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PERMITTEE NAME/ADDRESS (Include FaclBry Namr/Locolian ifOi$erma <br />NAME TFA?P=~ 't'T'l ~~ T' _. <br />ADDRESST R A f F' E' '' ` • ~' '~ <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE EUMINATON SYSTEM (NPoES) Forth pppfoved. <br />DISCHARGE MONITORING REPORT (OMR, OMB No. 2040-ODD4 <br />2-161 p~-8) Y7M1n <br />Approval expires 0531-BB <br />PERMff NUMBER DISCHARGE NUMBER p _ .. .. E ~ y.) c ~ + <br />MONITORING PERIOD nrc~u~ o~-c -~~ IrIn.P rn[,r•I. <br />YEAR MO DAY YEAR MO DAY _ <br />at nT c-y ^ I f <br />FROM ~ 9 12 1 TO ~^ T 7 Z T "R~`• A r: ~ "'' <br />i - ~- ~ - r - ~ - .~... r i lao-nl la~zal Iz+-z ol Iao-ul Ieo-nl luwp ..v.~. ....o...~. ............... ..o~...o w ~~y~......y ..... ._..... <br /> (3 Certl Onry! QUANTITY OR LOADING (4 Cerd Onry) OUANTITV OR CONCENTRATION NO. FREOUEN SAMPLE <br />PARAMETER (4E53 5181) 38-45) (46-53f 54-61 EJ( OF TYPE <br />~3n AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS Axacrsu <br /> ,mm~ es-sa B&70 <br />)II. ANU Gr{FR;° SAMPLE ~ ^ri~~ ( `)0) 4C+ka~.Art rtr. atr r~ r. ,san.,.. <br />L "! A L MEASUREMENT <br />'~ 4 J't h l U D .~ . MIT,`" . '3$)x .`~; <br />~ - E ; =1 # ~: <br />~ <br />.?-r LUEN'L ~:Ir7SS vA40° ~ U EMENT ~ Ocp yg:y ' <br />+ ~4s >. •~ <br /> SAMPLE ~," - <br />.. MEASUREMENT <br /> r :. ~ee~i - . _ _ =r-x.;. <br />SAMPLE <br />i./! <br /> <br />1UIREM~NT - <br />SAMPLE <br /> <br />SAMPLE <br />`~`• E11iAlk+ -- i r-- <br />SAMPLE <br />MEASUREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />W. Gordon Peters <br />President 6 General Manager <br />TYPED OR PRINTED <br />COMMENTS AND EXPLANATION OF ANY VIOLA <br />TELEPHONE <br />LE FOR OBTAINING a` / w <br />~'MATION IS TRUE, C <br />ARE SIGNIFICANT <br />INauDING THE <br />loot AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTNE 97U 824-4401 99 1 <br />i ro St0.0oo erM a OFFICER OR AUTNOR2ED AGENT NUMBER YEAR MO DAY <br />J <br />^ti.~ f 'DOTAL TRO(3 LTY77S. A!LL '1 F, 4ALY°•7, M1YD SF"'L°.AP.L° c1LTn4 T.TMTT ~^T".TCn o~u '=1nrp~'liqu PQ a,^ro c•.car_ <br />SF° !t0!IDFN t7F PupOP RE?IITkF,YF,NTS IIMD?R 1.0..7. ?Y.P!yT.TTFP T'TtST '.'pF,F '<LT. RFA"'1+44~1° •F~SI1nF; '*f) P'?P'1^^ nra i <br />PA Form 3320-1 (08-95) Previous etliaons may not sus . - ~ ~ ~ (REP ES R T-a0 CN M O E SAD.) ~ n ry ^ ~ ~ O q t ~ ~ n_ 1 3 rl R PAGE ~ OF~ <br />