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PERMITTEE NAME/ADDRESS (/nclyde Fanliry Namellacarion i/Dijferenq <br />NAME :7I [J i±r:C, I;:~. <br />ADDRESSNOHTH 1'ti0"P50!i CREEK yINES <br />1/b:i .7.",PASS llHIYF, _;:JIP£ 1'U1 <br />FACILITY 't'At10 JU!v^TIOtI CO :+15J? <br />LOCATION` A H 8!14 D A i.: ,: i .i i :i ~ ? <br />a:"TGe ]_ P_ -;T;tV ea_ rn\::IL^i?. u, <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) FOTm AppfOVed. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />Y. 1 '- J . <br />PERMIT NUMBER DISCHARGE NUMBER F- F I~ A 4 <br />ITORING PERIOD CHRO':I~ NE? TES~'ING FOP, OJ79 <br />Y AY YEAR MO D Y: <br />FROM i TO 0 ~'x ND UIJC!1ARG,i ~' <br />"a4/ NOTE: Read Instructions befo ompleting this lorm. <br /> <br />PI'n <br /> QUANTITY OR LOADING OUANTITX OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS arAL>51s <br />.~FFt: T i3TA1'HE 7DAY SAMPLE [t=:cR;:}n x ,.. :... ( ?3) <br />:: '~ H :: t a I O D A P is Y I A MEASUREMENT <br />~ <br /> <br />I':: F.i Fi j U U <br />': PERMIT: <br />Ai+k <br />-z. Agt•Karsa~ <br />..•-'~ <br />;'~ <br />. '..: .fir#4 •. <br />'aklk .~.: ':, <br />~R_ <br />..~s:~ fi <br />., <br />.i .•:E CJfl"IERTS dCLOe REQUIREMENT ~ _ '~~+' <br /> SAMPLE <br /> MEASUREMENT <br /> .:'PEI`iMIT~ ter:: ?.. ~., . ,r.. :. .. <br />y <br /> REQUIREMENT :[ <br />_ ~~' - - ~ - ''~'" <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> •BEOUIREMENT - - r; ,~ t ~ t,+.~ <br /> SAMPLE <br /> MEASUREMENT <br /> . ~,. <br /> REQUIREMENT ,~. ~ ~ - ~ `~ .tom ~ <br /> SAMPLE <br /> MEASUREMENT <br /> '~~~PERMIti - <br />~ "r <br />~ <br /> REQUIREMENT ~' `..;., ` ~` <br />' <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />Is~;v~p~Mifi <br /> <br />,: ,.. <br />. <br />t , <br /> <br />+ ;: <br /> REQUIREMENT ~ <br />, ' <br /> SAMPLE <br /> MEASUREMENT <br /> x . ~ s,e ;; <br /> twIENT <br />~REQUI 'E -~'•' i ~ <br /> . <br />- l <br />~ <br />NAME?ITLE PRINCIPAL EXECUTIVE OFFICER ICertRy under penalty of <br />iaw lhel this oocument end all altechmems ware TELEPHONE DATE <br /> preparetl under my tlUeaion or supervision In accordance wM1h a system tlesignetl <br />~i v) _ <br />C <br />~ ~~ to assure that qualified personnel propany gelher an0 evaluate the inbrmetion <br />~ <br />• submittetl. Based on my Inquiry of the parson or persons who manage the system, <br /> <br />~/ br those parsons directly responsible br gathering the information, the infonnelion <br />submitted is , to the best of my knowledge entl beliel, true, accurate, end complete. <br />SIGNATURE OF PRINCIPAL EXECUTIVE q .~/ /O <br />/ G*"J~' <br />Q~ <br />/~ <br /> lam aware that Nere arAsignilicem penellies for submining lake information, ~ OFFICER OR AUTHORIZED AGENT A NUMBER YEAR MO DAY <br />TYPED OR PRINTED inclutlin me ossibili of fne and im risonment br krwwin violations. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Aeterence all arracnmenrs Here) <br />:FF; L.`S.S f'~H S@51' P4:7CFD:irlf... RPT RESULTS OF LF.TNP.LITY DehIYA.TIJ!:S A~ "':?FF~,^,T", .^,dOkTR t'. NEP90DOCTI08 <br />oB'RIVAiIJ93 A:i "TJY:::ITS". RPT LOaESY °?FL AT YHICH 5TATISIICALLY .:IG`:LF DIFF EETS~Fgt; TF3T t: C'3`[THOL <br />EPA Form 332o-1 (F(LV 3%99) revious a itions may ~e used. _ T~ <br />.. ... ~- i \~v~ ~ ~ 00145/0007171 }~4PA T O~LM $ GE'1 ' <br />