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Form ADPmseo <br />PERMITTEE NAME/AD'JRES6,onrAJr r«OryNr'1«.rr.t yAE01...'! wAliDMAt, vot tVtIMT dStM4ME l1MIXAnW T'7rE1[ /N,aOE'SI a.! No zOA6'OGM <br />NAME DISCt1ARGE MONITORING REPORT lOMR) ,. ~r% <br />r _ _ <br />a :..PERMIT NVMRER pSCNAR6[ NIANDI - P I Y •'. L L.t .' <br />MONITpRING_ PERI00 <br />fACXfTY _;~g i(jhF YEAq~MO DAV 1r YEAR MO DAY <br />LOCATgN: : N C J i t .' r `. FROM ICJ TO ~ ' I I` ~ <br />• C E ~ nni ac ro x. Jit >r. P, ~ 1 ~ l~-J NOTE: RA.d in.tructlar Mla. eanpl.ti°Q thN fam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO' <br />FX rMOOrp'Y SAMPLE <br />T <br />P <br /> Ar•ursz Y <br />F <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ~ ~~ ~ ' - .~ i <br /> MEASUREMENT <br />. ).% _ PERMIT .. ~...YO i~vgp? R .5 r - 1i' Pt:. ~= <br />- NSIT:. <br />: ,~.~'_~i=,,y _. ~ REDUIREMENT :r': ~~ IIIHI ALIH '1 !4K je4UM <br />...::i5~ .. ., SAMPLE ~. r. ;. ,. ~: ~~.. .., r <br />~i y e' E N U 4 ~ MEASUREMENT <br />.'~;r1J 1 PERMIT Ca` "v ?!'':1h68 ts' - R i\4b2 ''(; ~.`_ 1~}.; <br />c. LUByT :; .. REQUIREMENT 3£i CA AY7 ex 7'v ~Y ti0~7?fl <br />?:iX, TUTn:- SAMPLEv ~ ~ .-' { _ <br />tpg Y.;) MEASUREMENT <br />11 ,I :10 1 U ,~ PERMIT :%N01~7 .'4ir ~',~S'Ct -.:' C>O TOO ~'J~ <br />,• T• 'Ccl =.A'.: <br />'Fh'LUE92 GR~J' i' REDUIREMENT 'r` ~ <br />'d`J +t AV; DAILY ('X % iU7jr <br />v dN' .v. ~~". SAMPLE <~ .. r-i, !- '`.. I'4 :: :r '~' '_ t <br /> MEASUREMENT . <br />~•~1" <br />_ <br />- <br />i_'' .. 1 D PERMIT t: .:c,:e nanDac ,. ~~ ,., ,; ;. ,ye:.< L ,y. I, _1 - <br />•,rF'i..;•:RT :: NC255 Y~. - REQUIREMENT (" ! ~- ~ MAx /:. - .. ~. <br /> .~. } <br />~ <br />a <br />d..ATMENT F- MEASUREMENT ~ <br />1 7 0 PERMIT iiBFJ~::' rEvOi'C A u," z r 4a,r_r, c3LY <br />. tuT GNpS:, '! ~ REQfIIR£MENT 30JA aY DATLY !!Y <br />_ _ <br />J v . A G SAMPLE ~ .... y ~ 1 0) ~ ~. , . <br /> MEASUREMENT <br />1 U U PERMIT 'F R s3^.21r: r e - - .. _~ :- - _ .. <br />JSs Y <br />C:': REQUIREMENT "r T KAX - <br /> <br />'i i. <br />flL _ _! <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUTAEMENT <br /> <br />NAMERITLE PRINCIPAL EXECUTIVE OFFlCER 1•MrivV ~pV.l) .Nn T <br />FnF«.a wee.+..~a«.n..«br b Av.ra.NU W...«Itrr <br />.a..a...ro.r...Im bb..n <br />. q.,bb tekn.[ <br />/ ~ <br />/ TELEPHONE DATE <br />ti y r • <br />! <br />'% la arrt I... MNM~I q.arnw /.sry11r [.IAn tM t•.IVII. IM Mfaf.rllM <br />[ <br />I ~ <br />, <br />~ ~ ~. ~ <br />_~ <br />~ '~ l , • <br />•/ <br />. nlMrM1t <br />1~da m. <br />+quln.i lln l..vm .. Anon .b.uaa[r ur..,«n, ~: <br />~.• <br />,! <br />_ «iMr a".'nm.«n. mMmiW by pu.nn(.M lnfn.vlbn 2..nr..mubn ~. k, -. <br />~ '(.I <br />/ .,~ bbdlr.9b.b,.eWN~lr\oO.YY[t.M MI{/I. I.Yt. YaV..l e.W nwylll._ <br />r <br />. <br />~IONA Ti/RE Of -ItWq-Al E7(fClltlV[ ~'/ - ~, _ " <br />- I.....n na Mr.VVn <br />M.«'rbWle. r«abml.np tr. l•r«wrenb, <br />lf'A A <br />TYPED OA PRWTED ..n..un[re.Mre.u.rdn...ba brF.bwr...nw\m.tnt .Mtu.tb OfFICEA 011 AUTMORIZ[D ADENT NVMBER <br />~ YEAR MO DAY <br />COMMENTS AND EXPLANATION Of ANY VIOLATIONS IRdw-.nc. ~!' aichmmtt h.r.1 <br />~'. - - L.t <br />EPA Pwm 33341 IRa 3r4-7 Pwviaus eoimm maY oe ,uea. <br />:. B. 1. ~, PG. 3. <br /> <br />