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(IncludT <br />Pen7iry NamtlLDnrbn iJdiJJErenr/ <br />NAM[_~1 Ya'. l__y___'_ __ <br />' YAN61 Y]i,iTt CC.AL COnr. <br />-~U==L~ 1 ------ ~,~ _1~7 <br />-wel urr <br />LOC wT10M --~--------- ___ <br />.. • f. _I_~____ 1 ' 3 t .. 7. <br />nwnoR wL Pouur ANT oncnwwGE ulM lnwrlon lY SrEM /NPDES) <br />D ISCNARGE MONITORING REPORT /DMRI <br />1.i6 /~.rv ~ aJOii FormApprovad. <br />LC :,,~71~v ;~ (~n,t !•rc) OMB(No?2040-0004. <br />PERMIT NUMRlR RlacnwRCC nVMCCB ~ ~ C' j V A y Approval expires 630-91. <br />MONITORING PERIOD `.1"C ZP ~7u(; h LU !''O1}i!'i. l^'. <br />YEAR MO OAV YEAR MO DAV <br />FwOM - ~ '.1 TO ~ .rl "-' L, Cr I.r OC:L.~ '~-. - i '•'~• <br />.,r, xol r Tn NOTE: Reed instructions before eo Dletinp this form. <br /> (3 Card Only) QUANTITY OR LOADING (1 Card Only) OU ALITY OR CONCENTRATION FR EOU ENCY <br />SAMPLE <br />PARAMETER (16-JJ) (Jlfil) (38~J) (1633) (Jill) NO. <br />E% of TYPE <br /> wN,TLVS15 <br />(33-JI) AVERAGE MA%IM UM UNITS MINIMUM AVERAGE MA%IM UM UNITS <br />61fiJ) <br />(61L8) <br />(A9-70) <br />_J:iLU~_1~1i.Lr <br />SAMPLE :1 ::>:1.,],.>.L I~.;•;1;:,_x <br />• ~ ~ r:t':+=.~:' ( ~.) <br /> MEASUREMENT <br /> <br /> <br />. <br />., %..1 <br />1 <br />~ <br /> <br />` <br />P <br />'E <br />e <br />R~ ~.£ii F I',E=a°k°'< e <br /> <br />Yc' <br />> ~ <br />4:~ .r ~;.° <br />i.~: <br />. it <br /> <br />'sY <br />5`•' i isp <br />' <br />A a• ~•ri x~t a, <br /> <br />"w"e ~`Q'.~~o'1 <br />'. . <br />'"•°J' <br />` <br />Fc `s •x <br />a .i a` <br />~. <br />~.~° (3 <br />C' k L. % <br />, $ j <br />F., P <br />'!.'i <br />y <br />a~ {} <br />'.(' ~; ° <br />i~ <br /> <br />~ <br />- <br />- <br />. <br />~. <br />.- t ~ <br />- <br />r <br />' <br />' <br />° <br />ERM 1: <br />;WEgLIREM ENT <br />1 <br />to=. i <br />~ <br />., <br />s <br />~ <br />, <br />a <br />7 A <br />' <br />~ <br />+ <br />e <br />~ <br />, <br />. <br />c <br />x r~~ <br />i~ <br />* <br />7 <br />% <br />a k~ <br />L .a . <br />, <br />. 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