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r..:,n ~~~~~•/-~. pr•r~u~~~~" DISCH 'dONITORING REPORT(UA1R/ <br />NAME-CE~2LCD d1.SCLCR.TJ_CLA~fINFa---- (1 /17.JV/ P - FI,IAL <br />ADDRESS ~ ~;~ .~Qll'L9 .3dI.~ -- - --_ --- - ~01 A ~ STORJY STER, <br />-=-~.rj.Ci~~~------~ ~Ont - PERMIT NUMBER DISCRARGuE NUh!RER <br />-------- -- ------ ---- MONITORING PERIOD <br />FACILITY _------_--------- YEAR MO DAY YEAR M DAY <br />S('OIL SPPG & `IIAE <br />LCCATIO)1 FROM TO M I M OR Y !4 T ft5 <br />- nnoc rnnnm vale nl->TJ na.lu /an.m ax-avJ //a3u NOTE: Read instructions belore completing this lorm. <br />n~ -.a, .. ... <br />(., Curd UNYI OUAN iITY OR LOADING <br />MCurd Onl// QUALITY OR CONCENTRATION <br />NO <br />caEOUENCV <br />SAMPLE <br />PARAMETER lab~)Jl ()t~bll lI8-ISI /ab~331 /Sa~671 EX OF TYPE <br />~+"J7j AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MA%IMUTA UNITS <br />Ihl hJ. 4N4LV56 <br />IGLM1V/ <br />IWJ01 <br />IL SND :H%.aSE SAMPLE Yr~krYr 0 ~~'rT,r rra~v ve.Yaa 0 1/7 ViS <br />I S U 4 L F,EASUREt,,EMT <br />'t055 1 G D PERMIT #3r#~~ 1 ES=1 ~##~+;A G##=rr ~~~~~# ~ ~`T "EKLI ISOAL <br /> <br /> <br />l SAMPLE <br />' MEASUREMENT <br /> REQUIREMENT <br /> SAMPLE' <br /> MEASUREMENT <br /> PERMIT <br /> REOW REMENT <br /> $4MPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREM ENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERlAIi <br /> REQUIREMENT <br /> SAMPLE <br />_ <br />~ MEASUREMENT , <br /> PERMIT <br /> REOUIREAIENT <br /> SAMPLE <br /> MEASUREMENT . <br /> PERMIT <br /> REQUIREMENT <br />Ngr..Ert ITI_Epv, ~.•!C;v~I~Ey,EC~~Tp;EOcP;CEo, i'riAi' -- En$ONALLr E~AMWED TELEPHONE GATE <br /> <br />Brian P. Dunfee AND AM FAMILIAR WITR THE INFORMATION SUBMITTED HEREIN. AND DASEO <br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON$,BLE FOR <br /> OBTAINING THE INFORMATION I RELIEVE THE SURN9TiED INFORMATION <br />Manager I$ TRUE ACCURA iE AND COMPLETE I AM AWARE THAT THERE ARE SIG A !t C <br /> NIFIC4NT PENALTIES FOR $URMIiTINO FALSE INFORMATION. INCLUD,NG 6OZ 774-SZ53 9O O7 2.a <br />Environmental Studies THE PO$SIOILRV OF FINE AND IMPRISONMENT SEE +e uSC. 6 ,DOT AND SIGNATURE OF PRINCIPALE ECUTIVE <br /> 37 US.G 6 '319. IPenolees under IFOr r,am,6 mer mrludr Lnm up m )ln,rM AREA PAY <br />T YPED OR PRINTED uvd ormaaimum.m-•uonmrnr o/brwrrn6mnnihr anJ)~mn.! OFFICER OR AUTHORIZED AGENT GUD NUMBEP. YEAR MO <br />COMMENT AND E%PLA NATION OF ANY VIOLATIONS (Reference JrlJ alwohmenrs here/ <br />GIL .1KD rP?ASE; :)EE F00'PNOTE F/. O--l;OST RF.PORY IF EEElIPTiONS CLAI!lEO. TSS DUST BE EEI061'En AT ALL <br />TI!:~5. <br />EPA Form 3320-1 (RDV. B~BR) P/BVIOUS edrliOnS /Iley be Used. (REPLACES EPA FORM i~e0 WHICH MAY NOT 6E USED.) PAGE OF <br />0.7012/100569-1744 2 li <br />