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PERMITTEE NAME/ADDRESS (Include Fanltrt•Nnmr/GOCOrion ijDijjerenq <br />NAME SENdCA CGAL CCC6aNI <br />ADDRESSD 8 A 4 E R D <br />RAIDER CU d1E;39 <br />FACILITY <br />LOCATION A Y O E N <br />ATTN: G. ;iUU <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION <br />DISCHARGE MONITORING REPORT <br />!Z 161 <br />GOO <br />PERMIT NUMBER ~, olsc <br />~.. <br />CG tlLt30 FROM <br />EhliYR, GkaEf,AL PIANAGER <br />TO <br />I (NPDES) Form Approved. ~,s~ ~m~M~k <br />OMB No. 2040-OAti4 <br />1l r L ,10 . Approval expires 05-3f-98 <br /> (~UdH Mt) <br />NUMBER F - PI RlL 6GUTT <br /> ACU'Tt. fl F'1 1E~1]tG PCk 61711 <br />DAY <br />~ <br />~~+' I~0 <br />[I:CNAFEE '~~ 4AL <br />(30 31) NOTE: Read Instructions befordc_ompleting this form. <br /> (3 Cerd Ony) QUANTITY OR LOADIN (4 Card Only) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) •(5461) (38-45) (46-53) (54-81) EX OF TYPE <br />(3Z-37 <br />) AVERAGE <br />MAXIMUM <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />ANALYSIS <br /> (sz-a3/ (s4~se1 69-70 <br />LC U S T AT H E N R A l C SAMPLE "' "' ~`"~'` ~''' ~rA ^^ ~ + ~ ~ ^ ~''% Y L i S t' C ' . ~ <br />) <br />CENIODAPiiNIA MEASUREMENT <br />San7b 1 0 U PERMIT ~~'~` '400,06 spa I FB- 6k1 E <br />iFt'LU@NT Ge05S YALUE PEE3UIHEMENT Y09r: ~ =c [Et7 <br /> SAMPLE <br /> MEASUREMENT <br /> - <br /> "REQUIREMENT ~ ' <br /> SAMPLE <br /> MEASUREMENT <br /> ~^ .PERMkT. <br />P <br /> ~Fi~QUIREMENT ~ ± x~* <br />~ ? I <br /> . <br /> SAMPLE <br /> MEASUREMENT <br /> {PE~3MIT, ~ <br />. <br /> ~fit`~lFl~~il<NT ~ ~~ <br />t` <br />q ' <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> <br /> SAMPLE L <br /> MEAS <br />UREMENT ' <br /> U~ <br />~ <br />~ yi <br />4 , <br />~. <br /> , <br />I'1CVVIA <br />~XII'/<~ , ; xt - 1 <br /> SAMPLE <br /> MEASUREMENT <br /> ;. - <br /> ~C UIttPMEN'F ~- _ ~:'w' x, ? _;5 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />' I CERTIFY UNDER PENALTY OF LAW THAT I'HAVE PERSONALLY E%AMINED AND <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN <br />AND BASED ON MV TELEPHONE DATE <br /> . <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION <br />I BELIEVE THE SUBMITTED INFOflMATIDN IS TRUE O' \ <br />l/ d ~I /1 <br />V <br />. t . <br />, <br />ACCURATE AND COMPLETE I AM AWARE THAT THERE APE SIGNIFICAM <br />PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING THE <br />' , <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S C. § 1001 AND 33 U.S.C. SIGNATURE OF PRINCPAL EXECUTIVE <br />TYPED OR PRINTED maximum~mrt~sonmem of hehreent 6months entl5uoe lines up ro 510.000 antl or <br />~rs <br />1 OFFICER OR AUTH RIZED AGENT <br />NUMBER <br />YEA <br />MO <br />DAY <br /> ' <br />P y CODE <br />GVMMhN I S ANU tXPLANA TIUN OF ANY VIOLATIONS (Reference al/attachments hale) <br />:. r: PA62 7.A.Y F08 CETAILS OF TEST PROCEDURE. AE]C RT COYEST DLLUT]C4 (A EFFLUb57) ~NICR ]S IETRAL SC SG: <br />~F 'f k,ST Oi1vA1935115 ~LC50)~ AND ~TSACN ACUTE TCYIC IT] TEST REtCFT FCNC. TC CMF. <br />EPA Form 3320-1 (OB-95) Previous edjtions may not be used.. - (REPLACES EPA FORM T•40 WHICH MAY NOT BE USED.) 0 G 10 0/ 99 C f i 7 -1 b 5 3 PAGE 1 OF <br />- ~~',: <br /> <br />