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/4RMRTEE NAME/AODIIESSO.Abf«dNaNr'(.araw. yCn}rwp <br />NAME <br />ADDRESS <br />rACxm <br />IOCA iION <br />NAf ANN !OllV7ANT W4GNM0[ CUMMA110N SYHT(M l!NPOESI <br />DISCHARGE MONITORING REPORT (DA1Rl <br />PEgM7T NUMBER ascatNA[NVM~ <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: R~~d MwwaUom D~for~ comPNtlnp U+4 farm. <br />PARAMETER QUANTITY OR LOADING QUd71 L <br />y Or CDncentrati on NO. fAEOOF"~Y SAMPL <br /> , EX TYPE <br /> µKY4S <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS <br /> SAMPLE <br /> MEASUREMENT <br />-- -'v <br /> PERMIT -- - - <br /> REQUIREMENT <br />. _. __- SANfPLE <br /> MEASUREMENT <br /> PEnM1T <br /> REQUIREMENT <br />-- <br /> --SAMPLE ~ .. - <br /> MEASUREMENT <br />-- <br />- <br />-....... _._._.. _.._ <br />.__ <br />__ <br /> PERMIT <br /> REQUIREMENT <br />- <br />~~ <br />_~-_-- <br />-- SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ - <br /> REQUlREMEN7 <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMR - - <br /> <br />.-- <br />__- REOUIREMEN7 <br />_-._- <br />_ SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />--- SAMPLE - ---- -- <br /> MfASUREMENT <br />! <br />_ <br />-.- <br />__. <br /> PERMIT -__ r ___ ___ <br /> REQUIREMENT <br />~ <br />NAME/TITLE PRINCIPAL EXECVTfVE OFFICER =m:. rce <br />""°'° >' 'T : 6...onu..l r.u«n,. .«. ~.,. TELEPHONE DATE <br /> ynp...at ..w. ~. a... uo. a. wa. .•s«.. i. ~.«a.n...tn .......n e.aT..e <br /> .. m« ou.utsp w+,.:^n.t aT.wm a.sn...r r..r... u..~w.an <br />w.tMeud ~wW en «. :ngwn .d m. a...m +. p.nas .nu rrM uv yn.n - <br /> m :4aw. yM.x e.r«nT ..rpna«. In. r.:w.nry M tMarrMUr., a.e Macan.wlls: <br /> oMInN 4 ro Ine ln. M T) .M.YAIe W Mlec Iiv .rtvr«r. W eoPyLY. <br />Irw a~ana«:nm.n .r,sn..ns«wanW wa+.wwa M1ti t+rmrao <br />6sONATVRf OF fM1O1CAAt FkfcVIM <br />TYPED OR PRINTED n <br />'"~'b~^~~n•aw+«~7 or m..nn n,y.t...w..s n...M...(..waeu OffiCEX OR AUTNOROEO AOCNT C~OEA NVMBCR YEAR MO OA' <br />nail <br />FDA Farm 1320-7 ~~• 3!991 PrcY•lous cdillDns may be used. <br /> <br />-- - - - <br />IIsis ;c a ~L lssn log ny GAGE OF <br />