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P[RMITTEE NAM [IADDR[fS (In[IYdI <br />FleQily Name/Lotarbn iJdiJfnenlJ <br />1~--i!T~r-fui~.T r:~ic~ ---------- <br />ADDR[fE yMy.ly~~~~I~YD,rcnU r~cc1~~.,~2c~___ <br />__- tC'l YT r'FYD OTC~J~UaYr__sC P. D/10 ~_ <br />'-'ter-r.--r~---.-..- - -~-~`~ <br />---~-1~-9L`,ti2a-Lf --~",8-~1~2~- <br />-wcl LITT------ <br />LOCATION <br />NATIONAL POLLUTANT DIlCN ARG[ ELIMINATION IYSTEM (NPDES! <br />D ISCNAROE MONITORING REPORT /DMRI ~ <br />lb J~ M I :. U n Form Approved. <br />~ ~ a n o t (5 W ti R Y C /y,OpMBFNP:?.040-0004. <br />PER T NUMBER DlscNwacE NuMFEw F- F i n A L-pproval expires 6-30-91. <br />MONITORING PERIOD ClI r:IJ:IIC '.:T TESTTN:A FOR IIOlA <br />YEAR MO ~~(p y YEAR MO DAY <br />FROM ~~ <br />93 U TO 98 0 3G ilaL. RC LISCHAR ,F I I a~u <br />/101/1 /11231 /1(J I?6.1A I'8.z91 130311 NOTE: Red mstruLrtlons before wmpleting this form. <br /> <br /> (! Cord Only) QUANTITY OR LOADING ( RrQ, On1Y) QUALITY OR CONCENTRATION <br />NCV <br />FREO <br />U <br />S <br />I <br />E <br />PARAMETER (fib-JJ) (JEfiI) 813) (Ib.TJ) (Slfil) NO, <br />E% O <br />F <br />I PE_ <br />TY <br /> <br />(31-l1) <br />AVERAGE <br />MA%IMUM <br />UNITB <br />NIMUM <br />AVERAGE <br />MA%IMUM <br />UNITS ANALYS <br />S <br />:EFF ECT ST AT P.E 7GAY E <br />UR <br />M Y•~sL>~Y ~ ~~¢~;¢ r,T• rA~{~ >V G's r~°G ( ~3~ ~ /9O <br /> M <br />AS <br />E <br />ENT ~OU o <br />CdR CERIODAPHNIA ,- <br /> <br />Tv P.iB S G G <br />x . 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IArr srmur.. nrP. mrldr /.n.. uy e• lln nPr AREA <br />TYPED OR PRINTED P•d ur maunrem m•pnnnnm.r,r ••/A.uVVnfim•mrM and :.rear OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS IRrlrrrnrr uIl urmrnmenls nne) <br />F.EE Z.6.~ FJR TEST P°GCEDUY.E. RPT RESULT:; JF L3THALiTY DFhIYnTIONS AS '':EFFECT°! GflOYTH E REPdJDUCTION <br />LdHIVATIONS AS rrTOXICITYf'. APT COYEST :: EFFL AT YHICH STATISTICALLY SIGNZF DIET 9ETYEE".I TLST E CONTROL <br />EPMF.oNn%Cf740.1!`(R~~ nvToua name BeEUS • RP IREEI(A~ESI.FJ.~F'F~AMTTJEWMIGMYrIYMQTe[USEDIIIC~1jA• ATTACH CHROh T S il2i TGoF7P1P.. <br />0006~6/94Q~y~32-1838 1 <br />