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FERRDITEE NAMbAUUNt--rlaK~.r.rmywr ua.. y..vr,•••v nwuoer.,......... o.,......... nl ... ~... ~., roam HPProvad. <br />1!~A(! DIECNARfIE INONITaRINO REPORT fDII~N% y v r a O. a 0 04~ <br />NAME, ~; ..., S~:yA11PA~ YAL{,_Y CO.~L CCRI'. •Fe o P!1^llu~.,L' CO .P .PT ~lN ~°I~'• 4 I+ i• <br />~•~rrf'c~-.I.ZC~3:;"S011TfIr E F...i(IIAK I ~~ ~ CI: o (SI'f?!! :11Y~ ~~}i <br />~1O.Q'•1;•l' Y,1`VERAL CIR..LF PERMI7NUMSER lMetNMQNUMeOI r ~. PTN~1 <br />,..r[ .. • •, ~.vylyx :~U -. - w a u 1 P. a MONITORING PEREOD -. ~ / •1 ~r h• <br />~ <br />~ <br />-,•~ <br />l <br />- <br />" <br />• <br />~ ~~ ~ <br />` <br />~ <br />~~ ~ ~ <br />µ; <br />. <br />>_, t. .. <br />~p <br />. <br />.f:, <br />.:: <br />~:C <br />=i <br />.. .. . <br />. <br />AR MO D Y ~ ~ YEAR MO DAY ~ ... <br />... <br />_'r <br />.. <br />. <br />. <br />.. <br />~ <br />~ <br />~1•: <br />,> <br />' <br />: <br />tOCA <br />pN <br />' <br />~ <br />~ <br />i <br />._ <br />; <br />I <br />. <br />. <br />~ <br />;.. <br />. <br />. <br />T <br />r, u <br />:'; <br />TO o ~ t,.,•,•. y•~ <br />r0 <br />FROM ,~ <br />.^• <br />P !)F7S1 (!6)71 !)6.791 IJ6Jry NOTE: qad InaWDCone bdae oD`mplellnE If141Drm. <br />ATTN i` <br />'RORp ($ ?W <br />(; :'' !1 R R R <br />L 1 iw )1 C !)6)71 !))-] <br />K ° G i <br />F Y <br />: <br />, <br />, <br />, <br />1 <br />. <br />~~: PARAMETER ~ IS Ord On/r/ QUANT{TY OR LOADING ~ - <br />~ !1 CYM OMr/ QUANTITY OR CONCENTRATION <br />~ <br />~ ~ NO IREDYENCr gAMPLE <br /> <br />(~?-771 ~'. 5d-e/ <br />166 <br />~ 61-6YI <br />3!-a tb <br />E% OF <br />'ANMrma <br />TYPE <br />.~ •~ ~~ .~ AVERAGE ~ MAXIMUM UNITS ~ MINIMUM AVERAGE MAXIMUM UNRS IaT•e . <br />/6x•661 166701 <br />~ANGINHSE:; ;TOTAL SAMPLE JGp:rF'= G;Ih6Y:G- :::CRr?~~/: s <br />-~ ( jrj~ <br />O <br />' <br />CY <br />REC>7VgSABLZ.. •; MEASUREMENT ,~ F CAL <br />( <br />.. ~ ,1~ <br />11123 1 > Q, ,. ~;~..:, PER.MIT:~}:.~~ <br />•. <br />:,.,;Cl?i1j 0.4'vl~:":. ~~.: .a{i ~i{c4#:~ .K <br />;;a; <br />. <br />. <br />:> 4:0.7 ~ :;.~... ~h},1i'iE!..~ <br />, i <br />, <br />.~ Q a{{^~::c:::;,;:.i;~.:. <br />~;G, .b~ ;. <br />:~' i`~1{... ~ ~ <br />`' ~$ ~~ <br />.CT•./:~ <br />`:p1.C,." <br />RYi`LUSNT CPCS> yALr1} ;REQia~REMENi= ,........ .. <br />.:~:"` ::,;:;~::i .., <br />.:. <br />, <br />..... <br />':... ..,.._.:: - .~:?rR : <br />.. <br />;.., <br />;.... ;' <br /> <br /> <br />~ . <br />F O%a:;. xN CJJJD:RIT Oy <br />' SAMPLE <br />U s <br />~ ( 33) AGdi01k~ <br />~~~ ~ i`;:rY%`#. <br />'~ rr.}f,:gt~x: Q I .. ,~ AL(7 <br />r:L x.RBATK.~Nl' PLAN., REMENT <br />MEAS C <br /> <br />~ <br />'' ;~0( L : D~ '•` <br />:.. P EMIT";-- <br />';:;<~, .......• <br />.. <br />;R£p4:~h..+'::: ;.,:R.!'iP:D:.R?!'"'` '::;:r!CI~;~i4~o;::- <br /> <br />: : »irndr3..: <br /> <br />~ 'err~::TiC*~";,; ~wN. ` <br /> <br />.: <br /> <br />F . <br />Y G <br />I ~.;. <br /> <br /> <br /> <br />L <br />PPLUENT C R S V ~ <br />TJS ~ LU . <br />;pEUUidEMEnrr, <br />.:.. ...:...:. ,.' <br />...}9nA'a :VG' <br />,,~,:. ,.. <br />s;. .!+: <br />"IGD <br />.; ., <br />:.;::<.: <br />.. .::.';; ..::. -~ :.. <br />!'.,..:.:': .:: ;%. . <br />... _ <br />a!e~'k.a- <br />":?' <br />y' <br />. ' <br /> SAMPLE ~ ~ ~ . -~ <br /> <br />-... ~. ~. <br /> <br />" <br /> <br />MEASUREMENT <br /> <br />~ ~ <br /> <br />~ <br /> <br />~ . <br /> <br />~ ~~ _ . <br />~.tr~ <br />. .: .,. ... <br />~ <br />:.!p%SFERNST <br />~.~..: <br />; it :'::..; '.::i <br /> <br />~..... <br />,:. <br />, . .. ,. ~ .. <br /> <br /> <br />~ <br />. <br />3~L <br /> <br />.:. <br />: ~:.:: <br /> <br /> <br />: <br /> <br /> <br /> <br />. 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SAMPLE <br />' ~ ~ MEASVREMENT <br />.. ~'~:~PERMIT:~.: '~ ~..:..... .. <br />,:.. <br />:.: ~: ~. .': <br />... <br /> <br />... <br />:... <br />.. :.REQUIREMENT: <br />~~ ~~ . <br />::.:. ~ .. . <br />.'.. .. <br /> SAMPLE <br /> MEASUREMENT ~ ~ ' <br /> <br />;::PERMIT: =.. <br />..:. <br />::i-'! ::. <br />: .:::.:::::::::... <br /> <br />;. <_:.: ... <br /> . <br />. ,: <br /> SAMPLE - <br /> MEASUREMENT ~ ~~ <br />.... <br /> <br />~ <br />:PERMITS :., <br />:: <br />I :.::. .......... <br />: <br />.... <br />: <br /> <br /> <br />. <br />~ <br />.. <br />.. , . <br />. <br />... <br /> <br />:;: <br /> <br />....... <br />,. <br /> <br />_, <br />.:. <br /> <br />..... <br />.. ~ SAMPLE ~ ~ ~ ~ . <br /> MEASUREMENT <br /> <br /> ;gEC)i11HFMENT.: :..~::. ~:~:; ~ : rd...:... <br />:. ... .. . <br />NAMERRLE PRINCIPAL EIfECUTIVE OFFICER 1 cfml <br />7dA IA Fr uNDU FfNU7Y DF <br />MIFIM NATN Mf INIO uw TNAr 1 NAVE nRao <br />NMATION eVIMlTifO H xAUr E.TAMINFD AND <br />EREIN: AYD eAe[D OYi ~ TELEPHONE ~ ~ DATE <br /> I <br />I <br /> <br />~I <br />1 <br />1 / <br />~ ~ ~ <br />ItlcFeard Mllis AAITTED INNIRMA710N le <br />RI[ NFDRMATON <br />Fl1EVE THE 9U <br />OFTNN <br />N0 <br />. <br />rlvlronmental Il'~8f1AE3Br ' <br />E rnus ADCURA'E AND COMM1ETE. I AY AWMf THAT THERE Mf <br />NONINCANT P[RAITIEt foR aVOMITnMO fALlF INFORMATION, INClwlxa ,i ,~ <br />(9]O)U]O~2]12 <br />B <br />2r+ <br />9R <br />. TN[ IOaaeILITY OF pNf ANO IMPRgONNFNT, sEF 1^ U.e.t. 1 1001 MID al aN1NA1VAE OF PAINCIPAI EXECUTNE <br /> ~~~~Ml'IFO,oeO <br />w <br />~ <br />r <br />s <br />nra <br />0 <br />~ ~~wM <br />om <br />U <br />- <br />e <br />TYPED OR PRINTED iwer <br />l <br />nv.wr f <br />N <br />THAI ~ <br />. <br />i <br />m <br />. <br />. <br />i <br />i <br />s OFFU%R OR AUfROpIiEO AGENT p NUMf1ER YEAR MO DAY <br />COMMENTS AND EXPLANAIIVN cr AnT vlu~Al wrvs INnenlnea tll err~enmenla nenl ~ . <br />DETHRMLl:F.~30~hAY AYERAf.E ~7df'~KTS!.Ti~'J pSTNG A Np!INAI. hRff„!rTTC "c{ti ttr' nLl +"~'~.`' =:~'UrTS ~°TAIKF:I` ry~•. <br />SAMPLYS ~OLLECTS,~ AT F~1'li'.; DQ1A, DUSA P.~D 007A DCr{V'1 ".`N: DFirnc'rTyr; r~nr,.~_Tr^,.!. D!; Tr, <br />EPA Fam 5.120-1 t0S•e61 ReviouE Mitiona mey bs vasd. (REPLACES EPA FORM Till VVFtlCN MAY NOT 6E USED.( /~ ~ 7 ~ II ~ ~ A C II ~ 7 _ 1 n T ;,. PAGE 1 OF <br />