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PERMIT7EE NAME/ADD11E59 p Y6 AwNryN..JG«a1w UDlpiwp <br />NAME fS e, ii 1:; 11Jli Id '„%txc`~ ~•, i)i.izvS~p aid :.'w <br />ADDRESS J; .": k~l{. E+v i': ,dry![. <br />C~ r7 .Y, -1- <br />2E.;r~GiF cil iS3a~i <br />FAaLm. <br />LOCATION <br />r`iisip :I §: ['F GUi33t G::: <br />NATIONAL POILVTANT aSCNAROE ELIMINATION SyaTEM NPDES) <br />DISCNARGE MONITORING REPORT /D RI <br />:sJ~ O <br />.. PERMIT NUMBER ascNAAOE NUMBER <br />MONITORING PERIOD <br />Y R MO D Y B D Y <br />FROM °" TO vi <br />Farm Approved. <br />OMB No. 2040.0004 <br />1'.IydilR <br />pit<~H _ 4.~i~~ .. <br />{: n;:/: 197 ~ J(.. [d:~a~~h ,>_"'i 7~ ~ rwS <br />NOTE: Bud Imtruedorw bMore eomphtln0 tbh loan. <br />PARAMETER ~ QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. RIEOVENOY SAMPL'~ <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS. MINIMUM AVERAGE MAXIMUM UNITS <br />!. to SAMPLE .. , '~~ .. ,. , ... s -. ,. r+• ' <br /> MEASUREMENT <br />' <br />t3 v <br />' $ lS w, ;- U 1 <br />' 1 <br />O:::~ 7 i <br />, i; _ <br />T ~ P <br />L <br />' <br />EI % PERMIT <br />' <br />Q ~" + " <br />'x" <br />t'x: ia <br />a~ <br />~ <br />a <br />" <br />.,~ <br />aa, ~;~ <br />~~ <br />r <br />~ xa' <br />..; r ~ ° <br />~ s ~ " ~ ^4v <br />C <br />~ <br />2 `~.I <br />$, <br />~ii~ <br />~ "`{~ ^.e~,r <br />~ <br />~ a k'~ <br />~ ex <br />"'' <br />+~'z r~~z'.r ' "' _'! <br />~ ' <br />' <br />° : <br />. t <br />< <br />. <br />S <br />. RE <br />UIREMENT ~ <br />fiei° <br />rp,e +.iS..x ,F{«¢ ,~ <br />, <br />„ <br />y# <br />~ <br />~ <br />..x <br />G l'•'IiT~ ~N,`uW+.."s~ p <br />)' x-,,.~ •'xX,. y <br />{ <br />? <br />~ <br />, <br />x*0.rr~$"~~'3 s8~4 Pi e.4 ,r <br />iA <br />~rn +i S (1 i <br /># <br />~,,.g# yy e <br />+~S~, ~~.5 ^i'"r <br />1._t.+~, l' a. SAMPLE .. .... ,_.. ,,. ~ .,-, ~- ~ - <br />aflSi~ii'.;L7~t: MEASUREMENT <br /> ~ <br />. <br /> <br />>)t)C .L 6J a. ',r i;~ JjV Id i?.. C. <br />;REOIJIfifMENT -~a~. <br />?~,, ~'~~{' <br />~.3~ ~'~~ `~ <br />h <br />k` <br />`:,.~. x't" addl <br />e ~. k• ~ a ~ <br />~ <br />} <br />ry~~,,,~ <br />- <br />T. <br />e <br />i <br /> #l, #.... p <br />*_t ' +¢ Kd I 4w <br />? 3a -ve+. -.~'J .:.x M <br />ta. ;a. 1:.-3L•, SAMPLE _ r,-~ .. •.-~, ~ ,,r ~, <br /> MEASUREMENT <br /> <br />F' ~ 1 ~. "c <br />Z ~ <br />Y "6 <br />~ PERMIT ,i".~-7" <br />"fit s*~q <br />+~ i~'«..y_`/~'.i~'3r,~:"'*z~ <br />~ y. "=r~.•«~ p''N"~gr fu, <br />~ a3*`4..' ~ ~,r., %r $ ~ ~. <br />~ ~~.~<. <br />, <br />F <br />1.~C,.~ <br />1 G~ <br />Y~I.La .REQUIf(EMEN7 _ <br />, <br />s ~~~ ~ , z ~ ° ~ ~G/L + ~, - , <br /> k.. ~+YJt 4 ~ ~ 'r4Y ,F <br />, .aTF ' . TS'r }~ ~- ^i( "41 [:. ~i .. ` <br />:~G sZ"i'~ a. <br />n~ pp .~. SAMPLE .., ...._.,.. <br />v-. .--.•.~ ., <br />(~5 P'E) MEASUREMENT ~ ~ ~ ~ ~ . <br />~ .1 <J t: `.J .1. ~ ~ ~ <br />- <br />~` <br />° <br />' <br />' <br />a <br />~ PERMIT `k'sd rt~,zs S ~'~ <br />~ <br />~ ~~ rjr~„o- .wi'~ ~,Jy, ="~ F <br />~ <br />~ ~ . :a" y <br />t sa;,4n .e: «, .~;~; <br />g :.j n -'rf^.'~ '.. <br />• <br />~„r~' <br />~r+ - <br />. •r.~~ <br />.$I,1.$ <br />NLU <br />,i <br />a$ <br />S <br />5 ~ <br />$C3 REQUIREMENT', ~ <br />~ k. ~ ° ,-St <br />. <br />+ ~ <br />~j, ` <br /> , ~. <br />~ <br />, <br />" ": h~ <br />~ , <br />t ... yl p tD ~' d U 11 SAMPLE ~ - ~ r w i _ at <br />d r., t ~•r.~ <br />"'I4="'.(i '~}?£, {i7~SLidi. £=Lx`t`I{` MEASUREMENT <br />' <br />~9 J U 5'v <br />~. :! b <br />r, eP a"LUe':3Y GRC135 vA.1.U <br />- PERMIT : <br />~REQUIliEMENT, ^'~x'=..-, °$- a x r,(,L <br />,~~~rC~ y ;~~i~~ s~r ~ '~ <br />~~ b,."t ~+ ,t: <br />!~~'"~ '~';3:w ~"- -w`7"+ <br />,. '"•.4"v' <br />1 ~~ ' ' . ~ r <br />~. :~~s ~~P <br /> <br />-.,; <br />~ -. <br />' ~ ,. b , ° <br />~ <br /> <br />,. <br />~ <br />_ rL o t: t .:+d. SAMPLE '" •- `" J ,. , <br />V S. S U A L MEASUREMENT <br />N 1 <br />1 <br />0 3 <br />! <br />~ ~) ~ ' <br />> <br />4 <br />1 <br />. <br />. <br />EF:t <br />vl}:t>a2 GitJ`~S 3 <br />1< <br />'3 <br />PERMIT <br />'RE <br />REME <br />°YS it <br />c?~., <br />'i. ,L¢L'~~'~1 <br />' <br />` <br />~ <br />~ ,c ` ,~~ <br />, - <br />~ : <br />.l <br />}dG f) . kd *.r: .~~ g <br />~ <br />* <br />' <br />~ ~^r <br />i£~' . <br />st•. <br />a•r:~~ <br /> <br />;°~ <br />. <br />, <br />. QUI <br />NT _ <br />: <br />~ <br />r <br />~ . - <br /> a <br />.: ; A 4 <br /> SAMPLE <br /> MEASUREMENT - - <br />pERM1T <br />REQUIREMENT ~x`~eo>a € <br />rt <br />~ ~' ~' -. "~. ~ ~;... ~ . u <br />~ <br />~ <br />~ <br />y ~ .Yk .. <br />~ <br />' 1 <br />~ <br />~r <br /> <br />~ r`: <br />~~ ~ § <br />m ',~'• <br />x <br />~~ ; : r <br />"`^"' <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER <br />prtp°vd " ° p`"•'r ° bw N°10 <br />un4er my elnclbnawp . .: <br />... <br />h 6pmmem °nd W m.rhmenv Overt <br /><rNalan In mmra°me wlm °sSaem evlEm4 :. " <br />TELEPHON <br />E <br />DA <br />TE <br />S`d~ ~ /1 w <br />~~~ ~~4" 1o vmv m.1 qu.unaA p.mnM puperl! p'ho.M erYUae 11v Inr"rm°11an <br />1 <br />~ <br />° ~} J) ~'~~'~/j - <br />1~ or 11:we penwu 41ncN~ rvpn <br />M Y a E ^1° M ~ Ne Infmnvltm <br />, llv lnro <br />iriullan' ~ .^'v"+>^s~""'" ~ <br /> <br />- <br />~yl V. <br />L~~ <br />mlmlNN b, l0lhe Eql orml tnewktlEe °n4 p.INr,1nq °arnnh,vM romplele <br />- <br />9'fj]• / ~J/ <br />rp~/J.'~~~ <br />"OI <br />~~ y <br />~ <br /> 1°m..°re N°1men.rtdEn,num pmanv Rn uEmlwnq fbe lnfnn:uVOn 610NATURE OF FRINCN'AI EXECUTIVE ' . 6 <br />TED , <br />1Mfwm <br />u. <br />°vlllp <br />aRne°M, <br />b <br />r <br />~ <br />TYP OR PRBV s <br />p <br />V <br />mpi <br />enmem <br />or k.mdnp ad.upv. ~ OFFICER OR AUTHORRED AOEM CODE NUMBER YEAR MO DAY <br />~.vmmcnro nnv c ~•• • -•- ~ .+ r....o o.cw w noq <br />i:3~ '; (>t?i$St; RPC?~'sti':;.9-:a-s3s I ~i. ~ I ~ "r' 't "* -,`''. I <br />. ini~p tii u %. ~t_itLl SiIITi~E.Icra Iiislxf'sL'tIL'ei$a ..€3f PG K n <br />EPA Form 3320.1 (Rev. 3/99) Previous editions may ha used. <br />Qfll EaA;I'slsid!?$-IAdBxo'tm. <br />OF <br />I <br />