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<br />PERMITIEE NAMElADDPESB pMd. frWryNr/Locmm yDlp...np <br />NAME/ Pt:{~i:Jn ~h~c~ ::~Y'0.5{ <br />ADDRESSTERfl3H JREEK L7A0)Ui <br />~ 184U HI:,NIIflY 133 <br />PAORIA ,:J 91929 <br />FACILITY <br />LOCATION <br />ATTK: KELLY PHIT'LL'.:R, JPBRATIJNS 'I3a <br />NATIONK POLLUTANT OISCNAApE ELIMINATON SYSTEM /NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT IOMRI <br />z-r61 r7-!sl ,P,UI P)YU 41 T7 RO~BJ~°IC20~'g~(~ 11 <br />E 1 Approve a i e OS-3'1-98 <br />::3;,H uJ..a ~ (Suers Itch 1?`~iP7 <br />PERMIT NUMBER ISCNAROENUMBER F- F L h A L <br />MONITORING PER OD ~ I E O ;t <br />YEAR MO DAY YEAR MO DAV ` <br />FROM 70 J ~'="~ N3 DISC ~.APCE q(YYI #r! <br />!IO-Ill 111-231 IYi?5l ?.~~. 176-771 128-191 196371 NOTE: Re.d IrotrOCFloro Mfon compbtinp Ehiu form. <br />PARAMETER !3 Grd On/y) QUANTfiY OR LOADING'. /~ ~Onlyl QUANTITY OR CONCENTRATION NO FREOUEMCY SAMPLE <br />131 <br />371 146-531 /5451) 38-15! M6-531 /57-511 E% DF TYPE <br />- <br />AVERAGE MA%IMUM UNITS <br />INIMUM AVERAGE MAXIMUM UNITS <br />le7-eel ANKVSIS <br />164681 <br />/69-701 <br />uR if: SAMPLE 0?SSOC ( 9J) {F?btit0 GtF; ;r~ ,., <br />I S U A L MEASUREMENT <br />40bb 1 U U PERMIT ~~ ~: G#9~~#~.} RB~G83::. ~ Es=1 R00li `; ~;" ,... LI>X00 "ee. Yalkm>r'.: a=:: ;: E~:KLY ISUAL <br />FFLUEYT 3ROS5 YALUE REQUIREMENT ~ ^')`~^ <br /> SAMPLE <br /> MEASUREMENT <br /> ~. ~PERMIT~ ~ ~ ~ ~ ~ ~ ' <br /> :REQUIREMENT ' . <br />:,..:.:. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~ ~ :;..'~e^... ~ ~ . <br /> REQUIREMENT ~ ~ ~ ~ ""~- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~ _ . <br /> REQUIREMENT ~ ~ '~ <br /> SAMPLE <br /> MEASUREMENT <br /> ~P..ERMIT ~::. ~ ... ....:: .. . <br /> ;REQUIREMENT ~ ~ ~ ~~ ~ ~ <br />.:.: <br />'`. <br />,:: . <br /> F.: <br /> SAMPLE <br /> MEASUREMENT .~ <br />` <br /> PERMIT :.~ ~ ... <br />: <br /> REQUIREMENT ~ ~ ~ ~, <br />w <br />.,..: <br /> SAMPLE <br /> MEASUREMENT <br />~ ' <br /> PERMIT ~ ~ ~ ' ~ ~ ~ ~ ~ ~ ~ ~~~ ~~ <br /> ~REQUIR.EMENT. <br />~.:. <br />. <br />.. <br /> <br />.: ~. <br />.... <br />~ .., ..: ~. <br />~'. .. ... <br /> <br />~ <br /> <br />x; ~,. <br />~ .. ' <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENKTY OF LAW THAT I NAVE PERSONKLY E%AMINEO AND <br />AM FAMILIAR WITH THE INFORMATION SUBMITTFD HEREIN <br />AND BASED ON TELEPHONE DATE <br /> ; <br />MV INQUIRY OF THOSE INDINDUK9 IMMEDIATELY RESPONSIBLE fOR J ' <br /> OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION 15 f <br /> TRUE, ACCUIUTE AND COMPLETE. I AM AWARE THAT THERE ARE <br />SIGNIFICANT PENKTIES FOR SUBMITTING FKSE INFORMATION <br />INCLUDING - n <br />- <br />H <br />O <br />oD1 <br />~4 <br />2J <br />~ <br />F , ~ 5 <br />9) <br />SS <br />, 9ZJ <br />~ Y <br />.e <br />ritz 1 e r nDC' r M(] r THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE t8 U.S.C. F 1001 AND S] <br />N TORE OF C <br />B <br />E%E <br />E . <br />' <br /> U.S.C. F tOtY. lP,rWeY, uMU err mror, my Ytehd, r,r, w ro FIO,000 IO <br />WAL <br />CUTN <br />TYPED OR PRINTED ntawn>•+hR.n inp(anwrrWArMrt snwrtA,W 6Y,Arn/ OFFICER Oa UTHORIZED AGENT CODE ~B~UMBER YEAR MO DAV <br />cummcn 1 a ANU enrLAnn 1 wN Ur nnT vIOLA I Iona rrrsrsrsnn di snacnmenrs nsYSl ' <br />SL'fTLEAeLE 53LIDS LI9IT APPLIES JSLY IF C= 10-IR, 24-9R ~RE:;IP cY.;t:T iS CLAIMED. Il;'¢3.AIM APPR'JYED HY <br />YQCD, TSS ''. CH3N LI'fIC:3 iiILL N3L' N~ APPLIED TJ REPCRT'U '1EA2iUhi.iiEV1'_i--S E In9.lA, Pfj`~ AND I.D•1D, P3 6. <br />STORlIRATP.R KANB :7•G'N L' of -N hIIP 1.1 -V a. ~ ..~,~. <br />mey <br /> <br />REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 013097 0819-1254 <br />z °F <br />