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PERMITTEE NAME/ADDRESS /1~6F:Wplv../L«.oa /n~...u) <br />NAME TE:th,1R ~RECii .:J'1PANY <br />ADDRESS TEa~cJR ~RFEK LOADODT <br />1tl4U NI~:fiiAY 133 <br />PAONIA ~~ 91729 <br />fACILITV <br />LOCATION <br />ATTN: KELLY PHII2LF;R, OPERATIONS NiR <br />NATIONAL POLLUTMT DIBCNMOE ELIMINATION SrBTEM INPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMRI <br />11-f61 17-f91 ~ ~ m. <br />~"i:-r1 IJT i'7.J; ) i MB Flo. 20 04 <br />ar?'p U;R9 yJF1 <br /> .:O.i 95 CO 9 ~ (SII Jtl wC) PProval Lpsl~~ 5-31-98 <br />1 <br /> PERMIT NUMBER ~~ DISCRMGENUISBEX F - PI HAL <br /> <br /> MONITO INGPERIOD !!IB08 <br /> YEAR MO DAV YEAR MO DAY <br />FROM' TO >~ ~~ ._9P4,~ <br />ND DI3CHAR;6 h:~•^ <br />~~ <br />/7 ~ t d79a3F /7I-751. 176-771 178-291 134317 _ <br />'"" N' :, Rud IMtruethxr bslws~eomPlstinq this form. <br />¢~ <br />PARAMETER !3 Grd Only QUANTITY OR LOA !I Grd Ontyl QUANTITY OR C CENT TION ~ <br />~ Np, FREOUENCr SAMPLE <br /> !!6531 154-5/R 151-6f1 <br />/38J51 146-53 <br />EX OF <br />TYPE <br />137-371 AVERAGE ~ MAJ(IMUM NITS MINIMUM AVERAGE MAXIMUM 'UNITS ts7-s31 MN.res <br />./µ8B1 168-701 <br />H SAMPLE akPRk# R#P7a# ,a+< Ytr ~~ Y2) <br /> MEASUREMENT - <br />OD4DD 1 U J PERMIT" ##aaPP xai~p:dia'. #aa ~~ <;;:-;::-:"; '. : >rr#a#.°>~ 9.D ;$EKGT 'ti5IT!J <br />EFFLUENT ,:flJ~S YAL'JE :REQUIREMENT: ###p <br />V . <br />SOLIDS, 1'JTAL SAMPLE Y:t?'xkr aaaatn gPpt:O4 <br />~ ( 19) . <br />$USPENUEU MEASUREMENT -may r <br />UUSiD 1 U U PERMIT R#apya #a##OER. . ##a~' a:0!;f~!P~" : ';flj 7O $: '~ICEI : iR~1B <br />EFFLUENT LkJSS VALU . REQUIREMENT z.' " ##,^.; ..j{jjJg YG AT Y .l1k K,;/L <br />..,. <br />.. <br />N7 '. <br />LI S, •if:TTLE;AdLF: SAMPLE :=~saa: c aaaaaa aaa### aa# r~. ( ?~:) <br /> MEASUREMENT <br />DU545 1 0 C PERMIT f„#GL'Oa +:ba#:# #K:r,: a9llj~lCff~: . :.' >.trl:ti# "J.:. '(Sacj c. HCE/ SRAB <br />tFPLUENT 3RO55 YALJS REQUIREMENT ^'.:,^-: DAILY Mg :11./L `~latTH <br />IhJN, 70TAL SAMPLE ~~~<<•• k:x;:cao .aap # ( ly) <br />(A.i Pi:) MEASUREMENT <br />1045 1 ~ 0 J PERMIT .YKxkPFk #a=FRba #r: aa;xp'p~~:'.." ; °i 'l1CY/ ~lCAB <br />FFLULNT SRJ;S YALJr'. REQUIREMENT a#ra .. <br />3QLd '.Y6 DAILII '!X Y~/L ':'QNTH <br />IL ANU uhEA$E SAMPLE a;='s~X:: sxaa:= 4Cka## 4## •C ( 19) <br /> MEASUREMENT <br />35d2 1 0 D PERMIT G#k'XJ1~7 aria#a a-1r a>alp~~t;.:: ;=:.4#og:.'o!...: I'p.: t .U4TSN IRAQ <br />EFFLUENT „BOSS YALUE flEOUIREMENT ' #cYk «7' '~I;LY'::~Y' ML/L 6F.N7 <br />Jii, IN :.JNDUIT OR SAMPLE ( 03) ~.=uaoc +to# ::o #~:#Fi#~I <br />HhU TNEATd ENT PLANT MEASUREMENT <br />DUSU 1 0 0 "PERMIT ~P~TI3JFAL ~': .~ REP0a1? ~ a'>x>za## - %,####~ # ~ ~ ##r###~; ### . . :~ESRLY. 'k5TAN <br />EFFLUENT .:RO$S VAL'JE 'REQUIREMENT 3UDA .A.Y.v 4AILx '!I 7( MGD <br />+. ..'. #a## <br />~, 0 AL SAMPLE r~RS3G:: aa3aa ~ Raa4#C ri:.C #K`• ( 19) <br />DISSOLYEC MEASUREMENT <br />70295 1 D 0 PERMIT: '~+-a.aa...' ' '::.4# aP ### RatkF4d+# >Y~a# d RL'?ORT <br />' .lRL1 i8A8 <br />FPLUENT ':.RJS$ VALUE' REQUIREMENT. :':. ;:. ::::::w::.:. :. #::kk <br />_: <br />,. X <br /> <br /> <br />DAILY M. ~G/L <br /> <br />' <br />NAME(TRLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM F FY UNDER PENALTY OF <br />MIIUM NATN THE INFO UW THAT 1 HAVE PERBO <br />RMATION SUBMITTED H NN.LY EXMIINED MD <br />EREIN <br />MD BASED ON TELEPHONE DATE <br /> ; <br />Mr INQUIRY OF THOSE INDIVIDUN.9 IMMEDIATELY RESPONSIBLE FOR <br /> OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />T <br />E _ <br />~ ~ ~ <br />98 <br />D4 <br />' TflUE. ACCUMTE MD COM0.ETE. I AM AWME THAT <br />HER <br />ME <br />SIGNIFCMT PENN <br />TIES FOR SUBMITTING FNSE INFORMATION <br />INCLUDING ~ - <br />KF F , <br />. <br />THE POSSIBILITY OF RNE AND IMPNSONMENT. SEE 1B U.S.C. ! 1001 MD 77 _ (~// <br />E OF INCIPAL EXECUTIVE <br />T o <br />97D 929-5855 ~ <br /> <br />TYPED OR PRINTED U.s.C.f 1]10. lHNMIeY, udr der mnm, sMY YtcAd, ~..wro(lO,000 <br />.es wmuim,n hrononMnt o/0rtwwn s manNa rW s y.ral SIGNA <br />UR <br />OFFlCER Ofl AUIFIORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLAilONS IRBIelenCe s!/sttsC/Imsnb /Ie/e/ <br />SETTLEABLF. SOLIDS LIttII APPLIES ONLY IP C= 10-Y9, 24-iIH.PR6:.IP LVi:NI IS CLAI?!FD• I° CLAIts APPROYFD °Y <br />W(~CD, TSS S IRO!t LI'ITS JILL NDT aE APPLIED TD REPOR7'D HEASUhEhrtATS--S E I.D.lA, PG 5 AND I. L'.LG, PG 6. <br />~sanuNUL,'.v NBnB-pNCUr D~Bx_nne ±-t.~a <br />108-95) Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 014 5 / 9 7 0 tl 19-12 5 4 PAGE LOF <br />