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PERMTTTEE NAME/ADDRESS pncrude Fnc11,ry NmndLocanon if Dlffercnr)
<br />NAME YESTERN FUELS-CCLOFADO, LLC
<br />ADDRESSNEY HUkZYON MINE '
<br />P.U. b0Y G:@
<br />FACILITYAUCLA ~ CO E1L2u
<br />LOCATION
<br />ATTN: k. LBKCE. NAGS, FINE 19ANAGEn
<br />NATIONAL POLLUTANT DISCHMGE ELIMINATION SYSTEM MPDES)
<br />DISCHARGE MONITORING REPORT (DMq;
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 9 5 10 O 1 TO 9 5 1] 31
<br />(76711 (7773) RLYSI (767]1 Q&N) (JP3/)
<br />Forth Approved.
<br />C I Y 0 N OMB No. 2090.0004
<br />APP 6)¢Tiree 0531-gB
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<br />PARAMETER X653 54-et 38J5 I&59 7 I ~- EX~ ~: OF TYPE
<br />~2~n AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~" '~'~ 88+0
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<br />'FFLUBNT GROSS VALUE REQUIREMENT ~ cav;: 9 g" ~y h6 L "' .
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<br />NAME/TTTI.E PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMIUM WRH THE INFORM LAW THAT I HAVE PERS
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<br />PENALTES FOR eUBMrfAN I AM AWARE THAT TH
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ell et0schments here) ~ ~ ~ ~ - '=
<br />SETTLEABLE SOLLDS 1]!1T PILL DE r'AIYED FOR :1CYF,:ubR PdEC1L EYEni-SEE I.A.1~D). IG ~Y,•.1C1 :fleC.U,Zb!# 139.
<br />QHTHLY SAePLING IY.57F1'CTIOYS-I.C.d, PG X1. 30 OA1 AvG I_ R1GHE54 !!CN2NLY AYG GGi]!C FEF]'CC-")lil+(~rIG.
<br />EPA Form 3320.1 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) . , ,. , ~ PAGE OF
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