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PERMIITEE NAMErADORESS rE.cA.3r Fa71+n~,\'a+aT..~a1w~dDiQemrq <br />NAME <br />i:. ~ -- <br />ADDRESS : , .. 1 . <br />FACILRY ~ ~,} 2 I L' ? <br />LOCATION C U 9; N <br />. A': .L. RYI rT .i,. RTYR +f.O <br />NATXXtrl POILIfiANT Or6CiW WE ElA1NUTKXV SY+1T1.1 rN1'DFSJ <br />DISCNANOE MONITORING REPORT (OIMgfY <br />PERMR NUMBER U~SCH++liGE !t.A10fR ' <br />MONTTORINO PERIOD <br />YEAR MO D_AY YEAR MO DAY <br />FROM _ _ TO <br />/7PYll ~ ~~UI iZ4- ,i +16I.) :ZO2V} raWrl <br />Form APPKfJld. <br />OMB NO. 2040-0004 <br />Approve expircm 05~3t•9B <br />NOTE: Read IruUU[L)ons before oompe;7+g this Corm. <br /> f9 Cmd Q+>p QUANTITY OR LOADING fa Gm On1rJ QUANTITY OR CONCENTRATION NO. FrifOUf SAMPLE <br />PARAMETER 4r1 t5se~~ t38-s (K1r~ rs!r, rJ EX OF TYPE <br />(3?3>I AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS <br />~re,Y ~~'~~ <br />l8sca <br />8970 <br /> SMIPLE <br />MEASUREMENT <br />., PERMIT .. ,.- :D: :^ - Srr 4t.^_• .: 1rn ~. Ly '?. 1' <br /> REGUIRFJdENT - ~~,j-y:; .. + r+:• ~ _ <br />°--- '. SAMPLE '~ .. ":YP' ~ :1 <br />:~,:aPE~'. ~ 3EASUREMENT <br />iv'•JU PERMIT ~_•:Pao s04bCtd "i7~t.`-: 7~ ~~ dCc:/ :R\C <br />.~ I o~;,{{ F. REQUIREMENT t • .r ~ a- rv n •u <br />..- : - ~ SAIdPLE - ~ - <br /> MEASUREMENT <br />= PERMIT .~., .; ...; :: ^o.a.-;P - u0^->r`! Sf_'-':7'.' .- / .,9a8 <br />r RECUIREMENT T A • . ~ ;~ <br /> SAIdPt-E _ ,..., ., ._ .r - <br /> MEASVREA7ENT <br />- L PERMIT >'==s ]+S0 :0fia6g ^tr't!r •.:^ T•r? <br /> <br />F; 2 REQUIREMENT ,_, r e •~ . ~ s • r • . q . <br />y <br /> MEASUREMENT <br />,••>s2 3 4 PF.Rrdrt O.xrt7oo _~.:z>y~ car,lo'o ->~aoe: ,r, .y-r ?48 <br />` i.UEhS $$rS~ REQUIREMENT - -v..~ .. ,.r . <br /> <br />'. LT i" %v T MEASUREMEM ' <br />] PERMIT a^p~q- ?~?.7PL c•d:+>7o t~C^Orr+ ~ <br />1 . <br />- - RECUIREMENT T ;1 _! /, 4 Y :: :_ s y' + r - _~ <br /> <br /> <br /> <br /> <br />. MEASUREMENT <br /> PEAMiT ••Ea~c;: 37.~c: r67C0: 4p, PCt P* flaTT nRA_ -, - .: . <br /> REQUIREMENT S Y - t •, - :. q . .. <br />NAME:TRLE PR1NCtPAI EXECUTIVE OifICEA I Cinir <br />Ay FAM 'Y ~,mrca F[Nx;Y!)F i <br />1Aa K:f', fe.E :! <br />'CY <br />)/ .Aw n:Ar I twvE !•EUx~NA;:.+ EJ:~ho: <br />h:qN 4:w <br />5:TT~ `it:h+t: <br />AbL) i+?SFI rFD AfYJ <br />)!)N MY TELEPHON E DATE <br /> . <br />. <br />_ <br />4 <br />: <br />. <br />4JOUtFW, ifF T9C!i~ NC,l4Y.'~l.L V.qH'?itiT1Y RS"P1r5t&F it}i UP,!AIN)Nti <br /> T1iE rt:fORL1AtlCJ:. I ltiLE':E Itft'. $!iP1JRl~v 1!KU'ih1AiC,Yi f$ TRUE, <br />AC <br />C?Ni <br />l <br />l <br />i T <br />i <br />i <br />'E <br />WF <br /> AS:(:UaAiti A <br />:J CnM-FF. i MI AWM.i <br />iV~ <br />. H <br />3E A <br />+ <br />; <br />i <br />i <br />tKS Fryti <br />1TT <br />~ F <br />tLF <br />U f'i <br />AXNG f}iE <br />PF <br />" <br />1 <br />:SE <br />1 <br />~t <br />MC <br /> . <br />.NAl <br />. <br />iJE <br />.1 <br />n <br />A <br />•N <br />. <br />.A <br />, <br />J.I <br /> VQS5:3TJtY OF F:r.L AN!> :M4R[$O'MthT. a'TE- ~e u ti.:. 31nn M+0 3i a S.C SIONATVRE Of PRINCIPAL EXECUTIVE <br />TYPED 011 PRINTED ~y.~ ~~~ a"~ n~~ ~~ ~ ~~ r~ `~ ~ SIU.Wd rml a <br />rnsrvra•xdiwn.ctv)6 rtvrn rxl9,+wxt pEE1CEA Oii AUTNORREO AGENT <br />NUM$ER <br />YEAR <br />MO <br />DAY <br /> ." - r .. r <br /> <br />EPA Form 3.120.1 (08.96) PreviGtg adtG Oni entry not be u sed.' - ' (FIEP3JICES EPA fOR1A T-00 WNICN MAY NOT BE USED.) ' ~ ' PAGE OP <br /> <br />