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PERMITTEE NAME/ADDRESS RkYd.FrWryNaWLocanm 1/D.p..rm) <br />NAME GYr - i1$"-XA" ~ ~, _L Y .-;tL =... - <br />ADDRE55„113 I ,.,I,Thr <. )., !~-'Ah'FX <br />9100 MI I" aL CIhC~.; <br />ElY ~L G~ ,' C 15'i <br />FACILITY CTPi:. '.YAI°~'A V.:LI Y ::~-al Ct:rF. <br />LOCATION <br />.TTN GStE~ A. S;:, L..{P,. ! F:, D+ ':-.1!IVT fI <br />NATIONAL POLLUTMT DISCNMOE ELIMINATION SYSTEM NPOESI <br />DISCHARGE MONITORING REPORT ID Rl <br /> !2-I el 17- I81 <br /> f n!1l1771 F. 1!1 t <br /> - PERMIT NUMBER DISCNMOE NUMBER <br /> MONITORING PERIOD <br /> YEAR MO DAV YEAR MO DAV <br />FROM 9d Oi 1.1 TD 9"i 03 31 <br />- !162/1 l22-231 17~-251 176-17I 118-I9/ !3631/ <br />Form Approved. <br />QMB 9..2040-0404 <br />CIi~L'^~IL; AEI TrST( ~ <br />SIJ.}R Nr1 DProvet"ex{IireeOS-31-98 <br />F - FINAL L <br />?AJi:N. <br />NOTE: Read Inetruetloro before eomplstlnp thb form. <br />PARAMETER !3 Grd Onlyl QUANTEEY OR LOADING /4 Grd only! QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> 146-531 !5461 13Bd51 !4653 15'r'Bf EX uY PE <br />l3Z-37) <br />M <br />S1$ <br />TY <br /> '. AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !sa-eai lµ88) l59-7a1 <br />,~rFECT SFaI;F 7fl4Y MEASURE <br />ENT $~##t# 4##f*~ `O~ •ti~#### 4##*Pt 23 \/ <br /> <br />LltiZ CER1G~ ~'~1 <br />*I I A M ~a GiGH~ <br />. <br />I(,P_38 '1' 0 ,. <br />?t.:::PERMIT:..}?-: .. <br />`i-r.#.#t:~l~:*. ;': <br />::M~*~ltk:>h: IF <br />.. <br />p#} <br />1:0{k::.. .... <br />Mf'I:1e1!'?It#! <br />##~~#yi l <br />ER_ <br />? <br />~:T`~L~ <br />TZ:4t <br />:!4 <br />a ~ f pc :REQUSREMENT~: (?«'`~ ...... ..........:... . <br />- :l~::.:,;~.:.:~~;. ~ ~ ##b# ~.~.ffN:Y: ~ ~'~:1$Irr .~ ~ ~~ •~ .NT . <br />:LFFELI.'57af,F: 7DAY - sn PLE. <br />U <br />~ ###"i#! <br />~ f~##~# F~ <br />~ •##>i## •ialr#~+!' zj <br />/ ` <br /> <br />S <br />..yK .FIIT~PHAL: JyT <br />MEAS <br />REMEI <br />Y. ~ T q~ G~~ <br />. <br />fLe'bC S ";aQ '~ ; ;.~.~PERMIT:;~:. <br />~.,. t####~.~-...:, : . <br />#`~~.:~ <br />##II!;#!` 4## f:~I(~: <br />~ <br />:'~ <br />' <br />.. <br />:~~;.:'. .: <br />~ ~:*~##:~'::~:: ft-.+~ <br />~~::;~-~i4! <br />3: <br />;I 'ER~ ~~r <br />l ~~ <br />lf ~: <br />:~ ;~K~:-R <br />6 <br />~E <br />~" ;~ ,T REQUIrREMENT . : <br />.. <br />, : <br />. <br />. <br />: <br />. . . <br />. <br />. , . <br />; . <br />. <br /> SAMPLE ` <br />~ MEASUREMENT <br />. <br />:.rq .y, ~ PERNIIT:.(~s~ ~ <br />~ <br />' °~'~ <br />~:: ~:v:: ~ :.. <br />:~.: ~~ <br />~ <br />~k': REQUIREMENT:% . <br />. <br />. <br />r, <br />~.; ~' ~ . <br />., <br />>: <br />~. <br />"'- <br />... <br />,. <br /> <br /> <br /> <br />. <br />, :,. ,,. ..v . !i <br /> SAMPLE ~ r <br />• MEASURE'EN.T ~ ~M '~~ <br /> ~ <br /> yjPE <br />I ro <br />MI <br />T ~~ , <br />~,~~' <br />~~ . <br /> `.QU <br />.N <br />.~e <br />... ... <br />..:.:.:: ;x;:; . <br /> <br />- NIEASl~7REMENT ' <br /> :::::~~PERMIT::'.. ; ~ ::. <br />:.. .. .. <br /> REQUIREMENT,; .'~ <br />: <br />a <br />a <br />:' <br />~' ~ <br />.: ... <br /> .s <br />. : <br />:a <br />. <br />~ .... <br /> SAMPLE' <br /> MEASUREMENT <br />.. .~.;. ~ .~ <br /> .::.... . <br />:.... , .. <br /> <br />:;.• <br />~ <br />' ~REnU1REMENT~ <br />.: .. <br />::'r~.:~~., .:.:. .. ... ....: <br />... _ . <br /> SAMPLE <br /> MEASUREMENT <br />' ~ ~ ~PERNIIT~.-?. ~:. .. .. .. .. <br /> HEOUIREMENF <br />NAMElTIT.LE PRINCIPAL EXECUTIVE OFFICER I ccarlFr UNDER PET+AiTr of Iww TNAr l NAVE PERSONALLY ExAMINEO Mo TELEPHONE DATE <br /> AM FAMIl1M WITH THE INFORMATION SUBMITTED NEREIN; MD BASED ON <br />I... <br />) <br />" <br />i I <br />~~ <br />3~ MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />/EVE T~S <br />T <br />M <br />O <br />N <br />F <br />A <br />EO <br />O ' <br />/_ <br />~/ <br />/ <br />1 <br />1 <br />'I <br />ICI MI <br />( <br />$ RUE, <br />A000RATE <br />AND <br />CO <br />RETE <br />AWME <br />THAT <br />THE S <br />ME / <br />'/ <br />~ ,../ <br />I <br />~ <br />r <br />/ ~ <br /> <br />': f1V if Of1(}IE:'~t~~'I ~SIL'.jE l' <br />- SIGNIFICMT PENALTIES FOfl SUBMf7TINQ FALSE INFORMATION, INCLUDING <br />THE PoSSIBILITY OF RNE MD IMPNSONMENT. SEE 18 U.S.C. 1 1001 MD 33 "_" ' <br />' <br />' _ <br />~~ r °- <br />SIGNATURE OF PRINCIPAL EXECUTNE / <br />l 970 ~ 87c-~ 7 T" <br />4 <br />Z? <br />36 <br /> U.S.C. f 1318. lhlrlrl.. urWr enw .nnm. mrY hekd. Mr. w ro t 10,000 AREA <br />TYPED OR PRINTED and wrrr.hean hrMswrwrrWbrwwrsnlmeL rM6 weal OFFICER Oq AUTHORIZED AOENi CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY v1QLATlQNS l7lerersnee sn errecnments nerel <br />~~~_ I.8.4 Ffl? T" -~: ?i'i'.i:'Jta-• :~FT ~ESILTS ^F LETriAL:T1 '7~lVAT[NS AS EFF`4CT . G?Cwf'+ <: .F 'i:`i!1CTT`;;t <br />LLhI~ATICNS aS T;,{(.CITY ~~'T LLHL,T fFFL AT ./NIGH SThTISTI::ALLY `.,IGNIF OIFF .'tTHr_'t. Ti=':T C,::rT:(_ <br />EPA~For'm43320~1 ~(OB=951' 'Previoue'editione mdy'bs ueed'. ' ~' IREPLA'CES EP'A FORM T-40 WHICH MAY TiOT"BE U6 :1 "" ~' •" " ' ' "' " °" '`" ' '- 'PAGE O <br />