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PEAMRTEE NAMEiADDRESS prm~t•FnNUy.vv.rsa:aw yDitfevrr.(i NATILYLLL VCx!.ur~;ro,v~xr.nac r.:nnwAtmN SYJTEN ,w.:/i~~ Form J,pprar,:-: <br />NAME OLSCHARGE MOHITORtNO REPORT iDlARI,) OMB NV. 2G:0 '_ . <br />.. <br />ADDRESS <br />- I <br />~ ApprOVU; Oxp~r~_. 'r, _.'.-±; <br />_ ! <br />_ PERMIT NUMBER ovsaw+C•e rAPNefR c <br />FACILITY MONRORINQ PERIOD "" ~~ <br /> <br />LOCATION YEAR MO T OAY <br />YEAR MO DAY <br />~. FRDM ~ TOI _ , <br />.. - ~ - rote) na7, r,,..: r.l 2EZn rzs rsn m.;+l NOTE Road I nttrueteona hehxe'oortioletirm 11)u )arrn <br /> %7 CNru p,y) QUANTITY OR LOADING (~CAIV fX'07 QUANTITY OR CONCENTRATION NO rRSQIK SAMPLE <br />PARAMETER !.sss; rsa~:i r,/g<s ,aF s3! ro.arl - <br />EX oE• TYPE <br />lJ2Jn AVERAGE MAXIMUM UNITS MINIMUM AVERAGc MAXIMUM UNRS 'Y`J"'~ <br />_ ;y2rr. (6r-B9 88-70 <br />- SAMPLE _ , <br /> MEASUREMENT <br /> , <br /> REQUIREMENT ~ .~ <br />" :M C ~ Z : <br /> SAMPLE - 1 <br /> MEASUREMENT <br /> PERMIT ~ „c o ! ~ i. ~ ? t.:r n ~... : z - ~. , ~ - ,. - - r <br /> REQUIREMENT I r' T P .1 T • <br /> SAtdPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE --- <br /> MEASUREMENT <br /> PERMIT <br />REOUIR£MENf <br /> SAMPLE <br />MEASUAEMEt7T <br /> PEflMtf <br /> <br />-_ REQU:HCb1ENT <br /> S,LN~ LE <br />MFASi:REMENT <br /> PERMIT <br /> REQUiit%MENT <br /> SAMPLE <br />MEASUREMENi - _- - - <br /> PERMR <br />REQUIREMENT <br />NANERfTI.E PRINCIPAL IXECUTIVE OFiiCER I li*i^FTV UttptR ii`~iir Fig I. <br />' AJ: tnAt I nA~E 'rF)/J NAI.:.v VNr;,v LCI +U+O TE <br /> <br />AN .h~t:L1Aq <br />N I1N ice' l4f{JifM <br />AT71t FAf?iSI:T'EO H~H~ <br />' <br />Ifi. ANTI ehXE^ <br />ON NY LEPHONE GATE <br /> iNCHiiRY pE TMO".i.. '•!AY1Tl:M.5 :M.1AEUlATFLY ?_S <br />•ON :+~iE rpq O(tTAffoN'C <br /> THE y~-CFLVAi/~r FSEL'E\i <br />AG(7JM tE At.U IONG{ESE I 1/¢ SUNACt;%0 IhT <br />AM AWAR <br />THAT THE CaMAT~N d Tr7UE, <br />ia: A{iP <br />SrtVNEiCAM <br /> PEty4ti!E ~: FOR `iJ3MlTt~~ . <br />FAI.S£ UKOP1MiY1 . <br />N <br />NtCLIJGN~ ThE <br /> i'[JF.&23LTY CY rq T: Arp M-Al$(y,µAEYt SEE ' 8 U S C <br />r <br />S I <br />P , <br />f t!ql Mrs x! U S.G. <br />H ~(jNATURE OF PRINCIPAL E7(ECUTNE <br /> ~ t <br />s <br />e:nosT ,rr.w cao +mnrtus in.CFle xnse w m Si4:GD s <br />a <br /> <br />TYPED OA PRINTED •^".,^, <br />ustvrnur,nrrnim.s c/h/eMnemm:.b aM:reas./ <br />OFFICEA OR AUTNORiZED AGENT NUMBER YEAR MO ~ DAY <br />VV•n.n~~•V rv~Vw v~~..••V.~V. rv~• •rV V,•rV,~~•Irl rm N/le R:r QYR[.rlllll4,(y,4NU/ <br />EPA Form 33241 (08•%) ProvbUt ed+fWn may raj Oe used. (REP(ACES EPA FORM T-CO WHICH MAY NOT BE USED,) PAGE OF <br />