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PERMfFTEE NAME/ADDRESS pa~smryNr'L«urua VOaQc..nU <br />NAME Gi,u~. Ci ~`d,'-4e 'i .++.P:i .,'.b ~^:'~~x .?:Ce <br />~~ <br />ADDRESS ~-%'].{iS ~i fj ~? ='i;; i'. <br />FACILITI' <br />LoGT,oN <br />PARAMETER <br />NATIrN/Al IOlllfl'ANT aSCNMOE ELIMINATON SYBTW ((NPOESI <br />. DISCHARGE MONITORING REPORT fDAIR) <br />!': ~'= a f: 3 i:::3 ~: +.: U G rl <br />PERMIT UMBER ascNAROENIAreEp <br />MONITORING PERIOD <br />Y MQ DA YEAR MO D . V <br />FROM . ~ z .:_.~ TO a. .r a. v <br />Form Approved. <br />OMB No. 2040-0004 <br />t''i Tk ilv <br />~Sei's~ ~Ji~i) <br />5 ,,, ia:~L 1 { ntiaitl lli <br />Y L'T~a s)y.~A '~\. e.~~ "n4 1i~•~ ti l~J it <br />NOTE: Reed IMtruMlarq belorA completMO thb loan: •~° <br />NO. RIECt FENCr SAMPLE"•'•-'-~ <br />QUANTITY OR LOADING I QUALITY OR CONCENTRATR)N <br />' EX I ANALr515 I IiPE <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS. ' <br />r, a. ~ t~ 1 u i ~, PERMIT *' " t,~, ' a <br />`~"~~ <br />' ..ay?, <br />~` <br />"~ <br />~' . i "" `r <br />:' ) ~x¢u : {d' %'~ <br />~ <br />..„ ~ n'f" <br />3 <br />~ '& <br />~ ' en <br />~ ~ <br />a ~; ; :~:; ~ <br />; r <br />, <br />~ <br />u ~> REnuIa~MENT # <br />t <br />~ ~ <br />~ <br />, .~ <br />~ .. , y~ <br />~~ y ~ ~ <br />> <br />. <br />.. _ <br />r <br />I <br />a.,t.aG r ": :; _•-.L SAMPLE .. , . ~ ,r_:i' . <br />:~ L ~ z' ~; i.. <_ ,~.. MEASUREMENT <br />L, ' ~ -a x <br />a -J a J <br />PERMIT <br />~r~rv °i'xa ._ , <br />,~$'' r;," <br />' ~` _ ~,pa~ <br />"'C,"k ",~'. <br /> <br />~ g <br />E1'R ~ <br /> <br />r~ <br />~~'~o- <br /> <br />t <br /> <br />~~? <br />i' L. '., , ,. .~.;.j. :,y . ,. ,.. i,t pEQL11REMENT ~~ <br />'"~ <br />~ ) <br />~~, _ „ . <br />. '4 ^v l <br />L ~ ? <br />~ <br />_ . <L <br />i <br />, <br />,~ <br />: a ~ f ,a a„ <br />:..; i.t+J.•w ;, C^c,id. :. t5.i"~ SAMPLE ~.:..,:.,.,, :;,. . <br />.. .. .. ~:<:, ... ) <br />a~ ~ ~ f7 <br />..i,U~,~;. ~d.u ~ I'ri,a <br />.,._z, ., .,......:~, <br /> <br />r 20 .i i. (i PERMIT .~' ~.:,~. ' 4 <br />~~' v <br />., <br />-., . UIL ~ _ ..::,~~.... J aiL i REQUIREMENT: ~' " .~. ' <br />a ~ <br />'' <br />B <br />w `,'i':a/L <br />" ,'" <br />6 2 <br /> <br />?CS. <br />; a <br />. <br />SAMPLE u <br />.... <br />,:z: .,;., <br />.a_ ,.x., . <br />.4 <br />`a= . <br />. <br />., .. <br />J <br />. . . <br />~„!~ ;';;;y MEASUREMENT <br /> <br />r.' p l ~ f `~ I:i ,PERMIT y. . Gr ~ ~ - - n <br />~~~'. ~ :r?~.. '=~.."b ;REQUIREMENT_ ~ - y i4=v/~. <br />x~:.,a, .ar iti 9...~;y?.~t Ip,y SAMPLE - „t_ .),.. .-..,-r ,...a-; <br />.'C?.U :':;Si:..:i'i'li'i' ?i,i.i MEASUREMENT <br />~ )IJ i 1 ld 1) PERAAIT '' _ 1a? '" ~ i' {r/j' " ~ '~ <br />IC "a+ ) <br />i,i. ,. ...aa ).:i:?~;; 1 _li;~ =REQUIREMENT ~ ~ ~ ~~~' ,., ":d'u , <br />$~; • , <br />I , . , . <br />` jai§`:h <br />1i)?5 is ~.' ~1 f7 <br />MEASUREMENT <br />z ~, <br />NAME/TITLE PRINCIPAL EXECUTIVE OFflCFR ' °°"' `"°" "`""" °"'"'"" "'° °""'"""""" °' """"""° "" <br />IrtF.rte nneu mf 4lrnlbn w wyex.ltl°n In .an.a.nrt nl0 ..nlun as{nee TELEPHONE ~ DATE <br />,r /}~~ <br />-°O/y/! ,,/.~.~ekMa 57 E~'k~/`r" m .sort mnl 4n.nn.4 r...>enul n)oFntl~ plMr nn4 e.W.l° IM lnmmulkn ' <br />wM1MUe4 !ad on wf IMUIrr of Ibe pmn ar penwu nM m.m{e Ne.ntrnb <br />y,~-~' ~.~' f <br />" <br />- <br />' w Iko: p<mnn dlrtcry rtapMkk fw {nikMn{ Ne Inr°Imnlloq Ike Infomrllon ~ <br />Cf ^ <br />~ <br />w <br />- e~^ subMllad k. w U)e btll of mr kn°nlad{e nM betler, Ixne, aavrne, and aompkk. ~} °h:r 67r~" ~ f G '~ <br />~'"/ £" ~ C~J+i,7 • n <br />l tk <br />tl <br />4lknm <br />dn <br />f <br />b <br />Attl <br />fnkn lnr <br />I <br />ll 610NATU1IE OF MIINa-AL EXECIRIVE yj Q j <br /> nm nwnR <br />ln <br />ert nrt <br />p <br />yen <br />n <br />ox w <br />, <br />M <br />omu <br />°n, <br />TYP6`D OR PRINTED InAWIn{rke padklllly of{w nn4lmpxrmmenlfw t)wwln{HOlnuola OFflCER Op AUTHOpIZED AGENT CODE NUMBER YEAR MO DAY <br />Y VIOLATIONS /RHirtlnctl eM rrttrrchmtlnta her{1 <br />:OMMENTS AND EXPLANATION OF AN <br />T <br />,, <br />':.).. ~Sa .., _i 1'47 9i .. in .. -+'-. .3 _.i, .. ~r ~.« :..~fi ~.. ~.,.~n i-L, "^ ~/i~~..~li..'J <br />. i. l~~ <br />:/. ~ <br />J~ 'L ~~'!' if _','U&.i.1.? ~~UF~ ~=>i.. {o'~[.l ,Z ci 31 .C )C'77 E: 3 ~. ,:.:~{'~~ <br />. <br />. <br />. <br />.. <br />: n <br />. I .G e~.~ <br />iii°_. 1, `' <br />: .al <br />, . <br />h ..- <.a~ <br />7s a x.. <br />Y't)'i :~F,''~( <br />i <br />i <br />~ <br />~i <br />; Y s ~: <br />.a Fis ir." <br />A' Y.~~ <br />.o ~ a. Al tr q'J r <br />'a i:3 't,z «it?;r ..e tf; 'vi <br />, <br />, <br />. <br />. <br />_ <br />...,. r a <br />-: <br />,f <br />°: <br />j <br />~.:; i <br />o. . <br />r <br /> <br />:PA FOf1I13320.1(Rev. 3/99)Previoua editions may be used. ~ :~.;~!^,. ;y1 rA/{!jj'{!IS I~i3{~4~~{J ~~7p, PAGE ~~F <br />