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PERMITTEE NAME/ADDRESS (include Fnciliry Nmnr/Lucorion i/Digereny <br />NAME <br />ADDRES Y1:STEKN FUELS-CCLOPAUC, LLC <br />SNEY HOP.I20N t17pf <br />P.u. aox 62» <br />FACiurYt'llCLA CO Blv~u <br />LOCATION <br />F'fTN: R. LANCE YAI1E_ F7NF MA NAGFH <br />NATIONAL POLLUTANT DISCNARGE ELIMINATION SYSTFJ1A (NPDES) <br />DISC~fAR)GE MONITORING REPORT (DMNfe) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR ~ MO DAY YEAR MO DAY <br />FROM q TO ^ <br />(ffi7f) (??-1J) (21-zsl f~~7) R&zP) f3P3r) <br />Form Approved. <br />OMB No. 2040.0004 <br />tl I N O A approval el~lres 0.5.31-98 <br />(SUdR GC) ~ ~ <br />F - PII'1] lYTPS <br />GUYCyFF b IICT]Yf tliE-C,8t~11~GH <br />»» NOTE Re~ Ins ru~one befOle 0 m~ (?~• <br /> (3 Gerd Ony) QUANTITY OR LOADING (~ Card Onty) QUANTITY OR CONCENTFIATION; ~ ~ <br />~ NOS ~ EN <br />' SAMPLE <br />PARAMETER 1653 5x67 (3845 IB-53 <br />7 ElG ^:Of TVPE <br />~Jn ~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS ~ ~ ~ '~'~ <br />`IL ddU GREASE SAMPLE <br />MEAS <br />R <br />N »ooooa ( 9a) »»aon+, »aoo»o Oa.:saa -. ~ <br />~ <br />~~ <br />_ <br />t <br />~ <br />V 1; SU A L U <br />EME <br />T . n <br />- . j <br />b4066 I U U PERMfF O»OOflIt7 l[ 1`_=I q-C+7+OO.x iOr~O,Ob ;~ ?O <br />?~~,~~ <br />, Ot. ~~~ "~' 1 <br />" P F O ' A REQUIREMENT - - .. <br />. <br />.,. •n _ <br />0 t Al - <br />. ~• . <br /> SAMPLE .' `;. ~ <br />• . <br /> MEASUREMENT ~. = ~ <br />~ "'(' <br />.q <br /> PERMI7~ <br />U ~ <br />~ <br />~ <br />~ ~,~- <br />`: ~ . YN - - <br />``, <br /> REQ <br />IREMENT .! <br /> SAMPLE <br />- - - <br />'~ <br />n <br /> MEASUREMENT ~ o <br />~ in <br /> PERMIT <br />~ ~ <br />~ ~ - <br />. ~ ~" - <br />~~`~~. - ~ ~` <br />' <br />~' ~'~ <br />;- <br /> REQUIREMENT . .,. <br /> SAMPLE ~ ~ -_ _ -' <br />~ caw <br /> MEASUREMENT .. - I ~~- <br /> - <br /> REQUIREMENT ~ _ .~. :. - <br />y '~~ <br /> SAMPLE - - ~ " <br />^ ~. i I.. <br /> MEASUREMENT ~ ~ - _ - <br /> PERMI6 <br />~ <br />~ ~ ..:2 <br /> REQUIREMENT. ~ ~ . - ~ - F - .' <br />~ <br /> SAMPLE . .. .. - ~- I <br /> MEASUREMENT _ <br />~ ~ ~- ,.; c ? ~ <br />.. ~ <br /> ~pEpMfi,~ <br />~ <br />~ _,}. ~ .,°c2 rt ,r~ <br />~ <br />~ <br />' _ - <br />' <br />- <br />~ <br />~ •. <br />' <br /> REQUIREMENT: . *r.. <br />: ~ . <br />,. - . - <br />. ~d <br /> SAMPLE ~ ~ v ..~ ~_ ~^ <br /> MEASUREMENT '_ ~ ': c ! ~~ <br /> ..PERMR - - ~ :.; ~~ : ~ - -- <br /> REQUIREMENT ~ ~' ~~ _ ~: ;~,:.:~.-, .~ <br />NAME/TITLE PRINCIPAL E](ECLRiVE OPFlCER I CERTI <br />AM FA FY UNDER PENALTY OF <br />MNAR Ylf771 THE INFORM LAW THAT I NAVE PERS <br />ATION SUBMITTED HER ONALLY E%AMINED AND <br />EIN <br />AND BASED ON MV -i/ TELEPHON E; .- „-DATE <br /> <br /> <br />~ <br />INQUIRY OF THOSE INDMDUAL <br />S IMMEDIATELY RESPO ; <br />NSIBLE FOR OBTAINING <br />\"~ <br />!~i ~' _ <br />- -- <br />~- <br /> <br />~ - <br />I <br />Q N Y ~~"~ K r • / t THE INFORMATION, I BELIEV E THE SUBMffTED IN FORMATION IS TRUE, , L <br />- C--~ !'+ ~ - ~ ` ~ <br />- I <br /> <br />~' <br />YI ACCURATE AND COMPLETE. <br />A <br />IN 1 AM AWARE THAT TH <br />INF ERE ARE SIGNIFICANT <br />N <br />IN <br />G TH M~a,~ Q' ~ <br />Yr4 Q6'I;7 <br />r~ ? Q <br />I <br />///: C_NG•r)Lf, <br />F PEN <br />LTES FOR SUBMITT <br />PR G FALSE <br />ORMATI , <br />CLUDIN <br />E <br />O ~ ~, <br />y <br />~ ~ i:y <br /> POSSLBILffV OF RNE AND aA LSONMENT. SEE la U.S. <br />/ C. 4 10111 AND 3a U.S.C. $IGNATURE OF PRINCIPAL E%ECVr1VE ~ ~ I <br /> <br />TYPED OR PRINTED ~ f 1318. (Pomaba undw NASe teMU may <br />ncrutla area up ro f70,000 and or <br />madmum lmpnaawneK Or6eMaenemartha andsyeva.l OFFICER OR AUTHORD_`F.D AOEIR <br />NUMBEF~" - <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell ehachments here) ~ ~ ~' "• `. ~' - <br />TSS 6 PE LIl1IT5 YIL1 EE YAIVEG E StTTLF.AOLF. SCLIC`- LItlIT AFFLIED FL.F C~IDTA,1Ya.E iEY.CIE.lil~1,C#[la BEt <br />f1UNOFF COY:iTITL'TYS PA.IOdITY OF 1C:AD-+!?E I.A,1([;), EG V, FCn'bE(;UIFEC.ElTS. UETECT]CN 'I]C779-9lE l.F.i. <br />A rm 1 8- rev ous e i onS ay o 6e ed. ~ ' (R CES A -4 VYH M BE S ~ ~ - ' OF <br />