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PERMITTEE NAMFJADDRESSQrL~faNryNr'Xarn/ew I/PJSn,wr) <br />NAME ~JL. .., ` .l A'"%r. .. .. "" .v r <br />~DDRESSn.I°:t~ L,z' J ;u:;~~, F:x~av Pti <br />1•iS15 ?~R Yl! <br />FAaLm <br />LOGTION',>w. ~ acv ~ q~Il t,~ <br />NATIONAL POIIVTMT DISCNMOF RIMINADON SY9TW NPDE$I <br />DISCHARGE MONITORING REPORT (D R) <br />,i ~..., <br />PERMIT NUMB R aseNMDF NuLIeRI _ c I N A L R01! T T <br />M II PERIOD "IN2 1. PnliD F TO FOfn~I. r3c~~ti <br />YEAR MO 'I YEAR MO DAY <br />FROM I U s fio pl 4 0 aap. I10 DISCHARGE. (__~ ~`*' <br />' ~ IIIO~x' R..d e~wetlolr e.1w. eomybdlp Th6 IorT. <br />PARAMETER QUANTITY OR LOADING <br />Quality or Concentration NO F1IEOUENCY SAMPLE ~ <br /> Op <br /> EX ANALrsy TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />~'LV':-.', a^T::'JI'IA.LLY SAMPLE ~.:~'~.+- ~ :C#4atF' <br />~ ( 79 <br />) <br />~ <br />'i.:'i 7`.Y~r, MEASUREMENT LDIQQ` t`( <br />'rCL~I !'}j I!-~'I.. <br /> .. ..PERMIT...::: ...., .,.. ::.: ~i~TkfsC~ .# -:~ : :#'C #$)II Oi:~" .:":. ~ ': ~ <br />R4 fi , .~ ~~ <br />~ <br />~ <br />' I <br /> <br />'%SLJ~:+T '.;3J:;S YA U: 'REQUITEMENT. <br />; ...:..:.::.. .. .. ': ;:: ~~ ~ '. ~ '. <br />.... ~~~ ~~ ~ <br />.:~. ::,~:'.::'.. <br />.'tra., ~~~.:::~.:: <br />:.: :•.. <br />;~'AOai.ik'~'. <br />.I~?A~~.T. <br />Y <br />;.iq~:X: <br />_~. <br /> <br />, <br />. .. <br />,P~'", P')T:vTIALLY SAMPLE <br />MEAS <br />MENT tsnoxiM ` <br />~ _ ~ ( -~ <br />'"~z' ~ <br />'.1 <br />,:1.7 `:? URE IY <br />} <br />.~ <br />;itLQItA/` ,~ UIW~ !~ <br />+ , <br />. <br /> <br />) sus L u U ' PERMIT <br />,:.. ..z x,. .~ .1 ~_..., ., ,, n <br />.:. .... .:.y ter. ~.~~ ~ <br />ia~9 <br />~ ~ <br />0.T3.~ .. ). <br />,;.; A <br />%F'L'1''JT C:RDSS VALUE =REQUIREMENT. .. ~ ~ ~'~ <br />~ <br />;~; sue, SAMPLE <br />MEASUREMENT ., .. :4Cp0~ <br />LQ <br />pQr <br />QO j <br />~Q ~ ..;, <br />~ <br />'3~~j <br />(-,-;~~~ <br />:"IRLLY DISSJLV' , , , <br /> <br />' i 1 ' I J U ,.:..'PERMIT:"::-~::' <br />~~ :::... . .. ...... :-3: -v-^-a~.'~'So ~ <br />.:.. .....~:.,.;;e.'rv`:n Y <br />.. :..::. '.Pry: <br />x ~k~:# ` ~e~il~ <br />-'O$'~":' <br />; Q<r2':::~ <br />; if R' <br />~.~°r <br />, L: <br />`' r ', ~ <br />y <br />'-I ~'~';YT ":uJSS V4L1.!F' .REQUIREMENT', ~t.r~.i._~_~~~~~::~';: ~: : , <br />:.. :. .. ~ ~:.e:.- sx <br />~ <br />~:. . <br />.~s, <br />. . <br />.. <br />:.~ :.r(.~f;'.Y:. <br />;. ~.; ;.::; . ~ .. <br />; J •. ~ K~t q,T <br /> <br />. <br />.. <br />,. :AV"S^. SAMPLE <br />MEASUREMENT ny; r-.; ~ ..., .. ..rN.~~,~~ <br />~ {~2~ <br />~ <br />I i. <br />( ,) <br />f <br />z <br />/ <br />~ . <br />k <br />"J <br />- iv i? ALLI DI »OLVp ~d X' IO3 C: <br />1 <br />Q• L' J' ` <br />' <br />, <br /> <br />:: 11' 1 7 0 <br />:~::'.'PERMIT~~:~:..' :.. .. <br />.~rnt, h!I a. r• . _... rr k t <br />..~. .. r <br /> <br />~ ~ IY <br />~`,#ra tc .#::~'..~~ <br />~ ~ it:M:;j':' <br />: :~~~} <br />' <br />~ :'i;.!. ~.. iM '!:: <br />~~ ~~i~f:~, ~. <br />,.}~::G~ <br /> <br />~ <br />.#C: ~`f <br />~r:j ''. <br /> <br />=F6J:'NT 'SR iS VALUE REQUIREMENj <br />.:..:...,:::'..:. ... ~. ~~.: ~ ~ <br />..... " <br />~.~ ~' ~ . <br />'":C"' ~~ ` <br />~::,~ ~~ 'r.: ~'; ,:. . <br />rc:.,. <br />~ ~` <br />~~~ <br />. '::~'JFY:>-: , <br />?~.$ :~I`:i~i~~~~~Yr': <br />,~ <br />~ <br />.~. <br />. <br />ssl9?Rt.:, <br />..?. ?, ':^~ 'lib'RSP. SAMPLE rr::4::•:~ .. ,.. 40#h+`i~ ,') <br />! <br /> MEASUREMENT <br />JUA <br />Nn <br />NA <br />: '.'~ <br />.i i i'+.: L J U ':::"... ~ ~. . <br />PERMIT `:~:'~... <br />. .. <br />.::'>~ +Y <br />... 1~.:.ttt`.5.~¢:?~.~::, ~. ~i•.4~#;~#.tx.'3' D '-:rr,. ~' ~,»~f l!: fi~::r ..~: .. :., ~~10i.~~i.'~~.:' <br />':i~.: <br />>;;~, 'z:::.".:>k{~:r'...~,:...:: ~.~n.,j ~~. <br /> <br />. ,...6 -~ <br />•: ~• „+~~., _ . <br />,TEQVIREMENT:~ ;'::::~ ~~::•;.::~.~ ~.':~ ~::,~::•..'°'~ ':.t.... .~ ~ . <br />::.::.:::....:r::.:: ~ ':..... . <br /> <br />.:::.... <br />.::;,., :::.~..:. <br /> <br /> <br />::::..::...:.... ~ .. ( .ry <br />.... <br />r!„)~, I1J ~DN DU IT Dk, SAMPLE ~ r)?) OOr?:tht , <br />I <br />. <br />. _ ;', :'?.T:7 r;NT PLF, h. MEASUREMENT ~. OIe3 ry <br />rDZ'73 Ill II i;~i`,'~r" <br /> <br />," )',~ L J 0 .;::;:.PERMIT': ~.: ~:. :.:. ~.. .:..... <br />.:.w ynUZr ;f <br />"';': <br />i8E PO (7: : <br />tr ~': ?. .a ': <br />S.''~!~/C~>x"'~:::' <br />:.. ::::''.A ~;S: ~'Kft <br /> <br />~.. <br />'.' <br />.F; S'F: ),7 <br /> <br />..;~.L'JFri' ..9755 YaLt1 ,. <br />REQUIREMENT. <br />..:. <br />:..3tJDK.AYe . <br />. <br />D~~~ L't.'.!.9~fI: <br />'GD <br />" ~ . . <br />' <br />~ <br />~ <br />..~: -.:. <br />~~. <br />,.. a`i' ^aF.ASg SAMPLE Vic:: r.. ~s0 ~ rJyl .. ... Odr, rr.%h ¢:: :<.y ..., <br />~ <br />~ <br />~~ <br />~ <br /> <br /> <br />:• <br />., MEASUREMENT <br />~ <br />k-' ( <br />' VI <br />`" ' t~. <br />• ,; J,' ) ~ U ''::: PERMIT^..::: <br />#r;x ~9rRtt ":: <br />.. *f .. i:::;.R'~:YJ3'ff7. E" - i ::~at•'.; <br />;"..:OP!4'~Yth:?':::; <br />':: ::"#:'k~'k'!k i. tr .. <br />..~ <br />r c 14 <br />I'.:.. . <br />' ~ ~ ' <br /> ;REQUIREMENT .. <br />~'::';' ~ <br />:.: r. 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'~/ <br />~~ <br />C . . <br />~ <br /> <br />' <br />i <br />l <br />' ar l~pepmpolrtenr rnprr96M ra plherlnp the inrormnrlnn. me lnrnnnetlnn 'l/ O-f1/~'-,~i _ ` _ <br />rpn~l?5•id <br />!-n <br />J <br />i <br />t~3 na y°r mhplnNb, rs me her or mT Lngwktl(e XnO hellrr, rryRnennnl,,,rtl egmplelr. v !~ / ~ i <br /> <br />I Xm.w.rt m.r m.rt nrt a <br />nlnunr <br />nnlne r <br />,neplm <br />nlanm <br />n <br />.IOMATURE OF IRINCMAL EXECUTIVE ( <br />/ 1 <br /> p <br />nr <br />nl <br />rp. <br />nn. <br />l <br />IM <br />I <br />TYPED OR PRINTED nQ <br />nX lneprhwy wnm.na lmprlsnrpp rp k~.lnr+ld.no~ OFFICER'OR AUTHORIZED ADENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPUNAIION Or ANT VIOLA 710N5 (gNJrmc. I//IfbChTMN h.//) <br />':d:',. l.1[iITS F•'')il ".~ ;RTT.LEAPL6 :,?L::"" (1. ':'1 ~.Y ONLI I!' ,- i_- :', ?4-9° PR°CIP °.VP'RT. :': <br />..,'c.::. ii:g IgA.4, h; 5, POR SURD°K DF Ft'?JF ~~;;..: .."~HTS. (lIL S I: D,°L'riF_iL I.H.leq~ PG. 11. <br />EPA Fam 3320-T (Rev 3/99) Previous editions may be used. 7'h~s i 4 (orm, PAGE of <br />002Y6/Dt~13~a-~~.rt3i -l <br />