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PERMITTEE NAMElADDRESS /1.eL~. Fslary Nsr/Ianla.I/D~wvO <br />NAME , <br />u ll'', a ~' ,. , 1 ... ~'. <br />ADDRESS 111J~ ~'i I ~ - ~ I' `i <br />FACILITY ~' :. ) - h ~ , ; , , <br /> <br /> <br />~YC~~r.: •:6 a.,, ,. .,..nSS,n ,v i 2{6r <br />NAnoNK PouJf,w'r bl}iNAiibi uiMlKar,Gd snrrEr~ fAJPs~n.;J <br />DISCHARGE MONRORING REPORT lOMR/ <br />7-T 51 I7-191 <br />,~.n.lT,..,a ~„ <br />- PERMIT NUMBER DIBCHMGE HUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAY <br />FROM ~ _ j • + TO - ~~. <br />/76771 /7I-731 /II-751 /76271 179-79I !3631) <br />romp! uppl ~ . I ~. <br />I i. I I.. ~ : ~~ ~R ~. ~ ) 1 , J MGM~20. 7DyD-LAn.:. <br />Ab'prbvel expires 05-31-98 <br />( ;; r ^) 1'.145 <br />C - T, ~1~ E~. <br />''AI~1, <br />I, ~W~ . <br />~~-NOTE: Reed Imwctlarr ~betori comp6Tinp thM form. <br />PARAMETER /3 Card OnJY/ QUANTITY OR LOADING /I Grd OnJYI QUANTITY OR CONCENTRATION NO. FREDUENCY SAMPLE <br /> 106531 /51-51I /3B-I51 /4653 /5L5f <br />EX OF <br />TYPE <br />l37-371 µKV515 <br /> A <br />RAGE <br />VE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !a7-a]1 160.691 I69-7o1 <br />.:.~, ~,-:; ,; SAMPLE <br />MEASUREMENT l~ <br />4 <br />7 <br />~ I <br />" ( -.~ ... r "~'i <br />~ <br />~ ~ I <br />~ <br />~ ( 11 i. <br />(2' <br />.. <br />. <br />:.1 s 1 ~ (p <br />1 C ~ ~ <br />^ ' - <br />~ ~ <br />. <br />- <br />. <br />- <br />- - ~ PERMIT p <br />i; "'F~S <br />~ <br />t~ 't •^ a <br />:7 ~';IL <br />:]s <br />a `:R ;: a: ~.c 1 .. A <br />, ~" <br />~ <br />' <br />' ' r r i u .i <br />: <br />~: T, <br />L: •f. <br />1~1^~f"/ s~, r,, .- <br />?.0 <br />. ~,+` <br /> .AEQUIREMENT . <br />. . <br />, .... . <br />, . <br />. <br />' . <br />;F "t'I .' 1•if,. _ a' 7!'. r c/r "l 1:'+ <br />- m t;~ <br />A'. <br />- / r <br />M'l It n:: <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ..PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> .~ ~. PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ PERMIT ~. <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br />• PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMElTITLE PRINCIPAL EXECUTNE OFFlCFA I CERTIFY UNDER PENKTY OF UW TNAT I NAVE PERBONKLY El(AMINfD µp - TELEPHONE DATE <br /> AM FMIILIM VATH THE INFO RMATON BUBMIT7E0 HEREIN; µD BASED DN <br />I,^, <br />~ <br />~ ~ ~ y <br />) I C 7) I: MY INOVIRY OF THOSE INDMOUKB IMMEDIATELY RFBPONSIBIF FOR <br />OBTNNINO THE INFORMATON <br />I BELIEVE THE SUBMITTED INFORMATION IS ' !: j~' ; <br />~ <br />. , <br />- <br />J , <br />TRUF. ACCUMTE AND COMRETE. 1 AM AWME TNAT THERE ME <br />AGNIRCANT PENKTES FOR SUBMITTING FKBE INFORMATION <br />INCLUDING ~ !. -/ ,~ <br />f <br />l,~ ~ I J P ~ , <br />THE POSSIBNJTY OF FINE MD IMPRISONMENT. SEE to U.B.C. 1 1001 MD ]] __ <br />SIGNATURE OF PRINCIPAL EXECUTNE <br />~ <br />~ ~ ~- i <br />~/ !~I <br />- I ' <br />1 <br /> U.S.C. 1 1 ]1e. (PrreW vtlr tlw~ mruers mry /xAW hrs W ro t 10,000 <br />TYPED OR PRINTED Wormuinunf+pdvlnwlt erbrrwnemonau pleb Yrr.J OFFICER OR AUTHOgRED ADENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRelerence e!/ etfsehmenrs here! <br />EPA Form 3320.7 108-95) Previous editions may be used. IREPU1CEb EPA FORM 7-0O WHICN MAY NOT BE USED.1 PAGE OF <br />