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KRMRTEE NAME/AOORE58 p.ddllrrryNr'Lrwrw VWlr~l <br />NAME <br />ADDRESS .. ~ _. . r. . '- J . „ ..: J, 1 <br />r:ux 14 ~~ <br />oALt CC 1 <br />EACnm ~1Dp AOhTH G SCUT'd RiAI <br />1OG~ r.tL15AUE G~ I <br />. (I N I_ e 7 f:11 i A_ V. b_ <br />r~nonK PouvTANr ascNAAOe DIrwN~noN mrw //NPDFSI <br />DISCNAROE MONRORWO REPORT fDAIRI <br />PERMIT NUMBER OrfCNAl10I MVAYIR <br />• MONITORING PERIOD <br />YEAR MO DAV YEAR MO AY <br />FROM TO <br /> <br />PARAMETER CIUANTITY OR LOADING DUALITY OR CONCENTRATION 5 MPEE <br /> E 0 <br />v <br /> x wf <br />w1A <br />i Tv PE <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS <br /> SAMPLE <br />MEASUREMENT <br />~ <br />' <br /> <br /> PERMIT <br />v <br />'~ <br />~ <br />i c E 1 M <br />h <br /> REQUIREMENT <br /> <br /> SAMPLE <br />MEASVREMENT <br />~ <br />~ <br />I <br /> - <br /> <br /> PC <br />MIT <br /> R <br />REQUIRE <br />ENT - ,oon o <cca :. <br />- <br />I i <br />A l E/ <br />• ~; <br /> M ___ r _ <br /> <br />• SAMPLE <br />MEASUREMENT <br />- <br /> <br />c• <br /> <br />PERMIT <br />~ -._ <br />~ <br />REQUIREMENT .~.-s: •rc - -. rOy ::. !,'Jl. 71 <br />. f, ., <br /> <br /> SAMPLE <br />REMENT <br />ME <br />~ <br />~ <br />' <br /> ASU <br /> <br />- PERMIT <br />REQUIREMENT - f ~ ; - <br />~ ~ ~' u7 <br /> - - - <br />- <br /> <br />1 <br />' ~ ~ <br />Y <br />' SAMPLE <br />MEASUREMENT <br />' - - <br />- <br />~ - <br />. <br />_ ~ <br />, ~. <br /> <br />~: V PERMIT <br />` <br />:.. i '! h ~• ~ ~ \ <br />- ~ .. <br />_ . <br /> REQUIREMENT - - <br />I , , y <br />~'~ ~~ SAMPLE <br />MEASUREMENT <br />~ <br />r - <br /> ~.- <br />.. <br /> PE <br /> RMIT <br />T . 4 ., . n :. i V I1 i .t 7 l \ .. 0 • , t . ~ Y i 1 ~ l <br /> REQVIREMEN <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />RE <br />E <br /> OUIREM <br />N7 <br />NAMERiTLE PRINCWAI EXECVT[VE OFFICER ' "„.r • •• r" r .. an aY a.Ywl Y W YnrY..wu .wY T <br />EIEPNON <br />E <br />GATE <br /> Y^P.nl.lru m>Mrwllm.ll. rvpnrwlnrMnW..uYYrnrw MlM <br /> <br />' ' - I, Y..... IY.r ~,,.nn.e rn.Y.lu r«~rnr n\Y...M r.wu. Ir NY+arYrY <br />w•YMllol ~~J nn nr Iryyn ~l W rM w r.rl..M w.p IIw .rNnw, <br />. <br />~ <br /> r lb.r r•r•y el...IL rwYrdYk rr pu.ny ar re/-wwbn, Ir InMgrMe ~ '-~ <br />- <br />, <br /> Y\ryIIM h N I~r M1 .l r. \MM(..IIU MYrl.ln., r.vr.ll•..11 .ws1yY <br />1 Yn ...n ml Il..n r.. o1rM YM rIIYYM. n.r rvYMUllll nr I+m..ILM. ' trONATURE 0/ MiNCIrAI [X[C1/TN[ <br />TYPED OR -RWTED Y.rYly lr rruYl. Yr nY..lr YynrYlrv.r M. \.lo.r.l.wl\..n OInCFR OR •UTNOIUi[0 AO(NT A E M1MS[R YEAR MO DAV <br />Porn Appwa! <br />OMD No 20~0000~ <br />~~uSn 6+•f <br />F - FIdAL tt- <br />rtudL~iCE SCU2N 1C CC LC 1VlF <br />NOTE: Rud Mwtrucdom bda• toinpNnny 1hN loan. <br />NO. IR[OU[NCY A <br /> <br /> <br />!PA form J720-1 IRw 3.9Y) Prwwus eE.mnY me/ Da uYSd ~. L IJ .. .- / Ilf If 8 4-I <br />PARE OF <br />}11rt,)•O[I[I <br />