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PERMITTEE NAME/ADDRESS (include FaciliR• NamelLa<arian rf Different) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ <br />NAME S E!i E C A C O A L C C D F J k Y DISCHAR GE MONITORING REPORT (D(MR;9l <br />ADDRESSD h A Y E 6 D <br />H A Y O E Ef CO E! 16 39 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY ~Q_ p~~ ~' ~~ M_ON(TORING PERIOD <br />LOCATION _+Y D E N C11O B I b 30 YEAR ' O ~UA ~ ~• ~ : YEAR MO DAY <br />ROM ~ M TO U 5 ~ I, <br />A T'L d: G. U U U b n U r li , C E N F R A L h A k l G C A (~o z+1 (zz-z~F pT.t (zB zrj rsazsl (3aa1j <br />Form Approved. <br />P.-INCA OMB No. 2040-000IR <br />Approval expires OS31-98 <br />(5056 f Y} <br />f - FIhAI ~GFUT7 <br />LISCr:AACE TC T.6IE/F1SN C6EEk <br />~~'% :iC LLSChAACE ~__~ ti.''L <br />NOTE: Read Instructions beforo completing this form. <br /> QUANTITY OR LOADING <br />(3 ~~ 0 <br />5 (4 Card Onty) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER 46 <br />3 <br />( ) (54-61) (38-45) (46-53) (54-61J EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALVSlS <br /> (BZS31 (64-68) (69-70 <br />1L AND GNCASC SAMPLE A>f OrR4 O ( 94) ~~ • Ga+7tCC v+iKtA <br />VI:.iUAL MEASUREMENT (~ I S <br />tiuUbb 1 U I <br />F -p UMtri'. <br />~ <br />7 <br />~ <br />~' <br />~ ~v ~ - ~ <br />' <br />~ ~ ".., ;~ E5=1 >! +E; ~ <br />' <br />~~~:~~ »id <br />~ tin ll E/ 15UA <br />E <br />FLUENT Gk055 YA4UF QF <br />JA~M <br />l~ <br />N; <br />, - IAS1 11~; EC=O ~ ,.; ,,;,. - >r=)~t CCNTh <br /> SAMPLE <br /> MEASUREMENT <br /> f'ERMFE <br />~ • ' c ., x. s .'~,,L <br /> 'EQtjIR6'(AEr~ <br />` ~; # ,,,i ,: ~~ <br /> SAMPLE (( n ~1 <br /> MEASUREMENT ~4 ( U - <br />~ <br />, <br />q~ k ~ <br />,(j~~~ <br /> . <br />, <br />y p <br /> <br /> ., <br /> SAMPLE <br /> MEASUREMENT <br /> h <br /> UI <br />~1NENT <br />~(~ <br /> , <br /> SAMPLE <br /> MEASUREMENT <br /> . <br />E <br />~ ~ <br /> I~ <br />#d~AUIp <br />M ~x <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> - `~~1M1 - <br />~ .. -, ` <br />) p, <br />r - <br /> ~1DgU1R1yM <br />NT w ; fi <br />r.7. .--.rS.e ..' <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ' <br />~ <br /> f3tlfGf11~5MENT : ;~ y ~ <br />- <br /> , , <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM lAW THAT I HAVE PERSONALLY EXAMINED AND <br />ATON SUBMITTED HEREIN; AND BASED ON MV TEL HONE DATE <br /> INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE, <br /> ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITT <br />N 1 AM AWARE THAT THERE ARE SIGNIFICANT <br />E INF <br />RMATION <br />INCLUDING THE <br />G FAL <br /> I <br />, <br />S <br />O <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1B U.S.C. 4 1001 AND 33 U.S.C. SIGNATURE OF P CIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED 4 1319. (PeneMes under Nose shrures mey include lines up ro Ef0.000 entl or <br />menmum rmpnsonmenl ol6eAVeenamonlhs end5yevsJ OFFICER OR A HORIZED AGENT A <br />ODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />GOMMEN75 AND FCPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />T,S LIMIT MILL BE YAIYtC AiiD SETTLEAElLE SOLIDS LIFIT APFLIEO FCA <=l0YA~74HN PAcClli EYF17p 'I'89 E <br />53TTLEAHLE SOLIUS IIC]T YAIYED FOA ~l0Yh,24AA PA6C1P QYENT SUBJECT TC BCADEY OF LECCE I- I.1.i. CIL i, <br />11 (08-95) Previous editions may <br />lE USED.) 0407 4/99 0fi7~1-~eies:~ PAGE 1 OF <br />