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P[RMITTE[ NAMtIADDREBB (Include <br />Fadl(ry NnnE/1gEEfbR IJdlJfeenr/ <br />~~- -k I.T TS ElU.B)G. ~ ~LLI V.4 Y-CRp1. -!L I.~I-N~ - <br />woeR[n-FD41L-dSG-E--- ----- ---- <br />----269.1460-L~Fl-~'-Y_--13Lr ~G-811)~lr~l~- <br />---~A.IisflEFJi-------C.Q ~G 5L6.Z- <br />-ACI LITY <br />LOCATION_ <br />ATTLi DAVZD LONr RTNF SIIDT _~ <br />N ATIDRAL FoLw TANT DISCHARGE euMIN ATIOR [YSTEM (NPDf51 <br />D ISCNARGE MONITORING REPORT /DMRI <br />I~16 17-/9 <br />•ERMIT NUMBER DMCHAwcE nMMPER <br />MONITORING PERIOD <br />YEAR MO DAY Y[AR MO OAY <br />FROM ~ TD 9 <br />/7011/ 11L231 /11-1J/ ~ (16• l /IB~I / I I <br />M I N U n Form Approved. . <br />(S U B H N r(9MB ~q{R'~~0.0004. <br />^I - I G T E ~9R5°val expires 6-30-91. <br />SPOILS 5PRZNG WTR TROUT CRh; <br />000 N(I DI SC NARGE II ~b~ <br />NOTE: RBBd instruetiom ha}orsle31Kpletinp thif form. <br /> (3 Card Only) OU ANTITY OR LOADING (i Card Only) QUALITY OR CONCENTRATION FR EOU ENCr <br />BAM PLE <br />PARAMETER (16-JJ) (Jifil) (JEAJ) (16J3) (JIQI) NO. 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I BELICVE TH[ $UBYITT[D INFORMATION <br />5 TIIUC ACCURATC AND COMVLETE I AM 1w1RE THAT TH[R[ ARC SIG ///~~~ <br />~~ <br /> NIFICANT PENALTIES FOR SUBMITTING iALSC INFORMATION INCLUDING <br />1c (~/ <br />M (N G SUr ` I':: ~D I^Pa50 <br />;B~L19r DF <br />D <br />C <br />T <br />C <br />I <br />n <br />~ <br />~ SIGNATURE OF PRINCIPAL EXECUTIVE 303 ~~~~~~ 4y ~ Zp <br /> ~ <br />r IU <br />[ <br />wrR. <br />Mr <br />33 u5 <br />. <br />nr <br />(dr /inr. uP <br />l <br />rl <br /> d~~.mF+~nrwllmpnuinnl.nr ~,/A.tu..n em„nIA. Rnd.f .A•.I <br />o F A <br />TYPED OR PRINTED , OF <br />ICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS (Rr/rrrnre ull ullurhmrnll hrre) ~. <br />UNE-TjliE ANALY.IS REQUIkEG AT FIRST DISCtiARGc CONTAINING LINE UflAINAL'6/SPOILS SPIKING 6'TS-SEE CJ2M. TSS E <br />TOTAL IkON LIMITS PILL 6E aAIYEDy AND S£TTLEA6LE SOLIDS LIMIT AF PLIED FOh C=IOYRF 24RR rJi=CIF' ~VEt:T-SEE <br />E F RIQ7 • 8)t 4 I E w T s E .Y - • PwcE of <br />