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ILNMI l l l• 1 •/n YUn •li IIIIa.YUF . <br />P~AIry NrRM/Lanfbn /Jdl/Jlnnf/ <br />;'wooR[s113a ~lJTEI_S'~.IL~--------- <br />-wcluTr ____ <br />---- ------------ <br />LOCATION '- -_______ ~__ __ <br />eTTL• f1C:IMTq ~.E CT7V CN Crl 11 ~ DO VCTRB UT <br />DISCHARGE MONITORING REPORT lOMRI <br />1. 17-19 <br />n o <br />•ERMIT NOMB[R ~ m[cNiwcL MUMLu <br />.. MONITORING PERIOD <br />' YEAR MO DAV YCAR MO DAV <br />FROM TO y <br />. ~ nn.nl /JIJ iI /JIJL 116. I 178-1 I /30. 1l <br />Y l NO R Form Appr~ <br />(SUHR !f Y) R04f)7No. OOO4 <br />F ~.- PIVAL ~ Expires 9- 91 <br />CHRONIC NET TCSTING FOP. UUOA <br />r-;. r: Up DIiCf!e:FGZ ~--~ ~'o'.` <br />NOTE: Read insvuetioro before completing this form. <br />n•.... r...-.. a.r ... ~.... <br />"~ - .. .. ... .. .. .. .. ,. a.. .. ..a •---.. <br />(! Card Only) QUANTITY OR LOADIHO <br />(1 Card Only) QUALITY OR CONCENTRATION - _ <br />rRLOULNCT <br /> <br />e <br />E <br />PARAM[TlR. 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NA,.p <br />4zY, r.. <br />'%r:, gy° ~ a e x #n~ k ;:< 'a5~~ <br /><PERNIT: 'a. <br />,• <br />"a xai ~,°s <br />' <br />~ ~¢S<~A'=^s ;~ .. <br /> <br />gg~, ®. .~Yd';' <br />; <br />a a <br />' <br />p <br />, <br />s <br />x b <br />z <br />;~ - Y$~ ~P <br />Ra RQ ..qi ~. -~2:3 <br />MO °k.~4.m ° A'g ~y ~$.`is tt~y.° <br />VV ..e:~e. •?4 g ~'n' <br />~, _ :NEQVIR[M TNTg. <br />R`y. )ti1:4~a~~~ , <br />. , <br />g <br />a <br />_ <br />.a.,a <br />< <br />tl <br />LAw THAT I MAY[ P[RSONALLY [iAMINED '. _, .. T!LlPMONE <br />NAM[/TITLE PRINCIPAL Ol[CUTIVB OFPIC[R .I 0[IITIFY UNDER P[NALrY OF <br />t <br />- <br />' D A T E <br />•AMD AM FAMILIAR wITN THE INFORMATION SUBMITTED MERLIN AND BL9ED <br />. <br />_ .~ <br />~~~~~ r- pN MY INOUIgY OF TMOrE INDVIDUALS IMMEDIATELY P[SIONSIBL[ FOq ~ ' <br />a OBTNNING THE INFONMATION I B[LIEV[ TMC SUBMITTED INFORMATION ~ _ <br />6 <br />K; <br />I ~_ <br />Q <br />_ IS TRITE. ACCURATE' AND CCMRLCTE I AM AwAR[ THAT THERE All[ SIG <br />_ <br />_~5 C ~'1 rC NIiICANT pENALTI[9 FOR 9URMITTMG [AL9C INFORMATOM INCLUDNG '1 <br />q'~ THE POSSIBILITY a FIN[ ArvD IMPRKONM[NT 9E[ le U9C 11001 AND BIONATU OF PRINCIPAL EXECUTIVE '!? Z. / '1'Si 7~ <br />1 1~N0. ~( ~ h <br />l 1 <br />' q I~' I <br />~ "' <br />y <br />` <br />TY D OR PRINTED •p rn [Iglivl <br />')J U9C 11)19 /hn•hm 1Mrr IArr M•1•In ma mrludr Awr <br />od mmu~m•m mrpnu~^mnn .d bmvnEmlmrA. and .A VY.I ~ <br />OFFIC R OR AUTHORIZED AGENT <br />A <br />NUMBER <br />YlAR <br />MO <br />DA' <br />COMM[NT.AND CXPLANATIDN OF ANY VIOLATIONS IR^Jnrnar ull urmrhrnenrF Anq <br />SEE DART ILR •OF PF.P.".iT. F~1R DF,TAILS OF TrbT pt!OC[.OORE:. "VAS~^ Iupit'ATEi '."EST SAS i'OHFOFC4i, P'11) 4!'SIJLT: <br />4°_RF (tEP~iPTFO. ATT.PCH CIIgD!:T^ TF'ST HF:FnrZT F[)P:1 T6 D11A. C:~PIF'i OF ALL IRF'OH:'19T10•i MI; :,T ~`. ~°_t~T TO FFd. <br />EPA Form'A72fF1 (Rw. 9-q8) Prsvlous editlona may bB used. 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