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PERMITTEE NAME/ADDRESS 8_ . , irdrry N~WLUSrren 1/DI~.aQ <br />N^~ I'041F1ENROF.n CURL COtlPANY <br />ADDRESS dGn DSIL,. ',]~~; r N ; Pp~TALJ <br />P.U. r'J;: 143~J <br />FAauTv <br />LOCATION <br />h'I"f N: JCl t19 1. 'CA 4t r: ,G)py'P <br />NATIONAL PDE[DTMTIBSLRMGE ELIMINATION 9VSTEM INPDESI <br />- DISCHARGE MONITORING REPORT /OMRI <br />12•/61 lI7-19 <br />n ~ <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM OI 0] l;I TO CL 03 'J1 <br />/J2DF1 /»_Jil />4D51 U1C>ll />AJOr ILii/I <br />form Approved. ~ ~- <br />POMD 1 20 COLORiI1~Bi~~ L~~,~c~-oooa <br />(SORB MC) PPr V°~L 748;05-31-98 <br />F - FIbRI. <br />YI i'Q (/ <br />NOTE: Reed Inetruetione bafor' co ! letinD•tlLie form. <br />PARAMETER !3 G.d Onlyl QUANTITY OR LOADING 11 Card Onhl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE <br />371 <br />31 !46531 15~-6EI !38-45 !<B53 /51-6I1 DF <br />1 <br />- EX <br />MALVSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lss~691 184-881 !6&701 <br />JCL AND UREASF: SAMPLE ;f;r tk ;:<< ( j41 #v :.'"+Lt ~. .•. '..t r39r :t :O^•:# <br />'/ I :i U A L MEASUREMENT <br />4Uof1 1 0 0 PERMIT ~ .. ;•#~ql Yl tr R&P03IT ~ ES=1 G>rld~+p&L~ #4+##G ?zY Af4~ '#a~l ~ EEKLY 'ISUJIL <br />:.Fr'LUIiNP :.'ROSS YP LU!• REQUIREMENT N h. N =0 #~t0~ <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ ~PERMIT~~'. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITIE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENKTY OF lAW THAT I HAVE PERSONALLY E%AMINED MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN <br />MD BASED ON TELEPHONE DATE <br />_ `` <br />t BTU V C r ; <br />MY INDUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br /> OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE. ACCURATE MD COMRETE. I A/A AWME THAT THERE ME <br />SIGNIFICMT PENALTIES FOR SUBMITTING FAIRE INFORMATION <br />INCLWINO <br />( <br /> <br />C` Q Y ~+ . <br />THE POSSIBILITY OF RNE AND IMPNSONMFNT. SEE 18 U.S.L. ! 1001 AND G] <br />/ <br /> <br />BIONATURE Of PRINCIPAL EXECUTNE <br />j 7 U <br />~'/ J 1/~U/ <br />~ l <br />~' `~ <br />~' ~ <br />J <br />TYPED OR PRINTED for ni..wru~r~~.nnr Mr eian.rr~ mrr~wb~ ~' ~ p <br />lo'~ <br />Feral <br />OFFICEq OR AUTHORIZED AGENT REA <br />GODE <br />NUMBER <br />YEAR <br />MO <br />DAy <br />L.ummtnlo nrvu cnr~nrvw nvn yr nm Yw~n ::vna Inr/vrencs ai srtecnmmrs neiel <br />~L."TLEAfiL~ SOLIDS, LIC,II' APPLIES J!+LY IF :=IJYh/2487 PRFCZ?ITA'T.ICN ''Vgh'T I`; !'LALFfJ:. vi'H,I':':'E3 AAa <br />~Ib aD::N OF PRJUF 1+H8N 'r+4gU E;STIt+i: Rt.L t6'F Fri'Ih 5'T Ti. is A5 L5 SDI :75 PrIMARY LTNLTATIG AE. <br />EPA Form 3320-1 108-95) Previous editions mey ba ueed. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 () 0 5 7 ~ / Q P (? j 7 - I ? 5 fi PAGE OF <br />