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PERMITTEE NAME/ADDRESS (IncJud• FadllryNanvlLocanpn ifDl$rnny
<br />NAME YESTERN FUELS-CCIORAUC, LLC
<br />ADDRESSN E Y H O R I 2 C N t! ] A f
<br />P.G. b0Y 622
<br />FACILITY U U C L A
<br />LOCATION
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<br />~TTN: h: LAtiCE YACfi, CINe: MANAGEh
<br />NATIONAL POILUTANi DISCHARGE ELIMINATION SYSTEM MPDES) FOnTI Approved.
<br />DISC~IARGE MONRORINO REPORT (DMH~P/ OMB NO. 2040-0OOM1
<br />M I tl C R Approval explrea 0531-BB
<br />~ ~ (SUVA iC)
<br />PERMIT NUMBER DISCHARGE NUMBER r' - F I a l 1 ~ ~ ~ C N T fi 3
<br />MONITORING PERIOD FU NOPF f ~Ci]YI elae:_: ~gAAlaace
<br />YEAR MO DAY YEAR MO DAY -
<br />FROM 49 TO 9 12 3I 900 NC [7`_CtiAF66 )-- 9K~9 ~'
<br />nas+l lsssal [2c-zsJ (1e-arJ R~zaJ (~+1 NOTE Read Instnicflona before co~pleting this corm.
<br /> f3 card ony) QUANTITY OR LOADING p Card ony) QUANTITY OR CONCENTRATION ~ NO: FRED SAMPLE
<br />PARAMETER x&53 ~ 51-BT 30<5 1653 SM7 r
<br />=E)L: .. oF'
<br />TYPE
<br />(3z3Y) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS •' '~'~ dg,~0
<br />R SAMPLE O;'~%O~ Y+90 '; 9
<br />'
<br />I 009099
<br />8
<br />l
<br />~ I ~) _
<br />' ' ~
<br /> MEASUREMENT ! ,
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<br />0400 I U U PERMIT, 9.99999- 990999 -9 KKL~ ,S a99a 00 ,Q ,.. .~ ~'. ~~I A
<br />.FF'LUENT GiLOSS VALUE REQUIREMENT ~ tK»:? dItlI!!UM RAI D! ' `L' -
<br />OLIDS, TC7'AL SAMPLE
<br />MEA Yi99=A9 '' !'K99C.0 ?r!• 11
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<br />1 .
<br />USP ENDFL SUREMENT ~•U
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<br />US3C 1 U U PERMR 9991690 99999G t:: t,. ,P'I IC FAL ° Q. „_A :1
<br />'6'FLUEaT GF:095 YALUE REQUIREMENT „v:>? ATA AYG 3Ull) AYG- BA -')!1 G I 8
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<br />OLIDS, SLTTLcAD1E SAMPLE ot~099b >aoa['ar, ( ja) 1f s-
<br /> MEASUREMENT ,~0•D1.1,., )-Q LQ•Olm l.Q LO•Jl.rc~ 1 (3~ (~
<br />0545 1 0 G PERMIT 99999A 9oK9a7 9 K9 ; PTICtl L 61pCA 8 ~ :' 4:
<br />EFFLUENT GhOSS VALUE .
<br />REQUIREMENT Kat'~ fiTA AYG t
<br />3acA'"Arm oR" :~ S(~ III L
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<br />RON, TC7'AL SAMPLE c99w9A 99a9ya ~ Or1 '
<br />0 ( ~ S )~ ~
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<br />(AS FR) MEASUREMENT j
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<br />1045 I 0 U ;PERMIT 99909? 9099ri9 iv: ~PTICbAL .Q- 'r. .~Qj • ~:~. ~.. ~ .'~:
<br />FFLUENT GROSS VALUe REOUIREAAENT KK:? BTA AYG 30D1 AYG-s Otl '~ Y _
<br />G L s"
<br />L AND GhEASE SAMPLE 4fi0090 9i90:r9 99ra9:, 099999 ~ ]S) = ~i
<br /> MEASUREMENT ~ _ (Q,f~i
<br />3Sd2 1 G U 'PERMIT' 09a06a 99,99+60 9 Ki:~ 94.9099 C940a9 '~ ,~~.
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<br />'fFLUENT GhOSS YALU! REQUIREMENT KK.CK' " t!G L..'
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<br />LOY, IN CONDUIT DA .SAMPLE 1 03) 99900{' 999999 Q,991G
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<br />NnU TRfiAT:1ENT PLaN7 MEASUREMENT ~, ~ i.3 _
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<br />-OUSU 1 0 0 ~PEAMfi~ iE40flT RBFCAT 9ao99a - ae~l
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<br />'FPLUENT GROSS VALUa REQUIREMENT 300A AtlC DAIL [! !GC ,
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<br />'OLIDS, TGTAL SAMPLE 9G.7: 9i7 9K9C09 999999
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<br />1~ • ] 5-} %-
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<br />SSSOLYEU MEASUREMENT ~ 4 ~
<br />Z5 SS C) '. ~ .~ ~/'~
<br />0195 1 0 () PERMIT 999090 999999- {:;0 999999 Be tlC AT '~ F~;
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<br />:PFLUt?dT GR055 YALUf REQUIREMENT tKat: TA AYQ' ~
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<br />NAMElTRLE PRINCIPAL EI(ECUTIVE OFFICER I CERTI
<br />AM FA FY UNDER PENALTY OF
<br />MILIAR Wmi THE INFORM UW THAT I HAVE PERS
<br />MTION SUBMITTED HER ONALLY EXMIINFD AND
<br />EIN; AND BlSED ON MY . ~ TELEPHONE=
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<br />f' : ~ ' DA TE
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<br />ONY /~DKI•. INQUIRY OF THOSE INDMDUAI
<br />THE INFORMATION
<br />1 BELIEV S IMMF~IATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUTIMnTED INFORMA710N IS TAUE ~ i- j ~ ~ ': _, ~
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<br />ACCURATE AND COMPLETE. ,
<br />I AM AWARE THAT THERE ARE SIONIFlCANi _
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<br />~+r•t (•: i~l•, •~;~Lii PENALTIES FOR SUBMITTIN G FALSE INFORMATION, INCLUDING THE ~j.T~ ~•(
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<br />•r POSSIBILfTY OF FlNE AND IMPR
<br />~ ISONMENT. SEE to U.S.C. 4 1b01 AND 33 U.S.C.
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<br />n SIGNATURE OF PRINCIPAL EXECUTME ~ ~ ~ I
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<br />NUMBER~•~ _YEAR
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) - - ~ - - - j
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<br />TSS E FE LINI7S YILI EE YAIVED G SETTLEI,BL~ SCLIU: LI"IT AFFLiEC FG(+ C-LUYN,24Nfi feYCIF:EYEN:7:;CiI7`ir;tiEa
<br />tiUNOFP CUNSTITUTYS aA.iOSITY OF LOAD-SEE I. A.1(U), F(4 Y, FCR FE~UihECLa75. DE7EC7ICtl LIl775-: 1'e-i..F.].
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