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PERMITTEE NAME/ADDRESS (Inrludt NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM r NPDESI <br />Farilin" Name/Lncalion if di((errnU <br />NAME +^ _I ise_+..E,. <br />_-_- _ <br />1 _ <br />Ke~1 ~r <br />- 1_l~--tL-~- <br />- - DISCHARGE MONITORING REPORT r D,tiR1 <br />/?-l6) (1719 <br />) <br />t,? _' I ,. <br />ADDRESSV r'T ^ l . ~ 3 t !1 r F '. ~ •. ^L <br />T r. Y~ tr r4Y <br />- _ <br />_ " ~ _ 1 -._ ~~ ~,r• <br />_ (~ `S -~~y/ p/ J L <br />PERMIT NUMBER <br />oscrgrtcc unacR <br />L <br />~~ ~~ <br />~ <br />t <br />71l <br />sc~LL~'1 fL. <br />--- ~rt <br />--~~~ <br />~' <br /> MONITORING PERIOD <br />FACILITY <br />---- 11 - <br />- - -------- <br />YEAR <br />MO <br />DAY <br />TEAR <br />MO <br />DAY <br />LOCATION ~ L. -~~ <br />- <br />"" ~~p~ _ - F <br />- ~~ ROM y Tp •, <br />~ T <br />-. <br />~ <br />~"tv: -r. ~i^4+'-2-1r~.F r,y-fix:: ~ (~a-?n r:-'+l ra~zs~ roc-n, r~s~9/ r,a:rn <br />1; ~? q '. ?) Form APProved. 1 ' T n <br />r _ r T •; ~t ~ OMB No. 2040-0004 <br />-'.: '+ ^ Approval expires 10.31-94 <br />NOTE: Read instructions beforeLCO~mpleting this form. <br /> (7 Ca(d OnlpJ QUANTITY OR LOADING (d Only) QUALITY OR CONCENTRATION <br />PARAMETER /db-j?1 ,ii-b IJ tg-aj lab-51 <br />(- ) ) 13,1-b1) <br />NO. <br />EX PREOUENCv <br />OF <br />SAMPLE <br />TYPE <br />(J?-771 grvg13515 <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lblbb Iba-bSl (b y. J01 <br /> SAMPLE .. .. .- ':f •'::::: ~ ' ~) <br /> MEASUREMENT <br /> <br />,. ~: :1 i ~ l.~ <br />PEP <br />MIT <br />rt#t}4Y h, r`. <br />~. <br />is ytp G <br />`I <br />/ <br />t4~~/JY'f <br />'~~(1 <br />1'r'f.LY <br />9~'t <br />C <br />° "n <br />r <br />• <br />r <br />' . <br />REQUIREMENT ... <br />`r <br />F) ~ <br />~ <br />q V.1L <br />IC <br />'.U <br />F <br />~L~ .. <br />y dap f <br />~ <br />~4MIl1U'1 M~~?N)[TM <br />1 [[)) <br />~~Ta .:^eR/} r ~^) <br />, <br />~ SAMPLE <br />• ^`^-'rl <br />. 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THE POSSIBILITY OF FINE ANO IMPRISONMENT SEE 19 USC 4 IWI qND <br />1 <br />4 <br />l <br />i <br />Aw <br />G 51 NATURE F PRINCIPAL E%E UTIVE , <br />D v <br /> nrs up rn <br />33 usG <br />I] <br />9 (Prna <br />ras under rlreu snrmo~ av <br />r <br />n AREA <br />TYPED OR PRINTED SI(L00(1 and nr maeimum rmpnx+nmrnr of Frrwrrn b mmrlo and ? Ian r OFFICER OR AUTHORIZED AGENT OD NUMBER YEAR MO DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS (Rr(rrrnrr nll auai hmrms hbc) <br />' is J:I '/.. ~-.. .I ~. ~ ~s: ._ ..'I ).. N^ h... ..~ 1. ~ ~.. ,V i/i'1 - Ll/1 i °-~S~I i, .. (. ,.:. N7 r 4T:'1 •,'{nR ^7/^R ':T-;i y.. <br />" *)x?-1.".4, ?? I')-:1. :r:L „7rn" nq,~r yr-.c rrTC rl'L S G'~FA S° n^~~rac~ jr V7STrL, '. S~fF°Y i¢'rlugc7.. .. .1 - <br />•T 1 r^•a'r' nr Tt rcn ,__ <br />EPA Ofm 932O-t (R2V. S-BB) P(2VIOUS 2dl(IONS RIaY C12 (1524. r (REPLACES EPA FORM T.40 W NIGH MAY NOT BE USED.( 0 Q ,~ 3 5 / 9 50 ~ 7 3-17 4 3 PAGE - OF <br />