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FcR%?I i 1 _F I:AI lr_:F.i_S.. <br />NAME <br />ADDRESS i L J t- `u I1 1 NE <br />WEST FIRST STREE-r <br />_: NIDAD co E <br />FACILITY : ELK '11 NE <br />LOCATION 'TON CO E <br />::••.YRl1~ l:flllT:RnAl F <br />'i:7• _?. f.i ., li..? .a'I? .J. Si. N..n?.' 'i .?:: - ': :.?! '?: F?;.?=J/ , <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER - F I fiJAL. LAMAS <br />MONITORING PERIOD CANYON <br />YEAR MO DAY YEAR MO DAY Y <br />FROM TO <br />NnTF• Raarf Instnlrtinnc hwfnrw rmmniptina this form. <br />PARAMETER QUANTITY OR LOADING I QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />._t <br />.. <br />SAMPLE <br />? <br />-. -. <br /> MEASUREMENT <br />(j PERMIT t # 6. 5 H ?t?t• sF it t? . C, <br />-t l ' '' C5S VALi_I REQUIREMENT M I [-4, Ir- X <br /> SAMPLE r <br /> MEASUREMENT <br /> PERMIT k # , i itR fi > 35 70 <br />! <br />•li <br />_F FLUEN l REQUIREMENT 30DA AVG <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ;t ###=+ <br />F F L <br />.tl:~.(?I _ <br />REQUIREMENT <br />z _ ..ti.,..^ SAMPLE r t <br /> MEASUREMENT / <br />) <br />t <br />-3': F.? <br />PERMIT '/ <br />. / !0 <br />FFL `•_j ('dl i? i];?' 'J(+LUE_ REQUIREMENT F!?! <br />LOW, i JiJ Z T OF SAMPLE <br />'HCI ! ? ' iT PLANT MEASUREMENT <br /> PERMIT PFr F?F7T REPCJRI' <br />VALUI REQUIREMENT DAILY f' <br /> SAMPLE 1 <br />v' l USUAL MEASUREMENT <br /> PERMIT r REPORT <br /> REQUIREMENT 3T MA?. - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I :crtify under penalty of taw that this dew ument and all anachments were <br />? TELEPHONE DATE <br />I <br />,? - epared under m} dirtction or supenu,on in acc,,rdance wnh a sv.tem designed /• ?• <br />. <br />i • asure that qualified peronnel properly gather and es,duate the information <br />ubmitted B:ncd on m} mquin of the person or per%ona who manage the system <br /> . or those prrncros dir tth rc>ponsible for gnthcring the infarmanon, the infarmntion <br /> submitted is. to the hest of my knowledge and belief, true, accurate <br />and complete <br /> , <br />I am aware that there are significant penalties for suhnn"ing false information SIGNATURE OF PRINCIPAL XECUTIVE <br />A <br />TYPED OR PRA TIED including the possibility of fine and impn cmmem for knm.ing . iolntiiu s OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER YEAN MO DAY <br /> . CODE <br />n GI'l 1.7 Mf4U C/lr' -AMMI IVI`I Vr Mill I vT%J Ml1Vl\J InVIC/CIlt:C Off <br />EPA Form 33241 (Rev. 3./99) Previous eddiors may be used. <br />will <br />i DD REP( <br />3REASE - SEE l B 1. D, P( <br />tr r - This! ij; _a 4-1=- form.