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PERMIT'TEE P'4 SS On'lrrltr NATIONAL POLLUTANT DI RGE ELIMINATION SYSTEM 1.\1'U(:J1 For vso <br /> Fau/u1 NaXlelL •rent) ` DISCHARGE M ORING REPORT WHIR) 011 <br /> —�L Lam__________ (=-/6) (17.19) !"' Appro Xpirs -85 <br /> ADDRESS_ 1300 South Yale _ ________ .2-1 O A / <br /> Fla�taff, Arizona 86001 PERMIT NUMBER DISCHARGE NU.EI.Rj <br /> FACILITY NUcI d M1 ne MONITORING PERIOD <br /> _—_-----_—__— YEAR MO DAY YEAR ; MI DAY <br /> LOCATION___________ —_—__ FROM U7 07 I 01 TO 87 O9 30 <br /> (20-21) (22-23) (24-25) (2627) (2,h-2v) (30-31) NOTE: Read instructions before completing this form. <br /> (3 Card Onl)') QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION <br /> PARAMETER (46-53) (54-61) (3845) (46-33) (54-61) NO. FR EODu`Ncr SAMPLE <br /> (323E) >< EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 62-63)I (64-68) (69-70) <br /> SAMPLE MEASUREMENT O.201 0.360 <br /> r [ � <br /> PERMIT '� �J� /1 err---��� <br /> 1 REQUIREMENT 7T n/ j; /1V <br /> T55 SAMPLE <br /> MEASUREMENT 4.67 10.00 1 0 01/30 GR <br /> PERMIT ran0 r� /� <br /> C, / / REQUIREMENT `1 T 35.00 70.00 /� n X <br /> SAMPLE V' <br /> •.L ILLY ♦ MEASUREMENT ` 0.17 0.32 O 01/30 GR <br /> � <br /> REQUIREMENT/ 3.5 7.0SAMPLE <br /> SETT SOL MEASUREMENT tPERMIT <br /> 5 ,5_ REQUIREMENT, '� <br /> OP%1'1 /11 4 1 n /,?/2 <br /> SAMPLE <br /> -�'-/� <br /> / )S MEASUREMENT 550.67 602.00 0 01/30 GR <br /> PERMIT <br /> /f 7 REQUIREMENT <br /> SAMPLE (/ (O <br /> MEASUREMENT V 7.76 -7 ' 8.30 0 O1/07 GR <br /> PERMIT <br /> REQUIREMENT <br /> /C�.,}� ��[[ SAMPLE <br /> I/[i MEASUREMENT kV110 <br /> PERMIT <br /> RffQU/REMENT " m/"/1/ J� , 7 <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED /l TELEPHONE D A T E <br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED <br /> ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br /> OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION <br /> James S. Lunan y��•-Y✓ (��y�j� <br /> IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG <br /> NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDIN <br /> Manager - Permits THE POSSIBILITY OF FINE AND IMPRISONMENT SEE IB USC S 1001 A SIGNATURE OF PRINCIPAL EXECUTIVE 602 774-5253 87 10 28 <br /> 33 U5C S)3I9 rY.nalnr. uMr. Ihrwr namlr. uluar hnr. uy r., tId •r <br /> TYPED OR PRINTED arul rr•ma.mlunl mro....,n nlr.rr.,t hrluwn hn.onrh.arnd I�.-a r.. OFFICER OR AUTHORIZED AGENT AREA <br /> NUMBER YEAR I MO DAY <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (Re/errntr all attathrnrnts here) <br /> 'A Form 3320-1 (Rev. 10-79)PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE of <br /> UNTIL SUPPLY IS EXHAUSTED <br />