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,. PERMITTEE NAME]ADDRESS pnclude FaciliryNamdLocarian ifD~erent) ~ .'NATIONpt P0~15PNTD~$GHAAGE EI1,,INIINATIpN SYSTEM (NPDES} ~ ~ ~~~PPrrrr AppfOVed. <br />NAME r R A P P N '1 I N GDISFHARGE MONIT6RING REPORT (OMR) ' 'OMB No. 2040;0004 <br />B IN , INC• <br />ADDRESSTR>1ppBR ~1IN~' - NIN~R <br /> <br />~ ($OBR dY) <br />P•O.•`b0Y ld~ PERMIT NUMBER ~ DISCrIARGE NUMBER P _ PI qAL- <br />FACILITY°RATi^, CU b1b26 MONITORING PERIOD <br />~ ACDTE WET TESTL,N6 fOF "009A <br />LOCATION Y <br />R MO ~ DAY YEAR MO DAY <br /> FROM 0 0 ,0 TO 00 >ra# nD DISCN;FGE" ! >a>kd <br />~ <br />' ATTN: M. "60RDUN PETEkS, PR65/,; RN !'IGR NOTE: ReadlnsVuchonsbeTo Etdpleting~hi; <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION - -~ ~ Q:. FREpuENc <br /> PAR}SMETER ~~ ;. Of <br /> <br />AVERAGE• MAXIMUIv) <br />UNITS <br />MINIMUM AVEFL4GE <br />: ' <br />MA%IMUM <br />UNIT. <br />•- . <br />ANAG151s <br /> ~SU STAT'YE YHHR ACU SAMPLE <br /> CERLODAP2~9IA MEASUREMENT <br /> s <br />AM38 - I .; 0 U <br />rfia <br /> h,PPLUE'N~GROSS YALUE '.~r¢?~1....„~~' <br /> L~.SU STATIE 96HR ACO SAMPLE <br /> PI°IEpNAL~S MEASUREMENT <br /> <br />I fi'AybC .~ <br />" <br />U Ll r <br />' . <br />. <br />'FPLU4'N~ I~RDS5 YALUn fl t11 ~` ,~ <br /> ~~ ~ SAMPLE <br /> ' ~ MEASUREMENT <br /> SAMPLE <br /> " ~ . MEASUREMENT <br /> <br />f <br />., <br />' ~ <br />SAMPLE <br />~'• ,~ MEASUREMENT <br /> ~: '~ <br /> 37~,Oi#ItI <br /> SAMPLE <br /> MEASUREMENT <br />s#aaaa oa~aol.a <br />,. <br />^',• t; a <br />+Itit .. <br />~~ . <br />'^'~ ....Ip~: ~, t'..t~ ~:. <br />1c. <br /> <br /> <br /> <br /> <br /> <br /> <br />noPA'r <br />form. <br />~~?~ SAMPLE ~ ~~ ~ ~ . <br />MEASUREMENT ,, <br />^:, <br />i ~ °_- - <br />j ~ N'~ ~"h' i : t, , <br />1 NAMERITLE,PRINCIPAL EXECUTIVE OFFICER' iCeniy under penalry of law that tlris tlpcumentand all anachmenl5 were TELEPH NE .~QATE. „-... <br />1- _ _ - __ ._ _ __ _ Prepared under my direction of 6tgeNisTon in ac a awilhasyslemdp5igned- __ _ - - _ - ._ - <br />/ (o assure lTial gdalifietl personnel propedygather end evaluate the lnlgrtretpn ~ p/ /~ <br />,7 W. GOT,d,QII~~peCel'B" :~ aubmided: Based on my Mquiry Wthepahon or persons who maruga thesysl~m, 9.r~r (`.. •; ~/~r g7Qq'Ba,;~i4~]~ 0] ~• D] ]8 <br />}7P, Presiaa Y iienara2- Man eY or those perwns direnly rasponsi0la(or gathering tBe lMormatlon, ttte(ttlorlnation , <br />~t l a$ submltletl is,to the bestdmy knowletlg'9 and bgliel, true, accurate, ana complete. SIGNATURE OF PRINCIPAL E%ECUTNE ~~ ~ ' <br />~l em aware thaufiere are siggndicantpenalties ferau0mitting lake information, pFFICER OR AUTHORIZED AGENT <br />^NJ?ED OR,PAINTED ` incWdin e. ossibili ~otf'nea dim r megt to know viPWlaa. - NUMBER ~ YEAR MO ~OAY <br />~` COMMENTS A~fJl7E(PLANATION~OF NY VIOLATIONS (Reference a/!attachments here) ~ ~ -. ,,: ~ - :~ <br />SBE I.Af1M' P't!`7-9, .FOR BETIILS OF TEST PROCEDURE. REPORT LC50 ~ $TA7ISTICAL POINT BSTIdAlE WMTCH:IS <br />LETHAL Tt7 5¢fI DP TB$T DRGAWTSNS, ARD ATTACN 11CDTE TOYICITT TEST REPORT FORK TO D1lk. COYIIC'S•O!? ALL <br />A orm t,( E' P.,revioUS e i to s y he sed'. ~ _ _ _ _ _ _ _ _ I. LS - na _c <br />