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RERMTTTEE NAME/ADDRESS Qweii fsWryNnw/yeennrw I/DberwlrJ NATIONAL pOLLUTMT OISCNMOE ELIMINATION lY4fEM //NPDESI NAME g E N E.: A C 0.~ L C C!1 P A N Y DISCHARGE MONITORING REPORT (DMR1 `inch ADDRESS Pe u. y0% 57U 10~ r. 7 r„r i a (,Uufi J~) .;Z H A Y D ii N CO •'r 1 0 3 9 PERMIT NUMBER DI$cNMUE NUMlE11 F_ FINAL $0 U T 1 fACRrrr g'GE MONITORINGP,ERIOD 71~C°_nY.Gc TU GFASST CRE::K LoCATION}j A Y C' £ N YEAR! MO OAY YEAR MO DAY __ _ 1:. .: CiLUU FROM U U SO ~U ,j ~~~~ fr J Jl ~Lr+AH::. ~ ~ '~•-~ _~ A T T N C ~ a{ E G u K Z "f C h E 5, v ., h ;; :; A L "A !. A ;, k: !+ ~ NOTE: Rnd IrNhDedoyw brrfarr cornpbtlnp thb loan. PARAMETER QUANTITY OR LO ~ QUa~jty Or Concentration NQ• `"6°oF"`Y SAMPLE AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS EX A„KYyy TYPE UIL ANO ::dEA`•c SAMPLE MEASU ;O=.~r,~R _` ( ~ ask ~F rr ~r :~ :k»r y:%~: ,:; ,:; ;•-. '1 YISUAL REMENT U J 7 ~;t t14U66 1 U 1 PERMITi'::: . ....::.............. :': :: r,_'e rr~^r,: ... , . n sl:Pi7:f;". _ E5-1 •;: a f~~F. EjllliE"< ;'.!::. ,~ ..#>aY.y~~g;<`: ~ '4.'t':.?M#::HTU';` =: ' nrr~: Ni:ry. ): ~ j5 :. : EFFLUEGI' GHO55 YA G' .'RE~UIREMENT' c AB _ IiO-D +P~~''`r,=:~'si ~.... ..Ido.:.5 ,3.: .:. r'::::':::'iYi .:L`:.°~".:'::. i' . : :: :'~: ~.:.'. ~:'.::. ~ (::}4r r'r . 'i~Li'I•'.1`:I . SAMPLE MEASUREMENT ~ ~ "'-PERMIT.:. . ... . .. ~:' ... . .. G~ ~ ~ . . . . .. . :REQUIREMENT .. .. .: :. ;. . ,:'W.` ~ ~:'.. ~ .::. . .~:: :... : .. .. YU.' w'.i ....:ter .... .. ...... '... ......... :.........: .. . SAMPLE MEASUREMENT ~. i-~~ . ::'.::.PERMIT..:::'. .:. .... .. .. ~.: .. ~ .:. , ':. i~E'~;~; ~<.~'~:>.~;;.:~.'': REUUIREMENT:~ :~' ~ ~:: ~.. ~:: '.:'~: ~; . ~..:' :. :.. , 1':.::'.::;;.~'i -.:::.ice::'<:"R; :. .:.:.:.. SAMPLE . ,r MEASUREMENT ~.~ :;:;::::PERMIT::::.: R ... ~~ :: :.: ' • '• ~ ~ ~ .:. ....:.. :: ~~ ~ ~ ,:::' .: ... .'::::: ~'::v`I" .....::.:.::: ,...... ~^L .e ;;;;.~ :': .:.. , . .REC'.UI EMENT' . ~:: . , . :: . .::..:.: .. , .. ...,. 'e'' ~:.::;..... ..~...~:a~:. .. SAMPLE MEASUREMENT .:.. .... ~ ~ ~ .:a>' ~ ~~:' ~: ~ ~ :~ ::AEO,UIREMENT .. ::~' :. ..........:..:..'. ' .~ ~ .'. ~~~'.. ~'.. :. '~: : ~.' ~~: ~ ~~.:!.. ,::. . . :..:..:~:::::...r.• ;. ~ ;; .::. ., . :~.. • SAMPLE MEASUREMENT ~ ' ' . :REQUIREMENT : ':: ': ,.:: . ~ ~ ,._ ~h::.; :': : . .... "~~~~ ~ ~~~~~•~~~~ SAMPLE ~ MEASUREMENT r ...::"'PERMIT::":: ~: .: ~.'~ :... ... ..:. .: .. ... .. .. ..x: ; NEQUIREMENT : : ~ ~~~~ ' ": .:.: ~'::': ~ ~~~ ~ ~~ +: ~'y1~ ~:•::. ':'~~ ~:~~ : . , :... . :::. ... . ~ ~ ~ . ' . NAME/T1TlE PRINCIPAL EXECUTIVE OFFICER '°^"r° prepnM er pn. vn .. Ina u nM«my elr«non or w r N aorvmem.rM .n.nanlrenlr we^ nlMnn In a m un TELEPHONE DATE p eo nnr. n nepo-m ea(Le ` m nVU^Innl qunllaeepronna properly (elver and eeauae lne lnformalon NLrrillyd. !sa nn my Inquiry M IM1e Peron nr penone.ha mnnn(e IM eyrlem ~/ '\ , or mo: penme mrealh repobel.r«.vlnenn(ue mrorm.nnn. melnronn.nnn we lrlM l n b r ~ .t m r, Io l e vl n myLm.W(e.rq eena. w•. aavnle,.M mmpNN. I nm n.n^ unl Ines ere tl mm~m all m y ~ O, ' ( pen y r n4lauln( Nbe Infnrm.aen. ^IONATURE OF -IIINCyI-AL EXECUTIVE TYPED OR PRINTED I«rnaln(Ine pneaEllliy orn«.na lmpeMnmrnl rnr.rm.ln(^a.uop. OFFICER OR AUTI~ORIZED AGENT NUMBER YEAR MO DAY rnuucuYe Aun evol •uAnnu ne •uv vlrn erlnu~ .e_.______ _.. _..__.-__._ . ___. CODE I:~o ~ inJ6 LIMI'!'S MILL sic MF IV1iD G iETT:.tAs LE ~OLIGS L1^^IT AFPLI EJ Gt? <=TOYS, ~uH3 Pit EsCIf eYCtiTp T55, 1MGN ~ Sd~iTLEABL£ SOLIU:i LIRTTS ~AIV~U TOR >l0YN,244H FnECIF i;YLN'T ~UuJE::T TG ifL'iLDEh OF' Pkt00F IN I.A~.2. EPA~FcrrrY3320~1' n u• u i v ~~ y I v i i• v a n y a. ~. .h (I2ev 3/99j P evibJs esi~idns may t'ie used. G J 0 i 7 / I~i-v :~51~°~Iai~~°dIT' pncE 9F