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PARAMETER <br />QUANTITY OR LOADING <br />. QUALITY OR CONCENTRATION <br />Na <br />EX <br />FREQUENCY <br />OF <br />ANALYSIS - . <br />SAMPLE <br />TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />, ----s I MEP!--:AL.T.F.3 CrnuN x c <br />SEE CUTiMr eEl....ow <br />SAMPLE <br />MEASUREMENT <br />.:'-.:-*-:*** <br />- <br />•..v. <br />* * <br />* * <br />Itg :it <br />'..4 -V: •,1" -; .';• <br />L ilfloNc <br />i <br />LirLy <br />4 <br />11 N V I ! .. U. <br />PERMIT <br />REQUIREMENT <br />. -,--- .".--:4- -:-... <br />. i, <br />*.-' <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />_. <br />'- <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />. <br />. <br />SAMPLE <br />MEASUREMENT <br />.. <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />- <br />..- <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />, <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify under penalty of law that this document and all attachments were <br />prepared under my direction or supervision in accordance with a system designed <br />to assure that qualified personnel properly gather and evaluate the information <br />submitted. Based on my inquiry of the person or persons who manage the system, <br />or those persons directly responsible for gathering the information, the information <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />I am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. <br />e"." —.--• <br />TELEPHONE <br />DATE <br />'7 <br />F,(1 <br />/,-, ' <br />e'7,1 / . jf, <br />I ‘-rf , - e iz <br />f / <br />f <br />/1 <br />2_ & C t V e CI E1 7 -- '5 <br />E AN. ' Ad6q AJF6--12- <br />SIDNATURE,OF PR <br />INS PAL XECUTIVE <br />OFF 010R AUTHORIZED AGENT <br />- <br />AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME <br />ADDRESS 1 X <br />i 90 <br />toJCLA • <br />FACILITY f D P <br />LOCATION'r: E.:J CU E. <br />Wq#,J..07. <br />Ei424 <br />FROM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PEI NUMBER <br />YEAH <br />MONITORING PERIOD <br />DAY, <br />TO <br />L., <br />DISCHARGE NUMBER <br />YEAH <br />mp, <br />4.2 <br />DAY <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBN DW) <br />7 - F2MAL <br />CHRONIC WET TESTING FON 001.A <br />L-= ;*.NO DISCHARGE i2) <br />NOTE: Read Instructions before completing this form. <br />Mv'SA <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />PLE UF PROCEDIT:a IF THERE IS A STAY <br />NOT RP " Y,) EC:HA P ouTT . P". LOWEST 74 <br />; " CA' 7 r P 1P p 2 : T (fl <br />. . <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. <br />DIFF RPT RESULTS ON TAS GU Yr. <br />WHIM STATISTICALLY SIGNIV•DIFF SAM <br />ATTACH (7HRnm TOX "FTST RPT TO OMR <br />00272/0 hrm. PAGE a OF <br />