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'".1<RMIST[[ NAME/ADD RCf! ()nflud! <br />Fecillry Name/Lonrbn Ifdiffntnr/ <br />!iA_S_C1L-, U~ YFt't i k al! `Y CGaL ':Gar. -- <br />ADOgafa'}l :r C J I ~ ~L -j _ +.: .- :1~.-_L'S ." b F A -- <br />-._-J_1L~ rr5'i_•'II,_.n=.[_C7,.G_ __- <br />-wcluTV - - <br />-------------------- <br />LocwrloM ________ ___ <br />Aftir: ~, 1. ~L_:L :.Cu":,EL <br />N ATIONAL .O LLV TA MT DIl4MARGE ELIMINATION EVST[M /NPDE$l <br />DISCHARGE MONITORING REPORT /DMR) <br />1 /6 1719 <br />IERMIT NUM aER RrscHwnce NVM[cB <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM v ~ TO J + ... ... .. <br />/20.11/ /11~1J1 /14.151 126-1A /18~ 91 /J0.J/l <br />"'~ ~ C }` Form Approved. <br />(~ L .: h :. '+) OMB'N(i.a2040-0004. <br />F - F' .:. ,+. L Approval expires 630-91. <br />is;:~ 1. ~J b:..~~li 9.I~J ~VJ~a r. <br />NOTE: Read in[truetiom before co~Rlplatinp this form. <br /> (J Card Only) OU ANTITY OR LOADING (# Card On/y) OV ALITY OR CONCENTRATION FPCOU ENCr gAM PLE <br />PARAMETER (#H-JJ) (Ji6l) (JH-IJ) (#6.fJ) (Jlfil) NG <br />E% of TYPE <br />(37-31) <br />~ AN AL VSrs <br /> A VERAOE MAXIMUM UNIT6 MINIMUM AVERAGE MA%IMUM UNITS 62dJ1 (6#fi81 (69-]U) <br />'~ ~ ~--.+=i Tiv °i~}>;a :.:yql ( ) :};::} l:':; ( J ~ <br /> 6AM PLE ° <br /> MEASUREMENT <br />.r~V 1. ~ '.. «;PERMITg°.° ~~a.;14~@%, ,mi.Fbv, >~wg° ~.f -. [. 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U MEABUREM ENT <br /> <br />~.1 <br />j L' 1 I: L <br />'~°PERNIT°~ <br />«s ~+a i~.'w'~,.° ~ ~•~B ,p <br />'°~. <br />a'Sr <br />'R'T' <br />- <br />`n -•'ir <br />'.ffi~Et~'TSa3~c';S:a <br />9a n,v",.e ~e,~ <br />~ r~{~ <br />,!'V'si <br />¢g?{#$e.o <br />a <br />~ aYAY y <br />'.R g. <br />' <br />[BS: <br />R~'A•)=~" <br />- <br />,U55 VbL <br />~ EOWSREli ENT <br />~ <br />`;g° <br />° I a <br />. <br />e <br />® <br />s°'q° ,>. <br />w <br />a - <br />',,;~,:; a~ e a ~ (y,.e <br />.Qal. °~ " x <br />an~°.q ¢" e <br />4~a~,~~Sikee w <br />,a a }: (s-• <br />>::tY~i3+is~°a1'~~` <br />:~I <br />L ( <br />y'e . <br />F <br />y <br />~~~~~1h <br />°a~°~>si <br />;T: <br />~' <br />?LL- <br />:LIJS ;I:..,[:r.:.[ ~## <br />a:;'x ( ) ~}l+=.r=flR# C <br />C <br />( 2J) <br />.: L <br />~_ <br />, <br />k <br />. <br />, SAMPLE <br /> MEASUREMENT <br /> l ' <br />„-r5w.) 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L, GUii TrSk~:. .x . <br />w .3x <br />~ ~.t. <br />Po x <br />i <br />" <br />Ri <br />i <br />. <br />" 4.+ <br />t <br />8 <br />3 L ® , <br />~k: & <br />NAME/TITLE PRINOIPAL Ex[C WTIYE OFFICER TNAT r NAV[ PERSpNwuv ExAMWED <br />I CCRTIFY uMDER <br />PENALTr DF uw <br />IAR WITH THE INFORMwTION SUBMITTED HEREIN rrND Brr6ED <br />•ND wM FAMI - // <br />/ TELEPHONE DATE <br /> <br />l <br />• L <br />ON MY INQUIRY OF TNO6E MdVrpWlS rMMEDIATELY R[SPON9BLE FOR <br />OBTAINING THE INFCRMATIOV I BELICVE THE SUBMITTED rNFORMATION / <br />/ )~ <br />i <br />u llil <br />Rich: 1 r5 TRUL ACCURATE AND COMPLETE I AM AWARE THAT THERE ARC SIG ' LL <br />`~ <br /> <br />NIFICGNT PENALTCS FOR SuBMITTrNG MLSC INF011MAilON rNCLUOINL i~ <br />~ per yp Tyr ~E <br />J/Q) U/V-2/~L <br />3 <br />?6 p <br />J~ <br />Environmental ~ia+ .+~?I TNC POSSIBILrtr OF FmC AND dvw50NMENT SEC IB USC 1 IOOI AND <br />]]USC # 1319 rl4 <br />u.Wv. rA[v [mmba me mrld[ I~n[a YP nr Lu un <br />llbr 61GNATU RE OF PRINCIPAL EXECUTIYE <br /> . <br />n <br />nrA. and <br />i aror.r <br />u <br />/Mma <br />nAm. AREA <br />TYPED OR PRINTED r, <br />. <br />, <br />. <br />°•d•••m[nmm~, mrpn.•,nm[r OFFICEp OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENT AND EAPLANATIVN V[ AIYT .rVLAIIVryy 1n[I[[rn[[ uu u[ru[rrn.r.na ••. <br />kLTtR!+r_.-. LI'.TI... :,. .J.]e is .Ji: SciLL.n-: _ - -L~U.a (/r~• #`r) •11'kLI _ LY ..- ~- ~-r~LTe <-1-.. 'LL.~L' LVC <br />~-~ .-L1iir. ~~. .•F. _. ..r... ~ . ~ ,.He .} ~Jdl;: .. [ _!G `- - ~i;y- `I .. lJP UIL r, _ _ .. -_ _} FI,L_ _ - /r kG t. <br />EPA FOrm $320-0~(Rav. F88) PlBYIODa adi6oOS may be used -~~~` `~IR[iLwc[f i-w FOw[7 T-e0 WNICN MAY NOT a[YS[D.I 01(.44J'0 j•. J~G~iL :-: Fwc[ of <br />