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PERMITTEE NAME/ADDRESSpwd,bF.eu,ryN../Lec~lra.t/D~i.w.tl <br />NAME <br />ADDRESS <br />`ir'L_PER U7 BSS; <br />FAC0.ITY `~=' +>ER CANYON i"iINF <br />~ocATaNi. r~i~?H CO <br />'..~~',~,ID II. MILLER, BUSINESS hSGf <br />NATIONAL POLLUTANT dSCHMOE E1IMINATION SYSTEM rrlllpQf$l <br />DISCHARGE MONITORING REPORT (OMR/ <br />PERMIT NUMBER ascHMOE NIMASEiI <br />MONITORING PERIOD <br />YEAH OQ DAY Y AR MO. DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />.: ~57~ <br />NOTE: R~~d k>.truedoM b~lwra eompl~thly this twm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />of SAMPLE <br /> <br />TYPE <br /> ,U,lKy~s <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ~~ <br /> MEASUREMENT <br /> PERMIT <br />. ~,__VEt`~T ~'I, ,_•: REQUIREMENT MINIM~.II~; ~ :"+XIMUh: <br /> SAMPLE <br />-;'•' ,i'ENDE::~ <br />-~ <br />' MEASUREMENT <br />. <br />1 <br />: <br />~:- NT '.. ~ REQUIREMENT :3L7D,:; iV:: ~~'.1! ,Y f~tX c <br />- . <br /> . ~ <br />, <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />l " f- ' . .:_: _1:.,'c; ',. ~ PERMIT <br />REQUIREMENT G r1 T L Y M X ''": I - <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~ PERMIT <br />' <br />' <br />' ~ REQUIREMENT <br />- .:jOD, ~ <br />~ ~ MY <br />._: i ._ <br /> SAMPLE <br /> <br />- MEASUREMENT <br />-: <br />- <br />. G ~~ PERMIT ~ <br />~ <br />i~ I;.f. ORO~~•`-' <br />REQUIREMENT , ~~ <br />( hiA X <br /> SAMPLE <br />TR_ATMEt~iT F'' MEASUREMENT <br />. -~,.. r_• <br />v 1 v ~ <br /> <br />_UENT QR O~ `: `, ~ PERMt7 <br />REQUIREMENT <br />JDA <br />_.__ <br />} I ~.Y ~ , ,' <br />- <br /> <br />~ <br /> <br /> <br />. <br /> <br />x <br />' SAMPLE <br />Al.- MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT T ~ .:_. ( MAX ; ,~, <br /> <br /> <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER 1 ttrtd) . o pen. l~ o Lw /ha U <br />prrp.rrd..etr n,r dlrettlon w fupe H datvmenl ^nd dl •Itttchm <br />r~Non In otcord.nn wnh enlf were <br />. q./ern de1~nM <br />TELEPHONE <br />DATE <br />~ ~ <br />~ to ttmure Ih./ qu.Mfied personnel progeAT ~.Iher .nd r~.lo.le the Infnrm.tlon <br />foErnlued <br />bred ou my Inquiry or the person or pertnro who m.n <br />e the t <br />letn - <br />: ~ : ~ <br />..~ ti. <br />_ t <br />-~ . <br />g <br />. <br />n ~ <br />~ l'•'- - " --~-~ -' <br /> or Iho.e prnan dlnecrl~ rtspo,el Air for ~slherlrK the Inform.llow, the Inform.Uon <br />~ _ <br />~ <br />' <br /> wAmllted k, b the Deft of mJ knowledge .nd EeMef, Iroe. .tcnnte..nd mtnplete. '~ ~ <br />;~ , f <br />' <br /> l .m ..... a.t theer<.re.I <br />NM1c.nl <br />en.ltla ror wtenrtnn <br />nlsr Inrerr <br />tl tIONATVRE OF -RINCl-Al EXECUTIVE ~ ,. <br />TYpEp OR PRM1TiID ~ <br />p <br />~ <br />m <br />on. <br />InAwdlnt the padblBty of nne .nd ItnprMontewm ror knowlni .iol.uoeet. OFFICER OR AUTHORIZED AGENT CODE HUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erenc~ d/ aK~chm~nl~ h~r~/ -r L.EABLE SOLIDS !_.f'1T APPL T FP FOR ~=Z OYR, 24HR PREC I •= .,' ~~ NT <br />EPA Form 3320.1 fRev 3•'~I Prev~evs erd+bons •~_•. tiA ~•s~d This is a 4-r,an torn, PAGE OF <br />