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Form Appaed <br />ttRMRTEE NAMEIAODRE65 P.e~.r FrMSA'~/Lc.w+YG31\'r+/ NATIOlIK FOIIVTAYT dJtlMAOR tLgaMAflal TVtiW //NPOESI dt~ No ?OW'Olb` <br />NAME DISCNAROE MONITORMIO REDORT (DAfRI ~ - <br />ADORE55: •, - <br />~~) <br />. h3X 2Ii% PERMtT NUMBER o-scNAAOL M3wna _ f I i• AL ~U <br />. ~ ~ :' - MONRORING PERIO~ . ~ ' -. ,. ~` .. ' ~ ~ ~ . <br />fACAm <br />LOGT30N rYEAR MO DAY YEAR MO pAY <br />:.. ~ CU P.. _ FROM TO ~~., -_ _ , <br />.; ?l it U sS 5' F " }. R S _ P 4 !' S / .: k f, NOTE: R~~d Imta33eNorr Mfai co)np1AtIN9 tAN tam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br />EX mfu'nNCr SAMPLE <br />YPE <br /> AVERAGE MAXIMUM UNRS MINIMUM AVERAGE MAXIMUM UNRS µ,,Lryis T <br />.. ,. ', <br />~ _ SAMPLE <br />MEASUREMENT <br />... <br /> <br />_ <br />- PERMR <br />REQUIREMENT ~.vaoc 3cFGhT <br />r wawa:. :.<.ar.•.- cc,n,., ;•,;.ALY LSUA <br />---~-- ~ -~~-- <br />- <br />_ SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT _ - -- <br /> ~~-PERMIT _ <br />REQUIREMENT ~ <br />/ <br /> <br />- <br /> <br />_ <br /> <br />---- <br /> <br />---~ <br /> SAMPLE <br />MEASUREMENT ~~ ! ~ / <br />~i /~'i <br /> PERMR - <br />REQUIREMENT <br />1 <br /> SAMPLE <br />MEASUREMENT <br /> PERMR <br />REQUIREMENT <br /> <br />--- <br /> <br />- <br />-- - SAMPLE <br />MEASUREMENT - -- <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT - _ -_ <br />PEAMR <br />REQUIREMENT <br />. r..,, . . ~... .. 1.-m.i u:w ar.rw,.., ..r r re.n.r.«, ..,. <br />NAMERTTIE PRINCIPAL EXECUTIVE OEi1CEA ~ f TEIEPNONE <br />Mf.r.~ +.wr r. O~rwMn.. vp.v..e. to rrwdr.,. .1J ....~ Orl~~O <br />b.r. !I.M MMME M^..wM YW.r1~ N.M W r.M...r :M 4Mr[Mw / <br />..rl.rYrrM ~~i w..w, l.y,.lr, .! W P'.^. w. p..ur .ne w.(. ,Y .~.Irw. I <br />K.3i :.Jl:~.l ... .: ~'~:' uu.~I.r~Oterrfr mp.WNr 4. ~.rMnrq rM rwFrn,.fw,. d.r 1..H~W '/~~ jl:: ... -:~~.:~I <br />Y l f+ll I~tl i L r- .r.l:: Vr~j : w1.rlrnl R r W Mr b.r;, \s.3.Ap u.I M.f. rm, rwrN...nl<wsq..r .• .; .. "•'~:• <br />t r..r. orr N.n r. Mr+nrrn p.Wlw 4v wMI,E,.( /w.. ~.3wwrlr. NQMA TUA[ aF -AINCtFAI C3ttCUTNE <br /> <br /> <br />ATE <br /> <br /> <br />A <br />~ \% <br />TYPED OIt PRMITED ~"~~W~w'~~^~~~'^rrr~+w+•.w\.b-r.T •ww.. OfFlGtll O11 AVTMOR{ZEO AOEKT ~,E MIMBER YEAR MO OAY <br />COMMENTS ANO EXPLANATION OF ANY VIOLATIONS fRH~r~nn M~ttaeMnrrb Awr) <br />_. ~_~ -. 1. ~, j~1Fnl•vC :.i: <';1 <br />. -. a ~ ~ ~ . , . . PAGE Of <br />PPA Form 33261 IRer. ]rt)% Prenoua ed~0orn mvT W rr3ee ZlUi IS 8 4-p3ftti(OrR1 <br />