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PERMITTEE NAME/ADDRESS Qnclude Facility NamerComlion iJDlJferenq <br />NAME <br />C'OLC~'.Yr} C"AL C'.°P.S!'Y, L.P. <br />ADDRESSr,1 L,J ~ Y O i~. T G F' <br />7l11 STA'T` n_C;N'rnY 1~ <br />FACILITY r r r t. k ~ •_ f, t: l ~_':1 ~. <br />LOCATION <br />n?TV: J. .'4 AF"'O~. :$!ir 4~:1. ~. d:' "T <br />DISCHARGE ELIMINATION SYSTEM (NPOES) <br />MONITORING REPORT (OMR~ <br />!rl 9) <br />I nnu . <br />BER DISCHARGE NUMBER <br />~~. P inv VMr .~ <br />FROM '1~ 07 Q~, <br />(20 211 22 231 12mP51crw <br />rT r; ,,. <br />(y''!rp Ni~ <br />F - fIF:AL <br />Form Approved. <br />OMB No. 2040-0004 <br />Approval expires OS-31-98 <br />~I:PA~, <br />PQHC/GCG^, ~PG~ CF <br />"NOTE: Read Instructions before completing this lorm. <br /> 0UANTITY OR LOADING <br />(3 Card O <br />) Card Ony) QUANTITY OR CONCENTRATION NO. FREOUEN SAMPLE <br />PARAMETER 6 s <br />( ) (54-61) ', ~ <br />3 ' (3845) (46-53) (54-61) EX OF TYPE <br />(31-37) AVERAGE MAXIMUM UNI~ MINIMUM AVERAGE MAXIMUM UNITS <br />16z83) ANALYSIS <br />(64-68) <br />/69-70 <br />:~i:, Ati[~ ', ist:AS .: SAMPLE '%'%'7~•'": ( c'4) :v grS90P yr rrby,yry rt:: ft:~•: /: <br />V Z ~ (: A L MEASUREMENT <br />."uUbb 1 u U PERMIT slaaesra R~Y4t9!"---~ F5=1 `* 'aleQtwy;: ~`oeoea Y '''om"'' Eft;LY I~r)A1 <br />-r'fFLI'S aT ;;; f)~S VALUi REQUIREMENT -.~AB'1~. RO-O ,~ <br />.; •$~ ~'. ,:; ~ ../.•:, <br /> SAMPLE <br /> MEASUREMENT <br />r.`' <br /> PERMIT <br />REQUIREMENT `~ <br />~ ' <br />~ < _ - ~ <br />!$~ -`r <br /> <br />.,i. <br />r ,.-r <br />- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT I" "x'--.' '. .: ':,}+. : <br /> REQUIREMENT `'': - K•^ ." . <br /> a ~ <br />_. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <<x - - '. E <br /> REQUIREMENT ,t :- , <br />{ - <br /> a:` ~ +`~" <br /> SAMPLE ~ "' <br /> MEASUREMENT ': Y ~' <br /> PERMIT •`>'„~ - ~~~ ~x'y,, _' . <br /> REQUIREMENT ;. .,, ~ ,h <br /> t~, , <br />.v <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ''-"'%,?„"~ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT !~ " <br /> <br />REQUIREMENT <br />" ~ <br />. <br />_ <br /> tfi <br />NAME(TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSONALLY E%AMINED AND <br />AT <br />N ~. <br />' TELEPHONE DATE <br /> IO <br />SUBMITTED HEREIN; AND BASED ON MY <br /> INQUIRY OF THOSE INDIVIDUAL <br />THE INFORMATION. I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMITTED INFORMATION IS TRUE. <br />~ <br />/ <br /> <br />ACCURATE AND COMPLE(E. <br />PENALTIES FOR SUBMITTIN <br />I AM AWARE THAI THERE ARE SIGNIFICANT <br />G FALSE INFORMATION <br />INCLUDING THE ~~ <br />~ 1 <br />L <br /> POSSIB <br />TY O <br />E . <br />n ~ / ~ „~„T ILI <br />F FIN <br />AND IMPRI SONMENT. SEE 18 U S.C. § 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL E ECUTIVE '~.l Lp. ] y ~ h.nn n ~ / <br /> <br />TYPED OR PRINTED § 1319. (Pernallies antler these sra(ures may inclutle lines up re YrO,OfX1 and or <br />maximum ~mpnspnment of befween6mon(hs antl5 <br />earsJ ~ OFFICER OR AUTHORIZED AGENT A <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> y CODE <br />l.VmmCrv IJ HrvV GAYWrvHIIVrv VY ANT VIVLAIIUNJ (HBrerenCe a/l ar(aCnmeOrS here) <br />_?T?LF.h"rl.' SOLIDF LIMIT SFi'Lif,S OtiLY If <=IOTk,.'.Uru F4F'CI?' £0°`IT IS CLAIMt:D, Zf CLRI!7 n"FPAOYF.C nY MgCt•, <br />T55 S IFON LItlITS i/ZLL NDT ht AFPLITD TO HFPOkTED '!EASi)RF.PIfN'IS - SfE 1,A,:, PG. 5 FCF. PUPOEB OF PPOOF' <br />EPA Form 33201 (OB-95) Previous editions'may not be used ~ ~ ' ~ "(REPLACES SPA FORM ~T=40 WNICFI MAY NOT BE~USED.)~" ~ '"'~'' a '""' `"' ~ ~ PAGE OF <br />,9.4Q321a0opo3-lo0~ 7 <br />