <br />OLL AVD .rip °_ASE SAMPLE h:`.lf it }:_" lj) ,e Q:t#r~:- =,N-f,: YJ rte' IR>"i}±; {. ''r <br />~ <br />YI JU,[a MEASUREMENT O ~ v <br /> <br />I1 <br />94065 L O C <br />PEP.MIT <br />+~:t4~IkIR <br />r ~4 <br />Fj=j Y. <br />:' ~4>f AA <br />Wit'*~¢ <br />*~•~#~$# T <br />C <br />YICEI 1 <br />ISU!lL <br /> <br />}. i. .O^.' V II ~ REQUIREMENT <br />TKC'r <br />Nno <br />'r, •' <br />~• <br />+s:: ~=;e <br />Y <br /> _ <br /> SAMPLE <br />+ <br /> MEASUREMENT ' <br /> + <br />~ ' <br />y"' <br /> PERMIT ~, <br />T n y ., <br />.. <br /> REQUIREMENT ~;e~ g ~~ • • ' <br /> <br /> <br /> SAMPLE ' <br /> MEASUREMENT <br /> PERMIT <br />~ ~ I{jjIjj ••~~~ <br />~ <br /> REQUIREMENT M1 <br />T <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT .~~' <br /> REQUIREMENT ~ ' <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />E <br />~ <br />~ q <br />4~.'r~ <br />~ ~~ : <br />~ ~ <br />- <br /> REQUIREM <br />NT . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br />REQUIREMENT ~ r~ <br />6~ <br />tlS'K~` <br />; <br />~ - <br /> i <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ti^ <br />f <br />' . <br />I NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAw THAT I HAVE PERSONALLY ExAMwEp TELEPHONE D A T E <br /> AND qM FgMIL14R WITH THE INFORMATION SllBMITTED HEREIN: AND BASED <br /> pN n1T INQUIRY OF THOSE INDIV IDUpIS IMMEDIATELI" RESCONSIBLE FOq <br />J T <br />~ p(T OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />• <br />G `I <br />Y V~` TRUE ACCURATE AND C©MPLEFE I AM AIVARE THAT THERE ARE <br /> SIGNIFICANT PENALTIES FOR SUBMITTRdG FALSE INFORMATION INCLUDING <br />- <br />\V rHE PossleluTT of FINE AND In+~RISJNMENr sEE le USC 4 lool AND S NATURE OF PRINOIPAL EXECUTIVE Q <br />' <br /> <br />TYPED OR PRINTED a3 use § 1319 rPrnulrin unJvr Jm•e gJmm .~' mrluJr (mra Uri m <br />m1 <br />SlOAUn and rr Vuumum Inryrnrmnem of helween n months untl < s.a: 1 <br />OFFICER OR AUTHORIZED AGENT AREA <br />C DE NUMBER <br />EAR <br />MO <br />DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS lRelerrnrr all alW[hnlenti h[rc) <br />P°?.hIT'1'FE hOST NOTZFY V.`CD 3^ CA YS PP7f)F TA M~?BI7iING DiSC'F!.14::?`-PART T.f.li, PG IV. MiIVTHLY SAHIPLIhG F~~, <br />pa, PLOa E OSG ALLOYED DURIgG PERIODS OF LTn ~CC~:,S; ATTxc9 ST 47~nF4T TO n'14. DETCCTIOV LI11I25-S FE i.F.?. <br />EPA Form''3320- Re . - (Pi I V I(I q lfl US2d ~ ~ r b IR EACES EPA RM - V/HICZi A1DA'~' NOT'BE SEO: ~ T I . v U U a 1 l~ •.a C !. t 1:J U K C pAG~ L [. U SF <br />00024;/950929-0928 2 <br />' . ...: <br />