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<br />PERMTTTEE NAME/ADDRESS QweYi Fr NryNr'Exolu yDlC.lwq <br />NAME SLIiF.CA COdL CO"F11NY <br />ADDRESS P • 0 • B 01 0 / i) <br />F.9YDl'+ CO N1639 <br />FACILT' <br />LoESATx»I,I A Y: t:.+ C U :i 1 h 3 0 <br />AT:'9 Gi1~G:. C.I!. itch, .;r 9; .FL ~".A tldGf: f•. <br />NATIONAL POLLUTANT OISCNARQE ELIMINATION SY9TFM NPOESI <br />DISCHARGE MONTTORINQ REPORT (D R1 <br />,0,.•,.,i~~ <br />PERMIT NUMBER wscl{AAbE NIRAeER <br />J'~. <br />MONITORING P <br />YEAR MO DAY YEAR MO DAV <br />FROM UU 'f0 U U6 ') <br />... I tt ~) ii ~•~ <br />t.i'v .'~k JCj <br />NOTE: Rud MntrueHoEr bdon~~€€o~-mpltlMp Ehb loan. <br />PARAMETER QUANTITY OR LOA <br />Quality or Concentration NO, FREQUENCY SAMPLE <br /> <br />EX of <br />ANALYSIe <br />TYPE <br /> AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS <br />GIL .,Nu .;kEASIi SAMPLE kl: a.^-:: '• ( pla pt p>~ly {I;-' .::: r. ;: >: .;: <br />Y I :, O A L MEASUREMENT <br />huJ06 1 U U PERMIT::.:. ..~:,;3^.ie N"r':Yt):aT ..=1 <br />'r: •r:~ ,~aEO!?'4,,;Yr: ::.;'7!3t.?«ti?Ce;+~IC:.;i "ua;= =. Fy1tiEJ (t~v?,i <br />- <br />.,ROSS 1ALU: REQUIREMENT. '. ,.., ~ <br />I5 <br />1` <br />2{:1k <br />7L: <br />C-0 , , ...c;,'i . <br />... <br />.. <br />: <br />;: ... <br />..: <br />•. <br />: -~>:c: <br />u-. <br />CILdSTr <br /> : a: <br />. <br />. <br />. , <br />, <br />iiti ....>. : :: <br />r:.:. <br />. <br /> SAMPLE ~ <br /> <br />MEASUREMENT ., <br /> <br />~~. <br />1 . <br /> .~~~~ PERMIT. ~:. .. .. .. <br /> ~NEQUIREMENT ~ ~ ~ ~~~3 "~.~ ~~~ <br />;: <br /> . <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ ~ <br />.: <br />:: <br />~ ~ <br />~ ~.~ <br />y <br /> . <br />: <br />. <br />;.: <br />: <br />REQUIREMENTS . <br />~: ~ : ~. <br />ri <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ,... <br />::..:.PERMIT.::. <br />:.. .. <br />, .. <br />.. <br />... .. <br /> <br />~ <br />~ <br /> REQUIREMENT ~ ~~ ~ ~ ~ ~ ~ ~ <br />:..::. <br /> <br />:.~.:::.: : ~:~+~ <br />~ <br />........ <br /> <br />... <br /> SAMPLE <br /> MEASUREMENT <br /> :.:>~>FERIAIT~<:.:~ ~:. ~... ~ ~.... .. .. .. .. .. <br /> :REQUIREMENT: :'.: ~.~ ~. ~. ~..:~::.: ~~ .:.: ... ~ . ~ .. <br />. ~--.:.: . <br /> .: . <br />':. <br /> <br />:. :.:.: .:...::.. <br /> <br />~:..:c <br />~: <br /> <br />::::' <br />~.UY'i:..'. <br /> SAMPLE <br /> MEASUREMENT <br /> ::..:_::P RMIT:....:: ~ ..~. ... ~ .:... .. <br />' <br /> gEQUIREMENT .. <br />. : ~': <br /> . . .. <br />... <br />.., .. . <br /> SAMPLE <br /> MEASUREMENT <br /> '..':::.PERMIT:,.': :. .. ~ .. <br /> RE <br />QUIREMENT~: ~ :::. .. .. :. ... <br />. .. ..: ~~. ~ . <br /> <br />: <br /> . <br />c..,. . <br />: <br />NAME/TITLE PRINCIPAL E7fECUTTVE OFFICER I n^"r ° "P`"' Ir •r l•. Ih•I Inl. danmenl •Iltl •II •II•rh~nb+rn /'~ TELEPHONE DATE <br /> pnpara•rorr m>ellnuon o>mPenltlon In aaonE•ne .on.,nnm anatnm <br /> to ayun IM1•1 qu•IIneE PemnnA PIWrtI) E•IM1rf •M r>YU.Ie Ine Inrm>n.llon ^ <br /> <br />vhM11rE. !Qd en mr IIpu17 OE Ihr Prron p yrnON.ha m•n.Ee IM l].lem. / <br /> •r show promtllraanr mrolurhk ror plhetln, Nrlnf•rm•ll•n, the lnr•rm•llon _ <br /> mhmllled 141•Ihe blot mJ hn0.4d,e •nC hellrf.lrve. •nunle.•M nmPlele. <br />I.m...nUl.l lnrn.n dENnunl Prn.llln r•r r•hmllnnE r.r.lnr•>m.llon `~ <br />VeIONATURE OF MIINd/AL EXEdfTNE <br />TYPED OR PRINTED , <br />IIMWInE IM pwehnllr •rnne •nE Imyllnnmrnl ror tlo•InE rIM•UOIn OFFICER OR AUTHOIAZEO AGENT T' CODE NUMBER YEAR MO DAV <br />L.vmmcn I a nnu cnrcnnn I wn v~ .>~. ~ . won I Iona rrt~r~rmcP rrn ~rocnmmra nqq <br />t;:. [; Iti:)r' Lll':IS NILE ~c: iiAIVEu L SS`". L:. 4: Lr OLI6S LI,';IT NPiLi_°L FUr' <-1GYn,::ti"h PrieCIF F.,VEN1'; I ~5 •• <br />1HJN LI"I;"9 WA:VEU t:)d >IGYri,l4;:.~, ,:..~1r ;V ~`.'; ~DcJ~C[ ;G L+UhUk,'~ uY FnUGF I~ I.~.2. G. <br />L 6 GkEASE - ~t-: <br />EP'A'Fodn`3310-1 ~3/99f Tedious ilions may ~e~used~ ~ r <br />00169/UTlhv 3slay'~=iaiSOi{m~ PAGE of <br />