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PERMITTEE NAME/ADDRESS pI.Y4 iaWryNr•f.cr,°n yDl/Iwwrq <br />NAME cvL; I..C ~\ :. Li :IL COhIrdAY <br />ADDRESS P. U. N U X !'i ~/ U <br />HAYUF:K CJ 61b!`7 <br />FAnLm <br />LOCaTNN17., ;~ Y~ :.1~ ~ u ".1 b 3 U <br />n; ~h; xII: .its+. ,t 'AL C??. A:. •_n <br />NATIONAL POLLIrrMT D19CHMOF ElIMINATON 9Y9TEM /INPOfSI <br />DISCHARGE MONITORING REPORT (DA1RI <br />PERMIT NUMBER pSCNMOENWEER <br />MONITORING PERIOD' <br />YEAR MO DAY YEAR MO DAY <br />FROM U I 0 4 U.~ ~ ;TO J 1 U r <br />:iL3:' <br />MIhJh <br />(Sli%sR JC) <br />F - FIFdAL kUUT' <br />~; ;CHARGE TU SA.-:c ChF:Ft, ' <br />NOTE: R.Ad Imtruetlorr M1on eompbtlnp thh form. <br />PARAMETER QUANTITY OR LOADING . <br />~ ~ quality or Concentration NO• ~EOOF"~T SAMPLE <br /> r E <br /> ~ ~ X µKTys TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />- SAMPLE <br />MEASUREMENT :: r: S'#44 aan ri?ri <br />~ <br />7 D n:s r~'r it :i Q ~ <br />b ( jam) <br />~ ~ <br />/" ~ <br />yl <br /> , D~ ~ ~ ns <br />Oi,'1UJ 1 J 1, :~ :PERMR::~:.~ ~..~':::7,....u ...w.4:,it~.~#'':t :;.i;:% <br /> <br />::. ,. <br />b.~ <br />~ :~.,,;.:...::.... .I:C <br />/ _.'..7.L~.V <br />. .•rl r, ~:' ~';~ ~REOUIREMEN7 ~:. ~ ~ .-. <br />~ .: <br />- .. <br />~ ~ - <br />• <br />1LIL~, 'I ..IAL <br />~ SAMPLE <br />MEASUREMENT ":i Dl?.70 non:; .t ;. c4#t>}# <br />~ <br />~ ? r <br />i ) ~ <br />~ <br />~ <br />/ <br />, <br />G <br />~ <br />.E; <br />SPc _r I~ ~, ~( •V4 <br />UV~SJ 1 J U -....PERMIT ~.. oi•xr:7 r.6 ..~.. n»!: ~:'R: <. ; '::;::;I ~ .::argape#*:r~. <br />S - :, <br />.~ ~ <br />.: ~. <br />7u ~ ):~~..'/ ',n. <br />e:iFL~~hT ;;kO:iS YALiI: NEOUIREMENT ~ ~ ~ r:r:'.:# ~ _i,,. ~.~3.GJA...:A.'*i> ~;.A~..i.'i~.:~'.y" ;/i P:6:;':t <br />SJLI u°i, SETTLeA~!L!: SAMPLE ; r,: rr:.. .,, r: rpn{: ;t ~; , L~a IRGB# <br />~ <br />~ <br />L ` <br />Z <br />~ .'~) <br />( ) <br />l / <br /> MEASUREMENT ~ ~ <br />b u ~ <br />b ~ (/ ~V , >fiu <br /> :n <br />~)II~u`> L ;1 IJ :.~ ~PERMIT~ ~:~. :-r; ,. ,. .;: ~:.:. ~. :y.+-;y .. .. ~~#:}r?1!.} <br />>~°H%. :"r':.~.~~~'"k , ~ :. is. ri~:'' :,:. :,/ J;i.;t <br />G F F L U F' :i T u Ii'.7 . S Y F. L L . :REQUIREMENT. ~: .~ .. ~:~ .. : ~ ~ ~ •:1 , <br />:~.''.'SSI'.',::: t' <br />:3.:~°A.3d;r <br /> <br />^. a. <br />~ ;(L / ;. <br /> <br />, <br />" <br />I.tJh, T.i°AL SAMPLE . . . -:nr:t t Y,:?#p~i; <br />9tiC : <br />' I ~ ( ,) ~ I <br />/ <br />(~_i F C:) MEASUREMENT ~ ~ <br />t~: ~ ~o C1 1 (] ,9Lsv~ <br />ULJU~ 1 J U ~~.":'PERMIT..:. :. rr_::':v~e.-;'.~ . 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L:Y'~~';Y .;/L ~ . <br />NAMERRLE PRINCIPAL EXECUTNE OFFlCER "`rl'I,n rr pe"•'>nrl..In.lu <br />pnPnretl under m, dlnctl°n nr arpe l. a«,rrl.nl .nd .II.Ilncnmrw4 won <br />nN°n In,amrdnne wNn • galem del <br />nad TELEPHONE DATE <br /> E <br />In awn Ibnl qunlllled peronnd pr°pe <br />plbr <br />M nnlunle rbe Inf°nullon /~ <br />~ <br />/ / <br /> ` <br />fubrrdllyd. !aM °n m, Inquln ANe Aron ar pervu wb° mnnnpr Uw r,nrm. <br />P M/ <br />~ <br />// <br /> °. Ibuepm°n tllncrl, rapn~dNe lw IbeAn Ibe lnf nllnn, rbe lnlnreull°n \ <br />- <br />I <br />1 <br />• • <br /> <br /> <br />rubmllred 4 b l~~ bvr pf m, kmwYd,e nrM belief, rive, nnvnle, nrld mmplele. <br />Inm won unl mrn nrv tlrNnnm <br />emltle. ter w <br />bmlm <br />nb <br />l <br />f <br /> <br />~. ~ / . <br />dIONATURE OF /RIMCI-AL EXE <br />UT <br />U 1 <br />U ~ <br />L3 <br /> <br />TYPED OR PRINTED P <br />l <br />n, <br />. <br />n <br />°rmntl°n, <br />hafuamp lne pndbnu,°fdnenM lmprlfnnmem rnr brmwlnL .Idntl°la :' C <br />IVE <br />'OFFICER OR AUTHORIZED AGENT <br />CODE <br />NUMBER <br />YEAR <br />MO <br />OAY <br />wmmcn I ~ mnv cnra...r... ~ ...r...• ..~• • • ~..~n r wnu Inpnr.nc. sN .rmcnm.nn nnq - / <br />;:: .i ., Ir, "v i~ i,I.".TTY 4I L1 d,: ~4IVi, L~ ~ ~L~T; LGA ?LE. ~OLIUS i.I l7 ]L'T Af;'LI EU E~i t: C=Litk, lvyil~ Fu:.CIP EV ;;h T~ 7~`.' ., <br />L'+J'~ LTrII:I'S :AIYEG Fv >1'JYa,.'u.tu PLI:CIP EYSNT SUS.IECT TO EtUfiDEK Ur' Pe,00F Ile InAw1w OiL 6 GEfLRSE - .SCE <br />EPA'Fw]n`J320-1 ~'v'3/99) Prevlous'edltlons may lienused.~ ~ •' This ~is a 3-part •form.' 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