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PERMITfEE NAME/ADDRESS (Lnclude <br />Facilill',Name/L oralion if diflerenll <br />NAME'I~ m U G ~ T I,r--'1~Lf ~'.O-A T~ ~.~GI-Fi P-A~'. 1C- - - <br />A`'CDRESS~I-~e Ir- ~-.'~.~-F.-tc ~+-I~-€ - - - - - - - - - - <br />- - -19-13 -$4? J-~~ (: 9~i~~~ R-0~D--1--' ~ - - - - <br />--_0.JL:i~~Si~--------~0-~t~-- <br />FACILITY <br />_-_ <br />LOCATION ______ __ _____ <br />L hT' LI • u T~'Y 1 J.~ ] _ MT I I C M!C EC l'G <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESi <br />DISCHARGE MONITORING REPORT IOMR) <br />(-'-lFl (17-19) <br /> <br /> <br /> PERMIT NUMBER orscn ARee noNecR <br /> MONITORING PERIOD <br /> MO DAY YEAR MO DAY <br />FROM ~ ' rut <br />4 Ol TO' 99 U3 31 <br /> /9 9a0 <br />T /Of.lCl /9(-))I 1)P-~01 /i0-:11 <br />nINOR <br />(S U B R N G) ~IQJ~Proved. <br />F - FINAL OMBNo~20a0SQq¢„ a. .,. <br />U::D DISCtll~~va~'i)`PI~~3DL13~iEEK <br />Y#u AIO DIi~C.¢~8G8 (~) ##4 <br />NOTE: Read ins cuctinns helnre r-mm~lefine this form- <br /> (.I Card Only) QUANTITY OR LO (a Card Only) DUALITY OR CONCENTRATION " <br />PARAMETER (.I(-$?) (54GI) .l (iQ-45 ~ <br />) (4E-5?) (516 /) <br />~O' FREQUENCY <br />OF <br />SAMPLE <br />~ <br />(?_-i71 . <br />X ANaLV 515 TYPE <br /> AVERAGE MA %IMUM ITS MINIMUM AVERAGE MAXIMUM UNITS ~ 6 <br /> (6a{~,fl ( <br />9-]0) <br />~ULIUSa T(LTAL SAMPLE <br />MEASUREMENT ####~# #####+u b'/Ip <br />~ bfq~ ~ji'1.60 ( 19) O 3~ C~k <br />Ui:i50LYEU tl ~~ <br />7U295 1 0 0 ~_p~meiT ; :.` so~s4 -~ ,~ ~0~0 'qr` ~ <br />~ ### ~' w'' .• <br />)s ~~A.1.~ <br />-~ AIWT~= aar~, <br />~Y"; O¢ii~ <br />R~fg <br /> REGl71REF7ENT .. y .. <br />r ~~# ~ ~ t <br />iJ t;hEASE SAMPLE <br />MEASUREMENT .;:;#~;: Q (yu) ###~OIR 041iO## #-:#x-## ~ ~8~ VfSIIAL <br />VISUAL a <br /> <br />VODO 1 ~ D <br />PERMIT ... <br />il<~~~>~lt <br />X <br />IS=1 <br />~~ .. ., <br />IP~' <br />t~~~~ <br />rit i+ ~pM Y <br />Ia.+.V~L- <br />p. RECUIpEM~NT' ' -E a~ <br />' <br />? <br />~ ' ~ _ <br /> _ _ , <br />.r <br />;; v; _} :[;f # ~r <br /> <br /> SAMPLE <br /> MEASUREMENT ' <br /> ~~ ~ ~ <br /> ~OUIREMENT ~ .. <br />rt <br />' <br />,,tt z <br />t'%'"a, <br />~'tf,N,~: ''~- - <br /> <br />~~,. <br /> SAMPLE <br />~ <br /> MEASUREMENT <br /> MENY <br />R~CUIY <br />- ' <br />- <br />;. <br />~ ""t`„ <br />.:. ~ <br />':..: <br />~ as <br /> ~, , <br />.. <br /> <br /> SAMPLE <br /> MEASUREMENT ' <br /> ~ '; ..r ~ <br />- ' <br /> UII}E{AENi <br />REG <br />~ <br />... ... <br />~ ~ <br />, ;. .:.. <br />. <br />. <br />' <br /> <br /> <br />. : <br /> <br /> <br />, <br />"h <br />' <br /> <br /> <br />- .. <br /> . rtt., <br />.~n ~ , <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> RF~UIFtEMENi ,.~ ti ~~.. F <br />t(~ .. <br /> SAMPLE <br /> MEASUR <br />E <br />NT <br />E <br />M <br /> ~t <br />~~ <br />~y~ <br />ryM <br />~ .,` <br />~ .' <br />Y,r .". _.,_., <br /> 'gECUI~EfifEl~7 'M..'. ~ tt <br />: y ~y. <br />,, <br /> 'f'. f. <br />"' <br />~~k <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF LAW THAT I HavE RERSONALLV Ex AMwED TELEPHONE D A T E <br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. AND BASED <br /> ON MY INQUIRY OF TFgSE INDIVIDUALS IMMEDIATELY REB~ONSIBLE FOR <br />`_ J <br />R ICIrc rV MIIIS OBTAINING THE INFORM4TION. I ~EUEVE THE SUBMITTED INFORMATION IS <br /> TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE <br />SIGNIFIUNT PENALTIES FQ9 <br />INFORMATI <br />UBM4TTING FA <br />N <br />NCLUDING ' <br />Environmental Manager . I <br />S <br />LSE <br />O <br />THE POSS <br />OF F <br /> IBILITY <br />INE AND IMPRISONMENT SEE IB USC 4 1001 ANp <br />33 <br />S <br />4 <br />' <br />P SIGNATURE OF P INCIPAL EXECUTIVE <br /> U <br />C <br />1319 ( <br />In[IWr (ip[% Jp to <br />[p]lli[5 ultd[l ~Ih6[ 5latul[i mn <br />1 <br />SIO <br />~` <br />TYPED OR PRINTED D01 <br />and nr rpavmum Illlpn3dnm[n! u! Mrvrrn 6 momha and S/rars I OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />CUMMENI ANO EXPLANATION OF ANY VIOLATIONS (NC/PIM[e 3// d!!B[hm[n!5 hLR1 <br />UIL O GHtASC v3Ais SA:iPLE dE4UTAED ZI' YISIHLE SHEEN IS OySERYED - SEE I.b.l.(D). DElECTIOM LItlITS-SEA <br />I.F.2. SALINITY :fONITURING - SEE I.,~.3. gRTALY ~A.^1PLING INSTRUL2IJN5 I.C.10; REPORT HLSOLTS.ON nARCHa <br /> <br />...v rvn~usr. PAGE OF <br />95021Y-1301 2 <br />,:t~:vi:~ .. <br />