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PERMITTEE NAME/ADDRESS (include Facihry NamrlGocarion i/D~erenq NAME SENiCA CCAL CClPiNY ADDRESSUNIMEfl D NAYUEN CO Ulb3`1 NATIONAL POLLUTANT DISCHARGE ELIMINATIOUU.~~S~~YSTEM1 (NPDESJ DISCHARIGE MONITORING REPORF'(OMR75) riI NC Q (SUbH ill) lT NUMBER , ISCHARGE NUMBER P ~ [ I ~ 1 L DIS ~EiGE Form Approved. OMB N0. 2040-0004 Approval expires 05-31-g8'c EI:U,IT 2C NUEPEF'_CM GULCH ~~' MONITORING PERIOD •~~~ ' ~~ FACWTY LDCnnor~AYOEN Y MO DAY YEAR CJ 01530 uu uu j MO DAY ~~ Lc s =~0 LI`_CNAhGf oft FROM Read Instructions 6efor . ct~ ompl UtE etfng this form. A'f Z N : G . d U 0 fi R OlJ N . tza.zzl GENERAL N A Z, ; V f. R IzB-x19 IZZ~za7 Iza~zs) ~ : tza~zB> tao~BtJ SAMPLE N (3: • AfN-Onty) QUANTITY OR LOADING rd Onty) QUANTITY OR CONCENTRATION NO. F 7 EX ` C REOUE OF TYPE PARAMETER (46-53J (5461) ~ (38-45) ) . x-6 (46-sal ( ANALYSIS (32-37) AVERAG~~ MAXIMUM U MINIMUM AVERAGE MAXIMUM UNITS /yz~) (54-581 (69x0 O . ~ ~ ~ • , ( ~ ) SAMPLE ~ MEASUREMENT 00400 1 U 0 PERMIT t>Oft * > "~ /' , t'~' ' :' ~ SU ~ ~~~ t;F'fLUf;t+T i~N055. YALU ; ~aod ~~ ~" 51UIREMENT - M 0 5r 1 SAMPLE ,;7 ' :p 9C49A SUSPENtiHfi MEASUREMENT l . S ~~ ~} "~~ t+0 ; ~~: ~ : l ~•, ~~~DIIIY tG/L ;;•- ~~ EFFLUENT GROS YALUE - ~ , - ~ MEASUREMENT r,,, ~ ,~,. ~ ~;, _ G U 54 7 1 U O PERMIT l' s` '' ~ ~ • YSA4r :r ; ~ ~ ~ ~ I ~ ~'>~j-' ~E)' rS"~ RL/I ~ '~~.NZA hFFLU6N? GRO55 YALU ~LpUIREMENT . ::: , , ~ ~ - . .i „ , , ~ UN• SAMPLE ~ ~'I ~ ~ ~ 1 (iS FE) MEASUREMENT ' it Ulu4 S 1 0 U EFFLUENT GROffi9 tiLU "~ ~ PERMIT }j~OUIREMENT 9E. ~;., t" ` ';;~~' 3'C •.~ ,~ '~~, Rx !G/L l4E L AN V SAMPLE ~ ~ V ~L~JY: 0 E .. NT MEASUREM ~~ ~ tLOi; ~~16'3 ~I' ~~ ti3C/ I i~~~ . tF'FLUENZ GRO55 fiLU ~NT ~ , , ~ • N SAMPLE l Q 4N~ J T. it i:U TItElTi7Br2 PLAE7 MEASUREMENT set , SOUSU i 0 .d .''fi~ rdtt' ~ ~: ~ >0#~i EFFLU£HT GROSS YALU !y~ Rr"~,~IA~MEN(T Spill ~ _ - 11'~:: TGL ~' % .i U. • SAMPLE fi ~~ q t L'15SOLVED MEASUREMENT ~ ~ l ~ ~i 7 019 S 1 0 U ,, ~ t'r >PERMI~` - ti yo»~ ~ ~ CA2>i #VG IrIITI °t3.~hGtL ``+ I ,:: EFFLUENT GHO55 -iLU ~•,I~E61UlpEMEI~, '' ~ =r ._ i>: DATE NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAf'j+FrAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN', AND BASED ON MV TELEPHONE IHOUIRV OF THOBE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION, I BELIEVE THE SUBMnTED INFORMATION IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE PRE SIGNIFICANT A ING THE ,`~ O l ! PENAL71E5 FOR SUBMmING FALBE INFORMATION, INCLUD C S C 4 1001 AND 33 U S EE t NATURE OF PRfJINCIPAL EXECUTIVE L . . o U POSSIBILITY OF FINE AND IMPRISONMENT. S ' SIG nes up ro Et0,000 antl or (Panwttres under these slwlulws mwy include h 4 tat B OFFICER OR AtSTMORIZED AGENT A A NUM ER YEAR MO DAY TYPED OR PRINTED . mazimum impnsonmam of 5alwwenBmonMS end SYwars.) .. COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re7erence all attachments here) T TSS L' I80N LI0IT5 FILL 9E 4AIYED S SETTLEABLE SCUDS LiCI'L APPLIEC fCb <=IOYN,24C!A B~EC,II EYE17i 155 C IRAN LIlIIiS YIIYED fCE >lUYR~24NR PRECIP P,YENT SLR[JECT TC tlU@DEN CF PhCCP IN I.l.i. CIL E CtFiSB - ~FE r w n. * t ~ ~ PAGE I OF cow c...... a~~rw~ rrwlotl PravirnrACatlitiorii idav ndT6L+used. (REPLACES EPA FOAM T-00 WHIGH MAY NOT BE USED.) QQ ly6~99 G E 27~3EY}~ ~ ~ ~ ;