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PERMITTEE NAME/ADDRESS (IMib FaclHryNawi Locanm UD~q <br />NAp~F_: GRAND YA LL::T C01L C0IPANY <br />ADDRESS fMU liG6R CgNT09 NIN? <br />P.O. 90'< 7U <br />LO!1A Co 91S2u-0070 <br />FACILITY GRAND VALL'Y CJAL ~ONPANY <br />LOCATION <br />ATTN: JOHN i4e MAL'i°RS, fIANAGER <br />Form Approved. <br />t!I!!r, wTR CSCNG TCP~~VC7P~ 4 <br />(SITAR 9C) ApproveLe;plf$ -`.11-98 <br />f - FIN AL'~-r, ~JJ <br />MINOR <br />+~~NO DISCHARGE ##~• <br />~MQTE: _Resd Instructions bsfor omplsrln0 this form. <br />PARAMETER l3 Grd On/yl QUANTITY OR LOAD (<G/d Onlyl QUANTITY OR CONCENTRATION FJ~, FREQUENCY SAMPLE <br />(31.371 116531 151-511 138-151 /a5-531 15~-511 EX Of TYPE <br /> <br />AVERAGE MAXIMUM <br />MINIMUM AVERAGE MAXIMUM UNITS <br />Ist.sJl ANKVSIS <br />!51.581 <br />!63701 <br />pH ~ SAMPLE xa#sas ,^-naaa~ #IC~##a ( 1).) <br /> MEASUREMENT <br />00400 L 0 D PERMIT, x~*?R!~~:':: :::.:;.Ci?~i~~,. a#a ~r~~°~a: ;.#~I#391>R <br />: :9.0 <br />: LT <br />°•SR NSiTF <br /> <br /> <br />EFFLOY.NT GROSS YALU <br />~~~REQUIREMENT , <br />~ ;. <br />~ ~" ~ ~~ ~ ~~ <br />': ',:.:'.,.~::..;,: ,: <br /> <br />### .. <br /> <br />....;.:. <br />~~ . <br /> <br />:... .. <br />. . <br />SOLIDS, TOTAL SAMPLE caaxaa ###tx d ( lU) <br />SUSPEHDF:D MEASUREMENT - ~ *~?. <br />r ~..... <br />00530 1 0 0 . .. <br />P1:RMIT~~ x####t ~. .. <br />##40!3 a':. .. <br />'i;i ~;. <br />.:! ~ ~ ~ ~ <br />' <br />r'~ <br />~ ~ : <br />~~~~~ <br />:' <br />~ ~ <br />#CY.~ <br />R~AA <br />EFFLUENT G OSS PALO REQUIREMENT #axa ::~ . <br />. <br />. <br />~ ~'.:: : <br />. <br />.. <br />'~: 'Y AC. <br />IRDN, TOTAL SAMPLE a.C^va #~#a:r r*x#a# ( 19) <br />(AS FE) MEASUREMENT <br />OLUUS 1 O D PERMIT #xr:;=aa ;~a;.-~;:x a~:;~ ~=####3, J.$ ~!p <br />:.;. <br />... ::. #C£/ RAB <br />EFPLU6MT G $S YALU :,REQUIREMENT. a`-C~ 3 U~.:;3M~G <br />8: : <br />. <br />r`3:~~''.~v 11G L :: O!!T <br />OIL AND GRE ~B SAMPLE ,a ,aaY ...-ra ~a ai###: as#al#M ( ] 9) <br /> MEASUREMENT <br />U3S+11 1 0 U PERMIT #####x x#aara ac-: r#c### #ar-~>AO I.b..:'': O8Z`T RAP <br />EFFLUENT GROSS f~LU 'REQUIREMENT , #ar# INS!' !SA !IG/L 68#7 <br />fLOii, IB CD#DUIT OR SAMPLE ( Dj) fi##trr: :a#fYr ##;:#3 <br />TNAU TAE-T#ERT PLAM MEASUREMENT <br />SOOSU 1 D D ;.. PERMIT RR'Pfl.S1' "tL.pOR1' #4#t0i#71 <br />9~x+#:Ar?C~~: <br />:~~::;::fi0?Ot~.~.' <br />#:s <br />~ <br />~~Sll1F.~L <br />}!S?A <br />E•:fPLUENT GROSS YALU :AEf1U.IREKAENT ~Dtlt.. AYG DAfL>t flX- Rr.D " ##+G# <br />SOLIDS, TOTAL SAMPLE aataaa ¢##4a# ###at,- ( 19) <br />DI.;SOLYtD MEASUREMENT <br />70295 1 0 0 PERMtT ;. # ..: !at # +iQ## u#s #iE~lala~ REPbRT' ' . A.;p,'::PCI$T TRL2 *RA9 <br />EFPL'Jt:NT GROSS YALU :~REQUIREMEPIT' ~ ~ :° ##~# ~ ~ 30.DA;~AYG ~~~:DATLY~ !4X RG/L <br />OIL AND CRE E SAMPLE 3 # ( qA) v#Y##a #3#### ##a>~## <br />y I $ IJ A (, MEASUREMENT <br />!34Ub5 1 O 0 ~~ PEPMkI::. ~~~. .. .;~:. ~~.~.~ :.. ~ '. ES=1 ~..~~:. .. .: ~~ :'. ### .A <br />rFFLUENT GROSS YALU HE¢Ei1REti1~NT. ;°.:.. ..`.::: <br />NAME/TITLE PRIN IPA! EXECUTNE OFFICER I CERTI <br />AM FN FY t111D PENKTY OF <br />11M ~D(1ATN THE INFOR <br />.1µµ UW TNAT 1 NAVE PERSO <br />MATION SUeM17TFD W NALLY F1IAMIN <br />EREIN: MD 0A D MO <br />ED ON TELEPHON E DATE <br /> ,, <br />MY INOUIM OF THOSE IM <br />' DBTNNINC THE INFORMATION <br />T <br />M <br />DINDUKS IMMEDIATELY RESPbN41l <br />, 1 BELIEVE THE SU6F~TIED INFORMA <br />ET <br />M <br />WM <br />T <br />T T <br />LE FOR <br />TON 14 <br />II ~~ ~ ~~ <br /> <br />/ <br />~s <br />~ RUE, ACCOMTE MD CO <br />SIGNIRCMT PFNK71E4 fOR S PL <br />E. 1 A <br />A <br />NA <br />NE <br />E <br />UeMITTNO FKSE INf011MAT10N <br />INC E ME <br />LVDINO <br />/J G <br />~ (~ <br />I <br /> <br />~ <br /> <br />I <br />~ <br />L <br />AR}~ / G <br />~ . / yL <br />~~ 3~• I • <br />"~ <br />. THE POSSISILITYOFRNE MDY MPBISONMENT, SEE to U.S.C. L 1001 MD 37 iIONAYGRE OF MIIN <br />M <br />X <br />T 1 <br />- <br /> <br />TYPED OR PRINTED U.S.C. f 171 e. lAu.lu• uMr N.r .arnmr rrry YcMN r..rr w ro f /O,QOD <br />wormErnwninprianivrtwan...oerrwem..rs/w./ C <br />AL E <br />ECU <br />IVE <br />OfflCERORAUTNORQEDAOEM ~~p~ <br />COp M@£R <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rderince ell srochments hare/ _'"- <br />;UAdT83LT NORITORiNG-Sr.E L. C. B, P. 9. 30 DqT AYP.RACE IS HIGHEST tIONTHL! AYG. DU9INC PERIOD RlPOP.TEC. <br />OIL S GAEgSE - SEf; L. ". 1. C. <br />1' <br />EPA Form 3320.7 TOE:-951 Previous editions mey bs used. IREPWCE$ EPA FORM T•4A Wytl H M0.Y tl0T BE 11S B.1 00291 /961217-). ZD6 PAGE ~OF <br />