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<br />PERMITT[[ MAY [IADDR[Ef (/nr/udr <br />P~Ally Nd%Ir/lonrbw Udl/Jrrnr) r, ~ <br />LAdj~L-.:~Ly1Ll~a~'1 ~JL ~ '~1.1-_--_ <br />r ' <br />,.. - <br />-we(urr_ T _~. _ _ ______ <br />~oewrloN W, PyOtrJfll~fJ,~/(S/~-___-_ <br />• <br />NwnoNwL ro[LUrwwr ouch+wc[ urYrw+noN •rar[M (NPDES! <br />DISCHARGE MONITORING REPORT IDMR) <br />1/6 I~19 <br />1 <br />IERMIT NUMRLR ouc Nwwc[wVYau <br />MONITORING PERIOD <br />Y[AR MO OAY YEAR MO DAY <br />FROM ! <br />~ i To 1 ! <br />110.1/1 /11Qb (1615/ !16 1 n i ! b <br /> <br />-' :~ N. <br />- -' Y,, o ~ r <br />•-o; <br />'" ; :::1;: Form Approved j <br />(~ :: I' I' l d) k ONB ~iNo- 2040-0004 `~ <br />h - F'1 !11 I- EEplras 9.90.91 <br />IrL:,~hLt~,~: ~ ':'I~IIt/FI~!t CkYER <br />NOTE: REd insuuctioro IJRforE roinWEunE thiE 1Orm. <br /> (J Card Only) QUANTITY OR LOADING (r Card OnIY) QUALITY OR CONCENTRATION <br />PARAMRER (I6~17) (]Ifil) (JEa)1 Ir6./7) lll~f) NO. Fw[ o`NCr •AM PLL <br />TYPC <br />pl-))) E[ wM+t YBU <br /> wV[RAOE MAYIM UM UNITR MINIMUM AV ERAOE MA%IMUM UNITE blbJl (bldtll leY-]UI <br />(. L L ;1 ~) I: .. . rr . !AMPLE <br />MlARUREM <br />NT : .: J :r <br />~t 1 <br />( u) <br />,:.: 1:.).. <br />•. w <br />r'::Y: ~•:, r1 <br />( ) <br />r <br /> E <br />("l'JOb 1 li t? .:.:hHRN1T~,,... <br />.....~ <br />REOUIR[M tNT .,:..4gGt[~14~~ . ' _ '~ <br />y _ <br />1~;• _ ..-~~ <br />' . <br />F~S ) ::. J., '..[fiY+4t, <br />- ~ '1R3t~Y[ <br /> <br />~ ~: i\6#:17~ ' <br /> <br />.. rl,:. <br /> <br />'7G .~. `' <br /> <br />'2.- <br /> <br />- <br />~ <br />, <br />~, <br />r <br />Lrl-t <br />1) <br />kOS:' y/ <br />( <br />/ <br />II .... <br />: Q <br />x: 'T <br />' ~ <br />~ ~_~, <br />°~ .. ,y;£,y <br />,..^. <br />' <br />' a <br />L. . . .~~ <br />. i 't <br />L <br />.. .. <br />. <br />~ <br />. ,. <br />.~„-,;~ -.:. .~ ~ ) <br />>s~ <br />: : <br />lil= _ <br />. : <br />_ <br />. <br />d .i i1,bgM1 ~ <br />;-~. <br /> <br /> EAMPLE <br /> MEAEUREYENT <br /> :. <br />..~ <br /> <br /> _ <br /> RAM PL[ <br /> YEARUREMENT <br /> -.nt.. <br />'RL <br />IR <br />MT 'ate:( ..:; .~ <br />~ j3., . <br />`°.~Y. <br />; <br />:~; .... <br />.''' <br />):~'.+-~ ., ..x:M <br />;aS»'~~. <br />C 'b ps:,, ' <br />1 t & <br />r F~7t <br /> QU <br />LN L Tx'"Yi~: <br />T <br />` , <br />~ <br />. . : <br />~.,~ ~i. ~v. <br />,~r ~ .: <br /> ; <br />. <br />e <br /> tAMPLE <br /> MEAEURFM[NT <br /> r. <br />ILRN[T ~.~.. <br />REAUIRtN <br />'P <br />r <br />~ <br />; ,,,y. <br />.. «" .; p. <br /> <br />~ <br />. <br />,µ`'~x ;, <br />~ <br />~ ~ ' <br />l <br />' <br />~ ~~ <br />x'H; wsr;. "~ <br />tit <br />5 <br />I! t <br />" <br />` <br /> ~, <br />,¢, <br />.~ ./ . <br />- _ . <br />j <br />..,r. . <br />.:~ <br />,~ bd <br />, 1 <br />;.:;.' <br />s : . + <br />s <br />i <br /> EAMPLE - <br /> <br /> RLQDIRLN tt(T~ > y~~i?r"§ <br />y <br />w• <br />: <br />~ :'zt'•. r' ~ x !G ;'f}:'~~;:f ~~. <br /> <br />>. ` .?i.+.°. .z~ <br />:ac . <br />YY <br />.,,l <br />s <br />'K~: ~N,. , <br />~d ':'mx:r:a y <br />t <br /> RAYPL[ ~ `d <br />~ . <br />I <br /> MLARURLM ENT ~ •. <br /> -LRMtY'*_ <br />'R[OUIREN LIIY _ mss! i' <br />'~~ '."w j wr'/Y.~ <br />`t« ,.~ ... r qxi <br />Si«k3~~. ~.,: <br />:.~.: <br />r .. e <br />{, ~1^~ •~'xL.''' . <br /> . . <br /> <br /> RAMPL[ <br /> MlAEUREMENT <br /> R[ <br />N T ,, .''g5.. k <br />"' <br />b~ a~ `•fi,~ <br />.-' .']V <br />"}~ ( <br />~ - <br />~ ,•(l~ <br /> OUIRLM L <br />d <br />~.:. <br />;;5! 'Z- ; <br />., <br />,?' <br />r. <br />dx , ; <br /> <br />„ , <br />_'C <br />q i. <br />NAME/TITLE PRMCIML t%ECUTIVF OFPICCR r C[wIYY UNOtw FCHALTV 0I L+Y TNwI I Mwv[ FEMgN+iIY FaAYIN[O <br />wND wY (AYn11R MTN TN( MFORYATION SUOMITT[O N[RON ANO YSLO T[L[PHON! D A T <br />I I CM YY INOIIIRY Or 1H0.[ rNPVIOVwLS IMYLdwT[LY R[SPONSIRL[ FOR <br />I OQTwMrK <br />/11 <br />THE MF011Y+Tq:1 r e[U[V[ 1N[ SVM4TT[O MFORMwr <br />JN <br />; <br />, <br />• <br />/ <br />. <br />n <br />I <br />r <br />l ` <br />' <br />! IS TIIV[ +CCVn+TE +NO CP+FLRC 1 I.Y wN4RE iNI.T 1N(M: wR[ Sq <br />/ NIFICI1Nl FLN1LTr[5 FOR $VMrTT:NG FwLS[ INIORYwT1pN WCLUOING I 1 <br />~C- <br /> <br />1 j TN[ POSSrdLITY Os rd[ ANO IYFR50NY[NT 5[[ 1% VSC 1 r001 wn0 <br />1 <br />tl't ~ <br />% <br />~ 9 ~7 <br />~~Cl <br />~ Q /[ <br />~ ~ 7 <br />~ <br />( <br />I \:: r 1 <br />1~ <br />1 <br />' JJ V 5[ I:Jr• r/by/rw. .nyrr rbr r+br. ino nrl/. Anr. +Y r•~ llnrFn •IONATU E OP PRINCIPAL EYECUTIVE +~ G -~<~ / I r.•~ <br />YPED OR PRINTLD •M~+~nuur+r mlF.rwum.xr.l A.m..n E~w.wrA.rn1.. ..0•' OFFICER OR AUTNORIIED AGENT A NUNRRq Y[AR MO DAY <br />II:L r'. Gn, nclC__:; i~:. "'l. (;T'~I1TC `/• P7Gt ~. 1v'i !'.LY ;/?~: i.):1, TS:i 9'Hllt'T S:);j__[•.y1T `!I)71i 0/. <br />