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PERMITTEE NAME/ADDRESS pweArifwrhyR~/lx.r/w yDlpr.ep <br />NAME jl•itCA C'.-1nL ta.:{GF.NY <br />ADDRESS P. U. 3UX G7O <br />HAYD2N CO k1t39 <br />FAaLm <br />LOCA710NHP YL':.'~ C~:~ tilo,lG <br />A~_ .: N.rl. -:ITI'u}.h_ ... '~}di. H0. Nk:. F'V <br />NATIONAL POLLUTANT DISDXMOF ELIMINATON 9Y8TFM NPDE$l <br />DISCHARGE MONITORING REPORT (D R1 <br />C.)i'G')(ii:l 012 <br />PERMIT NUMBER ascNMOF NUL1ev1 <br />MONITORING PERIOD <br />YEAR~~ MO ..DAY YEAR MO DAY <br />FROM U`}}i; y~~. ,~/'~. TO 'v 1 1 . J 1 <br />~: ' hi'. <br />.?'i):! ' <br />F - F: YAL RUGT'i <br />ACJTe ilt.: TESTING FOh G12A ` <br />NOTE: Rsad Inatrtretloas b~lw~ compbthp IAb Iwm. <br /> <br />PARAMETER QUANTITY OR LOADING <br />- <br />Quality or Concentration N0, FReovu+cr SAMPLE <br /> <br />EX of <br />YPE <br /> ~ ANA<rss T <br /> AVERAGE MAXIMUM U~'11T5 MINIMUM AVERAGE MA%IMUM UNITS <br />L'~50 STAPi:h Obi"r ACl <br />1: :: 'r I U.` nrr V I A SAMPLE <br />MEASUREMENT ...I::r- •.sngpfk <br />~~ U ~ rlq/r..-': .e a'~^=tr ( .'3) <br />(.~ ) <br />/L. ~/ <br />`yr~ <br />T;..':3ii 1 U J ~. .PERMIT.: ...~zn:;::xa.l;r ~~~ <br /> <br /> <br />~ ~ <br />...w <br />....>: <br />~.:~ ~':~~:• - ' <br />~ #nfi <br />.. <br />tF ;,,i;4ziiy:~t.:.. <br />~ ... <br /> <br /> <br />~ f R- `'t'iLY a,u:D <br />ct'?'Lil~:4T L;"OG; VALG: REDUIREMENT . <br />... ~~ .,:~~.. ~ ~:a3p. .!i:',{T:}.;>i#it. ~ <br />:> ~ ~ CFV. <br /> <br />`~'- v ~ wl Q ~ q 5 <br />• ~ SAMPLE <br />MEASUREMENT <br />'~ a ..~ ~ <br />~. ((~ ~~ U ' /Cf~ 7wb <br /> ~ <br />` <br />/~ <br />F..L J V lI Gti ~ PERMIT ~: <br />REDUIREMENT .~ ~ <br />~ <br />.~ . ... .: <br />~~ ~ . ~~'~.~: .`.:. -' <br />`a .~ <br />V QC(n : .. ..:, <br /> SAMPLE <br /> MEASUREMENT <br />~ <br />~~, <br /> . ~ 'PERMIT ~ ~ ~ ~ `" <br />~~ <br /> REaUIREMENT~ <br />:.. ... ~.. .. .... ~ ~ ~ ... <br />.. ~~. ~ ~~~ ~ ~ <br />.. ~ gy> <br />... .:a > `:. .. <br />~.: .. <br /> SAMPLE ' <br /> MEASUREMENT <br />~ <br /> PERMIT ... ~ ... <br />.. .. ..~.... . :...:, ~ . <br />~ .: <br />: <br /> <br />REQUIREMENT. <br />~ .~ <br />~ ~ ~~~ <br />.: ..: ' :. <br />;:::~:~~i`^::~'~. ~.:: ...:.. <br />~.:.~.~ <br />. <br /> SAMPLE <br /> MEASUREMENT <br />~. <br /> ~ ~ ... <br />' <br />>: <br /> ~REDUIRENIENt ..~:....~ <br />: : ..~~ <br />:~ .. ~: ~ ~: <br />~ :';t:~ ~ <br />. <br /> . . <br /> SAMPLE <br /> MEASUREMENT ~ ~ "'• <br /> .::PERMIT ... ~. ~~ : ~ .~ ~ ~ ~ ~ <br />:~ ~ ~ ..~ .... ~.,-..,; ~~: <br /> <br />REDUIREMENT: . . <br />. <br /> <br />:: <br /> <br />y.: <br /> <br />_ .. <br /> <br /> <br />.. <br /> SAMPLE <br /> MEASUREMENT <br /> ~: PERMIT ~ .. .... ~ .. ~ ~.. :: ,.: ~,..... .., :. ~:.. <br />. ,:. <br /> REDUIREMENT ~ ' ~ ~ . .: ~ ~ ~ :. ~ ~ ~. .::::. fzr .:.: ` <br />~ ~ ~ ~ ~ ~ ~ ~ ~ . <br />...: <br />o.....' <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER ' n^" f e er pen. q e l.. ln.l Nb de[vntnl.M nll.llucnn.nv .rn <br />Inpurrd under mr dlrnnon ur fupenHun In urmrdunn wllb . rnlrm dmtnrd TELEPHONE DATE <br /> b aeon Inul qudlnld prronnd Ploprrlf puler uM oJuutr Ine Informnlon <br /> xublNllfd. EsE on mr Irpulrr N Ne Aron er pave .be munup Ne rnlrm, <br />/ <br /> a lnox perora dlrrclir rnpdbk ter plbrAryWlnlerm.llnn, ne Mlarmrllnn /1 Q-r.. ~ <br /> <br />WbnJlled 14 to Ne but or mf Ylur.bdtr uM be11rL Irue. urxvntr, end complete. <br />I nm u.m lbul men rn a <br />mm~m <br />rnuW <br />ro <br />b <br />dw <br />m <br />m <br />m <br />- v /~ ~~+ <br />SIGNATURE OF PpINCI[AL E%ECUrNE ~ ~~ ' <br /> p <br />r, <br />c ru <br />n <br />. <br />n, <br />[ <br />rormu <br />nt <br />I <br />TYPED OR PRINTED ncludln[IN pom161111T scone nlb lmplf.ennenl fer tno.lnt .Iwuuoln OFFICER OR AUTHOIIIZED AOENi CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION vh ANT vwLA LIONS lRHamcP M/affachmmfs hrlrrll 'I <br />>~;rAST I.Aeli Ftln v.I'~iL'~ JF :F.~: ~.7CtD;r~. F.E'FGhT LOY$~t GILUTI'J/: (, r.Ft:.G:hT) NIiII: IS LL'T;tAL T.U 5G"d:. <br />~F LEST ~/33A:JI:iMS (Li:UU) hKD nT'fI:CIIr6:Ji~ '!<.i: ICITY T$S,T~,1C!<~POR1' FOilh TV ilMn. <br />~r,.- <br />EPA Fwm 3320-1 (Rey 3/99) Previous editions may be used. 00121 lh~ ~sAa{4-yai#fo E <br />,~,yyy~ /~'/' ~_ PAG lOF <br />. '.I[:ti'.I':'*Atl'd~!P~;: S:.L4' .....-... ,w~+r.~i'a.. _ .,.n i~r~ .. ~. ,. 3.. ... ..I .. ... <br />