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PERMITTEE NAME/ADDRESS pnrb4 Frd~ryNaWLeeYrw UDjf]r.nq <br />NAME ~CypgUS YA^1PA YALLiY TOAC :OHp. <br />ADDRESS tlINhS 1,253 SOUTH, E PCK!1AN PR <br />9100 E0.5T '1INF.RAL CIRCLE <br />ENGLEIIODn CO 90L55 <br />FAauTY <br />LOCATION <br />A'f'"N: MORRIS '. ePGLF:Y. ;EMERAL APNT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT (DMRI <br />l7-181 17-191 <br />.~00 7 'u ~ n <br />' PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD , <br />YEAR MO DAY YEAR MO DAY <br />FROM i TO ~" 'F+ _•_ <br />I w na~a1 vL751 176771 l18-191 !34311 <br />Form Approved. <br />•~ T s .._ -. D ~ ,t ~ ., m ~ IOFfJI}lNo~ ZOL40-0004 F. s. <br />c I o r Approval exP,ites 0531-98 <br />{. J9 N:) 1 uu <br />P - °TN4i <br />•, ,o~ <br />•` NOTE: Rssd Instruction llef 1 omplefln0 this form. <br />PARAMETER 13 Grd Onlvl QUANTITY OR L ~ !I Grd Ontyl QUANTITY OR CONCENTRATION NO. FREOUEN,CY SAMPLE <br /> !46531 !5<-81% ~ 138<51 !<653 154-81/ <br />EX OF <br />TYPE <br />/31-37/ AVERAGE MAXIMUM ITS MINIMUM AVERAGE MAXIMUM UNITS leassi ANALras <br />l64-881 l68 )OI <br />Ptt SAMPLE #'skSRG RR~~#:` :'^. f'#' ( 1. 2) <br /> MEASUREMENT <br />U4UU 1 0 U PERMIT #+kO9i## 44l,:3,hY. OrF ~ .; 7s#;:##~ 9.0 EEKGT 1Rl1'+ <br />EFPLUF.NT GROSS VALU_ REQUIREMENT ##Ti ~'~Q~., "!AXTMr!!! S'! <br />DOLIDS, SETTLE+7L F, SAMPLE ,^-~X:~ ;?#371 !'~ #'.101x4# ( ~~) <br /> MEASUREMENT <br />OUS45 V 0 7 PERMIT #ts!</SL~? '(*7rR,afa L,CX i1r#'~~' RP.PORT REPORT NCP/ iRAB <br />EE COh:".:-`1T5 RF'L~a REQUIREMENT ~:... :y3Q4yA At(. nAT. Y MI 11L/L !10NTq <br />'GELDS, SETTLF.F°IL' SAMPLE .xa;~;^ .,-... ..~;ra4# ( 25) <br /> MEASUREMENT <br />0545 I 0 7 PERMIT #~X#xx? ?; vx°=== .~ ~o###Iz 1lE PORt. Qlr3 f .N ^_°/ :RAG <br />-'FFLUENT GROSS VAL11 . REOUIREMENT ;c^^.v 30PA ~G bAiLY Mx MI./L AONTH <br />7IL AND G8P•A3P. SAMPLE •+..,. ,+.:#.`- fit-`',^" ~t#0f# ( 19) <br />dEON F,XTH-GRAV r1ET MEASUREMENT <br />OFiSD 1 D 0 PERMIT +'~FftOG :t ;Y4#fF# ~~ ~ ##',r0: ####.i tD DNTTN :BdB <br />EFFLUENT GROSS VA[.U, REQUIREMENT u'.`~:Y y~g.='~ MA1I MG/L GENT <br />011E I:+ CONDUIT OR SAMPLE ( 13) actva-, a~.~~#'~ ~~"=~ <br />ti H U T R {, A T H E N T PLAN MEASUREMENT <br />OU50 I 0 0 PERMIT REPJRT PPIONAG S#;=### `^'~;'#Krt ##>II##'~ - $"# YEEL7 .NgTAN <br />FFLUENT CROSS Y1LU 'REQUIREMENT 39DA AYG DAILi !!X PGU ###Ir <br />JIL h0 ;RFASE SAMPLE t~P='Y ( 1V) *##`'~' "tv°h` '`~'"~'~" <br />I S O A L MEASUREMENT <br />UUbb 1 U D PERMIT ##3rl'~F T ES=1 ~#~#a; n####~ •,:'°4#t«: Ro# ~CSRL! ZSOAL <br />"PPLUENT GROSS YALO REQUIREMENT INST NAX N7=0 ##4# <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENN.TY OF UW THAT I HAVE PERSONALLY E%AMI NED AND TELEPHONE DATE <br /> AM FAMIl1AR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON <br /> MY INQUIRY OF THOSE INDIVIDUAl9 IMMEOIATELV RESPONSIBLE FOR <br /> <br />hard Mills <br />Ri OBTNNING THE INF011MATION, I BELIEVE THE SURMITTED INFORMATION IS <br />I AM AWARE THAT THERE ME <br />ALLUMTE AND COMRETE <br />TRUE <br />c . <br />. <br />INCLUDING <br />ITT <br />F <br />SE INFORMATION 70 870-2712 9 24 9R <br />Environmental ManagelT , <br />SIGNIFCANT PEMAlTlE9 FOR SUBM <br />ING <br />AL <br />THE POSSIBILITY OF RNE AND IMPWSONMENT. SEE IB U.S.L.l 1001 AND ]] 9 <br /> <br />u.B.c. s tale. lAlrnYer• 1.er ewr •slNn•.Yr AxA~M ml.a y ro Sr0,0PD BIONATURE OF PRINCIPAL EXECUTNE <br />AREA NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED .nsn mvim.n Mplavnwlr el Mnr.APemonNa YM 6Yrral OFFICER OR AUTHORRED AGEN7 CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRS7ersncs e// sttec8ments here/ <br />~ETTL5ABLE SJLTDS LIRA IS NAIYED (LJC 'P'1 JYLT IF >LJ-CR, 24-9R PRI'CTP EYF4'P IS CLAI'1ED. 5°F. I. A. 2, <br />PG 1H, POR NURDF,N OF PROOF REQUIRE!JENTS. DIL E GREASE-5?'' FOOTNOTE F/, D^ ?. ~R°RLY SAMPLING 5 <br />ACD AT iY^ IYCTA ^T 71lYC PlT rlT~rt P /~ <br />EPA Form 3320.1 108-961 Previous editions may be used. (REPLACES EPA FORM TAO WHICH MAY NOT BE USED.1 O O 7d ~ / Q n DU O7- I O 3 O ~ PAGE L OF <br />