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ARGr' kLIMINATION SYSTEM <br />~IN6 REPORT <br />;; <br />~2 <br />. . <br /> <br />Form App <br />OM8 NO. 7~8•R0073 <br />INSTRUCTIONS <br />J 1. Pmvide dates [or period covered by this report in spaces marked "REPORTING PERIOD". <br />2. Suter reported minimum, average end maximum values under "QUANTITY" end "CONCENTRATION" <br />in the units speci (r ed for each parameter as appropriate. Do not enter values in Iwxes containing <br />asterisks. "AVF,R AG E" is average computed over actual time discharge is operating "M A7(R(UM" <br />end "MINIMUM" are extreme values observed during the reporting period <br />1 3 Specify the number of analyzed samples that exceed the maximum (and/or miniminn es appropriate) <br />r permit conditions in [he columns le baled "No. Ex." I( none, enter "O". <br />4. Specify frequency of analysis for each parem alai as No. enalysea/No. days. (e. g., "3/7" is equiva- <br />Irnt to J analyses per/o mlyd curry 7 days,) 1( continuous enter "CONT." <br />5. Specify sample type ("grab" or ' _ hr. composite") es applicable. If frequency was conlinuou s, <br />enter "N A" <br />' 6. App top ri ate si gnalure rs required en bottom of this form. <br />7. Remove carbon and retain rnpy for pour records. <br />S. fold along dotted Imes, staple end mail Original to office specified in perm lt. <br />_ tb~-aei Feu-vin <br />(i lard only) CONCEN TPATION FREQUENCY <br />•3-~I~]9.051 _ -TI -_ 166.53 _ r__S d-b r____ IEr-b31 QF SAMPLE <br />~ I MINIMUM 1 AVERAGE Mq%IMUM ~ UNITS EX ANALYSIS TYPE <br />tl tl tl tl tl tl tl b I tl tl tl 4 <br />~ - - ~-~ - - - - `- -- CU.M/D <br />~ tl tl tl tl tl tl a a tl tl tl tl 1/90 NA <br />a s a aI a a a a; tl tl tl tl ---- <br />-'- -- - t-------- -'--- --- - SU <br />I • a a a tl tl a tl a a a a) 1/90 I GR <br />- -~--'-- '-- -- --- '-- - ~ I <br />---7 -- <br />tl a a tl, d,0 I ~ -~ <br />- --- y - -- - -- ---~ MG/L `- -~ <br />tl a ° a 30 45 ~ 1/90 GR I <br />-} - - -' - - - - 1 - - - - <br />I <br />-~- ~ - --- I --~~ - <br /> <br /> <br /> <br /> <br />_-. - _ _ - <br /> i <br />-- 1 <br />kern (Y' fh~t (..m r,nl(i a 'cl rh rhl rn fo m..L . .,rn b.:n^d in Ihrs \ <br />Upon Bnd th,rr •.' th• 61, ~.! n I Ano «'Irrl,•r ; h Lr! such m/nr- flr <br />anon rs Imc, In~npi~'<, mJ ;,~cma~, <br />--- - ~-- - --- - - ----L <br />~•a <br />- ~ ~ <br />- ---~ <br />i I <br />---. ~- 1 <br />~! <br />I <br />31J'A TU RE OF PRINCIPAL EXECUTIVE <br />OFFICER OR 4U TH OgIZEO AGENT <br />PAGE OF <br />1 1 <br />lJ <br />APSn <br />yra~ <br />Y~II^ _. <br />~uuu <br />- <br />