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PERMI7TEE NAME/ADDRESS!/m'/urle f'~dllry Nam a! f !A I r~~~ ~~lS ~ ~.~ L C U_ .i c U cl: A i i NAME______ ~____~____ ADDREas 1300 SOUTH YALE _ _ _ ___ FLAGSTAFF ________A'l DtiGUl _ FACILT' _______ LOCATION W.. _ _ _ _ ~~1!JOtA _ _ _ AT'PN: ^°"°T° T ~"'OQ'""", PHESZUEN'f NAIIV N••L VUL L111 •\ryl MY\.IIN N\.~ LLIMINAIIVN S111LM 1 ~I1'1/1:.1 I DISCHARGE MONITORING REPORT ! 1)MRl 11-13) (17-19) U i b L ~ PERMIT NUMBER oncnweoa Nureae MONITORING PERIOD YE R MO DAY YEAR MO DAY FROM TO I !ZO-711 rat-aJ) (74-76) (13-17) (18-791 rJ0-J)) ninoH (~ U t3 H N W) Ft>Hii1l11;Q't8ived. F - FINAL OMB No. 2040-0004 DISCHARGE ~fproYalp~ctll~g~3t~EEK Cx: x- NU UISCHAHGE ~__~ :''~T'~ NOTE: Read Instructions before completing this lorm. (I CIN Only) CUANTRT OR LOADING (4 Cab ORIy) QUALITY OR CONCENTRATION FRE NCY PARAMETER (46-SJ) (54-611 (J8-451 (43-37) (54-6)) NO. EX ~ N aAMPLE TYPE (J7-J7) A ALY95 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNIT9 (6)d/I (bl fil) f69-7 1 SAMPLE Mf• ASUREMENT t t :f ;I ~ a ~' J " / # ~'t Yf i~ a ~~ ~ o ( 12~ ~ / ~/ ~ /' L . 1 1.1 ~-4J 40460 1 0 0 s , i#=. ;• .. a. 9.'U ;: MEEKL GflAB mart .; : '~ ... ... ; ~ . . EPFLUE6T GROSS YALU - uweMm+r ~..: __-::.; ;:;::: .~i ';-.' -:..".~::' #+:t## HINIHUtl: :: i:'..-, HAAItlUtl: S U SO IDS, O AL SUSPENDED SAMPLE MEASUREMENT # ¢Y #~ ##~ 'y''r#-'-F:FI`• '1 ' ~'~ V ~ O V / \ I9) O ~~J 'yE~~ EFFLUENT GHUSS YALU __ IRlMlNT . ~ . ._ #### -` ~ 0UA AY AILY tl : G/L ON~' . ~ ... :w ``I''=~:~' : .~: .. .-; • - ~ .. .. . . V Y' - RA SAMPLE EASUREMENT ~ _/ xt ~. ~: xtr ##-~## /~ N ( 9~ O FflfiUN E L H G Y tlET 1 - posse 1 o u PERMrt';:. :, ;,..:. .. ~ ~ :#~# 10 :.. CONTI GflA e EFFLUENT G@OSS YALU eauln~Er4r ., "., ::_ >c:; ; : ~ :..:;: r<° ~ #### . , ' . : : ;' ; ~ INST~~ tlA NG/L ~,G N E Y ) ~ ; . . . , : ., . . (AS FE) MEAB REMENT •I~ ~ O ` V Z /y /{ y` 1 C 01045 1 0 0 -' ~ ~ ' ,PERMIT : -' ;' .. ,,..:~ -s •- : ,. ,.. N### . ': . i, .' .'' ` : ' : 0 €' ., GEAR EFFLUENT GROSS YALU etauwEMCi+t . ~ # ;~## r.. ~ 30DA" AY . DAILY d MG/L tlONT ' FLOM, IN CONDUIT OH THHU TA hATtlENT PLAN SAMPLE -/'BUREMENT ~., '„ O.O I I /`) Or O V / { U3 ##x:#" ~##~3#4 :'##:t# ~ / /~~ l! / , JN' 1'~ ~ f} 1 ` ` 7 , SGOSU 1 0 0 - ~~ a ~ ~ : .: ' #o#= EHL I STA1 EFFLUENT GROSS YALU Pe ~ Mrt EqumEMENT' .: : , . ~~3~;3QDA'=11,Y.G '?;;`OAILY~~tl% I~GD ~ ~ ~~~~:~..~~~. ~ ~ ~ ~ .### ' , 7 T MEASUREMENT t #~k #:3 #4#;~#xt ~ ~ ~ ~ ~ ~ ( 19~ O ' ~~ ~ I DISSOLVED ~ Q 70295 1 0 U ~ ~ ~' ##r xr OP ID L flcPUAT QTALY: GhAA EFFLUENT GA055 YALU ~ EauulEMEr4r ':~: ;,.;~;~;j::,;~.~: . . - ~~ '~ ~ ~:o:xa ~-~~'~ ~ ~ ~(jATR AY DAILY h tlG/L ~ . . ' , . , ~ BAMPLE M ENT ~ :f++r ,f I r x, 90# ~ i ~ G YISU AL IEASUREM ~ ~ . 7 + b4Ue6 1 U 0 ~ ~~ .. ~ ~ E5=1 au### # oo a>a agri„ ###c ~,: fIBE L YI5 1: 0 A EFFLUENT GROSS YALU T+EOUIREMENT :'' '- .''" INST tlSY IiO=U . NAME/TTLE PRINCIPAL EXECUTIVE OFFICER I O=RnFY UNDER PEW1LTV OF LAw THAT I HAVE PERSONALLY ExwMNED N F R r ART TELEPHONE D A T E ~ ~~S ~ A D AM AMW W: H TIE INFORMATION .•U9 ED HEREN AND dl:Ep ON MY INIXNY OF TIgSE NpVDl1AL5 MMEDU\TELY RESPONSRXE FOR tA,•I.l ~ OBTArdN(' THE NFORIMTgr1 1 BELIEVE THE SUBMTED PIFORMATgN I$ TRUE ACCNTATE AND COMPLETE I AM AWApE THAT TFERE ARE SN MFIUNT PENALTES FOR $UBWTTPIG FALSE IIdORMATgN INCLWNG ' I ` G I l ~ ~ . THE P059BLRY OF FwE AND MPRISONMENT SEE IB USG 1 IpOI AND o 37 . V 5 . 33 USC 1 1319 (l4nIR10 YMR Ihxe rMNIH ma inchdr fines u IR SIGNATURE OF INCIPAL EXECUTIVE 0 TYPE OR PRINTED . y Y 710300 eM w nuaimum imprironmem d bnvern b mMlfu and t yaral OFFICER O AUTHORIZED AGENT REA NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANT VIOLATIONS (Refererrce .II .Inthmenft here) OIL E GAEASE--SEE FUOTNOT,t F/, PAGE 3. CDA Fn.RI pi!llinnc mnV hp ocprl (REPLACES FPA FORM~n WWCH MAY NOT RF IISEDI UfiTflLY ~AHPLiNG INSTItUCiIUNS;-FUUTYOTL•' U/. I ~_ ~ ,OF