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PERMITTEE NAME/ADDRESS OrA1r FrWry N~w/lawm l/D~irwe) <br />NAME Ti±AP~'i'R "I:1Ttit;r I'!C. <br />` ADDRESS T fi ! :'r' ° ? ` i +I t' <br />~.n, six t'~ <br />i"`~,Y ~ .. ~~ 91blb <br />FACIUTV <br />LOCATION <br />AT~'R: w, '-'13D)V PF^•~'RSr 7P.Ei/GER +~G4 <br />NATIONAL POLLUTANT DISCXAgOE ELMINATION SYSTEM /NPDESI Form Approved. <br />DISCHARGE MONITORING REPORT IDMRI , ~ ~ t, OMB No. 2040-0004 <br />n-r5~ m-/sl M <br />~ ~ ^'13 211 5 0 70 41 (~ q 9 D `? Y~ Approve! expires OS-31-98 <br />PERMIT NUMBER DISCHMGE NUMBER r _ P r v P T. tw ~ -~ ? ~~ <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM - TO ~ ~`-~` ?!~ DT SCH AR'?F~) ##C <br />!20.271 !?&T3/ 17f251 11s-17/ !YS-29/ 136311 NOTE: Rssd IMtructlaro befor~C~o~mpleting this form. <br /> PARAMETER 13 Grd Onlyl QUANTITY OR LOADING !1 Grd Ontyl QUANTITY OR CONCENTRATION NO FREDUENCr SAMPLE <br /> !46531 151-611 138-151 /16-531 !5/-6F GF <br /> l32-371 EX <br />ANALYSs TVPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s1 <br />e] <br /> - <br />! /61-581 169-701 <br /> L ') ST7tTI: F- '1{4y;r 4!';_ SAMPLE ... s4 ;t'k C4?x04 ... ~••;!..;•^. •: Jt .•,;-4r: ~ ~~~ <br /> C. ~ H. 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G'.7rdJn Peters TpUE <br />NACCIXUTEF DACIOMRETE <br />~ETAMSAWAREETNAT TXERE ~ <br />L+~ ~-/_ :i0-3?4-44~! 00 Q1 27 <br /> /Genersl Mana •er <br />Presid <br />r . <br />. <br />ME <br />SIGNIFICANT PENIILDE9 FOR SUBMITTING FALSE INFORMATION, INCLUDING . <br /> r.t) <br />. <br />f, THE POSSIBILITY OF RNE AND IMPRISONMENT <br />BEE SB u <br />S <br />C <br />1 1001 AND ]] <br /> . <br />. <br />. <br />. 610NATUgE OF P111NCIP <br /> <br />U.S.C. 1 1 ]10. !/y/IARNI uW dMrr rYNM1r nuy YtcArdr FYMS 1p ro S IO,Gpp AI EXECUTIVE <br /> TYPED OR PRINTED rMrmuirwn irp•ISmlrnb MMwn6mmMr rM6yrrsl OFFICER OR ALFTIIORIZED AGENT CODE NUMBER YEAR MO DAV <br /> COMMENTS AND EXPLANATION OF ANY VIOL ATIONS IRe!erancs ell ettsehmsnfs here! <br />:iEE [. P. it PP !'9r FqP Q:;TA[L'3 J~ Tr'.ST Pi7E~7Un... V~-D~Rr [,"Sn _ iT e.rram •-„ .. ,.. ,... <br />LETHAL !';) 503 OP TpST )R:A>r[Sfl 5>, ^'ID ATTA:N A~rl"v ~~XT^TTT '"!"Sr q-•nn~r^` .., .. ~ ~ ~~ ... ,; Trp, v7^ <br />eESlll[RPD. 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