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PERMITTEE NAME/ADDRESS prYJr FrWry N~./locum,/Ulg,a) <br />NAME CYPRfI~ Y"IPA PAL?. ) 'DAL CORP. <br />ADDRESS "IINIi .; 1 F ':.3 i(J L1 T;Ir P, ':KPAY ~ i <br />9100 'r. .4 -' !T •:FREr ,-~ ..L^ <br />FACILITY <br />LOCATION <br />-.-i'.. ~O8R15. '"'., ~.t••':.`L ,1TyY <br />NATIONAL POLLVTMT OISCHMGE ELIMINATION SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />I1-f 51 lI7-191 <br />-~n 1.71'1 ^~U A <br />PERMIT NUMBER DISCNMGE NUMBER <br />MONITORING PERIOD . <br />YEAR MO DAV YEAR MO DAV <br />FROM i ' I J _ TO "`f ~ .. <br />!/6111 l11-131 !14151 !1617/ l1e-191 136311 <br />Form~Approved. <br />NT L'c . n,lyn r_• Tr)Of¢B)No]2040-000,4.,E <br />- r A rovtil N e05-31-98 <br />(c., ..r !..? PP ~q f <br />r r~ F1~I <br />,.. T/.. <br />_ _ ~J <br />., P <br />NOTE: Reed Inetrudlorn Mfore,eo pMtina this form: <br />PARAMETER !3 Grd Ontyl QUANTfTY OR LOADING !4 Grd Ontyl QUANTITY OR CONCENTRATION NO FflEOVENCY SAMPLE <br /> 146531 1546/1 lie-<51 lab531 !54571 E DF <br />/37-371 X <br />MALYSIs TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !rasa! 164551 159-701 <br />~.. SAMPLE .-,-r'X'.`--;: ..'.:t ~'.: <br />1~1 <br />( <br /> MEASUREMENT <br />vI!~: (? _ U .1 PERMIT >r:::'-~.,`; .:--'F0$::: .. 6.$ r. °,c.•`# r/.rt ?prly kk9 <br />.. U :,s ~_' ::F:, ~ _~ V 0.:.11.` REQUIREMENT ~ #'t' % 7I D1Jre t1 "!.. '"'~Y T"(t!'. ~rJ . <br />.OL.J::, ~iA! SAMPLE ^-Rk.,w R;x,••:a.'s ',).'t;Y!e•:a 1 Iq~ <br />-„-'1 _ -, J MEASUREMENT <br />%~-.'U f1 _ PERMIT Yr G3'SGO D>~G4c001 g '.t'.". 3• "•. <br />_: E: ;; CO, `~,; ,y r; ,,: C.]W REQUIREMENT 3'k:r LOOP -.7l: tAT IT 1`!T '!G/L ~.1 *~Rv <br />i0L!:'I:it '")P' SAMPLE gp7~:`.r ..,°.',t ': !:>`:::.•« ( 101 <br />? O; p 1; y p ~ U MEASUREMENT <br />.l:i~;jn 'I C ~ PERMIT ;:Rr„h:~ A.r;ti~~a ~ 2-kt*':a:: 35 7(' I ..Irc/ -pqa <br />' °G':. [: c."+T °aF^ :' ,~ALOi REQUIREMENT <br />~ ~t ~:7s 9!lp s, ;t•^ 00.T1,r N!'f ""/I. '4 •t~T~1 <br />~U' IJSr SETTG SAMPLE <br />". , . . <br /> MEASUREMENT <br />.~7U7 /) 0 Q PERMIT :SOIR+f2~..r: ::t.;-:;e„R.f # ~'.`-:: 071F,.•C.,~.`~: "PQAT (`.c <br />~ Sr-/ '~I~ <br />-F:- COt1 l1aYT5 U".7'+ REQUIREMENT ., ~'1 l~E A9G C:T 1.'f teX `1L/1 v'1''•^u <br />iI:LI OS, S T~=L°',"L:: SAMPLE OD XtS~` ^!~:: :: .. ., ( Vic) <br /> MEASUREMENT <br />~'Ji45 1 (1 PERMIT ;:Crsc~:s:: ~G1}?;:>w Y t,.rjy '.: #•:•t:?C. '15:P')RT »~.F`.:~"' :-c! :4F:i <br />_':''LI7'r,NT ;:I{3'iS YALOc <br />, REQUIREMENT a.;t~: ~nr7 ;Y^. ~liTT.~ <br />' <br />'i, f+U '; k::A.SF SAMPLE ~~~~^•':^^ 3Si:r^'.: "S::s'.: «-._ .: ,..:.. <br />T )~ <br />:. V E K " l{ - ~ :J P. V " ~: T [{ MEASUREMENT <br />/C'_'S5 1 U U PERMIT ,-'?P,^•: #~;-~±:r ^: r::: gAt~r.~_~ t....Oxr :!T ~V TTM apR <br />'~FPGJ$RT ~:Ha.',' 'ijL~` REQUIREMENT ,t :~:`~ T•egq "~A$ ~;/I. ,gym <br />1 ~:) Z is SAMPLE .^.•3v;: ;: ^:: Ct`: ~'.::: a..,.a.~.. ( I `1) <br />(,qg F•.~ MEASUREMENT <br />:'1vU5 J ~ PERMIT =~!rGR~ +:=L=:F;: rr -^., C am:?; zr,.z-:rte ~rrngm ;rr1 :.- :/ ~I. <br />q <br />.. c. Owv~F,m,. ~ ,L:. .F 'REQUIREMENT ::p l~nA AC^ ~9gTI: , <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDEII PENALLY OF LAW THAT I NAVE PERSONALLY EXAMINED MD <br />AM FAMILIM WITN THE INFORMATION SUBMITTED HEREIN; MD BARED ON <br />~ TELEPHONE DATE <br /> <br />nn ,1 <br />r.lC f181-:7 ~'. <br />~ I,5 <br />MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY PESPON9BLE FOR <br />OBTANING THE INFORMATION <br />I BELIEVE THE SUBMITTED INFORMATION IS / <br /> <br />i <br />~ <br />/ <br />. <br />Fnvim~r^e^i-~ ~ ~'t~Or]P , <br />TRUE. ACCURATE MD COMPLETE. I AM AWME THAT THERE ME <br />SIGNIHCMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING / <br />.~1j ~/~ <br />~' r'/ ~ 9% ~ 1t]L-~7 <br />: ~ ~ `1 <br /> , <br />I <br />TV <br />F 1 ~ C ~ <br /> THE POSSIB <br />U <br />O <br />RNE MD IMPIIISONMFNT. SEE 18 U.S.C. f 1001 MD 37 <br />1 t 3t e <br />C <br />lA <br />n <br />S <br />Y <br />W <br />N giONATUflE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED . <br />. <br />eu <br />e <br />. rw <br />rw ml,m• „rY N.cMS~ rxw. w ro t 10,000 <br />U. <br />. <br />r <br />.nswmuinunlrrotlraN~.llrN a/Mnrwn smmeuw 6Y.val <br />OFFlCEfl OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAV <br />COMMENTS AND EXPLANATION OF ANT VIOLA I IOlva 7rtererence en srrecnmenrs oars! <br />,..:CRNA'"': It _.__ .0.. ,iF "^.N ~'TTL°:AI?I/. ,nLID~ (.'.'1" r]E~ ..vlv_ n.ITo r- !c l^-, ~I_:a ~or`r~, -,n,l., <br />='i .: L:.~:"..1. ,'"' ..`..%t ~; 1,, %U° '•7?"N ^~ PRDOF ~~'1T~ ".' -, 'ITT ;. .~~,- _ ~^.!'"' °/, r^ . <br />I,T_fv C!^,•T :: nn r.r~.-1rr-IVr nn ~+.., r1rc nr <br />EPA Ftxm 3320-1 108-s51 ' Previous edmone may be used. (REPLACES EPA FORM T<0 WHICH MAY NOT BE USED.1 n ~ ., ~ r. / ~, ^!I r, .7 _ I °, T n PAGE ,1 OF <br />