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weRMIrTEE Nw MElwoowEEf /lnElRde <br />FETdiry Name/LorErbn lJdl/Jennr/ <br />NAM E_ 1.:.[.L'.IYiL 1._C1P1.~~]-t'.L.~~1-- - -- -- <br />rwclurv ________________ <br />=OCATIOM ________________ <br />NATIONAL FO LLUTANT OIfCH wRG[ ELIY INA/IOH fTaILM pn UL+/ <br />DISCHARGE MONITORING REPORT /DMRI <br />1 !6 l~ <br />~~1'~ ~. -I: 1 <br />PERMIT NUM wSR Dlacn Awca NuYaaw <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM '1 1 li J1 TO I)! .I~ ;(' <br />nn. n/ r)JOh /IA.JSI /JM1. 1 /]A.191 / 11 <br />;• I II L I _; Form Approved <br />(SII i!!; !)d) ", IOMQ'iNo. 2040.0004 <br />`' - i' 1 F~ A 1. E%plreB 9.30.91 <br />+AI::;IICU:;C Sf~I1L 'f0 'CAYI,"711 CEELI: <br />`:~: 60 f1i~':NAi1Gl; ) ~ r: r. ti: <br />.NOTE: Rad in[tructiom bs}orE mplatinp this lorm. <br /> (J Card Only) QUANTITY OR LOADING (~ Card Only) QUALITY OR CONCENTRATION FREOUENGr <br />B <br />E <br />PARAM[T[R (id~7J) (71b1) (JA-IJ) f16JJ) (JIfi!) NO' <br />E% oP TYPE <br /> •NAL VSl6 <br />(J7-J1) AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MA%IMUM UNITE <br />61 LJ) <br />(61bA1 <br />169-101 <br />1 6AMPLE :'i ~f :.;: f: :;['s ( ) :... ;F': :,, :;. ( IZ) <br /> MEASUREMENT <br />I Illl:ll I i'1 ~ PERMIT .~~IkrF11la4'• ~4X~'ki7'rFi4 :~:l~ ~G~•S~''~:. ^~.{i:=i£Kf!1yT <br />~ JE:I~:~~~.~,'.:: ~ ~~'Pii(i.'Y J.I{8p <br /> REOUIR EM ENT ' F <br />•- ~ ~ I I <br />.. L <br />. ..~Y N.L <br />1i. i U:., : n'I A L SAMPLE ';u;: ::::'n~ >; :}q: >:. I}.~ ~ <br />~ .j yo 1. . . ( I •I) <br />F ~ iIGF <br />) <br />) MEASUREMENT <br />. • <br />I <br />I l~. <br />iD ~ () r <br />~:PERMIT:'~~ <br />" ~1~'+f-i/-k{J ~i?:' <br />:p~~~txs•1 Y.C~Lr~.. <br />:li:: 1~ <br />~'4.~~U.-'lkij,=: <br />~~5~° ~~~;:£::i'~' <br />71,x, .. ~.e.:.s V„.. p <br />.HC <br />GI. ~ <br />.K~. 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SAMPLE {:¢1;: 1`i Q(t y)i: ~: {::F l} ( ~ Q~: ZI Y: ;t>f ( ].y) <br />FE MEASUREMENT <br />(AS <br />) ... .. ...~ .... A...p ... ... <br />1J4S ~ (1 O <br />I ,I <br />`IsERMIT;• <br />( ;IDt4~i*IC~FIO!'~ ;?rl>!k~ir014d°~ L=0# GAI~G~h <br />~ <br />i ;~' <br />"S <br />~ <br />p . <br />7~'(ti~ <br />~=' <br />Y ~ <br />~s KBE <br />j- 'R118-. <br />. REOUIREM eHT• a: , <br />. i <br />, <br />; <br />ii <br />.. <br />. <br />,~~ . <br />.; <br />; <br />~ x <br />s`sa <br />' a <br />. <br /> r , <br />rL~u, IN coNnu[r Oi{ SAMPLE (03- ~~~T:::I~: ~+-a.t~~ 4''h'~'k"}'T ( 1 <br />N MEASUREMENT <br />7 ~IRU Tfl EA T11eNT PLA ' a <br />` <br />' # <br />~uyo 1 0 n <br />s a, i <br />PeR:i'~4: Ui!YiC}lt11L°e 'i(~8~'O~i7' ~;:~~c~aoaa Y! a w„.yro <br /><ql~ ~I:~a .. ~ <br />4 <br />°>#~zi~~~ ~c~c p xp <br />,y:,,, <br />. ~ <br />~ ~g; ;z:.-aSa y'e ,sae:&<' <br />•. h'FLU 'N II ° ° ° . <br />1L7D5, fDTIIL SAMPLE .1(i f,. 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IArr uFlub. nur nrllldr /In.. Yp In tIII MYI A <br /> ud•..mu•mllwr ullprnLlnvnL11 A./evnAn.mrb wnd:..r. r.I OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO OAY <br />TYPED OR PRINTED <br />COM MENi AND EAPLANATTVX Vr wnT vlaiLwllaiNn I~gorn.r u .. ................. ...... <br />_.i'1"1L~At3LE St1LID5 I.i~T1' APIII.LF.S nNLY iF' <= 1.0-Y d, 7l1-Nk PfiF:CiP I•:VF'!IT I~ ''LPI•IECI. IF' CI.AIt! APFH~VE~ '1T <br />(•1i=1,p TSB IPON L[`!ITS RILL 'l (1T bE APVI-ICf' 'C't ii E.Pr)~~E:D NI'A:iIItZE~i4NT1i--SI:~ T.P.IP, PG 4 A11D C.[~D~ Pf, ~. <br />(ROLw Cl3 [PA FORM (. ~MINICN MwY MOT [[ UE[D.I <br />.. ..~ ~TT /It ~n nrrn_7 Q111 <br />[ 0• <br /> <br />