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NAMEIADDw[e3 (JRC1Rdf <br />Facility NamElLocafbn if diJJnenf/ <br />woow[nT~,'ILAC'~?-:-r-?~'~'1'tc12#1'`:.~.~=!=-C>~-Hf-pP.~p--- <br />___z"~~Ti--.-40ra~-n~ .D~+'k~-~F.~~-s-aa=~_ <br />-ACI LITY_ <br />LOCATION <br />NATIONrrL FOLLVTn MT DISCMAq GE ELIM INATIO IYSTEM (NPDE51 <br />DISCHARGE MONITORING REPOT lOMRI <br />1 /b ' 1719 <br />ir~OSD r <br />~•~'. ~ <br />PERMIT NUM RlR DrscNwwcE NVMeEn <br />MONITORING PERIOD <br />YEA(~R MO DAY YEA1R~) MO OA]Y!, <br />FROM DA 4 0 TO IJ J Ut JTi <br />/70111 /1Llll QI.IU l76~17/ /78291 /30.71/ <br />:; I h G h Form Approved. 7' <br />(5 U ~ fi .+C ~OMBENo; 20Q0-0004. <br />i' - F Z N A Approval expires 6-30-91; <br />I.t;;:, i 'IO H0. 7HOMP30N F.IYcn ~• <br />~u:x G DZSCHARGF ~)GC~ ~~~ <br />NOTE: Rasd Instruetlons bsiore ebm letinp this form. <br />TTU• TTY GT/1V CG <br /> (J Card Only) QUANTITY OR LOADING rd Only) OU ALITY OR CONCENTRATION FR EOUErvcr <br />B <br />E <br />PARAMETER (16-J3) (3161) (38~J) (16.53) 13161) NO' <br />EX of TYPE <br />•- <br />(32-37) Arv ALrsls <br /> AVERAGE MAXIMUM UNIT MINIMUM AVERAGE MA%IMUM UNITS 6763) (6168) (69.7//) <br />OIL ANG GREASE 6AMPLE :}(:yY,)>;rk / 40960~t (r'7 fp (b:kQ Tf iY Ol it tl4 <br /> MEASUREMENT <br />YISUAL <br /> <br /> <br />b4Uti6 i 0 G _ <br /> <br />- . ~a <br />~ PERMIT' <br />s< <br />;<`., l~ <br />s•. 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MONTHLY SA`1FLZNG FOii <br />FN, PLOM E 06G ALLOWED DURING PERIOD CF LTU ACC25S; ATTACH STATEl7ENT :0 DN,R. DETECTION LIMITS--SEE I.F.2. <br />ERA'Fo' `11( )eF 'f R ! • `J • Iw[P]l1CES 'iw Ro'il rAl' TrNI iaMA. ia0`i,tie~ s[8/{1 N Y G U f'. G L N tt wraa[1 UoF <br />00034/940412-1838 2 <br />