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PERMITTEE NAME(ADDRE$S (Include Facilin• Name/Location ifD~erenr) NATIONAL POLIIJT CHARGE ELIMINATION SYSTEM (NPDES) - ~ ~fOrm Appp~OVed.
<br /> NAME DISCHARGE MONITORING REPORT (OMR)
<br />THAPPEd ML9INw, 1Y;., ~ - OMB Nb. 2040-0004
<br />MINOR
<br /> AD~RESS~IRAPPER !S?NE ~
<br />7 PERMIT NUMBER DISCHARGE (SllAR Nit).
<br />NUMBER
<br />-
<br />~
<br /> #~.O•.BJX 111 - :' ~
<br />ltOPAT
<br />F - FINAL
<br /> FACIt1TV 3RAIG ~~ r11hL6 MONITORING PERIOD DISCHARGE TD FLUdE"Gty,L~,N
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<br /> LOCATION ~ YEAR MO DAV YEAR MO
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<br />' DAV ~ ~ -
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<br />. FROM 00 10 0 TO DO ~#~ NO DI SC~H ARCE ~ 4Fa0,
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<br /> A T-x N : i M ~ $ 0 R D D R P E T E h :I , i/ ~; f.' ~ /' b' 6 K ~ R orm. .
<br />.NOTE: Read Ins ructions befo pleting mis
<br /> (~.. "' - QUANTITY OR LOADING ~ ~ OUANTITI'.OR CONCENTRA710N'~ -'~, ., ~NO;~
<br />• FREOUENC SAMPLE
<br /> ' ~ PARAMETER ~ "EX~-
<br />~' ~ OF TYPE
<br /> i~ AVERAGE MAXIMUM! ~~ UN1TS~
<br />MINIIy1UM - AV~EtAGE MAXIMUM ~21NITS: " 'wuvS/S
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<br /> PH ~ SAMPLE rt'%aaoa aataa44 po4das. (, j3~; ~, .
<br /> MEASUREMENT ~ ~
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<br /> e:F'YLUEN3t GROSS YALUE ~p~~ A~+~ENT ~~ Ipti~Ar4. Y ''
<br /> SOLIDS, .;TOTAL SAMPLE .a~a='~Y ~~~!0 - r ','. 1 - :. ~ ~ .+
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<br /> U3PEND,~,D' MEASUREMENT "{, t ha _
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<br /> EPFLDE~iiT GROSS YALUS ~~ NT `'"~,` ~';~~, a ' ~ ~ ~R~ ~~.
<br />t OLIDS, ,S~T.lLF,AHLE SAMPLE a>Faaaa R1! ~~• as 35~,
<br />k• ~ MEASUREMENT ~~'
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<br />'f'FLUEN ~ ~CR 5S YALUE
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<br /> RDN, TCI 3[L SAMPLE 'f"Nx~p ~Rt01~ q as ## ( 19)
<br /> (AS F8) MEASUREMENT -
<br /> '1745 1 0" 0
<br />^ as
<br />~._ F,'FFLUENT GROSS VALUE
<br /> IL AND GREASE SAMPLE aaaaaa #+aadam 1 aasae{a ', p a4a_ J;' (. 19)
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<br />[ ;' MEASUREMENT ~ ~ ~ ""' -
<br />. 3582 1 ` D 0
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<br /> ~'FPLUENx GROSS YALUE ~: OfA [J ,
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<br /> ~.DY, IM CJNDUIT JR SAMPLE ( 03) aa~o-oaa #aaaaa' a~laraca
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<br />- THHU TRBATlIENT PLANTMEASUREMENT ~ ~
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<br /> FFLUEW><' ~HDSS vA1.UE REQUI E1KEN GD a~ta
<br /> IDS, •YflT-L sAMPLE vaeRSa rsaaaka t~apaaa { 19}. :rF
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<br />E;$$04Y.RD~ ~ MEASUREMENT •"~ ~
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<br /> U~295 X +. D U as
<br />!. PlLUENf .CROSS YALUE ~~¢
<br /> NAME/TITLF~PRINCIPAL E%ECUTIVE OFFICER ICertdy un rpenalt~ollaw that documentandall attachments were '. ~ LEfHON DATF -_
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<br /> ' prepared under my tlin:cdon or s'elwmson In acoordznce viM a system tl¢a ne0
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<br />SIGNpiUR
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<br />EDF,PRINCIPA. E%ECUTIVE'~ ,
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<br />' Y'1~EDOR'PRINTED ~ ~
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<br />tlin t os5bili dMeandl ri meMbr nowin violations. OFFICER OR AtAHORVZ~D AGENT
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<br />NUMBER;
<br />YEA ~
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<br />DAY
<br /> MENTS AND,E%PLANATIONOF ANV VIO , TIONS (Helerence allatNachments h9re) - - ~
<br />00 ~ ~ - ~ -
<br /> T3¢ b'Tg2~L xRON;L2l1ITS.YILL BB NAIYED, ABD SE~'TLEASLE SOLIDS LIMIT BQPLI$q FOR' <=10I9~248R t?RECIp 6YEEIT-
<br /> StB BDxCfEN OP PROt1F RSQ4IREtlE8T5 UNDER i.R.3. PEB!1ITTEE MOST TAKL ALL REASJNAB~I.E ME139~S8'TO`RBDOCR t?H
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