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(.__ <br />NwnonwL rouUTwwr DncHwwcE ulMlnwnoN •rareM /NPDESI <br />DISCHARGE MONITORING REPORT /DMRI <br />1 /6 /7-/9 <br />CGCJ27iS4 1 eM pL.. <br />PERMIT NUMS[R z wuM.ew <br />MONITORING PERIOD <br />YEAR MO OA,Y YEAR MO, OAY <br />FROM ] J ~ yi TO J .+ .+..+ ..r A <br />:; J .; F Form Approved. <br />( ~' (' ~' " ` id) OMB~No X2040-0004. <br />r' - ~ 1 :7 d L Approval expires 6-30-91. <br />NOTE: Read inatruetiona helore DDmDletinp this form. <br /> (3 Card Only) QUANTITY OR LOADING (d Card Only) OU ALITY OR CONCENTRATION FREOU ENCr <br />SAMPLE <br />PARAMETER (d6-J3) (Jdfil) (i8-II) (46.53) (llfil) NO. <br />E% OF TYPE <br />(31-37) wNALrs1s <br /> AVERAGE MA%IM UM UNITE MINIMUM AVERAGE MA%IMUM UNITS 67fiJ) (bddtll (69-]D) <br />'/ <br />.'J : <br />LULL; ;7a:+.:y 4:,r :+~7=k:=::10 ( ) -: ~i ~'.':'r ( IL) <br />1 <br />.. .. 6AMPLE <br /> MEASUREMENT <br />JJOJ4 i .. +, `r~ _.. <br />P[RI°t FT'- .";iktz#~~~; <br /> <br />~ '#~~E~~:~~.`?~t [.':; <br />' ,a°,a~ <br />'S' d~°~ <br />,"~ '~e7sff87~tS}T~~:, <br />°4 P <br />u. ~k ! <br />~~L3.j~s)L h+x Cif. <br />/ <br />°+. •4ij 3{e~ <br />s~f.~$a $~a <br /> <br />I <br />F7 <br />S ~ <br />~ '1Y60151R6M ENT'. i = <br />~ <br />' <br />` <br />g ° % .~ <br />" <br />t"i'+>E ¢ p <br />F x <br />L` <br />< <br />'~6 <br />~'~( <br />m a <br />~°3f <br />~$ <br />~ <br />"F <br />' <br />L: s z ' ' <br />~' % . ° a <br />. 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JJ•J V ~i ~ <br />z t?ER'tAIT>a, <br />.e#~r~'y]~ia~:l8ac <br />~ <br />°a ,/~~S.T°r~%~a <br />'1'R <br />is"'•' <br />']e %~~~a Y"°~~° ,.t <br />ge~(°A t5 s~~_~ <br />4S <br />P <br />• .• <br />~ x.Y <br />~.~-°ew as <br />~ <br />~ ~~yy <br />L~.6~ k <br />a <br />IH~tisa <br />G =RH40LtRE,M~[N7. <br />' <br />° . ~, <br />`1° x <br />4.=e'~x°,:e'>>'a <~;7;:v °gg° s <br />< <br />~;3 <br />lsa <br />~~~` <br />' <br />~° ~ <br />a <br />7(` <br />i)` <br />C <br />~ <br />• <br />6t~ <br />° <br />~ L <br />L ~~'L° a <br />.; <br />>..E CJF.k/akTS BtL . <br />,>,°. <br />~ . <br />° <br />a : ^. <br />h <br />. <br />s ,° <br />( <br />. <br />. <br />- <br />a <br />4, ?S <br />/ . <br />iJLID~ <br />DL:TTLE',dLE ~:`.~ '~ #~#++## ( ) ~°Y~x#~i~ C <br />( LJ) <br />, 6AMPLE <br /> MEABUREM ENT <br />~J545 1 C .: °-°apeer;~rna', .'~;s <br />~;'~~~ga ta=a~M~k¢~~;;~ :.;t>;: ; `~~a'°i"~~~a; gP, <br />°g x(°~~F><tI~` g'°.Ti~'E~~t~~; ° °r;, `s~~ ~kj't[``~° <br />° <br /> <br />' <br />a°EQUIREMCNT a <br />"` <br />;g <br />' <br />~`' <br />H~;l; <br />a;,. <br />;: <br />°aa <br />' . <br />R<s4 <br />s~' <br />°~# <br />°~b <br />st°~ <br />« <br />' <br />'~d ° <br />C <br />° <br />i: <br />:.FFLUEFiT GROt3 v~LL <br />S <br />~ > <br />e <br />; <br />x . f <br />p <br />~ > <br />S A k <br />1 <br />~ r.L/~ =~t~ > <br />,° <br />l A:r AND GIlE0..: _~ SAMPLE ;: x;: !. <br />,I^: ~=##'at 4`iT ( ) Y+::iS'~++: .. ::#r%F ( yJ) <br />~i -,LFI F.YTH-~:1 _~ ] I~ ,kl MEASUREMENT <br />~ ~ <br />+h 1 L ~ ''PERM17• ` 0 .aSlA'>)S~"i°a'" °3`~~` i`:~i;~: ::;J t: .:.~Xzw=a~F~~ p x a M-3~§=SYLB„:m ~ ° s. z:'c , ~ <br />.~ a <br />, <br />~ <br />+ <br />~ <br />4~A <br />~e).<`a <br />$ <br />. <br />' . <br />REOIHRCM[NT> n xsx <br />z q q'g `s'°a es'' <br />a :;:T. <br />1 ks<°` •a ° <br />a <br />' bg'aaa' ~,Q n <br />p <br />« <br />A /1 a~ . <br />g~. <br />p <br />g <br />g <br />' <br />~ ( <br />a <br />GRG55 M •?_'~k, <br />~ii.U~N1 4 <br />p 5 <br />6• ky fy <br />.y •' <br />' aa <br />Sn `Y <br />`~° .,4°~S~~ <br />°+AxA . <br />~.~ <br />a bA+IT <br />I Sr <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFr unDER PENwLTr OF LAw THAT I Nwv( PERSONALLr E%ANINEO <br />wND wM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN wND BwSED TELEPHONE D A T E <br /> <br /> <br /> <br />111 <br />~ <br />ON MY INDUIRY OF THOSE INDIVIDUALS IMMEDIATCLY PESPOMSIBLE iON <br />OBTAINING THE INFCRMITIOY 1 RELIC VC THC SUBMITTED INFOPMwTION ~~ ~ ~^ <br /> <br />/ <br />~ <br />~~~IZ~~~) •' IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG <br />~ f r <br />~ <br />/ <br />„y / / <br /> <br />Pr <br />= <br />r <br />t~vironmer'a! ~ NIFICANT PENALT2$ FOR $VBMITTING FALSE INFONMITION INCLUDING _ <br />] <br />' <br />, 9 / O rj / C-~ /, ~ <br />) .j ~ <br />~ <br />~' <br />.. . <br />. <br />. 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