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PERMIT7EE NAME/ADDRESSQdr6sxrh4Mr'Lxxw yD~G.w.p <br />NAME :: 7 l i' 4 !! I a' ., <br />ADDRESS.':[\`; `. LF1`.1 >'.~J'T :i, r!-~•+,. . <br />?v~17 9CB pZ/ <br />NATIONAL POLLUTANT DISCNMOF E1IMINATION 4YSTFM~ JrNPOESf <br />DISCHARGE MONRORINO REPORT IOMRI ~ ~~ - <br />157 ~ 'll <br />IT NUMBER gix E NweFe _ i ~ ~ '•) i ~ ~~ 'r' <br />~ :I ' '. rc n ;. ^, 1. ~ n'1 ;a'. i ON ITORING PERT F ~ ~ `~ -. ` " r „' I • r a- _ . <br />FACILRV YEAR M A Y . YEAR MO DAY ~ -- <br />LOGTpN` + ^. ;::. °..' Y. ,(''~'.•~ d C 4 t:. T FROM '"• 1 l ^ 3I ~ ~ <br />, <br />~ <br />! <br />~ <br />C <br />, <br /> <br />'' P'.: ~I_BAEL LUDLC7i ±EN M ~y',F. thla /orm. <br />pltllnq <br />bt <br />eo <br />~ <br />NOTE <br />R~~d 4r <br />"' <br />+ <br />~ <br />PARAMETER QUANTITY OR LOADING + quality or Concentrati on .7 NO,. 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Q <br />I ] <br />'_r 1 ( <br />le .aurt r~•I qu•XDM penOnarl ROfrdT pl~ir nM enlu•le rbe Inrormxlan <br />o ~ <br />_ ~ <br />~ <br />/ / ~ <br />~ <br /> <br />, <br />/ <br />I <br />nlxlned. exm on mT Inqulg <br />f IArRsn x Rnxu.Ae nrnge Wr rPrrm. <br />~ <br />// <br />/ <br />j <br /> <br /> <br />l <br />I <br />) <br /> <br />x Il.me R„e,n dlr.cnT rgpere Ylbl• ip (.nier4n f Nr Inrerm•rlen, ITt Inrerm.non -^~VVI <br /> <br />~ <br />~'.~ <br />,, <br />C <br />J <br />Jl <br />' <br />~ J <br /> <br />/ <br />F , , -~ t <br />y <br />~ <br />Vrrc. n7t', . 7v. wemluN m ur lnl nrm 1110+Na na erxrL wr. w:vnr., .na I I <br />~* , R• mmFrr. <br />r. <br />. <br />uau <br />d <br />m <br />m <br />e <br /> <br />eIONATURE Of PRINpPAL E%EpfiNE C .. ~- <br />> <br />Z i l l J~ <br />~ m. <br />.n <br />rn.n <br />r, <br />``M <br />o.rpn. <br />r,ulmlmn(nh mmnnabn, <br />TYPED OR PRINTED I.rlualna rM pRanInIT•fRiie•M lmyaron,nnr rortro.ln(rIN•Uoru OFFICER OR AIlTNORIZED AOENi CODE NUMBER YEAR MO DAY <br />COMMENTS AND EJ(PLANAIIVN llr nnT VIVLA IIVNS /HI/Illn[I i//~Sr~MTMrl O~II/ <br />.., ...'.SC- LI"I°; ::J:r '. `'. ;, Lli'.aN °, St'T"L~S?LF. SJLIG` (:.:;' ,•,r) ;FCLi ,rV..i il' r= 1^j_yr.F :4-u? FRcCIP ;'Vi:V~ <br />I. 'LAi",.`.` :iF.%. C..4.4, o: %t, FJ;_i17?D=9 0° PE+')7F n?...;rl .. ~~11_ .^.r"4:?c'-5°F FC7TN/:'C° F/, PG 2. <br />EPA F«m 3320-1 (Rey 3/99) Previous editions may be used. his ~ J-. n (orm.: <br />00223/OTllr~3~ Q~3~ PAGE OF <br />? <br />