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-[wMITT![ NAME/A DDw[aa (/n[IYdf <br />facility NalnelLorarbnLi~f/d~iffnenr)~~ r~ <br />M~@it1.T ~`~e~ <br />woowcn r RIu M cnN ruccX Mrucc <br />---=f~- .MST' rrS+-^!YTS~Yly.T~il r°T-i-[T-°r~t- <br />Pwuurr <br />LODwT10M <br />NAT N11L EO LLVTAryT OISCNRRGE ELIMINATION SYSTEM )NPDES) <br />DISCHARGE TAONITORING REPORT /DMRI <br />i.16 1 ' N l~ <br />nl l D ~': <br />PERMIT NVMa[ ~"'•ER <br />FROM <br /> MONI ~ ING PERIOD <br />YEAR MO OAV YERR MO DAY <br />98 lv O1 98 12 31 <br />]O. JII /JJJ iI /JL JV ~ nM1.)T /]R. TBI /i0.4/ <br />.": I N G 3 Form Approved. <br />(S U is R M C)OMBfNo;?,0~0-0004. <br />F - FIHALApprovalexpires6-30-91. <br />CHhONIC MET TESTItiG FOd 007A <br />>rt•+~ riG uISCHARG° )~y'~/I =~`'` <br />NOTE: Read instructions baMre7cOmplatinpthls form. <br />~ 7 <br />1 <br />G A <br /> <br /> (3 Card Only) OUAHTITY OR LOADING (1 Card On/y) QUALITY OR CONCENTRATION <br />NO FREOU ENCY <br />SAMPLE <br />PARAMETER (16-33) (31-61) (iB~J) (1633) (7161) . <br />EX DF <br />wNALrsls TYPE <br />(31-37) AVERAGE MAXIMUM <br />UNIT6 <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNIT9 <br />67631 <br />(6168) <br />(69](1) <br />wEFFECT STATRE 7DAY BAMPLE aax~o~a ~}~0160 nuo$na z-MMo¢o ( :3) <br /> MEAeUREMENT <br />CdR CEhIUDAPHNIA <br /> <br />TCP38 5 0 t <br />,.~ ,:.. °: <br />..~~R~IT~ k <br />' ~,g~ <br />"6 P. 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'}4 ~ eb T"8~ 1e TA8'n"ay ~ aT"~°$r„x:~.r ~.aJ <br />LT.~ 'S.xd ~ <br />a'6• ! °0'.3 *g ° <br />~ ~ a x .. b QYT° <br />' °9P <br />i° <br />a <br />' <br />~ <br />'4i' <br />~ <br />~° ~ <br />` <br />^ <br />° <br />~ <br />0»~&#L 'MYe tl`A n~"I„~ap\, <br />~s? <br />;~e i R s~ <br />` <br />~ <br /> <br />U H <br />RC <br />~: ~.'', y <br />v <br />v <br />y <br />' <br />~ <br />a <br />¢ <br />~ <br />> ,~ <br />y, i° } ;l. ¢~ p <br />s i3. : <br />, <br />_" ,r~ <br />HN.T--: ~ <br />. a. `«. <br />°: s~ ~ .'T<~°ie Ai au ;o'¢T x°.~~4 a'A1 x ¢~4E~ts°, eRAe "FCS ~.al akS ~'~M1 r'!i! <br />° <br />° d, <br />K <br />i$:i` I <br />a...,W m°e~ . 3 <br />. <br />NAME/TITLE PRINCIPAL [%ECUTIVE OFFICER TELEPHONE <br />I annrr UNDER PENALTY of uw THAT I NAVE PEIFiOnAUV EXAMPICD <br />AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED D A T E <br /> <br />/~ <br />/!~ <br />J ON MV INQUIRY OF THOSE INgV10UAL5 IMMEpATELY RESPONSIBLE FOR <br />OBTAINING THE INFORMATIOY I BELIEVE THE SUBMITTED INFORMATION <br />. <br />4 <br />. <br />. V G IS TRUC ACCURATE AND CONFECT[ I AM AWARE THAT TN[RC ARC SIG <br />n FOR SVBAITTING FALSE INFORMATION INCLVpNG <br />T P <br />NA <br />T <br />, NKICAN <br />IES <br />E <br />L <br />TNF POSSIBILITY OF FmE AND IMPR50NM[NT SE[ IB UGC f IWI AND <br />GNATURE OF PRINCIPAL EXECUTIVE //// <br />Z4J~ ~~ <br />O~ <br /> <br /> <br />TYPED OR PRINTED J] u5C i IJ19 IPmuler, uMn tArv mrurre nmv nrludr /Torn uy n. /IIFIMW <br />r r <br />aid". narlnl w~InlP.r.~nlnlrnr~./MluwnRm~,nrh. and .+•rar.~ <br /> <br />OFFICER OR AUTHORIZED AGENT <br /> <br />AAA <br /> <br />NUMBER <br /> <br />YEAR <br /> <br />MO <br /> <br />DAV <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS (Rr/rmntr ull ulrmhm[nu hot) <br /> <br />Sc"E I.B.S FOR TEST PROCEDURE. RPT RESULTS OF LETHALITY Df.AIYATIONS A~ "+EFFECT", GROYTR E AEPRGDUCTIOt. <br />DEHIYATIOHS AS "TOXICITY". RPT LOW85T ~ EFPL AT YHICH STATISTICALLY ~IGNIF DIFF BETYEEh TEST E CONTROL <br />EPAtFbrm:03 F(R riidoua' ifloDSmay~Bews • i 1' `c[slisAL dwMA~uITaHfci?.iw'r oi' ^us[o:y1C=Eli. A TACH CRRON ES ilE[ Do[7MR. <br /> 1 0019P/940412-1834 1 <br />