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PERMITTEE NAMEIADDRESS R.•Yb faWryNor'lxuls. l/Dls r•nq <br />NAME CDL^,7.AJ~ [A`1PA C041. ~OY=~'A+Y <br />ADDRE555I V'~-, t,l`3 5011'"y, E'CK°Ah tK <br />LJSLti RC'; Rll <br />JAK :=RE3K ~:) tiJ~6/ <br />FAdLm <br />LOGTION) A r: '_ f' E ° " .:1 P (l 4 b 7 <br />"Pk: x'I': r1431. L!l ~i i.(1:_ PN SF M;3. <br />NATIONAL POLLUTANT DISCNMOE ELIMINATION SYSTEM NPOESJ <br />DISCHARGE MONITORING REPORT (D RJ <br />^~in7 T'l' •~ <br />PERMIT NUMBER pSCNMDEMUAlET <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 0 06 UL TD 1 6 30 <br />A) 7': , <br />' • 'I~'"D F TO FOZDF.L ^PFFY. <br />NOTE: Rud IrutnletloEr•Eda~ eompbflnp fhb fam. <br />PARAMETER QUANTITY OR LOADING Quality or Concentration No. R1ED <br />FEN[Y SAMPLE <br /> EX O <br /> MKYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />:LV•::, ='.TF'~Tf':LLY SAMPLE ;:r•axn~ p>aa#Rf: ^saa#? 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J fi.7:>;*.. ~,.;! 1<. <br />N ~/ L .. <br />NAME/1lTLE PRINCIPAL EXECUTNE OFFICER 1 aeon, •n rc pna, n l.. mn 1m <br />Prcvrte nldrc m, elrtcnon er•uP• . aavmem nna .E.u.cn.:ent•.m <br />nlNOnd.rtore.rte .un.•1•Iem aee <br />.a <br />TELEPHONE <br />DATE <br /> p <br />I <br />Ib <br />I <br />IlnN <br />l <br />T <br />P, i c h a rC M i 1 ~ n aeurt <br />• <br />qu, <br />Rronne <br />I.Wrl1 i•Ibrc •M e.•lu•1e Ine:nforo•11on <br />a.bmin,d. eda nn ml Inqulr, .r Ne penpn a prom.nn mange IM r,Nem <br />/ ~ ' /J <br />r <br />~~ <br />Fi~vi ron:lle:; tc) ,Manager , <br />o.,,.~.P.r,m~n,~n„rcP.,~b1~,,.,M~M U.. rn,b„n.Ibn.,Mln~,,..1mn ~- a: <br />2712 <br />0 8 70 <br /> abmlllen b, l01ne bYI •I m, •ne.kd,e nna MMer, Irve. •te..nle, •na aomple:e, <br />Lm...rtu.un.rt.n4T^lnmrpnmm~ rar rubmlm <br />nM rnronn•n EIONATURE OF ryIINdFAI EXECUTIVE , - <br /> nE <br />on. <br />b <br />n <br />al <br />n <br />bn <br />rn <br />TYPED OR PRINTED , <br />n <br />nT l <br />e POr <br />u,o <br />.e..a rmvN>anm.m m.Lm.mE •la:uela OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXrI,ANAIION yr nnT vwLA I IONS lRI/IlIOCI NF 1fr~e/lmPnta h~ry <br />;LI:.'96'E LC"ri'.. ^1:~~ :~ :FTTLEABLE SALT-~° (L~-: ' " •.':='i "];v[.Y I? <= 10-Y?• ~'U-"i• PR~CIP ~V?'.H9' ,' <br />..LaI°YD. iEF. I.A.4, P; Y, FOR dURD69 OF PRO">~ °.";~'::~ ~':?`. OIL ., S,E.4SF-SF.E I.'~.1.D, PG. 11. <br />EPA Fam 3370.1 (Rn. 3/99) Previous editions may be used.. ~. This i~ 4- COTm. PAGE OF <br />ooa~o/oli,3~~-fi`~~ z <br />p,~.., . ... .. . ,. .. =r.:..,:.~3~e. ~ . <br />