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PERMITIEE NAME/ADDRESS pnclyde Facility NamrlLocanon iJDi$eren0 <br />NAME COLOi:YO CD.4L COPP»:. '[ L. P. <br />ADDRESS~OLOMYO CIHF <br />5731 STATE HiGI!uAY 13 <br />Mt.°.SEP CO d1GJ1 <br />FACIOTY <br />LOCATION <br />RTTN] J. L_ !?R3?!^'1- CPHERAI. R"NiC OA <br />NATIONAL POLLUTAM DISCHARGE ELIMINATION SYSTEM MRDESJ <br />DISCHARGE MONITORING REPORT (DMR; <br />(zas) ry]- 9) <br />r-nrvc M nno . <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM O7 Ol OL TO oq Rz T1 <br />(20-111 (Z3-23) (Z4-251 ~-~ (~&Z]) (YB-791 (OOJf) <br />Form Approved. ~ <br />OMB No. 2040-0004 1 <br />"' f ':'? ° Approval expires 05-31-98~ <br />(=LIEF. l: I+) _` <br />F - ~'?VAL. hl~~$T <br />N;Tlrgn flat SFDI TO ?AYLOC CPE?P <br />NOTE: Read Instructions betorrT'completing this form. <br /> (3 CiW.Ony) QUANTITY OR LOADING ~ (4 Card Ony) GUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (4E53) (54-6T) (3845) a&53) 54-61J EX OF TYPE <br />(32J77 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(61-q) 'w~~ls <br />(64-68 <br />69-70 <br />)IL A9D C. kE4GF? SAMPLE s":: r'i:t'° ( 74) ~ #IdKrO ry:~rr,.:;:0 r•. x: : ~:=t+., <br />VISUAL MEASUREMENT " <br />4066 1 D 0 PERMIT IFC°;:'kr ~ .~~~~ ES°1 k-, _... r _' ;iM+fi~ffi4O $ :::::. ;• o$IC1.T) IS~IFL <br />:FFLUEtiT GROSS YF L`!~: REQUIREMENT 'CM" yy""j~~lYlll ~~0 s y ~x~~,:' ,:, <br /> SAMPLE <br /> MEASUREMENT <br />~ <br />~ <br /> - PERMIT ~5~.y ~ <br />" t tix ~~'a +r o-T-` <br />w: " .n 5.t..-='` <br /> REQUIREMENT - - -" -" ~''- " -~ ~ r - <br /> <br /> MEASUREMENT <br /> ' PERMIT , - -." .: .°. ~.^ ,.: ; <br />jti i : m w"' ~,~.`` `' ~,." <br /> REQUIREMENT - { <br />rs ~ ; Y <br />` "~* - - ~` *.~i+°> <br /> SAMPLE <br /> MEASUREMENT <br /> " <br />PERMIT - - "~" , ~.+~~3= ~ "~ t ~.~ ~ '` ~ <br />~ ~~ <br /> - - g <br /> REQUIREMENT --- t* ~. Xi f?„_ <br /> SAMPLE <br /> MEASUREMENT <br /> " .PERMIT <br />" .''~ ' , 5 ~, `" ' <br />' `8', ` j <br />'' s .:.: <br /> REQUIREMENT . ~ <br />~."_„, w <br /> SAMPLE <br /> MEASUREMENT <br /> t <br /> REOU REMENT , x _' ~ '""t°°'~ #~ ~ '~ ._, <br /> SAMPLE <br /> MEASUREMENT <br /> <br />- <br /> <br />~ <br /> <br />• )~~~ <br />,.:,,, ,-„ <br />~~ ~ <br />,.~, <br />,f. <br /> <br />~ ~:, <br />w , <br /> REQUIREMENT . <br />x L <br />.. -:~ F. ai~6 <br />NAMERITLE PRINCIPAL IXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND 'I <br />~ TELEPHONE DATE <br /> AM FAMILIAR Wm1 THE INFORM <br />INQUIRY OF THOSE INDNIDUAL ATION SUBMITTED HEREIN: AND BASED ON MY <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~ <br />~ <br />\ /~ <br />\ <br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE, ~J~ <br />_ <br />- <br />' <br />` ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICAM 'r'/`"~' <br />'-- <br />\ ~ ' <br />~ I F - . , ~ I ,- I `, PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE <br />POSSIBILT' OF FINE AND IMPRISONMENT. SEE le U.S.C. 51001 AND 33 U.S.C. <br />SIGNATURE OF PRINCIPAL EXECUTIVE /{ <br />~ 1 ', ` 'I <br />~~'1- )~ 111 f <br />~ ) y. <br />~' I ] <br />1 J <br />TYPED OR PRINTED muimu~m~mnnsonme ~ 50eMeen BmesM~ l~ Sude 6rres up In 510,000 uM or <br />P YBer4.J (/OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Flererence all ettacnments Dere) <br />SE'ITLEAbLc' SOLIDS LI.°I; AP?LIFE ONLY IF C= 10-Tfl, 24-N, F. ~!?ECI'? EYF+: "' TS C!.4T`:?^ IF CLAIN APPP.O~ED NY <br />4QCD, TSS ': IaOy LI°iT.: +I LL :10T H% IIP?LLED TO itF.POF.T°D "iFASVREMPM?5--`'FH I.~.I.R, pr, u b110 I.R.ID, PG b. <br />'~ - ' ' • PAGE OF <br />ESA Forrm 332o-1 '(09-95) ~ ~Previous`edifions ma"y' not be used.` (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) 00010„f 9 ~ 4 y Y 2 <br />