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PERMIITEE NAMS: DRESSIIni IUJr NI.IIONAL POI I.LiT SCII<N.,E ELIMINATION SI SIEM(NI~I)L.rl FarililF Name/Lo. Tr nirfe.mlll DISCHAR ONITORING REPORT , UAIRI NAME _ d l.~ j ~ 1,_ L (. (., L 1 L 1. n l l -- -~__- ~-- f.'- fl1-191 ADDRESS yJL, .. _l)(, ~i II Y~ILC-_-_-_-_-__-_-___-_ Lv'v JS,aL:a lUt 1 k a. n=J ~ .[ f f S L J l} 1 PERMIT NUMBER msc~.xcc .oslscP ii 1 n li.[ • (J U li 11 n Vi) Fol1N OpPlpved. f' - t 1 is a L OMB No. 2040-0004 MONITORING PERIOD +7 LJL,nn 1[:}c 21V'•"Cf'. 1f`O^.i 'CT~~Y:M1 FAaurr _ _ _ _ - - - t~ YEAR MO DAY YEAR MO DAT [ V ~ LOCATION ll_ (TO~. _ SGtA• __ FROM v t, TO y4 ~.y > + ~~~ ii l.~ G1SCHaHG°. I ~ 'x ~'4 .. ; ,' r.: ` - ., ' , d }i z :i 1 L ~ N i 11oau !"-171 /'+-~s I t 16.1n I-'8-191 Uo,+ll NOTE: Read instructions before mpl ing this form. ! i CarJ Only) D ANTITY OR LOADING (J Card Onlyl QUALITY OR CONCENTRATION PARAMETER (!6-5.11 f5J-bll (.ly-.Ijl (!0-S.II (54-bll Np_ FRE ~NOr SAMPLE ! i1 171 EX wNALr515 TYPE AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS 1 l d IO 1 f09dH) IOY-NI t ll SAMPLE i. f}.},.:; :[ ~.. ~:" • r . ( L ~ ) MEASUREMENT Mti~~ 1 L v PEP.MIT ;tia:~T::~: ,.;:.y:x;: lx :::;t:~:,. u.C~ ~;~^;:i3 9.~ MEBKL GRAB ..fflULk[1 UI:O:..~.. YdLU 'REQUIREMENT +~i•v' tllCiIUUJ L+AalIfUH SU _Js.y L:T, '1V~1 riL SAMPLE ,r :: 1~~: ~r ... ~ ( 1`~' ., U J F G is U L U MEASUREMENT L•1, .1 .iV 1 (: V PERMIT ^X;"f ::i\[ ~'r .x :;::;: It :: I;. k.,, r":x:x 1(:.,[;. .~`~ 7V oacr,/ G&A8 a.1`FLJLni Iar;o55 YALU REQUIREMENT :}:}(.r jODA AYG D[11LY MY !7G/L HUNT lilt tltlU ull .'.tlJE SAMPLE ~'r I):k:;: L•i~:.: .^,: :f :.}:;: i::.t';: %f i~lxvvi~ ( 1~) tricl, i[ LA a.I-GrihY I'IGI' MEASUREMENT LJJ:, IJ 1 U L PERMIT 4+.'•:i:xv it lrf};: :r;: %%;: ::.. ~.:x .x is Y:JX µ` ~^'#^x +[ i1) COHTI G&AB rfPLUL~:1 lVttUJS Ye1LU REQUIREMENT ~~~:•;: INST NAX tlli/L GENT •.V~t,, iUltlt. SAMPLE r$s;::f::.i ~ r~~~ •~ ~: i[V ( 19) ~tl.1 k L~ MEASUREMENT L iJf15 1 U D PERMIT ##### •~#d#fi.# x#G'+ ~##4## j~5' 7.J oacE/. case LrFLUbk.1 <;FUSS VALU REQUIREMENT avY~ 311DA AYG DAILY HY t!G/L HON! kLJMa lIl C.ONUUI'1 Gh SAMPLE ( Uj) 4:{+~~~~~ +x~=~+4v ~:?#### 1sI lII/ .r tlLtllk]EI[T YLh` MEASUREMENT `.~JSu i 1. it PERMIT [iE ON` OPTIGNAL ## # # # '### YEEbL ZNSTA cFFLULk:r GkcOSS YALU REQUIREMENT 3DDA AYG DAILY by CIGD ~#4# SULiDSa 'lUTAL SAMPLE 'z`#'x'[`' ``'x"`~'^`~ ~'####~` ( 19) LI~SULVcU MEASUREMENT iu15S 1 G L pERM1T `#su OpT OVAL AEPOET glflL! GHA ' Lk'FLUENT GNO55 VALU REQUIREMENT {~#;:# UaT& AY DAILY tl UG/L ULL ANU GIitASE ' p :rf~ ( y4) ~ t[ Y#;~ vi[3#' ~ 4#~G SAMPLE 1 ~ U n L MEASUREMENT t,~lt)6D i G V PERMIT 'x ~` " U Yr:.i=1 ##Txt~# # # ## ### # ##>i# f1EEKL YISUA. Lf k'LII6N1 Ut[17,J VALU REQUIREMENT IpST CIAI( IiJ=V Tx #.k# NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERTIFV UNDER RENALTr OF LAw THAT 114vE RERSONALLr EAAMNED TELEPHONE DAT E ANO wM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED ,-y ~w``~ tO~ V./` J ON MY INOIART OF iNJ$E INOIVIDUwLS IMMEg1TELY RE:IV'H51BLE FOR OPTGINING THE MFCIRMATION I BELIEVE THE 9lBMITIED INFORMATION IS ~~ /f ' ~ J t TRUE ACCURATE 4NO COMPLETE I AM >WPRE THAT 1HERE I.RE 9GNIFICANT PENRLTIES FOR SIIBrAITTING FALSE INFORMATION INCLUDNG O D ~ e .,/ . IHE PutislBlurv DF FwE AND IMPRIY~NMENT SEE IB u5C f IDDI AND 19 J I 5C f I 15 h J h ' i SIGNATURE OF PRIN PAL E%ECUTIVE oL~ a 6 -3707 (x~ ~ I ~ ~ V TYP OR PRWTEp . U J ( :ne rts un p[ sralutts mat U ! n[IuJr bnb uY m flnJMal and ,.r mn.nrunr imnrimnmem nI nr,.rcn n nennh. oW s Iran I OFFICER OR AU ORIZED AGENT CREA NUMBER YEAR MO DAY ~nnenl nrvu enrs.r.Nr.nvn v~ nNT vlu~A nUno /ec¢rcnrc eu enacnmems ner[1 l,.L b la3lLhSL--:iCG kUU'1'tlL''1'c Y/, rtluL ~. ~ri1~HLY .;ntIFL1hG lli.iThU(:9ION:i--.i5iirU0T6U'fb D/.