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PERMITTEE NAME/ADDRESS(ImLd. F,ell/ry Naw/Ler,now l/D~innp . NAME ; l,rH>'tUS LMP ILL CUkr'uKAT IuA nsP LI dGx bt! • CRAIt: CU u162b FACILIrrCYPRUS EMPIRE CUfiPURATIUN Locnno ~kA I ~ CU 41625 ATiN N11.MAEL N. LUGLLIH. GENE itat MG2 ~-- NATIOMAI POLLUTMT DISCNMOE ELIMINATION SYSTEM (NPDESI DISCNARGE MONITORING REPORT lOMR1 a-/5~ n7-rsl 51'uILS JF' rug I+..I~l n» a SUisk wa PERMIT NUMBER DISCHMGE NUMBER F - FINAL MONITORING PERIOD M 1 NLiR .YEAR MO DAY YEAR MO DAY Form Approved. OMB NNo 20 004 rJ Trl t. JEErAppl vLl e~pires ~OS X3198 1L.34`z FROM ~9 Oj G1 TO~?~,1R ().7 31 Y''•••r iJt; UI SLHA?L•L '•"•`~` '@OFLY;I. r77-731 114151 /16171 r18-191 136311 NOTE: Raad IMtrYCtIOM before Complatinp this form. PARAMETER !3 0.(d Onlyl QUANTITY OR~LO ~ G~ l4 Grd OnlYl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE (46-53/ 150-6r1 ~. ~ - ' (38J51 146531 15461 E DF ~ I31-371 ,~ X Mursls TYPE AVERAGE MAXIMUM a5~ MINIMUM AVERAGE MAXIMUM UNITS (61.61! (64-68I (53701 ~I,;LIUSE TuTAL SAMPLE #sI#4## +F##4iI ~, III,y>f,Yl4 'l~l~ -7 19 4 11iSULYEU MEASUREMENT - ~-„ ~C.ZO C; /r~ CIF."~1 ~ OCY~ 1 0 U ~~ PERMIT...::: . .. Aa:+~..~~>e ~ .: .. .., .... -ps~41a1`ak~A !- ~ ~ x~,;• 4.. , ?k~l?ifi . ~ ::ii~rt~K:r _ ~I~r.I~NxL • . iaLr -z~ :FFLUENT tlRUSS YALU REQUIREMENT. ......... . .. .. ,. ... ~ ... . .. .: . F#Mr :. :::~:'....: ~. ~... .e, ~:':4s ~•:: ,; . ,. R ..A..G I::-. . ~'4la k ~ MI ~ . SAMPLE MEASUREMENT :. ~:, ~; :PERMIT..: .. .. .. .... ...~.... ...::'...~a ~ ~ .s:jsi- ,.<: .. .~< ~.1.::: ~.; :~ g`c" ': • ~ . 'REQUIREMENT . :" : ..:. s • ::~. .. ~~ ..bf ; .~ :. . .,.:.:. SAMPLE MEASUREMENT ....PERMIT. .:,; .•..~;.< : ~~ ~ ~ ~ ~ ~BEQUIREMENi ~ :~ : :,::': . -: Yil~<::.;':.~ ~1 SAMPLE MEASUREMENT ~~~-:~ PERMIT . .. ... .. ...... ~ ~ ~ ....... ...~: .. .. :~::::~ : ~ ' REQUIREMENT. ~ : ~ .:.;..:. . .:. . ~~:~:; . SAMPLE MEASUREMENT ~ .::..:PERMIT ~~~: .. . .. .: .. .. ..:::...::.:.~.: ~.,. ~ ... , ~ .,,.::~.. .<~.... . REQUIREMENT: .. ~ ....:.::.: .... .. .. SAMPLE MEASUREMENT ~ ....PERMIT...::: .. ....:.. ~ .....:.. ,:... ~ ~ 'REQUIREMENT': ~ ... ..~ ..... ~ :::::..~.:: ~. . SAMPLE MEASUREMENT i:.. PERMIT:'.: . :' ~~'.'z ;;;.;. .. _ ;REQUIREMENT:~ ~..:~ ~.~. ~..~. ....: .::. ::~:::':.:..: .. .. .. NAME(TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I NAVE PERSO AM FAMILIM WITH THE INFORMATION SUBMITTED H NALLY EXAMINED MD EREIN MD BASED ON ~ TELEPHONE DATE ; MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOP Richard Mlils OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE ACCUMTE D ETE ~ ~/ r ' 1 ! ' ' EnVIrDnFneTltal A9aT1aC lIr , M COMR . I AM AWME THAT TXERE ME BIGNIFCMT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING I / ~ j -.yn._% /Cl/: ~ r 1~f 970-870~2'71i 4 ~f 28 99 J , THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 1B U.B.C. ! 1001 MD 33 _ yr ~ BIONATURE OF PIIINCIPAL EXECUTIVE a h.0, rxNr, Im ro srooav wp u . a ': "M` m ; ' AREA TYPED OR PRINTED nl ,IS , .r wrpror tM . w , wral OFFICER OR AUTHOflIZED AGENT CODE NUMBER YEAR MO DAY I:UMMtN IJ ANU CArLANAIIVN U~ANT VIULAIIVNS IHBFBreOCe a//IffeCOlllen rs D6re/ Flun LIMIT APPLIES TU CUMbtNEO FLUM FROM 003! 022 L J24• JIL E. GREASE (,i2AtS SAMPLE ANALYSIS KEuUIkEL' IF V1SLbLE SHEEN IS U85EiiVcii. ukTRLY SAhIPLING 1k5iRUCTIUNS-I.C.aF VG X. IRerLnL:w erA roam I ou NE USED.I PAGE OF ~, 009~1/9b10U1-1911 1