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PERMITIEE NAME/ADDRESS p1vY4 Er+Ay Nw/Lsren.n (/D~..mtl
<br />NAME Ld'd;';'•1a^. ,I~I;L.AilA7LO';, 1+'C.
<br />ADDRESS }~ 1 ~~ LL ::: S '! [', i>
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<br />NATIONAL POLLUTANT OISCNAAOE [IIMINATION SYSTEM /INPDESI
<br />DISCIIARGE MONITORING REPORT (DAIRI
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<br />PERMIT NUMBER DISCn1AR0E NNAn[R
<br />MONITOflING PERIOD
<br />YEAR MO ~DA~Y~7-~ YEAR MO DAY
<br />FROM J~c °...I TO c, V V
<br />OMB NoY2040~pp{
<br />,11703 ~
<br />(~Ut16 I;~) '
<br />F - E'IirAL L'~A.
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<br />PARAMETER gUANTITY OR LOADING gUALITY OR CONCENTRATION NO, FAFO
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<br /> AVERAGE MAXIMVPA UNITS MINIMUM AVERAGE MAXIMl1M UNITS EX ANALV414 TYPE
<br />k'rE SAfAPLE ..~. .:•.^ .-r ....•:r •- ( 12)
<br /> MEASUREMENT
<br />UU'{i)0 1" J U PERMIT n*i+,~ if~-::c•r ~ 6.5 (LLFURT 9.U NCE/ INSIT
<br />LFFLUCI'1' S;L0;i5 V 1LU1 aeanfleMENr
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<br />' •.~'.' MINIMUM 3UU0. AYG _ i1A~TINUM SU MUNT
<br />SJLi~!'.i, i~[i'LF;:. ILc SAMPLE '.c
<br />?- ~.~ ( 15)
<br /> MEASUREMENT
<br />UUSr1S I 1 a7 PERMIT ''`A'•`+`t!= ~'%ti`F'%'r' '`TA~K~.r:"• fiE:PORT U.5 NCE/ GRAB
<br />EE'E'LUha1' :~)rJ';~ VALU NE~UIREMENT ~+."::`• 30D0. SYG
<br />--- DALLY MA
<br />- :1L/L. MUNT
<br />. ! ', r. [•..~ 9 is SAMPLE ~ _ . . ;: ~.. ~, .. ~ 1'i) - -
<br /> MEASUREMENT "
<br />7391 1 U U PERMIT v"'t VS' 'A6 X :;:~ ••J ..It+,t .aK+L:+3!w IU ONTI GRAB'
<br />.iFF'LUEil1' .iii'JfiS VALU: R UIREMEN ~•.~^. "' DAILY 11A i1G/L GENT -
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<br />TMdU Ti;~:.9C`If:N'C PLAp EASUR T
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<br />yUUSU 1 t1 U ~.~ PERMIT 1;IiPURT .. !ORT :K: t,,r34 P~r'4".*•:~i' a3C4#K+ `~~'''=t NCE/ INSTA
<br />EFFLUB?I l' GiiO:i5 7iLl.U: REOUIREM NT 3UUA AYE DAILY MX Ci;U =~•::,,:
<br />MUNT
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<br />J A'IU '- A,i :. SAMPLE .,.. ., .. ,, :.~ ( 94) ... ,.. .. _... ~. ,..; .; :4:: :,. . ~.. =,. r• -- -
<br />V I S U A L MEASUREMENT
<br />1f4Ubb 1 G r) PERMIT '•^`Y° ~'_* KF..PC7RT r,.`i=1 ~"%"~!`~° ~~s'~`K`i•t 3:z=r#fv ~14'.ti ONCE/ YISUa
<br />;E'FLUt:it'l' ';i;:?S; 7p.LU ;REOUIREMENY __ I'V5T CiAX EIU=9 __ ''x"' MONT
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<br /> MEASUREMENT
<br /> PERMIT
<br /> IiEOUIREMENT
<br /> SAMPLE
<br /> MEASUREMENT '
<br /> PERIAI7
<br /> REQUIREMENT
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<br />NAMElTITIE PRINCIPAL EXECUTIVE OFFICER I"roryn ..p.".Ir°I
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<br />TYPETI OR PRINTED rMwalni lh. pmanniy mnm.ne lmp,fnnmrm r°. h„°.InE .lw.a°Id OfEICED Oq AUTlIOR12ED AGENT CODE NUMBER YEAR MO OAY
<br />DMMENTS AND EXPEANn I wn yr nrv r vlu.n I Ives InunmCP sn erncnmmr: nay/
<br />El'CLb:A.bl,t, '~'.iLCI'IS 1.1.'!1' .kIV>UL'.7ti LU-Yr., LI-ilr, F'a'.CiN GVi.:!'1 :iUi+Ji:(:T 'l0 u0;+n;?N OE I'CrrJO'r' Rc~~U1REf1ENT5 IN
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<br />EPA Form 3320-t IRev. 3149) Previous editions maybe used. ,) I) I 1 / (~ h(; ~ae JI_J>fll) I(n(DI. PAGE qF
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