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PERMITTEE NAMEIADDRESS R~feWgN/Gerxrar VOr~i.wp <br />NAME 4-.:w1' ~. ._. ~: '7 <br />ADORESS~ ~ ~ ~ ~ ~ ' <br />on i, <br />FACILm <br />NATIdiAI -OLIUTMT dSCNMOF ELIMINATION SYSTEM //NPDE$) <br />DISCHARGE MONRORINO REPORT (DMRI <br />PERMIT NUMBER dSCMMOE NIIMSEII <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO .) i ~ `? <br />"'~7RON .a <br />' - `Ih[. ~ <br />NOTE: R~rd bntruetlafw bNfNI cofnphtln0 ihb IfNm. <br />PARAMETER QUANTITY OR LOADING <br />Quality or Concentration NO FnEDDENCr SAMPLE <br /> _ of <br /> E% MKY519 TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS <br />_ .~'=1:'Y. SAMPLE <br />.. ..... ,. Y <br />._. <br />. <br />'~~'~ <br />~ , <br />( Z.; <br />" <br />e:-r!4La5 C` <br />E;UK L, MEASUREMENT ~~'v . . ) <br />. <br />~ t <br /> <br />. <br />II l ' .; U U ..:.: PERMR... <br />'..~<x~,±!i~^ . <br />~.-:.nh.n-'~ /t <br />; <br />R€ <br />PQFI'f <br />rs~~t:':f¢ `: <br />~'~?~Xc~>`."t <br />iiRQ'+' <br />' <br />•i <br />;P; <br />;)' ~-? <br />_ ::~N*r_'Nli I,~L~; gEQUIHEMEN]' .: .: .. :. .: ..... xr~r:^ . <br />Ga.A~I . <br />..~: :.: ... _ <br />TO~,.T .; - <br /> SAMPLE <br /> MEASUREMENT <br /> . <br />. <br />:: <br />PERMIT: <br />:;'.:: <br />' ., ,. <br /> . <br />. <br />: <br />. <br />!REQUIRENIE <br />N7 <br />: <br />:,: ~ ~ <br />~ <br />~ <br />.. <br />~ :.. <br />~ '+... <br /> : <br />. ;::: <br />~:., ,, .: . <br /> SAMPLE <br /> MEASUREMENT <br />~ '~ <br /> ~..~:::. PERMIT~~~..': . <br />:~~..~ .... .. ~. ~ ~ :~~. ~ ~:::a~;~ <br /> <br />:REQUIREMENT' ~.. <br />. ~~:,. ~. ~ ~~: ..: .. :,.. <br />.....~ .. ~ <br />... <br /> SAMPLE <br /> MEASUREMENT ,.. <br /> ., .:..PERMIT. ~. ; ~ . ~ ~ ...: <br />~~ ~~ <br />~ ~ ~ ~ ~~ ~~ <br /> REQUIREMENT ~ ~~~ ~~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> .: ~~ ERMIT:~:~~::~ ~~.. :.. ~ <br />.: . <br />...:.: .. ... :~ .. .:.. ~::~.~ <br /> <br />,. .. <br /> ;REQUIREMENT. ~.. ~ ~ ~ ..... ~ . ~:.. . <br /> SAMPLE <br /> MEASUREMENT <br /> ~'~ ~~~PERMIT..~ ~. ~~. .. .. .. ... <br /> REQUIREMENT <br />~ <br />..:: <br />..:~ .. ~.~... <br />.. <br />.:.. <br /> SAMPLE <br /> MEASUREMENT <br /> ~~:~::'pERMIT :~~~:.~ . ... ~ ... ~ <br />~ .~ .. ..:. <br />~ <br />~~ <br /> REQUIREMENT~~ ~ ~~.:. :.: ~ ~ .: .. .. : ~ ~ <br />~ . <br />NAMERITLE PRINCIPAL E%ECUTNE OFFICER 1 °nuf n b prnn l> o en Ihnl Nh d:umenl and nll nllnchmen4 wen <br />pnpnred uMer rtT dirtellnn er upenblon In xanrdnnn nllh •.1Nfm dedLmd TELEPHONE DATE <br /> In nvYrt Ihnl yunllnM peronnA prtpedT Lnlher nM e.nlurle Ine Infnronlbn <br /> ibMllad. hued on mT I:pulrT of the Aron b Anson nha mnnnie Nn aJrlem, <br />~' nr Those prron dln<IIT rbp~bk Ix islheNni Ne Informnnm, the InfomNllon <br /> <br />' <br />nbm111N l4 b the bbl or mT hm.kdie nM beher, live, nrcvnN. and mmpkN. <br />JU y~ <br />-~~ <br />D / <br />~ <br />3 ) <br /> I sm nom Ihnl Then nrt aENnunl pennmb tar rvbmlNnL hbn mfomullon. HONATURE OF -IIINCMAL E%ECUTNE d / ( <br />TYPED OR PRINTED <br />___..... _. _.. __ .-... ... _. IMWInt lM poblbllllT OrnnesM lmpASenmenl tarlmnlnL.lelsuo:u <br />._._-._ ._ .. OFFICER OR AUTHORIZED AOENi A' A <br />CODE NUMBER YEAR MO DAY <br />I.VMMCrv I J nrvu onr~nnn ~ wo v. n.n . . •...... ~ wn~ InnomCl wr nucnmmo nI/t/ <br />: ,dl' f.h.l ?I)t i1E.TR:Li J}' T•._T - '.7.. .. :l.i.. lF L°.'..":+~LI 'i "2fYy?"O`:~ r-, "' ,^~°F. ,.rN)w <br />ii <br />1'. U='{(V~ 2:, "'"'JX!~iTY' i:P. ,.. ~P"L iTi:" "'LYiS".`I'iL'.Y _eI;,,I!' RIFF ':. '.... ..'Ii...._ <br />EpA Form 3a2o-t' ({~: 3/49) Pie`vPous`etiiti'ons may 'use . ~ ~ ~ ;~ _~ , I ,)TIhSs;is a,4-p~n,fgrm. PnGE ,oF <br />