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PERMnTEE NAME/ADDRESS p•nWrla+uryN~./G«.nrn /DIDEr•ml NAME 5"ti''CA CtiAL CO.",1-'A,'iY ADDRESS ~• U• t] O X S/ U iAYJtiN ~D 8ib39 NATIONAL IOLLUTMT dpCNMOE ELIMINATION SrpTEM /INPOfSI DISCHARGE MONITORING REPORT (OA1RI . I ~ PERMIT NUMBER p . ~ clppCNMOE NUMpF11 c - ~ i '; ~ L _~` , i afr v I~ ~ I'I ; } ~ MONITO RIOD u•xnA r. i,O 1 I :n. or c: on ~.a L. r. .} ,'.~. ' FACLLm MO DAY ~ ,EAR MO DAY ' a ~ -- ' L~T~+NAYJ:iN LL 3i'.13J FROM J T U Oj .~ "~~ GJ DE RGE ~ ~ '~'"% _ :~ ,' T V: G A E: t; > 81 C i:'1 E N F l; E N }; n A L M A M A i; !•: a NOTE: Rgtl; oir bd,Qr,~.eompNElnO thb lorm. PARAMETER QUANTITY OR LOA QUaT~~~y Or Concentrati D ~ ~'' 'pD< EnE00FNCr SAMPLE ' ~ '_'i~~~` ~ -MAtrsp TYPE AVERAGE MAXIMUM UNIT ' ?;j: AVERAGE MAXIMUM MINIMUM UNITS ', YL:id, IN ~~:1N i'ULT J;I ?,'„(!1 1'6Y.ATl1 E;~T 2LA ;'J SAMPLE MEASUREMENT ~~v~ ~ X41 ~ r,.nrl r, :Y!` 4G~I IXOgI h;:4u au ~ 1 i 5 u :I S U 1 U 1 PERMIT. ; .: ;' . ' .:. bL t, P.LTfii~' :: ..I, P t~s~ir: ;,:Y: :a "V`.# . ?r:;:IIF~:',:.~!§~: N SYA H Ei}'L'J"'':]' ::NO55 YALU ;REQUIREMENT. .:~''3iC'A :'-d"-" "PAZ'' p1GD _ ~'~''f1~` ~Oh"T'tt : SAMPLE MEASUREMENT 1 ~ $ ' ~ ~ ~:'.: ..PERMIT .. ". ' ;REQUIREMENT :: "~ ... . : " .; .'. ' ,: ", :~. ~ :. ... . . .. ,: . SAMPLE ^~• ' ' MEASUREMENT '~""?`:. .:::'.:..i;PERMIT."..:.. ': :. .:r~>:',:;:;: " :..{; c~..;.. . _..",. :' ' ':~; ":I~~";."`i:^:' :.. : ,:,: :.: :':: . .: `.~:::i ' ":~.::'.~:. ,. . ;REQUIREMENT: "..' ' ~ . '.. .:::;'`.`:4 :.~. ... .: "~` <5:::;;:.'.:'':. .;:. ... ~ y....... ... . i:x: 's' ..... .. ........ . ',.._ •.:: .. :.~'..::::::;... ;k ; . ,. :... .:.:' :.. ; . . SAMPLE ~ . ' _ ~ ~" MEASUREMENT .~ ~ ~ .' .. .,.r REQUIREMENT~ ~:...~I-.. "~ ' :::..: ,:':r ~:.. ' - .....: .. ~ SAMPLE 1 MEASUREMENT REQUIREMENT ::::::.: '.:..:.:.:.a,.; ,. ::. .:. SAMPLE MEASUREMENT :::~:<:~: PERMIT:::: ~: ~ ~~ ~ '~ ": . ~.' ~~:;:::::':I:;' ~,"`.:'> ::':. ~.:.-::: : .... .. . : . ........ :. 'IiEUUIREMENT: ... c. ..:. ,.. .:;.. ;...... .~ l , .:..,:~.:c.... :... ~. . ; " . . .-,. SAMPLE MEASUREMENT ' ~~ 'RE QUIR EWIENL'' :':: :::": ~~~":: :::~ ..: <': : ~~: . . . .. , . > .. ... , NAMERITLE PRINCIPAL EXECUTNE OFFICER 1 Rrlll) Yn !r Pen• 1) r Irw In/I N Pnp•rtd onarr mf alnrnon orww N'Jmlmrnl,rM rN •IlKnmtn4 w!ri mtlon In rc•raanar .I01 /rT/Irm aal lw TELEPHONE DATE E 1• mart In/I goYI1nM pawnnd Proprdl'[/Inrr •M enlualr Ina Infolmtllon lunmlll/E. paA On mf lnqulry of NM person or Pmo^r .p•m/n•Er Nw /fimin ~ •r mY.e pem•m elrtrnf lep•YeeN r•r i.roennE mr Inmrnunrn, me Inr•.rl.u•n l mbmllleG 4 1• the nnl of mT trowYd~e •IM peXef Irur wavnle /nE mmplele ~-/ l , . . . I n 610NATURE OF /ql PAL E%ECIffIVE Ym evrt u/u m/rt apnmmlpmma tar mbmlmnE nnY mrorm/nen, y A A TYPED OR PRINTED IYeNgm In• nnu wnYr.mi nr•nll.m r•r nlA.m nu•In E p•I+ f mp E ~ • • OFFICER OR AUiNORIZED AOENi CODE NUMBER YEAR MO DAV COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRdir~nc~ sll ~Ef~chm~ntn h~r~l :.;~ LL.^.IT riIL[, r12 'wiI[V[.J ,IKU ~F:T'ILEAnLc ;LiLIpt' LI./:I7 Ak'i'Li.-`.L~ 'rG.i l=1vYHpZukh rRiCLP EYEN7p T$S 6 5}:T1'Le:AsLH SDLIJ:: L11"li'[ wr-IY[.D F/1i; ?ICYk~?4i'.h +'.RCLi r r:frT 5U:1.i£CT "~i itUli:.:-`.1 J!'' I'k'JOF IN I•p.2r OIL f, EPA'~Furm''3320-1' i 1''~ ~~" ~ • -"' ° ~' - " ' .. . `..' • PAGE F ~' J%49) PI'~8ious edElioEis may !'ie used. U U U 21 / OT.~'~ 3i1~-°~ a ~°dRL"