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FERMITiEE NAME/ADDRESS Rneb~r £atlryNer~/errler 4DIp:..nV NAME CTPf:U5 YAMF'A YALLET ::DAL CDHP. ADDRESS'IN.i" i,2F'3 iOUTH, `.r ECis"AM ??( 1751`, RCR Jt27 JAK CH°CK CJ !1D4b7 FAaun LocATgN)RK CHChIti CC &U461 'TfR: H1~HP,HC `!ILLS. rt`'7. yRN7G':R NATIONAL pOLLVTMT dlCNMOF [IIMINATION !YlTEM NPDES) DISCHARGE MONITORING REPORT (D R) PERMIT NUMBER dlCNMOE MUMlDI MONITORING PERIOD VEA MO DAY YEAR MO DAY FROM TO U "!A3O3 F - FINA1. t1IV.°. 1, ; OND ROGTr Fs ?'~) FCILEI. CRF'Lr' NOTE: R~Ad krWedar Mfa~ eompMthq thb lam. PARAMETER QUANTITY OR LO Quality or Concentration NO. mFCDFNev SAMPLE EX Op MA~vs! TYPE AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS 'H SAMPLE MEASUREMENT r. r.#r .4 oYk,r x:k lY r~ ~ #r,: rs r,:.e. ~ ~ -~I ' I' f~ '' 1 ! I .~J j ~ f7r'+' l JODUU 1 J U ;::':::.:PERMIT:::... :.:r eY r,:;x.~ a:• k~;~..;. f a ,. - .: ^:"::.:.~~: ;; .;.i~>RiN~.ti~?;;:: ~~'0:::::':::::: ~ . 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RB : Op;' : / ;nA'i C 1'[f E9 C5 GELD: ~REQUIaEl~fENT:: ~~':::~ ~ ~ .,. .. ,,:; :... ~ ~ ., ~ , .':3QAI~::~:aIYFa~ . . : Y~~ :fix. ~~~J~A.:L:G,... `~' ~/ L :: ?1~D.11'C:H NAME/TITLE PRINCIPAL EXECUTIVE OFFICER N "pr""~° I`"m" ""'" prtpnretl antler mf tllrrrllon er ruR b °°"'""^' .m .l ."'m""n~.rrr nHOn In faaertlenn wll!•r rlemtld md ~ TELEPHONE DATE ) [ le a~urt IMI unllAM rnnM n rd lM M N M I /I % r ~,' N 1' i..r~ I~} ~ ~S q p p e p r . nn ntr I nlornuMn F rulmlllN.lstlen me lrpulrr er mr prmner pervn who mnnye lM rnlem. / ~~~ // // , .. ermm. proem dlncn~mpeMAM fa l,Uetly Nr lnfnmunen melnremrtlen // ' i ~C ~i / !` ( Y , e•pmllled b Y IM Mel W m) LlpwYd ! nN MII r l l n l ;. /~)~712 : ' ~ A/ 3 ~' 1 ~ j ~~ ~ ~ . [ . rvr,.[tV r. r..rl mmp E rlr. I.m nwnn mel men .n el Nnunl eneltl T n l n l b I r fIONAT .1 l ' L (/r TYPED OR PRINTED F p u er wr m l nE o e n erm.tle:,, IedWIn.IM pedbinlT Ofnm.ne lmpneenmrm Ter.no.leq rlrl.uep URE OF -IIINCNAL EXECUTIVE OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY .........:.,......:....,.. `....,...-.. _. ..... .._.........., Inoo vrc" n, "r mr+rrn.rr.a n.r.r .. L:; :•'r .~l 'i :' ~.L iIT6 FOn 'i5 `_., IHJ!+ SErTLP,ABLh' `iOLID:: (i.~:' '_.') P. e'i'LY ~XL1! I? := i~-Y k, 24-HR PR t:C1P c'Y r. ~~"' :.~i.".t D. SEE I. A. 1, PC 1H, FDR BURDEN OF PROOF' R?:'J:ki:`~!<r'IS. OIL ti GtiP:ASE-5°E FOOTNOTE F/, PG -.. ) q rm vnaE of / 00033/Oti _ ;~~3 1