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NERMITTEE NAMEIADDRE59 p..r+lrNryN~/Gwrr.. yDr~,..,v) <br />NAME CYPP.US EMPIRE CORPJRATION <br />ADDRESS EAi~LE "LINE cunPLEY <br />P. u. RDx 6a <br />CR0.IG CJ b1b15 <br />FACarrr <br />LOCATION <br />ATTN~ ff_F"f N'. .^^• ~_ Vu.Tne v O <br />Farm Approved. <br />NATIONAL FOILVTNiT g50NMOF BIMIMXTION SYBTFN ((NPDESI OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT /DAIRI ;$ I N O R <br />000 4 4" ~ (BURR :!C) <br />PERMIT NUMBER dscNNIDE NVMeER r' - FINAL `10FAT <br />MONITORING PERIOD CIiRONIC 4ET TE.iTING AT 022 <br />YEAR MO DAY YEAR MO DAY <br />FROM TO I are NO DISCHA:aCE (_~ ~°`f' <br />NOTE: Reed IrlXtructlarr belwe comoMElnO thb form. <br />PARAMETER QUANTITY OR LOd~ING QUALITY OR CONCENTRATION NO. FREOVEMOT <br />OF SAMPLE <br /> EX AN11Lr9! TYPE <br /> AVERAGE MAXIMUM ;UNITS MINIMUM AVERAGE MAXIMUM UNRS <br />rocE't'ECT STA'PRE 7JAY SAMPLE t:.`t;aan r:~.+::::.,,. 7/b C7 ####rn Y:<#;:.;# ( l3) O am <br />kl <br />C^R CEftIOUAPHNIA MEASUREMENT i ~2 / <br />T C P .~ n 5 U U ~ ~ PERMIT - ~ ~~l/t#A!I#Ik "~+~,~ ~ ~#>i1+R+Y' ' E;i- ~ <br />Li ' ~ <br />Otl Q <br />~Et: CD17'IiNTS BLLJd REQUIREMENT ;xa '". .Gn ..>, .c:. <br /> <br />• wo5+u ~:''r ~' <br /> <br />...,. <br />. `r',.. <br /> <br />.a <br />CE VT 'i-'~ <br />,`~ <br />~.:., <br />ALFF :'CT ST.;T:;i. lD~lY SAMPLE aaa;saa e:aaaaa '~ ~r.:xd~4y >;;r#•>rt:. ( 23) ~ q2 d+A <br /> <br />it R P I tl E F c n L ES <br />MEASUREMENT 4 <br />I'CPbC 5 U U ~ ~ PERMIT .: #AIrI! ~" +a# .. ...• + <br />~ ~ <br />*# 'R- s~; ~: K <br />DES ,.U:IrIE'iTS tSELOit REQUIREMENT . ~. :°. 5e,. <br />;..:ri.$':~,.: a.zsa .' , <br />°. < ~ 3 <br />$.~ s'.......r . <br />kr <br />s i <br />~~,. ,. s:r. g' CENT , . r .. x.. :: .;.. <br />- ;:. <br />SAMPLE <br />MEASUREMENT <br />. ~ ~ ~ PERMIT" <br />~REQUIREMENT~ <br />SAMPLE <br />MEASUREMENT <br />~~~~: PERMIT <br />~REf]UIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT . <br />REQUIREMENT <br />SAMPLE <br /> <br /> <br /> <br />° er,T <br />k ~ .x., <br />I <br />,. . r ..,?''i; <br />`-A . <br /> ~~ PERMIT ~ .. <br />REQUIREMENT <br />~ _ i+~ ~ <br />~ 9: <br />=1"" <br />~ : 6€i <br />4X°~ < ;~~ #$. ,+{.. <br />NAM TLE PRINCIPAL EXECUTNE OFFlCER IwnII> <br />.wRM . .Rn. 1). "I <br />"'I'n <br />.N.r wt ell«Ib..r slR n °°"'"r"I'"°'X'll'°'"'"°'^' <br />r.Nwl...told.nw .lm. q.I.w e.etM TELEPHONE DATE <br />Ie Gid r f <br /> <br />^^_ I..alw lnd.ll.XXM..ronwl.r.prr, t.Ibw.M e..lu.le lM lnrwln.lb. <br />RbI1ell.e. X~e R ~nr Ineulrt d XI. Rn.. w p..Xe .n. l..n.te IM.J.I.IIy <br />°.mw.F.,,a.al,«,y.aF.pler rw t.m.nnt u.Inro.w.uwwlM ldn.w.uon <br /> <br />n <br />/' <br /> <br />970 <br />~f0 2~~2 <br /> <br />~]y <br />~/ I1 <br />q~ <br />Envlr~h/hen'~GI x(16} `I abMI1M4bIn.bendmfXns.YdR.NMWf.w...wunb..M.wnplY. <br />I <br />u <br />tlh <br />d <br />NXe <br />r <br />ltl <br />b <br />b <br />i <br />e <br />l <br />fIONATURE OF FRINCI-AL EXECUTME , <br />., Oa //~ aT/ <br /> <br />TYPED OR PRWTED .In...w <br />. <br />.n.n <br />t <br />. <br />Rn. <br />n <br />ll <br />l <br />nrsrnslbn, <br />r R <br />nt r.M <br />IMI14mtIM y°rblmt dnR.M lm.n.xlmmlrw Xno.lnt.lwuaa <br />OFFICER OR AUTNORIZED AGENT A A <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />rnuueur< •un FYtN ANATION OF ANY VIOLATIONS IRel~rence d/ ett~ehment: herel <br />SEE I.d..i :'J« J.:TAILS. REPORT LETHALITY DERIVATIONS AS 'ri:Et'FECT", GROMTH/dEPRODUCTiON AS 'rTOYICITY". nPT <br />LOgESI' %. ar'FLJ3NT AT 4HICM ST AT SIGNIF DIFF bETMEEN TEST E CONTROL LAS OBSERVED USING TEST CODE "S", IC2S <br />t r r r x n u - 'E'au 6 a 0~7. r <br />EPA Form 3320-1 (Rw. 3/99) Previous editions maybe used. _ - .• . V ' - - - .• - ~ •' OO I OO / 01~0~'114~i V 4~A~' P E IOF <br />