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PERMITTEE NAME/ADDRESS p.>Vif.NhryN../lc.rl., f/DICLgnq <br />NAME •.rL i,c4~i'` i"; h C'J.4L :0'7PANT <br />ADDRESS ". i ' . • _ '~ ~ i E ~ ...'.:.. P: ~. <br />LvS!.Sr.CCt 12/ <br />FACam <br />NATIONK IOLLLRANT DISCNAAOE ELIMINA710N SYSTDA ///VPOE$l <br />DISCHARGE MONITORING REPORT (OMRI <br />":7.)" <br />PERMITINUMBER dscNMDENUMEfl1 ~ ~ _ ~ J ^~ <br />4L "?l: T. i <br />MONI70RING PERIOD '~ 4 R "14 T " - ""' =: T T •: .' ^. ^ 7 ' <br />YEAR MO flA I YEAR MO DAY _ <br />FROM 71 04 ~- TO 71 I9 :: ,• ~, ..I~'n.y4 ;~ .,. . <br />I __ I <br />` NOTE: Rud IfutTUeNorr Edarr. eolnplrrtMp thb loan. <br />PARAMETER QUANTITY OR LOADING <br />Quality or Concentration NO, mEOUDfCr SAMPLE <br /> Op <br /> EX 'w'u~RS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS <br />~. T'r"'C `; '~4T`L 70aY SAMPLE <br />MEASUREMENT }'::: (t `• ':i^h4+~ <br />(j~ ~ ti~w.,..}:; ~ ( <br />~ 1 <br />~ <br />i i ; <br />' '' "' ? 4 I "~ ' ~. '' ti I A ' 1; <br />?1'a p ;) 0 ~°: :.:PERMIT.: ~::::: .: ~; :y p.yc:.F :r <br />.. <br />.,. <br />~ <br /> <br />r <br />~:.. 'r45r!!~iT <br />~ ~ <br /> <br />.... <br />~Fi;J <br /> <br />~ <br /> <br /> <br />I'EE.;...:. <br />~.: <br />~ # ~~.ix.F?::a~g¢: ~:~~I ~.;_ ;~i ~. - <br />;. C ^ ~ , w :. REQUIR~MENT~. . <br />. <br />~ <br />~; ~ . : <br />~ <br />~ <br />:. ,. .,... ~. -:arer•. 71:)AY SAMPLE .. ~ ~ d0#!'.5 <br />: ;. ~ j +) <br /> MEASUREMENT ~i/~:': ~o , ~ '~ <br /> , <br />,. .:?i" :: L' U S:-:PERMIT <br />: <br />t <br />..t <br />~ ~ ..'~.t:, ~ .. <br />:. ..~~ .. <br />. ~~.; <br />' <br />•'°1 <br />~ <br /> <br />,., <br />. <br />~~pyy~ dl•jpll9r <br />* ;'k::•"..:: <br />'<xt,~ <br />4 - - ~ - <br />... ,. _.. , <br />. <br />~~REQUIREMENT ~ . ~. ~ . <br />..1 <br />. <br />. <br />1 r ~ T, <br />, <br />.:. <br />. 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J U ~ •w=:•:PERMIT::.~:.. _~.. „... .. <br />~, u sf 4:C:X <br />~: ~: <br />::~...:.::.. <br />YIE$#iF~~St ,=L<'. ~~~~rs;:?;•....., <br />.#: <br />:'.~~.g~~ '1,1•"#~h <br />:~ ~:::'.S.Gi.~:L•ytirrf 1 •~ - ~ T:.1',' - <br /> . <br />' '.: .' ::.f.i~.. . <br />. <br />.: .~;. <br /> <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER Ian,I)un.rp"°I)°I.n lh.l ln w eonlmem.m.p nurnm rnw".n TELEPHONE DATE <br /> pnp.M uMrr mT ElrRtl°n °r mp nlil°n In annrtl.nae .Irh • rptrm tle+ <br />nrd <br /> <br />1(`~, (. <br />`Y'(j ~GII I$ p <br />In °wn IMr qu.NnN Prronnel prvperl) F.rMr.ntl er.1u.N rM Inronullon <br />wbmluN <br />E <br />a <br />l <br />l <br />NN ~ ~ /1 <br />~ <br />, . <br />r <br />On mT <br />nqu <br />ry <br />e prronor penom .h°m.ngerM.ptrm, ~ ~ <br />`,.n. : o±ar•~nt~l Mana e° <br />`I or lhme peromtllrattll rvpMn4 fartrtnerlnt the lnrorm.ll°n,lM Mfomrllon <br />rvnmlrlyd h <br />ro Ine bal "r m <br />Yr <br />.l <br />tl <br />E Mll <br />r 1).)I1 l <br />~ ~ <br />/ <br />"' <br />~ <br /> , <br />) <br />q <br />e <br />(..n <br />e <br />, rrvry.RUnlb n,tl romplel0 <br />r.m."mrn"then.n tlgNnnm <br />ndrte wr nnmlm <br />f°h<dmrm <br />rw <br />f10NATVRE OF MINCMAL E7LECUT1vE ~. i <br />. l V J <br />V , J - <br />OR PRINTED p <br />ry <br />n <br />n, <br />IMUEI <br />IM <br />mnw1 <br />rn <br />TYPED np <br />p° <br />T° <br />negMlmjNSnm°n f°..in.mf rl"°U°iu OFFICER Oq AUTHORIZED AOEM CODE NUMBER YEAR MO DAV <br />a.vmm[n I a nnv ur~nnn r wn yr ..~. • •w~n r was I/rntlrlllctl rrN iRICNmNAf! Orlfq <br />k'?.iii L..4.! '' ~ ;I. i•1' 'F rr'~T PiIOCEDU!{c; :eo- _ I:_- ~P LF'TN!-LITY ~` . Y' .4" •" ?FFP:.?''. ');'I'! Ah'D <br />,te:+Ui• UEkIYS AS "TJYi_IPY". RPT COYEST ~ rFF'L A'_" -.f5~~''' ~3b~C5TICALLY ~I~i~I" Dir'F' SIGN TES':' CO!fTROL <br />EP For J2 `3/ 9) PevrO dilioi~s r6ay be used. _ ~ ' ~ • <br /> <br />00281/0 <br />.s'2uer.. ....... _ <br />l <br />