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NAME/ADDRESS (Iwdi £sYryNwr~E~r«Iw EyDbl..nD <br />C'LP.n.US iM IRn CORE'JRATIO!v <br />~sEAGL~ ".Itx CU"IPLEX <br />P. C. HJ1( 6B <br />CCnIG CU B1626 <br />nm <br />ICATION <br />DISCHARGE MONITORING REPORT lDA1RI ; I S 0 R <br />OD u ~ (SUBR JC) <br />PERMIT NUMBER dscNARDE NweER F - FINAL I:0 F+~ l <br />MONITORI ERIOD CHRONIC WET TESTING AT 003 <br />YEAR MO DAY YEAR MO DAY <br />FROM TO i .t acv NO DISCHARGE ~_) ~~ <br />Form Approved. <br />NATIONAL IOLLUTANT OISCHMB[ ELIMINATION SYSTEM NPDESI OMB NO. 20460004 <br />nicd: nL+r.u nLla cx xAJ Udi r. rn ...,.~..,.......-.._______.____...~_`.----------- <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. mE°UENCr <br />OF SAMPLE <br /> EX ANrirax TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />.. i:FF°CT STATkE 7DAY SAMPLE <br />A <br />UREM aGa#?a ~a#3'k;e <br />7~~~ Ysc#v`#4 r. c:~+:1':~~-`• ( 73) <br />~ p <br />"IZ <br />O~S <br />Chi C::3IODAPHNIA ME <br />S <br />ENT <br />iC:3t S U O PERMIT :, ~6 # O t, #K+rn m a ~R##~1rlP IE7- <br /> REQUIREMENT cl ,: s i`s5`"'~ <br />rx#;=a <br />Cd:vT i i : ii: <br /> <br />,; FFdCT .iTAi. itE 7DAY SAMPLE G#;r~f .Xa ;. Vrruk~F `Q <br />7 d :: ~:R4'I ~k ;F;+ttAn-^• ( 23) 9Z. CO T~'1 <br />Criri !'iiEPF1ALES MEASUREMENT <br />TCP6C S U U ~ PERMIT ~ <br />. !~ S,ti.n jl"' ;: <br />~~ ~~ 7R <br />' e', it- ~~ , <br />~i: CO'LT Eti l'S i3ELOd . <br />.REQUIREMENT s ,. r.:`' ..,.~a.c '3§..... .:c #r'f YS ~ ~ .,: :ra'"._ :. } ;~.. .~.~:' CENT :. . .. ~' :`;;.:..;,r <br /> SAMPLE <br /> MEASUREMENT <br /> ..:.:PERMIT }? .. <br /> <br />' <br /> <br />'s <br />i <br />~' <br /> <br />: <br /> <br />'" <br />y..^ <br />...: <br /> REQUIREMENT :e k~. aa~: r G :. :.. „L .~.?.; <br />,..~+.~•s. . . <br />. <br />. : . <br />. <br />REQUIREMENT <br />SAMPLE <br />~nl/I%unlYlP»~G~ Mang <br />rrPm oR PRINTED <br />•~~~~~~~.t. ...n CVp AYn TInY !1C <br /> <br />:-'.PERMIT ~~~ <br />REQUIREMENT ~ ~; <br />SAMPLE <br />.:~ ~ PERMIT . .I-:.- .... <br />REQUIREMENT ~` ,,irk ~~~6~~ ens y <br />OFFICER "` y•"«p.n.Ij 71.. u.l ure an...nwl.M w.nrhmmo..n <br />rreprN anarr ml Olrenlon «wrF.r.xxae In .mlamae wlln • qmm^ aaxPlla <br />le s,ln 1x.1 sn.xn.a p.roniai vraprd> ixlM. xIY1 e. W xl. Ib br«nxtlw <br />wxlNllld. S..ewm/Iqulry altlw risen«persn .M wwie tll..nlrrM1 <br />Pr «u,. p.n.l. al,.rnr rapeetlxx r i.lx.n.i u. br«,wuea Ix. mr«.w1b11 <br />dbminld 4 u Ixe xel W m) xnn.xdp xn1 xlW/. Irxe, «tvnN, .M nmyktr, <br />I xm.on tllxl Ixen m tl[nlnonl Fwxltln br rxmlltlni htr Inremntlw. <br />1«xdlni IM.~xIII1T N nn.b Imrrxwmml f« xne.lni .IWU«n <br /> <br />,:e .' . ' I ...... .t~~, , e. ...'~. . <br /> R <br />e:z HRII <br />,~. ~ w <br /> TELEPHONE DATE <br /> ~ <br />~ <br /> ~~~~a2 <br />~u 970 sr~o27! d~ p~ o~ <br /> <br /> F P <br />UTIVE <br />E <br /> UONATURE O <br />RIMCRAL E% <br />C <br />OFFICER OR AVTNORIZED AOEMT ~nr i NUMBER YEAR MO DAY <br />:,nE I. d.3 FOP. DETAILS. $E~ORT LETHALITY DERIVATIONS AS ":EFFECT°F GIt01iTH/REPRODUCTION A:i ^TORICIT?". <br />LLd5ST : EFFLUENT A'T NHICH STAT SIGNIF DIFr' BETNEEN TE:;T E CONTROL RA8 OBSERVED USING T;.'ST CODE "5" <br />I T y m r n .. n n o z~ c x- c 1_ L^ O' ~ ^' L~ _~ r1n ~ L ..G1i J c is <br />-r-~--:- v ' i'f A c E 1 8 r E 3 z fii S i J1-~ " y i tr i L ~"[ M ~c" ' 9 m8 <br />EPA Form 33267 (Rev. 3/99) Previous editions may 6e used. D D () Q B / U 1hV5.15 g 4•pa[LU(OTTII, PAGE <br />