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PERMITTEE NAME/ADDRESS Ru~• FsWryNsr/Iaulm dD1A.nv) <br />"""~ (,:•I M1w '~MF'IKT. I:uKF•ul<i.TIuN <br />ADDRESS}y!~ U p[j )( bb <br />~`1.ItAlU <br />(,U 61uC~i <br />NATIONAL POLLUTMT DISCHMGE ELIMINATON SYSTEM lNPOESI <br />DISCHARGE MONITORING REPORT IDMRI <br />/2-161 /17-19I <br />PERMIT.NUMBER DISCHMGE NUMBER <br /> <br />- hlrJaL <br />Form Approved. <br />OM q, 200 0004 <br />A~p~o~e~ ~explr~§~5-31=98 <br />1~~'i i <br />MONITORING PE IOD H I NUR <br />FACILITY CYPKUS GMP1Rt (, i[+{f UrtAT lLlh VEA DAY YEAR MO DAY <br />LOCAT101~hA I V ~CJ :J10L J FROM O1 TD: 0 0 #•Y4 Nu U 1 y(, rl .i.~i~t '•••"• <br />H T T N H [ ~; TIAt W . UG H E ~ P1 ~ Iz02U 31 lIy251 ~;;. lZ6-77J .!26491 !36311 NOTE: Read ImtrucNom before complatinp this form. <br />PARAMETER . !3 Gjrd Ontyl ~ OUANTLTY OR LOITDI (I~Q~Qntyl QUANTITY OR CONCENTFIATION NO FREQUENCY SAMPLE <br /> 146-631 !546!1 ! -451 !46531 154-6/1 of <br />TYPE <br />l31-371: -AVERAGE` .. ':. 7MAXIMUM UNITS, . + INIMUM ~ AVERAGE MAXIMUM UNITS /sz-6m MAtvss <br />164661 169-701 <br />I_I.lUSF T:1TA1 SAMPLE ###,r## ##8>ir## ##t4'(ffi# ~f,~ <br />~ n 2 ;y 1 C- i <br />~, <br />11» <br />LVtU M~ASUREMEN7 vI D ll <br />/ <br />1. 1> <br />i. <br />GG~17 1 U U ~..::;BED.: ~;4~ <br />' ~:.. <br />::`:~~11f.YI:V13[!11~01 -~.:~E~R+1~~:7K:~:: Ii+# ':. <br />~~4~P.+ji:!(~Y:: !.~~ <br />;If~~~R7~~~~~~. ~~P~ <br />a:U~fAL ~ :: I',~L.Y ~ ~., 1c <br />, REQUIREII/IEN <br />I: . . : <br />I ,; <br />• . <br />.. . <br />h r v , ~ . <br />~~ ... # .:. <br /> SAMPLE ~ ~ ~ - <br /> MEASUREMENT - ~ ' <br /> j~I ;. s ' <br /> MEN4~; <br />s'R <br />EQ~J$1 ~: ~: . ~ ayf_.;,^"~ ..3.:` ~ . <br />;.;:~ss: <br /> .. <br />. <br />~,. ~ . . <br /> :SAMPLE ~ ~ <br />~ ' <br /> MEASUREMENT ~ va. <br /> s: <br />: <br /> ESE4VI. ..:,E <br />..;:. <br />.:. <br />. <br />>. <br />~: <br />~:: <br />- SAMPLE. <br /> MEASUREMENT <br />~ ~ ~ ~ ~' <br /> .. <br />.: ., . <br />~ <br /> <br /> <br /> <br /> <br />~~~ ..• <br />.: <br />,, ..:. . <br /> <br />,. <br /> <br />, :.. <br /> <br /> <br />::.. <br /> <br />~ .SAMPLE '~ <br />. ; MEASUAEMEN <br /> ,. <br />' ~~ <br /> <br /> <br />- .. .....:.... <br />< ., <br />- .::.:~:;. <br />~' <br />; y~ <br /> ,t <br />:157i~. ~li~R.EI~;t.EN~e <br />.4 ........,. ,. <br /> <br /> <br /> <br /> <br /> <br />.. . <br />. <br />: ~ a"~ . ~~: "•-~1'.::::~n. <br /><:.,.... <br /> <br />a <br />s~ ~~ ;s:... <br /> <br />.:: ~.:.. <br />...: <br /> <br /> <br /> <br />; . <br /> <br /> <br /> <br />. <br /> <br /> <br /> <br /> <br /> <br /> <br />. <br /> SAMP ... ~. <br />~~" r- <br /> MEASUREMENT ~ ~ ~: <br /> .. .: <br />j... <br /> ;.:. . <br /> sAMPGE <br /> MEASUREMENT <br /> ... P <br /> <br />•,; ;;> <br />- ~.. <br /> ,:: <br />~:: <br /> <br />, <br />.:e::'~ <br />• ~ <br /> <br /> <br />i.. <br /> .. ... <br />r ; . <br />: <br />..:.:. <br />NAME/TITIE PRINCIPAL EXECUTR/E OFFICER <br />' I CERTI FY URQER PENALTY, Of <br />' lA TNAT I HAVE P[[R50NN~ALLppK FxAMiNED MD <br />R ~ <br />~ TELEPHONE DATE <br /> <br /> <br /> <br />+ciJ:;rd i11II5 AM'FAMIUAB WITN THE <br />INF~ <br />MY INOURY OF dNOBE (N <br />OBTAINING TNE.INFO(WA71{IR <br />Tft17E. ACCUMTE ANO COId <br />$ GN <br />FlCMT PENALTIE FOR' BMATION S MITTED HERl1 <br />;.ANO BASED ON <br />pryIAUKS UIMEDIATELY RESPONSIBLE FOR <br />.7 eF~DEVE T!~ SUBMITTED INFORMATAOy f5 <br />.Ri I:'.AM AWME TNAT THERE'7!E <br />~~ <br />Y1 <br />M <br />IFTIN <br />" F <br />SE INFORM <br />TION <br />INC . <br /> <br />~ i/~~"" r/". / <br />~/J/ <br /> <br /> <br />/ <br /> <br />6" VIrO.llib'.I ll.ii~ ~.~IO rI F:C@I' I <br />, <br />THE POSSIB4ITY OF NNE MO~ Qp <br />Q <br />µ <br />, <br />QQ~~ <br />_~ <br />A <br />SIEEISONMENT, SEE IB U.S.C.11001 <br />~ <br />7 <br />~7e-2~1~ <br />I7 f <br />~~ r, <br />`~~• <br /> C_! 13fa <br />r+µ mnm+ mrY hcM <br />d+ r.w+ R+ ro S <br />` <br />V <br />S <br />IMWbs Indo r ~ SIGNATURE OF PIIINCMAL EXECUTNE AREA <br /> <br />TYPED OR PRINTED ~ . <br />. <br />. <br />. <br />. <br />( <br />ud u~m+rinun Mpiea~+rwn olbrfiwrsmonN+uNSF.+ral <br />~OFFlCER OR AUTHORIZED AGENT <br />CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relarence sl/eftschmenh hare) <br />:-Lw+ LIr".L1 APPLIES IG~CUM}iLVEU FLGN FKUI1 U0.1! U21 a: OZti.'`~;.'~F~IL E GktASc .S~:wu ~AMPLc ar.ALYS[~ r•iVul;<=_L~ it <br />vI~1Dlt ~Hc'tN IS LIdStRVEU. irKTRLY iAMPL1NG 1NSTRUCT1uN~-1.C.da VG i(. <br />EPA Form 3320-1.108.95) Previdua edipona mey be used, 1R ,LACES EPA FORM T~O'!'FlICH MAY NOT BE USED.! PAGE OF <br />OU619/9b1UU1-1311 - 1 <br />