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PERMITTEE NAMEfADDRESS (lndrde Faciliry NgmeQacgtton ifUifferenq <br />NAME <br />ADDRESS= ;1 A P V c "t f 'I <br />P.O. d'J .t i 7 / <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) <br />DISCHARGE MONITORING REPORT (OMR) <br />r"I1I07 <br />~ (SIJRH N4) <br />PERMIT NUMBER DISCHARGE NUMBER r_ c I .~ S i <br />Form Approved. <br />OMB No. 2040-0004 <br />r G'r P. "' <br />FACILITY .: r e : t; C'? C 1 h 15 MONITORING PERIOD '^ F : T'_ 3 T I !: % `' "'~ 5 0 2 ^ A <br />LOCATION YEAR MO DAY YEAR MO DAY _ <br />FROM 1 O1 .1 TO 0 ^3 31 :a.~ N) DISCHAdCF: ~~ #aa <br />NOTE: Read Instructions before pleting this form. <br />+-~ : l'~ : 5i <br />C J <br />' <br />L'~ T• F `''f ^ F <br />~' ~ ~ <br />; <br />! : <br />' <br />:+ <br />. <br />, <br />. <br />. , <br />i.: <br />i ; <br />rv <br />r <br />. <br />- QUANTITY OR IOAOING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> AVERAGE MAXIMUM ~ UNITS MINIMUM AVERAGE MAXIMUM UNITS ANa-rS/s <br />L'7U SPATR6 Uiir{R AC SAMPLE rf'x4$^~9 ~4n:xnR .~r:f;::~ .::::^4': ~ 23~ <br />,: Y.R[ODAPRMjA MEASUREMENT <br />r, ~ s i i u D ~<.;; ~~~ ~ <br />r,~ <br />~ ~ n ,~ ;, <br />• a k. - ,. <br />r'LURdT GP.OSS VALU` Rk'2) 1 ~ ~*'" ' . <br />',`'- , ,.-t .e ~~ a . - ~ <br />y~ ;,- <br />I..:>U STIITRE y6HR ACS SAMPLE 0~4#3aLR -~ ####aa ##XkC~r;r~ acts#f~# 4 2.,ji. . <br />I 'l E P Y A f;£ $ MEASVREMENT. - ~ ~ - ' <br /> <br />. , ., <br />. b" T D u ..~ a#o ,f, <br />- <br />~FLUBi1~l1{ GRO55 YALO. RE~~ _ ~*,- `-;fi n. ?~ ;~_ n~~* ~"' ``~' "~ ~.'° `~ ~ E T <br />t =- <br /> SAMPLE <br /> MEASUREMENT ' <br /> <br /> ~•EV ~, <br />~~ ~ <br />- <br />~ s ' <br />' :r <br />. SAMPLE / ,~( i <br />_; <br />_, MEASUREMENT i <br /> _ ti, Y ,x - w ,' j'~ '-, <br /> <br />-. i. <br /> SAMPLE l <br /> MEASUREMENT <br /> ~ <br />~ <br /> EaulaEM. ~ <br />~ <br />^ ,~ <br /> SAMPLE <br /> MEASUREMENT <br /> p2i314i13` <br />v -. :~ It.,~ x ':a'" ' F ' <br />' <br /> S1T <br />iiE <br />~~~M~ ~ <br />„3~ y <br />i a <br />,'b ;x ~ <br />,,, ~+ <br />. <br /> .. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I Cediry under penairy of iaw that Mis docurtient and an attachments were <br />cti <br />h <br />t <br />i <br />0 <br />d <br />di <br />i <br />i <br />i <br />tl <br />d TELEPHONE DATE <br />ence wn <br />a sys <br />es <br />gne <br />prepared un <br />er my <br />re <br />on qr sµoerv <br />s <br />en <br />n aocor <br />em <br />to assure Thal quariletl personnel properly gather end oveluala the information <br />ln <br />l <br />r <br />r <br />r <br />n <br />wh <br />th <br />st <br />b <br />i <br />d <br />& <br />d <br />lm <br />~~~ <br />u~--- <br />ryo <br />po <br />. <br />ase <br />onnry <br />qu <br />sono <br />so <br />e <br />omanage <br />esy <br />em, <br />m <br />ne <br />apa <br />W. Gordon Peter& su <br />or those persgns directly responsible hr gathering Ne iMOrmetion <br />the inlonnetlon ~ g~0-624-4401 Ol 04 26 <br />, <br />President/General Manager submined is,to the best at my krwwlridge and belief, true. accurate, and complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />l am aware Thai there ere significant penalties for submihing false inlorineiion, <br />TYPED OR PRINTED Inclua the sibil~ of rme and im risonment for kriowin Nolailons. OFFICER OR AUTHORIZED AGENT A <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIVLA BONS (Reference all attachments here) <br />~.i6' L.A.2, PP 7-5, FOR DcfAIL~ Uf' Tt:SI' ?ROCEDORE, kEPDRT LCSD - 3TATISTZ~AL POINT ~STIAATE WHICH iS <br />LaTnAL TO SUX OF TEST UROANC3".S, AI+D ATTACH AC[]TE TORICTTY TEST kEPOR'" FOdt1 TO DNR. HH°9 VET T£STiNG MOT <br />E .A orm ~ Oh ( /99) revious a lions may be used. <br />