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PERMI7TEE NAME/ADDRES$1lnrlude <br />Fir!/Iry N,]R~/(or,r/a~fr~ dI/!F]Tjr(1 <br />NAME_ YL~BtlUIJY I~UHL CG_LEN~i,A II~____ <br />ADORees 13UU SOUTH YELE____ _ _ __ <br />__~ FLdGSTAF'F _____~_ AZ titiOU~-_ <br />FAOILRY' 7-1--if _ /~_~~~_________ <br />LOCATION ~~. 1'W V.iy~ ~`1=Q_4~ _ ~ _ _ _ _ _ <br />ATTN: '"^MS"-"'ri. YRESICE:NI <br />i <br />N.a.110NA1 V ULIU 1 wNf U1lGHANbE GIIMMAf 1pN 9T ITEM 1 (V I~UhJ 1 <br />DISCHARGE MONITORING REPORT (OMR) <br />f 1-161 (17-191 <br />CGODUG121 tiv9 A <br />PERMIT NUMBER aacMAwea Nuwwaw <br />MONITORING PERIOD ! <br />YEAR M DAY TEAR_ M DAY <br />FROM TO <br />i <br />i)0. )l1 1)).111 I)IJfI 1)A-])1 /]R-001 /14111 <br />rIiLUA <br />(S U d n N N) Foplq ~$Ipved. <br />}' - FINAL OMB No. 2040.0004 <br />DISCRAAS° I!Rpr~~lye3ag~-Y.+REF.R <br />].;:c# NU DISCHARGE (~~ #~# <br />NOTE: Read Inetruotlona before ompleting thla form. <br /> (J~CIN OIIIy) GUANTITY OR LOADING (I CAN Only) QUALITY OR CONCENTRATION <br />PARAMETER (I6•JJ) (JI-61) (J8-IJ) (46-J1) (Jldl) NO. FRE ~"~ SAMPLE <br /> EX µ1,LYy5 TYPE <br />(71-J7) <br /> AVERAGE MAXIMUM UNIT9 MINIMUM AVERAGE MAXIMUM UNRS (61411 (61Ed1 f69.10) <br />vIL AND GREASE ###~M~ ( 94) G####a #O#IC#Y: ><r##### <br /> $AMPLE <br />II I S D A L IEASUREMENT <br />r.40ti6 1 G D I, PERMIT ~ ES=I ~ # ~! #_ -.##.G#4#. ?tr9 # ### Y6SSL YIS,UA <br />EPPLUERT GROSS YALU REGUIiIEMENT ; IHST 'bAY UU=O ~ ` #### <br /> $AMPLE ' <br /> MEASUREMENT <br /> <br /> <br />~~ <br /> <br />' - ..; <br />. <br /> ~PlRM17~. 1. <br />: ~ .. <br />~ f r <br />- <br /> RBGUBneMENT, . <br />~ a . ~ . r. . <br /> SAMPLE i <br /> MEASUREMENT <br /> . <br />I PERMIT ~.;rr.. ~ ~ - ' ~ ' . ' i.%:: `. ~ I ~ <br />f ' - .. , . . . <br /> - <br />. <br />. <br />REOUIREMFNr.' ~ <br />~. ~ . <br /> SAMPLE <br /> MEASUREMENT I <br /> ..,.. .,. <br /> <br />~'. '.PERMIT .:;: <br />. , <br />' :.,-;'. .:.., <br /> <br /> <br />°:., '- <br />_ <br />' <br /> <br />,- <br /> IiHGU1REMENT .. .. :... ... .~.,:"•' <br />:...-: .. .: .,. <br />.:. ...~'::. .1. .: <br />{. <br /> BAMPLE <br /> MEASUREMENT <br /> ~~ ,PERMIT ~:, ~, :, :. .: - ~ ~ ~ ~ ~~. <br /> REOUIREMENT.~ '. <br /> <br /> BAMPLE <br />' <br /> MEABUREMENT I <br /> I'. '.{ <br />PERM17 - :7: .. ' <br /> <br />- <br /> REGUIRlMENT 1 n 5 <br />~ ,t_ ~ ~, q <br /> BAMPLE <br /> MEASUREMENT <br />' I <br />I <br /> . ,PERMIT ~ ~, I ~. . <br /> RHOUIREMRNT~ °~d,' <br />,' t' _ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTFY UOEN PFJ4LT' OF LAW T14T I HAVE PERSONALLr ExAMINED ~ TELEPHONE D A T E <br /> <br />Qµ~`(` Oy`~C <br />•i ~J ANp AM FAMWR WRH TIE RfORMATK)N SUBMITTED HEREN: AND BASSO <br />ON MY NpIIRY OF TMpSE NpVOUALS KIEDIATELY RESF[]NSBLE FOR <br />OBTA~MHG THE INFtl1WTl <br />THE SUB <br />TT <br />MAT <br />I <br />L1E <br />NF <br />N I <br /> <br /> <br />~ py <br />ff <br />VE <br />MI <br />IO <br />ED <br />OR <br />S <br />TRUE ACCURATE A)~D COMRETE I AM AWARE THAT TIERS ARE <br />~ <br />-1 / C~ <br />0 THE PoSSIBLnY OF FNE AHO MPRISONMEN SEE 19' S'C"~ 1001 o <br />3 <br />Y <br />r <br />/ <br />i <br />f <br />i <br />d <br />A <br />f <br />' gIGNATURE OF PR CIPAL EXECUTIVE 7v a763~o7 (b ` <br /> <br />TYPE R PRINTED 13I <br />3 USC <br />. ( <br />uu <br />t <br />n nlx <br />br R.mILf mr <br />nrN <br />! n <br />llb Yv In <br />N ( <br />tIODW rltl ar IluTimum impuunmenr M Gennn 6 mm1N aM J ynn) <br />OFFICER OR A TMORIZED AGENT <br />`> EA <br />NUMBER <br />YEAR <br />MO DAY <br />MMEN7 AND EXPLANATK)N OF ANT VIOLATgN3 (Xe(rnmre IIl a1flrllmrn0 Mrc) <br />G8l;ASE--FOOTNOTE F/, PG 3. SETTLF:AHLE SOLIU~ LItlIT AYYLiES 0 LY IF <= 1U-Y A, 24-HR PRECIP EYtSNT I~ <br />iF CLAW APYAOYED BY YtiCDr TSS E IP.ON LISTS YTLL NUT DE AYYLIEU TO dEFORTED dEASU~dENTS--SEt <br />,OF <br />