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IERMRTEE NAME/ADDRESS pryi £peWry N.w/6ernffaw l/Dlswwn) <br />NAME ^]LJiiAC'~ YA;SPA C01L ~O!!Pk4r <br />ADDRE557; I': .:.. i., C.` 3 :ICJ 7N, ., F~~"°A. ,`7 ~;. <br />l~l`:L5 RAH t2! <br />CJd-, CREEK .J b7'.-,/ <br />FACILITY <br />LDGTaNI A. H ~ R E E K ;; '' . ~ <br />r.PT'i: i`I.: :1.4?,L LUDLiis. ~~ "1 vF' <br />NATIeNK POLIUTAMT MSCNMOF tLIMINAl1aN SY9Tp1 INPOfSI <br />DISCHARGE MONITOgINO REPORT ~O Rl <br />~~r '~~: ,I . .. ,. <br />-L PERMIT NUMBER d5C OE NUMefR <br />Mp Yp ING.P ~'0 '. <br />YEAR MO DAY YE MO DAY <br />FROM O1 08 °t T 71 ]'. i^ <br />•A30R <br />(S';5R ~,~') <br />L, a()!7D P T^v FC1I nc1 t'R?Fv <br />r'-~. y7 Pi'iCNARC.4' ~__~ .:fir. <br />NOTE: RrrEd IrNtnictlpr Mlarr cempl~tlny 1M1b form. <br /> <br />PARAMETER QUANTITY OR LOADINQ <br />Quality or Concentration <br />NO. pAEDUFNCr <br />DF <br />SAMPLE <br /> EX TYPE <br /> ANALr95 <br /> AVERAGE MAXIMUM UNITS IMUM AVERAGE MAXIMUM UNITS <br />:L'1~ , !'OTENTIALLY <br />' SAMPLE ... ~~-~ ~ ._no~.,;,. ~~" <br />( <br />a~ <br />~ <br />L <br />1 ;;:~) L'! ~: '~ MEASUREMENT <br />C. ~r(%.; <br /> <br />c, cos <br /> <br />, <br />n <br />!11?? 1 ! p %":.:;PERMJT... .: 'Ai-"rta#. ,::;.,..,. ~ <br />~~G~ ~ <br />~ `rk01!Iki~i~';'C. <br />s ~ <br />.:: ~'i:wL't.G;T ` S ::,~)r~:£11.kL';:: c: 11TCi';/' RAP <br />F' F L'; :' `i ? ; R J'~ S V A :REQUIREMENT, <br />.. <br />~... ~ ~ ~ <br />~ <br />°' ,', <br />~~~ ~ <br />~ Ufi Yom.. <br />D7E`.T~L ~ *FY~: <br />T : <br />::~ <br />hU:31 ..N <br />; <br />':'E't't:~, ~~)C::"•:'J 7i.LY SAMPLE •::.<<:3;'~F 't1^Rhr% 50>1t411JR ( I~) <br />a~ <br />GrAt <br />L ; 4 , L V ! `I MEASUREMENT <br />`. . ~ 5 L (J. ~5 ~ ~ <br />'1J'.)`~ 1 U ;:`.:PERMIT. >~r^'s :..aCYf7t<ak.,:.. ~ ::~e!k`i ~~:97,3~~}:~?; O13~1:.:~~ .. 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'~"1~~'17~~ <br />; :`': <br />''":' <br />i ~::i <br />:. '$ 'i':A3 <br /> .REQUIREMENT ~:. ~ <br />,:. . : <br />.. ... mod i. .. <br />.. <br />i. 3'+J ';PEASE SAMPLE x. ~~ .. .... 'R4ttr~rl ( 14) <br /> MEASUREMENT ~Pr a A hJ:, <br /> ,,: _x.,,:r.•.. ~ .;:•'",I.it.$kc:lf:4 <br />.. <br />_, :, ,.:....M xx'e't_~:~: `~ <br />:.:.::. <br />~ ~jgT'IN: ..?.A ±! <br /> <br />.. <br />~ ~ <br />`' L ~! ~: •) C :: R U S S V A L REOUIREMENT~. ~:':. .::: ~ ~ ~ ~:. .. ::.~:.~ . , ,..:. :.. .. .. ~ :":ir~~... ,^.+'~~'y~'"rJ, :~r...i~::~i~.$:x:: h]U / L ?c.";:~: .$lt~'~.~ .: <br />-; ?~', 7N :JNDU IT Oq SAMPLE <br />MEASUREMENT <br />7 ( r, ~~J .. .. ..r~::xt .c :~.t~t ~<•: f <br />~ _~~"fir <br />~~ <br />l rv° <br />' ~ .7 ti P ~ L' 4 T'! E N T P L A !7 ~ <br />Ja, 07 g , 7 ~f <br />j <br />1 <br />t'3S) L 9 U '.:PERMIT'..: F.;.~'?RT-`';:;a ' <br />":;tC.°, <br />I'ORT <br />; ;, r.,...:~• ,,.,,~:,,~±;~: ~......a+tA+ ,:, :n x. £EF.CY 'NSTRN <br />°FLJ";••T 79JS$ YALU. REQUIREMENT. <br />~ 3iT~A A4 . <br />. <br />Y 9%. <br />~ t" ;D -en;: <br />~~ <br />`, i'1 i, TC!TAL SAMPLE <br />SU <br />M <br />E ::rt,fPflO fi:.h.::.tr P /d. _ ~ ( I7) <br />`Z <br />C . <br />:.._ . ; ~ L V ,, .. EA <br />REM <br />NT ~ , <br />i ( (,rU <br />', ~'', i ) 0 `..`:`r.:.pERM1T'~:' ~~.~4~_~'k~4~3~+1...`': -'r::,qt#'H."~.~+fR4. ~ ,x.... ~,,~;.,,.;.,e. ~ ..rS`C1R~?':. .. .F~' P0'T~ ~ ~~~I:LY. ;R.4.9 <br /> <br />'rL;irST ';POE VA :REQUIREMENT <br />.....:...... ~.:~: ...~: <br />.: <:>:.: .~ <br />:.~ :::._':. <br />;I;:.... <br />:.~T_ AY7 <br />3'?T.t..:±sA% <br />M;/L <br />NAMERITLE PRINCIPAL EXECIlT1YE OFFICER ' """r ° `r prn' `1 '" "hul u a.awnmrm .ro .n "r.mmr"~ wrrt TELEPHONE DATE <br /> prtp..ed prom m/ alrtrnon or wpr rt4len In.xpb.n<..nn . garm ael{nra <br />i.l C~~drd X1115 la mart lhtl yunlln,d perannel proprdl plnrr/ro nuluule lhr lnrennulbn <br />P6MUea. eva nn mf lipulrl of me prron er pnom wno m.nge Ine,nlrm. ~` j <br /> <br />/ <br />,I <br />I ~, <br /> <br />Environmental Manager mtho>r a1rtc0 m idEl, far .Netln the lnfenNllan. lnr lnfemullon <br />~ <br />O <br /># '~ <br />t~ !~ <br />/4 b70-2712 <br /> I, <br />Wbllllllra <br />.I <br />lhrbnlnfw hm.Yarn,asrneLwr,.r„~ntr,.roromplru. 6 ~ Z7 <br /> Inm,..rt enl lh <br />rt nrt a <br />mnom <br />min <br />f <br />b <br />lm <br />hh <br />mr EIONATURE OF FAINCMAI EXECUTIVE <br /> r <br />{ <br />pr <br />e <br />nr,u <br />m <br />n{ <br />e <br />prm.IWn. <br />TYPED OR PRINTED Innnaln{IM paaabNll er n„r.nelmpnnn~mfortne.In{•lal.uons OFFICER OR AIrfYIORIZED AGENT CODE ~~Ei" YEAR MO DAY <br />COMMENTS AND EXPLANATION VY Anr VWLA {IONS lRp£I//nCI N/IfhcAm/nh hnN <br />,... ,"ATF LI".I"~ FO". ?55 ~ETTLF..AHLE SOLI:"~ (!,7" ''') ""''LY JkLY Lc' C= it-Y"'., ?'i-H'^ F9ECLP EYE"i^ I> <br />.,s is^t'D. SEE I. A. 4, P. ~, FOP NURDEY OF ra, 00F qO;~IJT""'••~•=TS. lIL `. ..'~cA~~.__-ra F'^;?°. 'JOT r. I. B. L. D, ~,.. ll. <br />EPA Farm 3320-1 (Rev 3199) Previous editions may be used. PAGE of <br />noL~n/DT7;S.~i~~-°f~`~rpnn. z <br />r _ .. .. ... ., .... .dsW~' <br />r <br />