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F[wMIrT[e NAMelwoow[sa (Include <br />FaLility NalnrlLocalbn IfdifJennt/ <br />NAM[-_~-_--- <br />ADOREtt~~~__~---_ <br />-wcr urr_-_ _--' <br />LOCATION _~-_- <br />u _ <br />Nwn oNwL rouurw Rr oocNAw DE EurwwwnoM arsTEM (NPDES! <br />DISCHARGE MONITORING REPORT /DMRI <br />_~____ 1-/b 17-19 <br />______---_ •ERMIT NUM B[R oracN.wcr N~raaw <br />--------- MONITORING PERIOD <br />-------- YEAR MO DAY YEAR MO DAY <br />_~__-_--- FROM Tp <br />(101!l /1LZ3/ /Zl.IJI 116.17/ (ZB~1fll /363!/ <br />~'? ~-~ . <br />C b' ~ /J <br />Form Approved F` e <br />OMB No. 2040.0004 `~ ,n <br />E:plres x9.30.91 ~ ' 94 <br />~..,~,/ <br />~r~ 4 L~ , <br />~. L.~.9Y <br />NOTE: Read inatruetiona bsfafs edmplstinp thin form. <br /> (J Card Only) OU ANTITY OR LOADING (1 Card Only) OU ALITY OR CONCENTRATION FREOUENCr <br />9AMPLE <br />PARAMlTER (I6-J3) (Ji6f) (38aJ) (16.73) (J16)) HO. <br />E% of TYPE <br />(31-37) AN wLrsrs <br /> AV ERAOE MA%IM UM UNITE MINIMUM AVERAGE MA%IMUM UNIT9 616!) 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'k~~~ <br />~~~ <br />`y <br />`e - tlS` y <br />~ <br />w <br /> S <br />REQUIRE <br />MENT s 1 <br />y ! <br />e <br />l <br />t < <br />° . <br />~EIv #g <br />~. <br />~ <br />_u ~ - °Y~ ea °1: ~ <br />Y, ~ s« <br /> SAMPLE <br /> MEABUREMENT <br /> a.aPERM~iTr ~'a c,;q' <br />~ . a °s a~ e <br />e <br />' ~1"x °.Y <br />9 <br />z <br />°<e <br />9 ,, e <br />x as Po <br />°~` <br />« ° ° <br />ce <br />. <br /> ~RtC~UIRE,M ENT' g eaa Y <br />e <br />s ' <br />a .; x <br />e <br />a <br />a <br />y a <br />a~ma es <br />; ~ <br />w ( <br />, <br />, <br />r~ ; <br /> 9 K a Y g +e <br />NAME/TITLE PRINCIPAL ElI[GUTIVE OFFICER I CEwTIFr <br />unOER PENALrr OF LAw TNwT I <br />NAVE PERSONALLY FaAMInCD <br />•ND wM FFMILIAR WrTN THE rNFORMATION SUBMITTED NCRCIN wND B.LSED TELEPHONE D A T E <br />I'l/~ f <br />~r~ E`' wr(M1Q~ ON MY INOl11RY OF THOSE INdVIDUILLS rMMEOIhTELV RESPONSrBLE IOf1 <br />OBTAINING TNF INFGRMIIT10:1. r BELIEVC TN[ $UBMITT[D rNFORM/.TION ) <br />/ <br /> <br />7 <br />IS TRUE wCCURATE wND COMPLETE r AM 1W1gE THAT TNEq[ ARE SrG , (/N/ <br />T!I/.. <br /> NIi ICwNT PENALTrCS FOR SU9..rTTING FALSE rNFORMATION IryCLUDING <br /> <br />I~ <br />•G <br />' <br />~ <br />THE POSSrBaRV OF FME ANO IMPRISONM[NT SEE r8 USC f rOOr AnD / <br />C? _ _ <br />} <br />/~ <br />~~ <br />mil/ / <br />' I <br />S <br />/ <br />t , <br />Li l~ <br />I rA ~1~ (•~~ -/ ]3 vSC I IT9 .Prnalu.. urWr. rfirv Fmmr.. n ~NUdr /w u <br />gar ~ • <br />n, ll4rnr BIGNAT RE OF PRINCIPAL E%ECUTIVE C ~/ <br />' <br />~ <br />~ <br />/ / <br />1 (. i <br />` <br />TYPED OR PRINTED y <br />u,d ••emu.~nruni rnrprr..,,I~~.nr,./Mru«nfim.,nrl+und i..ar.r OFFICER OR AUTNORIIED AGENT AREA NUMBER YEAq MO DAY <br />COMMENT AND EIIPLANATION OF ANY VIOLATIONS IRr/errnrr ull uuuohmrnv here) <br />__~ > ~:..•.~_~. ~~-. ~s~_..Jl .. ~/f .. ]'• .-_ .. .. ... .~ _... •- ._ ~ ~ III IIIIIIIIIIIII III <br />999 <br />EPA Form 3320-7 (REV. 9-BB) PrBVloua editions maybe used. 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