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1'EnMII IEE Nf" IDPEC511~. 1.i.1~ <br />/.,. de. no,.,r~1 ml/rrrntl <br />NAME _E- NCO dI. S:O- (.HCI-GLA ~l I1J E~ - - - <br />ADDRESS'L3_(T._O_SQI]T.'' _L.1I. E_--------- <br />---£LALSTi~s~.------37 f1b1D0^_ <br />FACILITY _________________ <br />LOCATION________`__`_____ <br />_ ..rr c'Ppu c~ICnY_ DRRSTfJ F.MT <br />NAIIUNAL YULI Ul;al.nPMIiL LLnn IrIPIlU11 JlJl[M ln'/'ULj/ <br />DI5 MONITORING REPORT /D.51R1 <br />117~fP1 <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITOFING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO t. <br />/10111 177111 l11~1J1 /16771 118-791 130.311 <br />P - FIT]nL - <br />STORMVATFR. ^* ~C!!1[!T:° <br />nlNO^ ~•,Tr,~ <br />NOTE: Read inslruclions 6elore completing this loan. <br /> l.I Card Unh/ QUANTITY OR LOADING MCprd Unl/l QUALITY OR CONCENTPA TION <br />' <br />- <br />PARAh¢iER HM1Sb ISd-6/1 II8-dJl ldGJ3/ ISr~AO NO <br />E% ^i OL <br />F'.C~ <br />OF SAMPLE <br />P <br /> <br />hJT'3'l <br />AVERAGE <br />MAXIMUM <br />UNITS <br />IAINIIdUM <br />AVERAGE <br />N1AX1!.t U'A <br />UNITS <br />•AU5 . <br />r TY <br />E <br /> rM1) !' /N M1al /h0 blr <br />Jt SAMPLE #«':r#«-'k #'k#«## #>(`«3#« <br /> MEASUREM E3JL <br />DJ; r.U 1 D Q PERMIr ####5*r;` ###### =.`•:`# 6.5 ##«### 9.0 ! ,'ICE/ P,AB <br />/ ~ V REQUIREMENT ~',`~ 1 t1 S ~ <br />'.IDS, TOTAL GAr.IPLE i-'.:'~~vt ~ir'v`#r# ~=F ~`+Y~# ..«#+'t~+ <br /> MEASUREMENT <br />~.~FEYDED <br />0530 1 0 D PERMIT ##C«r# +-##F## ,:## t:-:##^« ;e;*#Y::: $ErO:iT SCFi „A6 <br /> <br />c 1 R REOUIREr.1E rJi <br />###4 <br />'~ Y^ ^ + <br /> <br />SETTLEn„ JLE <br />'OLIDS San+PLE #fi-'.T<<# ##',`-rk=k "r#r#«# d##'k#« <br />, MEASUREMENT <br />c <br />OS4S Z O O <br />PERMIT <br />###«~# `y y <br />Y4Y##7` <br />ii . Jay Jy <br />YY#Y## ~y <br />«r«### <br />O.5 <br />RCF/ <br />RAB N <br /> REQUIREMENT «~'a, • ^ P <br />IL AND GAEASE BAAIPLE ..v. .,'-,~ #'-.`-#':## ~#««~« #«##+'~~` 121 <br /> MEASUREMENT <br />RECN EXTR-GRAY t1FTfI <br /> <br />00556 1 ^ D """""' ##«rJF# •v# ''+`###'.Ir ###### 10 N_F/ RAB <br /> REQUIREMENT <br /> ^fi# ~ T s <br />BON, TOTAL SAMPLE ,;;#w## «##### ###### ..««##« <br /> <br />(AS Fl:) MEASUREMENT <br /> <br />1C45 1 0 O PERMIT ###«rr ###### ## ##-'X##« #«####, REPORT `i'~E/ RAD <br /> REQUIREMENT <br />r 1 + i. >yr <br />f T,OA, I!1 COtIDUIT 0^ SAMPLE #=k.4## :Y«##3« .~-"-#'.=^fi <br /> lAEASUREh1ENT NO DI CHARGE <br />?u TiT£LTMctrT PLayT <br /> <br />5uC50 1 0 O PERMIT REPOTtT REPORT ###',~r'~ ##«t## +###%# -• 6::RLY NSTA!I <br /> <br />f REQUIREMENT <br /> <br />SULIDS <br />TOTAL <br />SAMPLE <br />r##### <br />#:###-k <br />:-,`,.;~ :" <br />«#«##~ _ <br />, MEASUREMENt <br />DISSOLYED <br /> <br />70245 1 0 D PERMIT „•.«;-# ###### ,"-t`# ##'vR,~^# ###~## REPORT TALI RAB <br /> REQUIREMENT <br /> YJ"~. .. . r <br />NAMETTITLE PRINCIPAL EXECUTIVE OFFIC ER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE P <br />AND AM FAMILIAR WITH THE INFORMAT <br />ON S <br />BMITTE ERSONALLY E%AIAINED LELEPHONE DA i E <br /> <br />I <br />Brian P. Dunfee, Manager I <br />U <br />D HEREIN, qND BASED <br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTAINING THE IN FGRMAIION. 1 BELIEVE THE SUBMITTED INFORMATION <br /> IS TRUE, ACCURATE 4N0 COMPLETE. 1 AM AWARE THAT THERE ARE 51G~ V ,/ <br />Environmental Studies NIFICANT PENALTIES F04 SUHMIiiING FALSE INFORMATION, INCLUD NG <br />P <br />602 <br />774 <br />5253 <br />90 <br />0 <br />25 <br /> THE <br />OSSIBILITY OF FINE AND IM PRISONMErJi. SEE 18 U B.C. 4 1001 AND <br />S <br />IJ19 <br />J3 SIG NATURE OF PRINCIPAL E CUTIVE - 1 <br /> <br />TYPED OR PRINTED U. <br />.C. 4 <br />. llYnalun undr. Ihr~r IJUmtrs mor Jn~luJr /.nn np ru J10.IXtl <br />undm malmum:mpmm~mrnlo/ber.arnAmonlhs and Symre./ <br />OFFICER OR AUTHORIZED AGENT <br />AREA <br />NUMBER <br />YEAR <br />MO <br />DAT <br /> CODE <br />COtA rA E N T AN D EXPLANATION OF ANY V IOLAT IONS lReferenrr al! puarhmrnlJ hrrr) <br />;F FO DISCHAR~~ OCCURS REPORTF'!~0 DC:CRARGE". OIL AND GREASE; SF.E FODTROTE F/, <br />EPA FDrm 3320-1 (RBV. 988) P/a VlOr/S adlflOnS may' Da MSBC. (REPLACES EPA FORM i~d0 WHICH MAY HOT BE USED.1 /~ PAGE OE <br />1)'~IFlI'/1 (T(!'i'J^'771111 1 <br />