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PERMITTEE NAME/ADDRESS (/nclyde Pacil/ry Name//aatlon yDifferenq <br />NAME <br />ADDRESSi :, t r P; y ,I I ,l ~, <br />FACWTY`,A1' -U `.1.bZ~ <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) FORM ApprOVOd. <br />DISCHARGE MONITORING REPORT (DMR) OMB ND. 2040-0004 <br />5T9J.: <br />- ^PERMIT NUMBER DISCHARGE NUMBER _ e . <br />MONITORING PERIOD ~'U~. ;i : ( I T' ~: 45'f PY' h'CT ~'i i.~'~' <br />YEAR MO DAY YEAR MO DAV _ <br />FROM 1) ;r4 ;It TO ~l Gt, _):~ •''t ,:) .1; "+i A`i~° ~ 1 ':: ::. <br />.. ~ ................1..~,..i..,, a,i~ r....., <br /> <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FflEOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />. i. w't .! , "~ r .: SAMPLE - :t ~- s::; ( 'l:+) ?:fir. r..t .; .. .t.y :r ...:: ... ~ <br />,., ~ MEASUREMENT D ~ /) Y/ss.y[ <br />_ .t) , 1 J p <br />~ <br />~ ;~~ <br />. <br />1'~ ~ t !~ =~ $~~ "-1 r "~ OIAI +k1R'~~ . dl[t~?~~~ ~:r E£'1C~«; `I <br />' <br />I I )'_ 7 A ~ ~,{,, <br />~ <br />j~ <br />~ <br />~. lt~*, fMIC~C: ~. ~+~ v~s'^ - _ .J ` ,y.' ~ c '~'s T'.{, <br />~ <br /> SAMPLE <br /> <br />SAMPLE <br />MEASUREMENT <br />a y <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />Il <br />H!t'~CiIR~~ IVT1 ~ 1 °fi' "* ~.'s~t~ a'^= +#ir t rt ~ : * ` 7r ~,,, ,„;~ ;r; r,.. <br />.~ TT. <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFlCER ICertey under penalry~ol law that this documaM end all aaachmenb ware TELEPHONE DATE <br />prepared under my direction or eupervisian In eccordanw wah a ryatem tlesigned <br />b eawra that quelMed personnel pmparly gather entl evaluate the inbmielion <br />v7. Gozdor Peters aubmllted. Based on my lnqulry of the peraonwpersonn who manage the system, ~.c_i ~; ~t~l.~l~-' 970-8X_[4401 O1 07 15 <br />Praeident/General Mana er orNOSepereonstlirscgyresponsiblebrgeNedrgthelmormetlon,arelnbmtallon <br />/3 wbmltted b, bihe best of my knowledge entl Deliel, true. accurate, end cornplele. SIGNATURE OF PRINCIPAL EXECUTIVE <br />I am aware Net there era significant penaltlea for submitting lake inbrmetbn, OFFICER OR AUTNORIZED AGENT <br />TYPED OR PRINTED Intludino tha nOSSibiliry of gne end lmpdaonmem br knowlne violatiam. __ _ CADS NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />..,, TJ??i. I~.'.it LT:'.1T'S .:1 LL .~f. .,~IVF;, a,i. .. .."TL: ~91.F' ....1::> LI"=. ftr:'LI._ _ ~ -Vc•ti;- <br />r ~~ i F' <br />,rh ,~U![U'.~i 7F F50'.I'r' rc',.'JT;c!~F:=C.: 'N'_i} .. 4. 3. ^~+'1:~F.IA~.. - 1. .?. _! - ... (i) <br />EPA t'orm 332 -1~( 99) revlbus editions may a use' ." ~ " ~ - ~- ' , , THIS IS A 4-PART FORM PAGE OF <br />