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I'ERMITTEE NAME/ADDRESS (/brd. i:l4ryNsw/IxaNm IJD{Qfmmp <br />NAME r`v •. ~ - vA, ,, ,. .t~•v ^, .~1 ,.1r~ <br />ADDRESS Mi :=~ 'r~- .-.._'-~r ."+, F'6" ?K <br />rx:?p7JC ^p flli.ii <br />FACILIP~ <br />LOCATION <br />.. :.: NOaF.T~ ~ ! ^i.FY, ,'R ':7.4L A."ti? <br />NATIONAL POLLUTANT OISCNMGE ELIMINATION SYSTEM (NPDESI <br />DISCNARGE MONITORING REPORT lOMRI <br />(7-161 l17-I8I <br />r10~21154 nOn 1 <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM '.~ ')1 J TO `1 .`! '14 ~"- <br />l1PI1I l12-231 174751 !76171 l18-791 !34311 <br />' ' ` - 1 F ^ i <br />(^ .n qy\ <br />- - rT'1`T <br />., • ~, <br />Form Approved. <br />,.-,OdQB~No: 2040-0004- ~~ <br />Approval sxpirea.05-31.98 <br />NOTE: Raed instruellorls balore complatinQ this form. <br />PARAMETER 13 Grd On/Yl QUANTITY OR LOADING I4 Grd On/yl QUANTITY OR CONCENTRATION N0. FAEOUENCV SAMPLE <br /> 146-531 (54611 I3B-461 !4653 154-8I1 <br />EX OF <br />TYPE <br />137-371 ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s]-691 !64681 l69-)Ol <br /> SAMPLE ~~c?~;; .,c +- rc .`-#^: p <br />Z ~y p <br />1~ ~ o ( i-.) <br />~ <br />5 p <br />~17 <br /> MEASUREMENT p r Q ~ <br />'1U+i" 1 :) 7 PERMIT 4-r;#Cr3P r.'S.A-R:s G#,`• F.j .: •~V~- ~.'} ; 'r': L'1.Y '7:t `~ <br />^Lli E,ti" G;+'Jji P0.LU` .REQUIREMENT i,::`•Y# y(?gjI!1ii° I!.E-(TM!T if iU <br />')`~!.i GS, 1'C-T0.I, SAMPLE .`:#~.,; .~'.=#.;::. ;`-#~;:': r.: <br />N <br />N <br />~ 1 ^~ <br />~//~ <br />~/ <br />- • n c ., ~l r; U <br />;'i:,. MEASUREMENT A /A ~ A <br />I CI y.i ': O 0 "1 .PERMIT ##~. 'k~t!# #,a#RR'.r E #':'k S+S 0.T ek#rk RF P!)?n' Q^PT`R~T tV""/ :"{AP <br />.Z CO"4('V T3 it r'LJ11 REQUIREMENT #L•:+k 3nP.4 0.V^ DHTiY ,Y,Y MC' L '"OeT'1 <br />~: ~.i~~r T:ITFL SAMPLE .;: r: [:Rfc .... tc ^.-'F ,..k;. r...:. ~ <br />J <br />A ( 1`)) 1 <br />;I;_ r„~,{;)gp MEASUREMENT v Q 30 2R~4 <br />Oli"3l? 1 D 7 PERMIT -... a, t:k, a.-.-. .. ~ :-ti. 4^. .. ~~j -T<) ~{L/r/ ]q0.(+ <br />. <br />r. :,'1 _!i'P I;PJ~S V.4 T.7' REQUIREMENT :;::f::.} 3n n.i dy' rld T, Ly M~ ate'/L "'Jg-, 11 <br />;J ..::~F `.?~,TPLFL•iL° SAMPLE <br />UREMENT <br />E . .`-::': #,;c!agv=*` . .- <br />~IA <br />NII~ ( ,tj) <br />(~ <br />N/A <br />/~ <br /> M <br />AS <br />'_"1115 O !) (7 PERMIT '.'#8 .. .::#:: Cc r :;^? aT',:,trr: avf..Uas ;7~5 `. .tlC°/ "9S P, <br />. <br />.' CD""P_NTS ILJ; REQUIREMENT- - t', 4n.n4 d4; ^d.?[,? N'i, '.~^/T, '47'•"~ <br />~L _i ~r• ~c PSL°•.',. SAMPLE .. ;a {:., ... y. ,, ., t.:c,:,. ,. ( ^il <br /> MEASUREMENT a~ ~.` -~ Q r ( ~ /3Q 2.10.13 <br />~~i `_+'+:i 1 U '1 ~ PERMIT -::Xa#~,`• ~x`•,^^~Sc <br />Y .. Dr#yr.. v,~ vc P.~.oT DT`I^!)L; s. k'^?/ ;aAp <br />:P'!.U3;.?' .POS? ';0.L1)~ REQUIREMENT C;^-• j'inA •••, D4`LY "Z °T/L ":"^ <br />.iiL 4SD ~ r:0. i° <br />'^': <br />' SAMPLE <br />MEASUREMENT {°'"r. ::r'~ <br />~ .~ .. -. ;;:p ¢+`-!: f: (-' <br />~/ <br />~ ~ ? l~ !~ <br />V ,` <br />rv/A <br />~~ <br />i <br />! M: <br />~~: )N i~ti ',:-G?0. / <br />i0`tS5 1 (` ~ PERMIT :t?.xr XO ;c.y ~: ;: ;: .,.., ,. ,.. .: ., ,. o,. .,... #.. 1 _. ' !T '?^T`; "±3 `7 <br />.---t'L^L''li C"r0~.' ~ 4L?~ REQUIREMENT .. - T...•T ~'Y ;/1. i, .:, ,• <br />.r'J.Yr .Jtr SAMPLE Yc.;:gr..Cfi .;:G'c Y<': -(a}et <br />~ <br />NI ( T'1) <br />~~ <br />NC <br />). ~ ~ c, F MEASUREMENT ~ A o A R <br />:11045 "7 D :1 PERMIT ;tS-wk:.- «~Ar,..#... ;:} ;; ~. i,;;` ac ~r)nn• ~„~,~.t. r y.^ •~ ,I <br />{!" <br />~_° :D~''. ~~'"; ~''L, REQUIREMENT ~ .. ~^,-. eq^ ndTLv ~~y r. rr)•. <br />NAME/I1TLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF <br />MILIAR WITH THE INFO UW THAT I HAVE PERSONALLY E%AMINED AND <br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR / <br />~rTTt S <br />M <br />IT <br />ED <br />~E T <br />A <br />I <br />NI / <br />` J <br />Mil lc rU ~~'il ~~~ E <br />^W <br />M <br />E <br />„^T TXERE ME <br />OMPLETEU <br />T <br />A000MTE AND <br />C <br />E ~ <br />~ ~I <br /> RU <br />. <br />TIEB FOP SUBMITTING FALSE INFORMATION <br />INCLUDING <br />I <br />T PE <br />Envlronnl:~ntal I'..OnF.C3Cr , <br />SIGNIF <br />CAN <br />NK <br />THE POSSIBILITY OF RNE AND IMPWBONMENT. BEE 18 U.S.C. 1 1001 AND ]] SIGNATURE OF PRINCIPAL EXECUTNE q7 G ~ ~70-~ J 1 Z S Z 1 9~ <br /> U.S.C. 1 1 ]1 B. lANUlerr urMr Mr mnmr nuY IncA.W iwr tP ro F 10,000 AREA <br />TYPED OR PRINTED mddmuhHnr wrFdramwnrWMnvwn smonNr rd6F.rra1 OFFICER Oq AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRererencs en srtecnmsnrs nets! <br />L i'p'. ,{F7 r.3 LT".. .7.T ,-r Tt^V E~ i .:'L 91.E :~ T.T'. (-.1. 111 ,•nTv ~ .v r^ !_ + - ,r i~~_~r. .7 :T• <br />T~ :L:LT'I~,~~. ~ _. ?.T.vr ?. tHr F,G., {,i?. "b "F 1'3'7: ],.):1lrrr+r9^:r nTT, ~,.tr.._.- °- -., .,/ <br />-• rr . v ~ ~ for " nr ~. .. rv- ~. i•-wT~. -_;•-. ~~...~ Imo ..r <br />EPA Form 3320.1 108-95) Previous editions may be used. ~ (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 J., . ,. , ~ - T ., .., PAGE . OF <br />