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n <br />PERMITTEE NAME/ADDRESS Rnerb F«WyN~/forenm r/Drd...np <br />NAME KERN C7tL .J",~A::Y <br />ADDRE$$ N A R It Y I C f <br />il.J. 97Y 7I3Ti7 <br />STc1:197A~ 9P~fl,S C7 i01/7 <br />FACILITY <br />LOCAnDNYALJcK C7 "J13D <br />t=.r~: ;; .:c:I?,~: Y. ?~rr~f•~J~t, hts~ ;~;aa. <br />NwTIONAI PouuTANr OISCNMDE ELiNIINAnoN bY5TF1A lNPOESI <br />DISCHARGE MONITORING REPORT (OMRI <br />!I-I6l 117-191 <br />J7G950037 uD3 A <br />PERMIT NUMBER DIBCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM J L U1 1 TO Ul UJ ~ <br />12Q211 l12-731 I11-251 I1GI71 125-191 !36311 <br />POND C/TRIB <br />(SUER 'iG) <br />P - FI'+AL <br />HINOk <br />Form Approved. ---~- <br />TO CAQ~RJK°A3oao-ot~R!/'- <br />Approve ex i s 05-31.9`,8 <br />~e3~P:r <br />'! <br />• KJ 7I ~CiiAR:;Y. ~ X ~ '<rr <br />NOTE: Rasd Instructlorr bslas eomplstin8 this form. <br />PARAMETER !3 Grd Onlrl QUANTITY OR LOADING !~ Csrd OnlYl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE <br /> 106-531 !5461 138-451 !4653 154611 EX K YP <br />131-371 YSIS <br />M T <br />E <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS l62-s.T 1681 !69701 <br />:I{ SAMPLE i:Cr3?;; Y3~:;a;,': ,. ,- ( LZ) <br /> MEASUREMENT <br />JJ1UJ 1 U J PERMIT ;?Mk,=.G Y~#00~ v:k: 5.5 rr.<a 'k ~.D ~Ei7ALY :ilSIl'U <br />,.rl'~UT:NC :,[i75;i V7.L~1= REQUIREMENT. .'~Yk KL~NL:lf~Utl. RAE.IPiUM~ .`iU <br />I~LrD:i, ~;:TTLF.AIL~' SAMPLE •r+'~-r: r?~:#k OsL'4;7=: O#; ~. ( 25) <br /> MEASUREMENT <br />~~~15 1 U D PERMIT r'tO x$:• 'r;A:AR k:sj~ Q ~:>0 ####4tf~ ~rkO:, RY: 91 4.5 ~ ~ ~ ~ 'iCE/ .RAJ <br />;r:.Uk:tiT ;:ROSS YALJS .REQUIREMENT ',F~k SAILY M% "1L/L M7YPR <br />Ji i. AND ;: iiEASE SAMPLE 'f "':;. r. ;k :: ~~: '? Y#{-#+=:: v## 4~ ( 19) <br /> MEASUREMENT <br />~J. tz 1 D D PERMIT .;t'%1~;: ;:QC;.S# O'v SfA;z.r~k ~::ti.iir ~ 10 I VNTIN ;TA9 <br />-I ~..UdtlT GROSS YALJ ~; REQUIREMENT 'J;:k - DAILY hY 9ii/L - G°.::f <br />L ; { r N 'C D'J1r :)'i SAMPLE ( D i) r+`::-r•: ;+':_.^• =s :~ +:<:=r?`;`- <br />..:J TRRA?RENT t'LA ~'r MEASUREMENT <br />,~;.y;, 1 0 J PERMIT ~Q;i~.VAL i?EPS3Y ;.s;~xi:~l V.a;~ :Y Yr>"#a' ,Isc ( Y~E/ YSPAn <br />..F"F'LUKNT eR03~ 75LJ? REQUIREMENT ,3J:;A A/~ DAIL1: fl;: f1iaD ~ ~--'.:!k# t•~DNrll <br />I v AND :;R iF, SAMPLE ::+k'?:~t ( 91) ..Y;r +~~% ~. Cr *#::«; <br />~ I S;l A L MEASUREMENT <br />~4U;;6 1 0 D PERMIT ;;rctk"iX 3ytD$F Y ES=1 0#uC=&;a :c:~RG A sX4>if;:afF. s #r.; RC>./ rI$UAI. <br />;FFLUENT :;Kass YA'v7: REQUIREMENT iNST lIAY NC=J °•`4;= <br />N :l H ?'! <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMElTITLE PRINGPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I NAVE PERSONALLY EXAMINED MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED NEREIN; AND BASED ON <br />.- TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDINDVALS IMMEDIATELY RESPONSIBLE FOR - . <br />- ' <br /> <br />Richard A. I'IU7190T1 <br />OBTNNINC THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 19 , -~ <br />/~ <br />~ <br />Vi <br />t <br />P <br />id T MCLUO MO\ <br />BIONIFICANT PENALT~S FOR B EMITTING FALSE IN ORMATIION T 111 I% <br />I~"' n I. <br />D 7 <br />9 <br />~` <br />3~ <br />Dl <br />D4 <br />11 <br />ce <br />en <br />res , _ <br />\ - " G <br />F <br /> THE POBSIBIUTY OF RNE AND IMPRISONMENT. SEE 18 U.B.C. 11001 AND S3 ~ BIONATURE Of Pi11NCIPAL EXECUTNE <br /> <br />TYPED OR PRINTED U.B.C. f Ilrs. R-nMly, wvr Aws. ,srtnv. mrr .IxAN rn« rP ro s1D.oao <br />srwwn.ae:.snr MpimrlvN arbor«nsmonnu rldb r«rw/ <br />OFFICER OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAV <br /> <br />COMMENTS AND EXPLANATION OF ANY v10LA710N~ !lfetsrenes sn ettacnments Here! <br />,;dTTLtAdLE S7LID3 LI"rr ~AiVSD 773 17-YR, ).4-9i? PR4CIP ~VF.Ni ~JL,Jr.;;r IO 3U? °N .iP PROOY P.F."UIRY.°EVP; IN <br />:rAdT I. d. 1. C, P. D. S"JRMMAT~k M48Ao°TPNT ?LAN DUS l-1-a3, <br />EPIC Form 3320.1 108-951 Previous editions mey be used. IREPIACES EPA FORM T-40 WHICH MAY NOT BE USED.) D 2 7 5 / 97 0 319-1 ? ~ I U PAGE I OF <br />