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- - <br />PERMITTEE NAME/ADDRESS QM~4r F.rWryNw'lararw //OGi^^e NATIONAL POLLUTANT DIBCNMOE EDMINATION BYBTEM /NPDfSI Form Approved. <br />D A/ <br />M <br />NA <br />E DISCHARGE MONITORING REPORT ! <br />OMa No 20,40-0004 <br />l;Yl';~t;J '~tt~:nt C'Lin.r~L~:.T:~_.. r7-1si r7as1 ~~;.,, L, .,..-rirv T'.: ~ <br />Prov`e <br />texpirb'e05=37x98 <br />3 <br />P <br />` <br />ADDRESS. r <br />a DU.t bd ~ 4 4 C;~I~+ ~V :.K •'LI 12~/1i <br />"~ <br />° <br />l.Ka1u PERMIT NUMBER ,~cNARCENUMBER. <br />• <br />C C o f 020 <br />F- F l h:a <br />~ <br />~By <br />FACILITY CYFKUS EMP1R"E r, PUkAr1Gr: ~ ':~ •~ MONITORII'PERIOD MIt`Uk <br />// <br />`~ -MO DAY YEAR MO DAV ` <br />~ <br />LOCATION ~+rrl <br />, " <br />(, k A l V L <br />N <br />FR <br />TO <br />1 <br />1 <br />~ <br />5 <br />/ <br />~ <br />. <br />O V j <br />6 <br />O <br />v <br />0 1 <br />b~ <br />+i <br />O <br />aA <br />o <br />otr e" o7npbt/n0 Hrlr form. <br />NOTE <br />i <br />Re d <br />u <br />a <br />~r I rT MIGMAEL ~. LUD GENERAL NGk lla. 1/ x77=73~ n+ISr /7677/ /78-791 !36311 i <br />PARAMETER ;a: `~'~•~ 13'Are Onlyl QUANTITY OR LOADIN !I Grd Onlyl QUANTITY OR CONCENTRATION '` ~ ~ <br />~ ~jp~ $EwENer SAMPLE <br />137-371 -'i~ !<6531 x566'/ "t- ~ <br />1 138-15 /4653 5+5P 1L" <br />~ OF TYPE <br /> ~ ~ 'pdA''rsts <br /> '-'AVERAGE MAXIMUM S MINIMUM AVERAGE .MAXIMUM UNITS m3-sal ,15+581 rss-7oi <br />JLL1USr idTAL SAMPLE •;IP4q rn.}r,<7;: <br />;~~#*,~ . <br />ly <br />U1S~UL VcU MEASUREMENT . 'i ~ <br />IG[y7 1 (3 ~ PERMIT <br />... ..... .. <br /> <br />_a: <br />4~rt+Ii~~ <br /> <br />;.. <br />- <br />ilk:#.>r'+F <br />a+R@ ~~: <br />:`.~; :.. .....~ ~.~. <br />- <br />:M~#` ,. ~.~d <br />tf , <br /> <br />irP~r!R: ~" - <br /> <br /> <br />"~Q~:Yi~'.{, :.:. <br /> <br /> <br />.,,, <br /> <br />{~.~y <br />..';f'R#: ~~.'. <br />, <br /> <br />.. 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' <br />.~. ..... .:~: :~:.:. <br />3S <br />~ <br />~ .:~ <br />~ <br /> ;REQUIREMENS: <br />,. ~ ~. ~ ~ <br />. :. ~.. ~. .. :::;::~R.:~.:': . <br />~~<`:~~~:'s:: :: ~:~;~:~~~:: <br />:'~::~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ~ .. . ~~:~. <br /> ... <br />~.,.... e .... ....... . <br />.:......... .....:........ <br />.: :... .. <br /> <br />..... <br /> <br />.. . <br />NAMElFITLE PRINCI ~ L.EXECUTIVE OFFICER I OERTI <br />AM FA FY UNDER PENALTY OF L <br />MILIAR WITH THE INFO AW THAT I NAVE PERBO <br />RMATION SUBMITTED H NALLY E%AMINED AND <br />EREIN <br />AND BASED ON <br />n <br />~ TELEPHONE DATE <br /> ; ~ <br />l <br />~ <br /> <br />Richard Mllls MY IN <br />OBTNN QUIRY OF TNOBE INDINDUAl6 IMMEDIATELY REBPON9IBLE FOR <br />INO THE INFORMATION, 1 BEDEVE THE BUBMITTED INFORMATION 19 ~~ <br />~~~ ~ <br />` <br /> <br />Environmental I1Aanager TRUE, <br />SIGNIR ACCIMATE AND COMPLETE. I AM AWARE THAT TNERE ARE <br />CANi PFNUTlEB FOR BUBMITTINO FALSE INFORMATION <br />INCLUDING i j ~ ~~ .% ~' <br />,(fir <br /> , <br />THE POBBIBILITY OF RNE AND IMPIIIBONMENT. 9EE 1B U.B.C. 1 1001 AND 77 , <br />BIONATURE OR PRINCIPAL EXECUTNE <br />~ ~ ~ <br />~ <br /> u.B.C. 1 1]i0. IIMWEY. uMrr Ilww mvw. nlrY MIeAIOr fw. w ro t IO.000 <br />M <br />~ <br />TYPED OR PRINTED Ane armuMMn MIPrlwwlwrtWe.rwwn BmmNa rg6ywa/ OfFICER OR AUTHORRED AGENT. CODE BER <br />NU YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rslersncs sl/sttsehmsnm hare! <br />~cTTLLabLL ~UUL.S L1F'li vigl'YLU FLJn lUYkrC4NK P~tt(,li- LVL',1-5cL-l.N.~r rli !Vr i-uK nt.lvlr<GMLI\T S:+ UIL ,: <br />L,k~a~t L'r~Ad ~A1•tF'Lt AI+AL.Y~iS rcEGULrtEU 1F VISIBLE $n~L(+ It; LJ~ch"1:.1,. :;I~T~Lr ~aMF'Llr.t, Ir;SikuCrlGr~S-1.C.t1, <br />~~. Y <br />EPA Form 3320-7 (08.961 Previous editions mey be used. (REPLACER EPA FORM T<0 WHICH MAY NOT BE USED.1 <br />PAGE <br />OF <br />l <br />0 V 14 5 / 9 b 1 U U 1 ^ 1 j ~ 1 <br />