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PERMITTEE NAME/ADDRESS pM,JrirWry Nw~/Locnlm I/Dldirw0 <br />NAME CYNnu] ~yF'Ikt LiJf:r uKAjl:+;V <br />ADDRESS N+ V duX bG <br />-'CI<Aic, CU d162n <br />FACILITY CYYKUS eMN[KL- CUKPUKATfUN <br />LOCA710NLkA~U LU ti162J <br />AITh MiuHAEL .1. LUDLUNe GI=NERAL MC~R <br />NATIONAL POLLUTANT DISCNMOE ELIMINATON SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT /D R1 <br />1-161 17-191 <br />4 ,< <br />PERMIT NUMBER DISCHMOE NUMSEA <br />MONITORING PE IOD <br />~Y A4i MO DAY YEAR. MO DAY <br />FROM ." "~ .r0 00 30 <br />!1 PN •231 l7b361 I16Y71 139-291 13631/ <br />Forrn Approved. <br />OMR,Ff~ 20~p.0004 <br />~~r N1~.~ ~ i~ .II L--L AT~,+;r ~ <br />~UtlK NYI kPProveiGp4~05-31-98 <br />r - FINAL <br />Mlhi#k _v/ <br />'A~<:< I~l~i vlSLt{AIZVL ^ i.{.h <br />NOTE: Rud Inetruetloro be} • eompleLiDQ thb form. <br />PARAMETER I3 Grd*~~s QUANTITY <br />0~ <br />R <br />B ~ 1<GYd'Ontyl QUANTITY OR CONCENTRATION <br />' ND FREOUENCV SAMPLE <br />37 <br />37 5 <br />/ <br />- ~ -16 1663 /w-IS1 <br />~ !3B <br />- <br />1 <br />1 EX. AN <br />LL~S9 TYPE <br /> AVERAGE ~. 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':.:".:: >': :xJ>`.:: <br /> <br />,. <br /> <br />.... <br />':. '_`: " *?..}i~ <br />... <br />y <br />P1~~ <br />. <br />.' <br /> SAMPLE <br /> MEASUREMENT <br /> is :;;:~..PERMIT~.:~~~~: ~.. .: .. ~ ... .... .. <br />r: " <br /> ~REQUIRENIENT:" ~~ ~ ~~~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> .r~. PERMIT.. ~. ~: ~ ~ ..~ .... <br />, <br />: .... .. .. .~ <br /> REQUIREMENT: ~ ~ ~~ : ::.:... .... ~" ~" " : . <br />:: ... <br />,. .. <br />..,:,. <br /> SAMPLE <br /> MEASUREMENT <br /> : PERMI.T~.: : <br />~:.::: <br />:: ~ ~ " " ~" <br />.. <br /> , <br />. <br />. <br />REQUIREMENT:~ <br />~~.".~ ~~~~ '.. <br />~~ .. .:. <br />~ ~ ~-~ <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM fA FY UNDER PENALTY OF LAW THAT 1 NAVE PER90 <br />MILIM WITH THE INFORMATION SUBMITTED H NAlLY E%AMIN <br />EREIN <br />MD BA EO MD <br />S <br />D TELEPHONE DATE <br /> <br /> <br />1;ICIl<7 TOO ,~.:IIIS <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATEL <br />OBTNNINO THE INFORMATION, 1 BELIEVE THE SUBMIT ; <br />Y RESPONSIB <br />TED INFORMA OM <br />E <br />LE FOP <br />TION 19 <br />' <br /> <br />c[!` <br />VlrOll E'12ntal ~V <br />7 fl4 r <br />21• TRUE, ACCUMTE MD COMPLETE. I AM AWM <br />SIOMIFICMT PENALTIES FOR SUBMITTING FALSE INFO E THAT THE <br />RMATION <br />INC RE ME <br />LUDING <br />. <br />. <br />( <br />- THE POSSIBILITY OF RNE M <br />MPR <br />SO <br />M <br />NT <br />S <br />0 . 97 ~ ~ 7 ~-Z7 T 2 7 %7 9 e <br /> D I <br />I <br />N <br />. <br />EE 1 <br />E U.S.C. 1 1001 MD 9a <br /> <br />TYPED OR PRINTED U.S.C. 1 tale. IAVrM. r.MV rMw IbbIM1A.I.Y ,hcAelA /wAW ro lIO,OOD SIGNATURE OF PRINCIPAL EXECUTNE <br /> AM wmuMun enprlANnrnr erawArre~n...ssrwrA/ OFFlCER OR AUTHOR12ED AGENT C DE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Relerenee ell sfrechmenrs here/ <br />xTittAoL~ SJLIuS LI~'.li nAiVtl1 Fun lUYKrC4Hn PdtLli' rVl;ilT-~Lt 1.A.Se P'.+ IVs rL,R KLWU(r(tMLNTSe t.1L p <br />'~ntaSt Gnad S:~li?Lt A(.ALY:iIS KtwUTKt:U IF VIS1:>LL Shci_/: IS L; ISS~,:Vtu. "3iiTrtLY SA11PLl:.G Ii~STRUCTII:yS-i.(-.-5/ <br />u .: . <br />EPA Form 3320.1 106-961 Previous editions may bs used. IREPLACEB EPA FORM T40 WHICH MAY NOT BE USED.) p J G o ~ / y 61:i 01- 131 i PAGE LOF <br />