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LE-OT.s~~.~Ta^-r--r^~oi 'i---- <br />-wcfun _____ <br />------------- <br />LOCATION <br />i 9TA. 7TM S^(JV Fk --- ----- <br />N ATIOM1fL POLLUTANT OISCMARGE ELIMINATION SYSTEM //VPUE.SI <br />DISCHARGE MONITORING REPORT /DMRI <br />1 /6 /~ <br />,r,. ~ r-r nn v <br />rPERM1T NUM[[R RncHw RCF nuMlEw <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 98 Ol O1 T° y9 v3 31 <br />1I0~211 /1113/ 11115/; 116-17/ (1819/ (30~ lJ <br />MIN 0 H Form Approved. <br />FSUURIN6LAppBorva~ezp~'Ir s6-30-91. <br />i <br />CHRONIC GET TESTING FOR ~Q7A <br />Tax NC RI SCVARGF~ ~)()CI #-`~` <br />NOTE: Read Inst7uLKlons ba or GOmpletinp this form. <br /> (d Card Only) qU ANTITY OR LOADING (AhCard Only) QUALITY OR CONCENTRATION <br />5!' <br />rvcr <br />FREO <br />U <br />gAM PLE <br />PARAMETER (I6-JJ) (Jldl) (383) (Ibf]) (J16)) NO, <br />E% D <br />F TYPE <br />(JI-37) ANwLrsls <br /> AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MA%IMUM UNIT9 616J) (61fi81 (69-1U) <br />AEFlECT STATRE 7DAY SAMPLE #aaa>aa ##a##a ##aaa# ###~4a ( _'3) <br /> <br />CdR CERIOGAPHNIA MEASUREMENT <br /> <br />O <br />T <br />~~ <br />W6 <br />T <br />~ <br />~~~ <br />~' <br />' <br />~ <br />«~ <br />$ <br />~~„ y~~~@a, <br />`~ <br />a k. mom., <br />S+rP <br />~ <br />~?' <br />P <br />~ <br />P ETT- <br />n <br />a $,q "y3 <br />~7S L° <br />' .{j~l T} <br />' <br />' <br />" <br />ya <br />®> <br /> QUIREMEN <br />t ~ <br />. 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SPERMIj • a <br />' <br />• Sa", <br />a a~ <br />^ <br />• `k•"., '^„ „, <br />,' ":; .~,, • <br />° <br />^_.„ °-°°.'" <br />V <br />° <br /> <br />~ <br />j <br />•.~ ~':a~• <br />j <br />y <br />~. q <br />« ~ <br />~ ice ~/",^ ~ <br />-"~'•' o °'•-'° <br />~ <br /> <br />~ <br />w <br />a <br />" r~e~ :.s„x°°, «^'.$ s .sta <br />° <br />~ <br />p <br /> 'R80UiREY <br />Er~,T <br />$ ~ <br />$, <br />- <br />k a <br />5`.,Sr <br />°ffi <br />° <br />a ~ <br />°. <br />°~S <br />>"ss~ <br />yf.".A° <br />. *w <br />j <br />T <br />j <br />~ <br />' <br />m~ <br />x <br />- <br />~ 8.'3$1 p}p pAd°as w° <br />~~~+ag <br />' y <br />~ <br />lr' <br />F YY Kea A; <br />~ <br />« b~~' <br />F°3° <br />4. <br />y <br />~ <br /> as.a . <br />n <br />~e 6 <br />. <br />p <br />s % <br />f <br />) s „£ s a <br />g1! <br />~ FU - <br />+II w-. « 3`^.e <br />t 'n <br />s _x <br />, <br />,6. <br /> SAMPLE <br /> MEASUREMENT <br /> <br />.p.~ Vu ~;.K. <br />ERfAlT <br />'°a P <br />r1Y ~~°°°g yy,, <br />.3.°'x~n"r i:, <br />°xIk <br />a <br /><e Y <br />°+'° <br />T <br />° 3~x y~y <br />r.s~nTV' <br />Te`# <br />° Fa <br />m4dy°e~pLYS <br />e <br />x-~a ,~q <br />i c+l <br />a~ <br />~k'rS°Hm°eba ~8 <br />• <br />..n a'®F °x', <br />a ~. <br />y <br />B <br />_ <br /> <br />. <br />~REOOIREM'ENT•s. <br />~ <br />« I <br />,~ s .,I mi>,x, °,~/ <br />„ F <br />" <br />" <br />^°, <. <br />~ <br />~ ° <br />^ <br />~ <br />''~°ffi'q) ~ <br />,r <br />Y'`«', ~;~ y <br />~a<~ <br />m ~ <br />y« ~ <br />~A <br />« <br />« e <br />v <br />, <br />. <br />a <br />b" <br />~ <br /> <br />~a .w ~aa'• <br />~x ° <br />Ar ° <br />x'°'i h.P~«'!.WT,.et <br />.F'° <br />n <br />°n°~x.: ° <br />rS,Tav~ <br />i.ga~ <br />~*°.,~ <br />° ~3 fi..nS <br />",fM°:• <br />;x°s X,it +„°~s <br />;P, <br />x x <br />• e+ <br />-z' <br />".z <br /> 9AMPLE <br /> MEASUREMENT <br /> "~'' <br />ERNlT ~ <br />O ,":.~i';.~'„-•, eA <br />& ^ <br />$ <br />' m ~°~ ' Y,~x '„•a'.. r' <br /> <br />a /"< ...•,. <br /><^,.'a sin <br /># ¢ ,,•, _.,~x° of <br />„~°t ~ <br />'~°~'a <br />a <br />;x»g <br />i5 <br />as ACt~ <br />'7 l4 yp .,'""y~°v.'"' <br />a a <br />d g~Pag me <br />e ra~.°.. en°„ee" <br />~ <br />a :y „aa°fyay^~. <br />•y. ~"r°n^,y, <br />~a <br /> aR IC <br />UIREM'ENT.; <br />' s <br />~ <br />v "n <br />~ <br />^'^ <br />~ <br />~ °'~b`O <br />x <br />'J <br />! <br />( <br />"~ x <br />}~ <br />^ <br />,,. <br />Z <br />*i44°* <br />`` <br />~i <br />a <br />' <br />° w <br />'^ <br />"n <br />~' <br />° ~ c <br />~~ <br />~ ze <br /> xa <br />. ~„ ~° -¢. ° <br />. <br />&, , x ° ~ <br />r. .' <br />° <br />1 +K <br />, <br />x <br />I <br />;+. ~ <br />s° <br />o+k <br />d~ <br />1M <br />• <br />d«As e <br />a 'K°ax s a <br />t <br />,~T, <br />s <br />a ha;3a .,d <br />NAME/TITLE PRINCIPAL E%[C UTIVE OFFICER I ccwnrv urvOER PENALrV of uw THAT I HAYE PERSONAIlr ESAMmCO <br />•NO AM FAMILMR WITX THE INFORMATION SUBMITTED MEREIH I1ND BASEO TELEPHONE D A T E <br />C <br />~ ~ ,^ <br />E ON MV INQUIRY Oi THOSE IHDVIOUIILS IMMCd1TELV RESPONSIBLE IOR <br />OBTAINING TXE INFORMATION. ~ BELIEVE THE $UBMITED INFORMATION <br />. <br />1 IS TRUE ACCURATE AND COI.IRLETE ~ AM AWARE THAT THERE wRE SIG <br />MiIC ANT RENALTIES iOR SUBMITTING FALSE INiprMATON INCLVpNG <br />`_` ^C_~ <br />I W LV +/L• <br />~~ THE eO551BIUir OF FINE ANU IMRRISONM[NT 5[C IB USC f 1001 AND O ~ <br />~ ~U ~ O~ O~ <br />. 33USC S IJ19 IPrmhuv uMrr Ihne uamb. na. nrlude /.n.. • <br />e, Ln ub IGNATU RE OF PRINCIPAL E%EC UTIVE L <br />J <br />TYPED OR PRINTED Y <br />u.d"r maunLnl mlp.unnn,.m „/h.uwnfim.mrMand.; ~mr" OFFICER OR AUTHORIZED AGENT A A HUMBER YEAR MO DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIOHB IReJerrnar ull ulmrhmemz hnr) <br />SE£ I.P.S FOR TEST PROCEDUHi. RPT i1E5ULi5 JF Lz"THALITY DiRIVATI0N5 AS "':EFFECT", CROYTH E REPROGL'C°Ivh <br />iliiRIVATIOhS AS "TOXICITY". RPT LOYSST EFFL AT YHICH STETISTICALLY SIGNIF DIkF nLT17E£N TEST % COV730L <br />EPAaFotleg32all(N 1~i+8bj~ ~ s ifloDS riily b6=usBd. RP I.~JACESILs iIdRM Aa rNICH S7A•Y oR Busco!V =L~r.. ACH H N T P ca L~or fin. <br />0019G/947u12-1838 1 <br />