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PERMrrfEE NAME/ADDRESS pweb~I FrferyNr'forYlr« UDf~L..np <br />NAME :'_ L J ~. C! i A '~ c' r ,. l' S L ;. ,) I/ P A A t. <br />ADDRESS'; 1 N ~ 4 1, 1 5 1 :i O U '' h r ; r. ~ F M R N p F, <br />?y~T'I '?.'t 421 <br />FAnLm <br />LOCATX»f„,_ .• r.S ~'I ±DUn7 <br />'+il'I: !+I,: "!.5 `'1. LUDI 'i7. ':9 gINC ":;t. <br />NATIONAL POLLUTANT deCHMOf RIMINATON SY9TEM NPDE$I <br />DISCHARGE MONITORING REPORT (D RI <br />-n,~,~ 1' 1 I ~ o <br />PERMIT NUMBER dSCHMOE NUMeF11 <br />MONITORING PERIOD <br />YE MO DAY YEAR MO DAY <br />~FROIIA TO ! " -~ <br />- ~I:IAL , <br />~~K!1AN POBD A Tn F~iDi'I. 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I ~ fl.! 1 ~ i~ I ~ I $ { <br />Io YWrt Ibl quY11nM pfn"nnd pNpe^y p111R YM Rtlurle IM1e Inr"rmYnon / ~ <br /> w4mlued. ewa«my lrpulq Yf ur FrrlnnRpenw wno mYngelhe gdrm. ! <br />in:i ~nl+meeY.al ~~tl nflC^Y YrlM1Ue perlemdlrRlly m«MElr r"rpIM1YAn{Nf lnromunm,IM1rlnlornunen 1 'r ~] <br />'~ <br /> <br />N6mlllyd b, lolM1r Ael or my Ynow4d{eYM beeeL lN6 Ynvnle.YMRmplrlr. <br />rYm OYR nlYl urrt Yrt d{mnnm <br />rnmly r <br />r <br />l <br />lum <br />nMl <br />f <br />l <br /> <br />eIONATURE OF FRINCMAI E%E <br />U <br />'D <br />~•~~~L/1L <br />C'/ ~l <br />~ <br />a~ <br /> <br />PRI <br />D <br />T p <br />o <br />N <br />m <br />{ <br />n <br />ormn <br />on. <br />IM <br />eI <br />M <br />relll <br />rn C <br />TIVE <br />TYPED OR <br />N <br />E Y <br />n{I <br />pe <br />ly o <br />neYnd lmpolonmenl rnrtm.ln{.lol.unla OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />l.vmmCn I J nnv cnr~nnn 1 wn yr n... f.v~.n I wnJ rnNlrlncl N/ /rrlcnminrJ nqq <br />,:.f•'•+>.'ri' ."(" `_!;; ~; ., r. '!";L`:ABLr: ',?LIG` {Ll:' "'' .Y '1.Y Ic C= 1^-YRY ;ft-^P pRF.CIP F.VgNr '° <br />'LnL'':^:). ;EE .. 1,.UY r; 9Y F)r HGRDEti 'JF ~RUOF 5.'.:Ji ;•TL S ;uc'A~/'-_SC' I.S.1.D, PC. 11. <br />EPA Form aa2o-t (RGV 3/99) Previous editions may be used. Th PACE of <br />ODD13/UT Cis31~~4~~r~(~rm. 1 <br />~~ ,. ~~. <br />