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PERMITTEE NAME/ADDRESS (IMrb FsWyNar'Lecmrr UDl~i.rr) <br />~= OANRID„E EYER:,L IYC. <br />~~ 6C1R8DN JDNCiCDN RISE <br />~~ 2Ttl SAYiER DRIVE <br />e~ <br />NATIONAL POLLUTMT DISCNMOE ELIMINATION 4YSTEM (NPDESI ~ Form Approved. <br />DISCHARGE MONITORING REPORT lOMRI B No. O 0004 <br />r1-rsl lE7-ESl S SEDI POND 1 TO ~~' ^~~Y'T <br />r ^a nm7 not ($UBR $N). PproveL Zp3u50~15-31-98 <br />PERMIT NUMBER DISCNMGE NUMBER F - FINAL <br />-~, DURANGD L.D eliUl <br />~ MONITORING PERIOD RINOR ,•„ <br />OABBID;,E ENER~i IYC• <br />~rn YEAR MO DAV YEAR MO DAY <br /> <br />~_ N FROM <br />00 <br />D4 DL <br />TD -DO <br />~Ob <br />0 <br />#a# NO gISCNARGE <br />NOTE: Rse Instruetlone befor __ <br />{ <br />e CDm <br />~ ### ~~' <br />lstinp thu form <br />NOEL P ~ U P $ R Y P R P. S I D E N 2 1161/1 l11-131 !1415/ 116-171 178-19J !36311 . <br />p <br />PARAMETER !3 Grd On/Yl QUANTITY OR LOADING f4 Grd Onlyl QUANTITY OR CONCENTRATION NG FREQUENCY SAMRL'€ <br />r~ le6-531 1546E /3Bd51 !46.53 !546/1 OF y <br />l31-371 EX <br />MALrsls 7 <br />PE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is7-sJ/ . <br />164661/ / <br />!63701 <br />JIL AND GREASE. SAMPLE #asaaa ( gr) aaoa#~x aaa as #a#a## <br />V I S U A L MEASUREMENT <br />94066 1 0 0 <br />~: ~PERMI7~. :.. <br />.: gIG&k~f Qr#~ <br />.::. R~BP:Q:RT~ <br />ES=1 <br />aa~ar:rF# <br />..:a <br />~. .+:I3M 71# ~~$ ~ <br />~ ~ 91C>~~i>p11R <br />. <br />rpaa <br />.E EKLT <br />ISOd~ <br />BPPLOENT GRDSS YALUF REQUIREMENT . <br />. . <br />,. <br /> SAMPLE <br /> MEASUREMENT <br /> ,,. <br /> :REQUIREMENT '. ~~ .. ~ - ~ ~_ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ <br />( <br />.:.. ~.~ <br />. <br />. <br /> REQUIREMENT ~. ~ ~ :~~ . ~ ~ ~ <br />... <br /> <br />I <br />~ ~ . .. <br />.~i . . <br /> ... .. <br /> SAMPLE t <br /> MEASUREMENT ~ <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT D <br /> 'PERMIT- ~ ~ ~ ~ ~~ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT: <br /> REQUIREMENT ~ ~ ~~ / ,. _ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />" ~ <br />~ <br />~~ <br />~ <br /> ~REQUI.REMENT: ~ <br />~~ ~ <br />~ ~~ <br />NAMElT1TLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF UW THAT I HAVE PERSONALLY EXAMINED MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON <br />" <br />/ TELEPHONE DATE <br />f/ Y INQUIRY OF THOSE INOIVIOUALS IMMEDIATELY RESPONSIB <br />E FOR ~ <br /> <br />~ <br />/'~ Q ~(( (, ~(PS (,G <br />/ M <br />/ ~ <br />L <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IB ~ <br />~ <br />, <br />/ TRUE, ACCUMTE MO COMPLETE. 1 AM AWME THAI THERE ME <br />SIQNIRCMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ~ /1 NI1 <br /> <br />. <br />THE POSSIBNTY OF RNE MD IMPR <br />SONMENT <br />BEE <br />1 1001 <br />S <br />C <br />r ~ <br />~,J7f1 <br /> <br />/r6(~ <br />/n <br /> . <br />I <br />18 U. <br />. <br />. <br />MD ]3 SIGNATURE OF PRINCIPAL XECUTNE 7 ,/ <br /> U.B.C. E t 31Y. rwlw./ uK~. N.r mean. rRry Nep.i~ hwa w ro t 10,000 AREA <br />TYPED OR PRINTED wrcmrinun MF.:ANtnrm a/lnMrnsmmtlnwsPAVA! OFFICER OR AUTHOR/ DAOENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY v1ULA 1lons lRe7erence en srrecnments oars/ <br />r <br />SE?iLS~BLE SOLIDS LINIP APPLIES ONLY IF C= lU-!R, 24-NR PRE~lY hYE6T IS CLIIlIED. IF CLAIn APPkDYED Bt <br />^QCD, iS5 G LRON LIMITS DILL NOT RE APPLIED TJ REPORTED 7EAiUREtf3NTS--S E I. B.lA, PC S AND Z. B. 10, PG 6. <br />EPA~FaF TO=Y 108- ieGioua editio a be'11b d. • /REPLACES EPA FORM T40 WNICN MAY NOT BE USED.1 PAGE OF <br />0344/970814-;,535 Z <br />