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P[RMITT[[ NAM[/AO DRfff //nClud[ <br />F)FOlly Naln[lLon/bn rJdlfftr[nlJ <br />NAMB_~j:.L"1 Y{t i!1~1! f.~1~~iY-----_- <br />woowEOy~~j~T ,~Iyy(L!uL___________ <br />---~f F ' ' u -_----»ii1111uJi- <br />-wclurTr_______`__~ _--___ <br />LocwTloN _________~__` <br />.It.e PI,'ll A{t l'1 Ai'A fF'•'I I'. --- <br />H II TIONwL FO LLV T,NT OI)[NwR4[ [LIM INwnON )val tr+lnr /u. <br />DISCHARGE MONITORING REPORT /DMRI <br />1 16 '' 1~ <br />(~(. ,. <br />PERMIT NUM B[R oneL,wu N/M,[w <br />MONITORING PERIOD <br />Y[AR MO DAY YEAR MO OAY <br />FROM ,J I II TO ,/ ` , n J <br />/10.7b /17.711 /N~7fr /7M1. I 17 J01 I /t <br />'~i''I':t Form Approved <br />(}.li !I!f tlwf :1aMd'1No. 2040-0004 <br />F - F' 1 :~ - I, Expires 9-SO-91 <br />•, ~I':I ~. r: ~i^n ;:ULr: fl 'i 1J !.+Ir.l'1 5('I::~ (~t <br />NOTE: Rafd inftruetionf 6efgrel~molatinq,thir form. <br /> (J Card Only) QUANTITY OR LOADING (I Card Unly) QUALITY OR CONCENTRATION <br /> <br />PARAMETER <br />(16-3)) (SAfi/) <br />(Je~J) (163)) (Sidi) <br />NO. rREOU [NC <br />DF r <br />BAMPLE <br />TYPE <br />(37.17) Ex ,NwL r)IS <br /> AVER AOE MA%IM UM UNITB MINIMUM AVERAGE MA%IMUM UNITB 62dJ ) (61d%1 (6v~7B) <br />. .1 BAMPLE '.: I:::~'~f I.::.'. ::t :t ~: {-:.: .:: / \ <br />` / .k • SI :: ::r Ir ~ I ~' <br /> MEASUREMENT <br />1 /111 l: I ~ (! ~ PERM17' ::.4Y,SKi>•Jilh~ . ': ~Ik:kysC:l?ip ~ :,k:k4 •6; <br />~" ~ ~rrr4+Rl7#::~ 9,~;;~~ ` ' <br />F,EKi;Y illlEl <br /> <br />f l.llr:ilT ,I'/7.°.9 YP1.11 REQUIREMENT <br />sr.,i <br />ti . <br />.tT~, i <br />NF <br />~ <br />I . , <br />. i.l L):l, :1)T51. BAMPL! .:,: ~. 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BAMPLE r J ;a;: ~::f I;_:;t :v;t :k'i ( ' lF .k lk ~: :=Ll ~ 1 EP <br />(A~ f,F) MEASUREMENT <br />1 (.l ll~ ]_ () G ~PFiRMIT.~°~ <br />~e :4~Ls 7'f.Ztlt.:'' <br />~~ a:~:'.a /~~y ~y~/y:<;: .ai/Y,: :',''F~~.XI4 ~ClF~:: <br />5;? .:=:;` "; <br />~3~i: :• ~' <br />~70':;'=g;~" ~~Y°: <br />` <br />~ Ypg:; <br />NCSf <br />~ ' <br />RAH: <br /> <br />equlReMeyY . <br />~`' <br />' <br />,~. <br />~~ . . <br />. <br />I S 1 ; r n . d. <br />i~LnR, IN CUNDl1T'" ON fAMPLE ~ 03) K::kl,~::{. r,;~;,t,lu [ivSukaO ~ ' <br />I :I f(rl TR ER Tff F.NT PLAN MEASUREMENT <br />jUIISG 7. G CI <br /><~ <br />:~CRM1T'. <br />~ °x, <br />itlli' :yn <br />~~ <br />T' Ji~ ... <br />,>R&t? <br />~f 7''° <br />4 ~ ~ ~/ <br /> <br />°~ ~ <br />°:~ iOtiTt~ sx s <br />'~;;... ;. <br />:0?OI :?~d!n. ~ w„rn <br />r <br />° t+tT:#;~ <br />4° <br />~ <br />~ <br /> <br />aa,x <br /> <br /> <br />~ ^:... <br />e.: <br />i <br />~~ <br />~~~: .,. . <br />: <br /> <br />p <br />N <br />'f.A <br />t <br />• '11CGWRE r <br />M N'C` p <br />, <br />~~F : '„..'; .5; <br />S,ja <br />' ~ <br />, .. <br />. <br />.a <br />y, , <br />a`~: . <br />C <br />: s <br />~ <br />. <br />. <br />S F I . . , <br />, <br />: , r m <br />::.)LIDS, TOTAL BAMPLE ,k4eaa,i. o;<u4J+r ~ ) aalkaaa Ik+:,a+:::iS ~ 19) <br />I I i50LVEII MEASUREMENT <br />7 i?9; 1 0 G p:'rven6w~<'Ti ` :iE,v!X4>a{i;:. ;-:~jci~i*~;piy." aaa iipAi444#~" ° ° ~i>'w~'#~ii=; ;;t?B <br />P.ORT;;; t'FtG'Y-;; RAB <br /> EQ IRE N , <br /> <br />NAME/TITLE PRINCI-AL [x[CUTIV6 OFFICER I OEaTlfr uNDCa PENALTr O< LAw THAI I HAVE vER$ONALLr E)AMINEp <br />ANp AM FAMIL IAq WITH TN[ INFORMATION SUBMIRCO H[RCIN AND BAS[D iELEPNONE D A T E <br /> ' <br /> <br />!<1LllARU G. ATKINSUN ON MY INOUIRr Of THOS( INDVIDUAL$ IMMEDIATCLY a[51 <br />ONSIBLE Fpl <br />OBTAINING TH[ INFpIMAT10`Y 1 BELIEVE THC SUBMITTED INFORMATION <br />/ <br /> <br />/ <br />VP LAND 6NVIRUNF <br />111'NAL AFFAIR Is rquc ,ccpR.TL ANp COMRLEIE I AM ,w.RE TH.T tHERE .RE SIG <br />NIFIugr PENALn[s FOR sl1BMITTmc rALSE mrpRMArION IncLUaNC <br />~ ' ~j <br />7G7 824 <br />445 <br />92 <br />lU <br />14 <br />. 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