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PERMITTEE NAME/ADDRESS (Ikir6irWryNw/(a,ncn dDl~mnO
<br />NAME Cl.~IMIJ CJAL CCY.PA::Y L. P.
<br />ADDRESS C O L D 1i Y 0 11I F E
<br />5731 STkTE NIGNNAY 13
<br />tlSEKER CU 81541
<br />FACILITY
<br />LOCATION
<br />eTTN: P8l;SIDENT
<br />Form Approved.
<br />LOACCC7 LOGP SFD19MB.Ny~o~no~ooo~a~Y
<br />Approv 1 e2x~ ~l 5 05-31-98
<br />(SOFA ti u)
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<br />NOTE: Rsrad Inatruetioru be}oreTO plating this form.
<br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADIN G
<br />~ !~ and Onryl QUANTITY OR CONCE~
<br />° Ny~RATION ~ . ~ Np, FREQUENCr
<br />OF' SAMPLE
<br />r31-371 M5-531 !54611 l38-151 M653 ~.15L5/1 EX sas TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE ~MeAXIMUM UNITS lemsa/ ,W,ur
<br />154681 !6&701
<br />M SAMPLE ., ~:SF~F L~S~~k: C~ 1>REi#Ar~ ( 12~
<br /> MEASUREMENT
<br />0400 1 0 0 .PERMIT :yt:-:x;-': .;:#~.~F# .~ TALr ..:
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<br />?FFLUiiNT GRO55 VAI,UF REQUIREMENT , #~.;; .,
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<br />iUSPEiUED MEASUREMENT
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<br />)0130 1 0 U
<br />PERMIT
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<br />~PFLUENT GROSS YA .l!F REQUIREMENT ~ ~ .
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<br />iOLIDS, SEi'TLEAbLE SAMPLE :f{: ;:#'~G X;~C,-,;0,; •~a~A~ #~A;llp.v ( ZS)
<br /> MEASUREMENT
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<br />)OS45 1 0 O PERMIT ~,y ;~#~;., A
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<br />'FFLUENT GROSS YALDE REQUIREMENT ytY;;Z ~xc_~:`: ':, QeT Yr Y Mt T dt rTY14Y
<br />lIL AND GREkSE SAMPLE :F:.`#:A;~.- ,,.-,;::;::~ #na#f0 x;#### ( 19)
<br />'EiEON EYTH-GRAY l1ETh MEASUREMENT
<br />1U55ti 1 U 0 PERMIT ~Y##~ ::'.: ~G+:>Xs.::r [: ::.^,;,: Sr =:'?~.# ;.At~°AL I4 .. 4 ~tli?x.Ni :.RAB
<br />iFfLUEN'T GRO55 YALDE REQUIREMENT YNC~-Mav. Nr t ~ 'iirier
<br />CROti, TOTAL SAMPLE r::t-e ;: ,: r•. 1;t:f~r:. :f7dt4: ( 19)
<br />(A1 'F'E) MEASUREMENT
<br />)1045 1 0 0 PERMIT r,:~:;#:.`{;. x:X::::.yro:.f # ,a~~ r.;t±9q# ? G 7.. C: [ ]YC`"P./ t :.A1H
<br />:FFLUEkT CkOSS VALUE REQUIREMENT ,:t~:.-, TPea aYr. raT : .w nr_ - x»yr.N
<br />~L0.1, IA CONDUIT OR SAMPLE ( 03) L;Yrr,.~ p:)r,~~„y Od=}::##
<br />CHaU 'PREATtSENT PLANT MEASUREMENT
<br />OUSU 1 ' U O PERMIT. pTT00fAL REPORT . ~ia~'oa ;snza:;la :a~:I;:YS# ; #~k# L'EKGt. i1STAN
<br />:FPLUENT GROSS YALDE REQUIREMENT 3ODA AYG DAI Y !4R 9GD r,### .
<br />iULIDS, TOTAL SAMPLE a;.z:4u r.~#v iL><Ly. ::xa:,•^. ;_ ( 19)
<br />)I~SOLVED MEASUREMENT
<br />-U2y5 1 0 0 PERMIT ;<x~rxu..;;t. ~:s>F#:z~:. a ..ar #ra:~~a a#K#it! EEfGe;T . ` .:~ ~.ItLY I RAH
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<br />.PFLUENT GROS., YALDE REQUIREMENT
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<br />GAI7Y MX
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<br />NC: 1.
<br />NAME?ITLE PRINCIPAL EXECUTNE OFFICER I CERT
<br />AM FA FY UNDER PENN.TY OF UW THAT I HAVE PERSO
<br />MILIAR WITH THE INFORMATON SUBMITTED H NALLY EXAMI
<br />EREIN: AND BA NED AND
<br />SED ON TELEPHONE DATE
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<br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY REBPON98
<br />LE FOR
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<br /> OBTNNING TXE INFORMATION, I BELIEVE THE SUBMITTED INFORM ATON IS
<br /> TRUE, ACCUMTE AND COMPLETE. I AM AWARE THAT THE
<br />aIGNIFICANT PFNALTIE9 FOR SUBMITTNO FALSE INFORMATON
<br />IN RE ME
<br />CLUDING
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<br />„rl ! IN n ,
<br />THE PO55lBIUTY OF RNE AND IMPNGONMENT. SEE 18 U.S.C. 1 1001 AND 3a
<br />BIONATUIIE OF P
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<br />TYPED OR PRINTED u.B.c. f rata. IA,rWtl„ nn0,r m,~ myna .:.r Nc4.d, rw, ~ ro (10,000
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<br />OFFICER OR AUTHORIZED AOENT AREA
<br />CODE
<br />NUMFIER
<br />YEAR
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<br />DAV
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe{erencs sll sttechmenrs hare)
<br />SETTLdAHLE SOLIDS LIHIT APPLIES UNLI IF C= 2U-YA, 14-RR PRECIP FY[111 7° CLAIF`.C. IP CL~II! kPPROYEU HY
<br />4QCD, ?SS G IR09 LIMITS JILL NOT HE APPLIED TG REPORTED REk$UiErE6T5--SEE I.B.lA, p~, p 71BD I.3.1D, PG 6.
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<br />E'VA~Foim 3320=1'108-95) "Pievioue edition&'mey be used.' ~ "' (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.1 PAGE OF
<br />~»:-;;._;,,_, ,,,,.~. 00035( 871134-0911 1
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