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PERMITTEE NAME/ADDRESS pa~b frWryNaw/laanm dD~~+..p NAME CYPrIU° Ys"~A ViLL'Y ::JAL _'7'?. ADDRESS CIIh C.:] 1,2%] $!11)TFi, ': ECKMAN P{ 9100 OAST '1INF,BAL CTR,:LE EN(;'uP..N0.7!1 CO RD155 FAauTY LOCATION FRI ATCV: !'OErZIS s+'. FF'GLEY, ~.~°NP.RAL ATIIY Form Approved. • .: v n I.-r u A v~ F ~I'{70 2040-0004 f•-,IMF NO) APProveL e~pS S~605-31-98 v - FINAL "A I^7 ''~ `iC D75CHARCTE f/_~{ ~`GG NOTE: Rsed Instructloro bsi e-oomPlstiny this lorm. PARAMETER !3 Grd Onlyl QUANTITY OR LOApING !1 Grd Only QUANTITY OR CONCENTRATION NO, FREQUENCY SAMPLE /46531 l546t1 l3BJ51 !46531 15d-611 EX QF l3Z-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rears! ANALYSIS /64681 TYPE 169-701 P9 SAMPLE .`•: tr3`.t aOGa G# ... ( ~ ~) MEASUREMENT OOUD'l I it D PERMIT `.4tlrQasa ~dcO.b..4'k e ~ ##a sq~ : C:~:s~k%kA ') f\ .. vp F:. LY 7PAB FFLU:;NT .It75 i YALU REQUIREMENT ~~ n#a#~ . _ .~.~ w{IM ... ' ! I !~[ 1!1 AST 1'f S?' SOLIDS, TOTAL SAMPLE +•. .~xG4 30~.'`" i K bi=;s t:#"• ( ]~) ' U S P 5 N D R !1 MEASUREMENT 0530 1 0 0 PERMIT :~a?## aaaap# a.~x k#arlpt+:a1 ~K 7R HRF.P./ iRAR FF'LUSrIT GRO nF REQUIREMENT ; ?:wry ,3DDA PyC, D-TLY '!R 7~S/L MONTR LY.OH SAMPLE "xa#a# #aa4## ~'':tsdC# ( I41 rorAL P. SI.'V 4A3LE MEASUREMENT 09BD 1 D 0 PERMIT t~attAR:: - ###a;# ° k>aat?ayt 1.0 F!FPORT yRE:E/ 'RAR ZFFLUENT GROSS YALU . REQUIREMENT Cr ~` 31JDA AFC` DA.TLY [wX tG/L "IONTI? LYY.k, POrENTZpLLY SAMPLE ~xRaaa Y:~sa.°^~ -~=~#~o ( lq) I$ S ~ L Y E D MEASUREMENT 13DU I 0 0 PERMIT a~Aa>r~• aaxaG# -.. x:~=x#~~ RF.POR.? A.n79 FiR~'F./ :RAA EFFLUENT GROSS YALU . REQUIREMENT ~ ~ :~xx :.:3QDA ii1G ~~ gAILT CE ~MG/L 110NSP. SO?PER, • Q 01~NTIA4LT SAMPLE #aP?a# r#3F#-k '-'.=^^:.^ ( ]v) ~ y ., ISSOLF MEASUREMENT 1iD6 1 0 PERMIT ~7~aaa# :: :,#iA#C# *.#x xGnl*.:zc: n,n73 pe:13p lIRY.E:/ :RA9 eecueNT GROSS YALU REQUIREMENT #.;LgG 3QDA xrr.: DATLS h>< MG/ ., lIOPfR JI AN9 ';RPASF, SAMPLE '~: x43# #GGa G# ;=x^"=`# ##G#t'x MEASUREMENT _ 3 `_+:'2 1 0 0 PERMIT %t rra sp~lr ~ #4r.#4"F# G:x x#i#3S+ #'+r ."##'k ]U "~ (~11:TT4 RAH FFLUENT GROSS YALU REQUIREMENT ##Ga T!tlS? MAX M„/L GENT G ~. AL SAMPLE •• ~'*Gr aaaa4'x ;: r,.f;:7gr# ( 19) E ^'O Y E R A b L E ~ MEASUREMENT 1113 1 D D PERMIT #=xa 91 .. .: #a# +# acrk xfi•t### RP,pOr±!' R*'PORT HRFE/ ~RR9 ;FFLU!!NT GROj$ YALU REQUIREMENT ~ 3QifA AFC DA[tY !f 7, "f^./L RONT1 NAME/TITLE PRINCIP XECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I N AM FAMILIAA WITH THE INFORMATION SUe D v, AHD O ~ TELEPHONE DATE R~.~~.~l~.ypy~ Richard I ~ MY INQUIRY OF THOSE INDIVIDUALS 1 A OeTNNINO THE INFORMATION, 1 BELIEVE ~ INfO I.i7 [E Op L S // ~~~~ , y / , / AST Ate"" er viro ental Mana E TiIUE, ACCURATE AND COMPLETE. I SIGNIFICANT PENALTIES FOR SUBMITTING FAL F f E ll ' i ~ /p/'/ F/ / !W g]Q)E]D-2]]2 9 24 98 g nm n THE POSSIBILITY OF pNE AND IMPIIISONMENT. SEE 18 610NATURE OF PIIINCIPA EXECUT E U.S.C. E 1]10. lANWLL. uW~r WS,bNN, In/Y L'K'A A/ flP, L IV TYPED OR PRINTED ~ ra rmvinun lrrPri.av.lrre oFb,M«n smmm. rW e ywa - OFFICER OR AUTHOR2ED AGENT CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Referents s6 ettschments halal OIL E GR?ASt'- SP.E F00!'NOTF. F/, P. 2. '1ETROD b3TECTI LPTT3 - S??? PgnTN~TP L/. POT~NTIALL• DISS~LY?,D METALS - FDJiI{OCF "!/. TD$ RONITOR[NG - SEE COMNF.NT I4 5?.TLON 711 (1P EA'fIOyALpF P. 3. ! L be l WHICH MAY NO7 BE USED.) PAGE . ;oozT3/~aonoi-1030. I