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,It+~wemlilBB On[L.dT. _'' pEYL~iG]~llY_---- --------- ._ ~eaP ec e t r ~0-_.~1G 3L--------- - - T~__.-____ ,. wr1oM _ ~ ~ ~ - I" ~. I •~ ~ ii'"IMT D16CHARGI iELIM N•TIUN BYI11fiEM iNiUfSi _ fU/III Nd4)/UYCU DISCHARGE MONITORING REPORT(DMA)-, ~'~'~~1~-, ~'~':~ ~ ~.. ~, OMB No. 2000-0015' (Y~161 _ (17)91' ~'~~~~~> i ~~ ~ - PERMIT NUMBER - mccw ARC[ NuNa[ - ' - ~- ~~ _ MONITORING PER100 - ~ - - - - '~[ YEAR MO DM YEwR NO' OAT ~- n- {{j`- y 1 FROM TO - - - r'.. ~ c. ~.)1t+ - ' o• )II u)~)n r)..)v . ~ . r» )a u.~)n I.R ~u ~NO7><.-A ~1eeE Innruelloru baiolBeoBR~~M) fib loan. ~ ~ A - () Card ONy) QUANTITY OR LOADING (• Card Only) QUALITY OR CONCE TIIRTi f _ - ' - _ : NCV FREO B ' 'SAM-L[ PAR MET[R ~ (J6JJ) ~ ~ ~.(Nfil) _ (!!-IJ)~ - (IdJJ) (3161) ..• ... . NO E% O F TYPE: ~ ' . wMwLYSrc AVERAGE MA%IM UM UNITE MINIMUM :,AVERAGE MA%IMUM: . UNITE, 6763 '~ (61-0J)~ ~ (6Y-70)- ' 1 I~~ ' I - : '6AMPLE MEABUREMENT ~- i ~ ~ ~ .: ~_~ kkkk****R*k .' - ~: **k*kk*kk*` 1~**k.F.l.r><*~Ik c.. 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'> a ^.. i. ~:i~ ' y~.~,',;, ': TOTAL SUSP..: yisquuEld[idr ~~ ;.:,~,4.~=~~ ;.~a:r'°~` '=;; ~°,; » kk#*IFfb~•A~llFk rr~~ c}•ae'~~ rg" ~+ ;,'~ , ~ - ` % v° ':~ ~° c';l~-: h; ' ..a'~o.: w:e•l.~ , ,.. •..~.• . .. k. u , . -: ae _ i_ . do ~ ..:.die+:: ~ . . 1 ~ ~ ~ 1 SAMPLE- I 1 '' v . .. • .- xc .. ..w ~ ~ I •,[ ' ' .~..c ~ _ t cC .t' ~ 1.: :I ... ~. ~ MEABUREMENT ;1 ; ..4 _. . .~53•oY~..b ~ . ~ }~-. .:u -o FO O :.u rte.' 1'_~- '_ :~ . .. 1' Zaurt[ TOTAL: f - aae..,. 1:.., ,.,Y g.: :zlf[MElry;. °' .. ' Sa€?:° ` # n~i.'.; ..6 6` . ~: ,A«I. .}y:3 n:r~ ~ ~~' pt,; ~~' Mg:: ;YxP, ~~9'r ~~~ :q ,e xix',,~ ~ s ~,"." ~ Y' _ .)~ a. .'.r ~~ ~`,~•:.~, eK, .E k:.- ~•Z ~ .: zriSi?~' az. . ~ I /] ~ ~' ' "kWV1~1WE[Ni' e , ~ °j " ' ' ~" ~"g : `,~" .w'~' $Qi= ' e :a i"~'~~.h ~~ ' 11th ' ~' -...- i °O •t" G~ ir~ J . _ . . . .: a rreR . , .. ~ . ^3 .- 1 " ~ i...*. .; ~~ ~ ~ MPLE- . ~ _ ,~ . 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MEABUREMENT l ~ 1 I ~ Y _ ~ .. yy~~. . ~ .~• :AVWBi ~{„'S u'( ~ __ ~ )` Y _ ~ ~ .. • ~ t' a 1 d ~ ~~~. ~: ~ADtY7S . sFS - ` :.>. ~''.~11flMlr )~'.pa ~ p .F., R t.1tj.,k6'i ~' ' xq is ~ }-3 ~ ~ r > 1 _ m'k °f s ') .fir I(i .X1'k :.w++.' -. vd cy> * ~ ° ~C .i P'c'- '?~F s d S- .n ~ ~ ' ~.SUA1. JIt4u1hEA1tlfL" ~~ 8~ ~b~ ~ c. ~ z aw~.~.. < is ~ d - seF:~ :,. _ ~ ~. - yi e .i~:€:+~$ .. .....;.f1..~., 1 ~ BAMPLEf.: .. .)... I . .C, '. ~ ~' ~~' ~J~r ~ef~ ((jjY '~~ yJ ~ ~ 3-' ~'-~- i~ -- ~ C ~"' ' f 'i :'n y i MEABUREMENT ~' L 1.. - . t:. ]~ ~ ~ , S~~iR: ~~ C .~ ~ l4-'" ~ - - r' G - ry" _ . : - ~ , .,. , . . . L. . ~ ~ _ 1 ~ _ - . ' 00lTDIIClIVITY' ~/ QR :.ea?-. z•m:' ~ ~:pf' S's S:s ~: ~: `d~ •ti .w ~. o ~ ps:-. 3pm~ ~ A Ve'pfa i11Y+ y,e ~'' ' ~ 1kb:9'~-` n~ ~° ~ it3'M:. : 'i? ~ _ - ~' j /., 9' ~~:~ -V ..(~' x'. { . 1 ~ ~ ~ ~ q r.~ :%a-~.°, -.:tk^: ~ s: (Yx, °'^.7~•s nk' J . .7 :d-~ :i. §! brjl.~`^.. $ :e YGi t!. 3Ld : _ j ' ! . ~:X ,-..tl ° nb..4~ . "R[O MIMr.• _'.~:.' - .. ~' 'BAMILE~ ~. Li .. _ ! ~: _ - ~ y3 .` ~':i ~CY'y ~.-G. ~2Ca^F9 ` 11. ..... ~~...°~Pl ~I . _- L 1'._~.: ~. J" .. c ~ ..v j - ~.~~. .1 . MEABUREMENT _ ). ~ r ^ . x K.~- _ _ ~ ~ -: .~ _. [~ ~ ~~ ~°~.L~ __yy~'~__ ~IEDU~~1Rli~ <.~t~>l, 3". .#~c ~ a ~~~.~~y~~ S~s :[~~{F'.a. n,ry$,'"~'. ~ ~' P 4( 5 ~^°' ~ ~"~". .•W ..P':l ~-?°_ ~~"~•~ ~a-)+., ~y:}¢, p~„ r 4 ~ ~ ;/ti ~).e. ~_ YS ~,yx~> ~y ,i'YS ~ Y:i` ~ ~'~ F. r .+1 ~ - = ~ ~t ; c u C. - ~ V' rc;vM1 ~ , g 9"` • -1 • ~`. a~,'~[C"rl ~. ~ . a}ts. ~ . , dt ~ c`P~X ..3. tl k . . "~v +F :. ':L.:r. }v.' ! s,n .-c $.T NAME/TITLE~RIMGIML E%ECUTIVE OFFICER ' }GERfBY •UNOR:JENQTY.OF,~IIR .THAT-I NAVE POISOMAl1Y E><)alNtn~ D •EImb11ND YfiD u - " V "" :'~: -f.4j}•(L•.~!`'~~ :~I.,.~ ~ ` ~ ,~TEL4PNOM[? c '.- plc DA<T-E ' r ~ •YlS4 _; ~~ {'}']1::.: '_ _ ~ -,. ~ ~ ~ [.. ~ ~YiDr41':lMlllMdYfIN-TNE~OiDIBPilON, 6 BrfflE . 'ON•MK. MDIIIRY.OFrTMOSEiMWW ~•MMEdAIELY .NE4'0161~.E'FQ: ~ N ~L ~ ~~- [ ~: ~ . -`. ' ~r ~^ :h ~R Y'.-._. •..a ~: ? .. - rr -- ~ T .4`>~.e, Fi '^ ~ 'Y':--a: ~'./Tf.,i..~~ •. -~, ',.~ .. T` ~ T11GE~~y1G. RUE. ACNM~IIMD~ -COLPLEfE' I AM dWARE.~ '~ IfKANf-RNIILTES•FORnBUlIBTIING-F ~E~MfORWTIDrL.R41NNG- • u s ::C ~ ~ rj. 7~ .~::vy _ ~ ~ ~ 't ~ ! . j. i~ ~l i._ti ~7~r Tn`.'Y 1- ~ ~~v [ L• w^~~~-HB~Bi1.. P]~R.SIDH(QT ' TiR POGSauIV OF!FINE AND MREU[MWT. SEEr1B USt. (.r001 AND: ' 33 USC \ IJIB- IA 6Yl inddr lwr• J/J WO: h bb d i _ .. OF:r~.~{ )PAL EMIJEa EIGNAT L ^~ • .G ~". [n I ~L?~51~5:~ - b 'O~'` i~~ . ~).. ~~TYPEDORPRINTEp ~ er. s • a rNy . rN en e l y.~ aM/o. ~v~nNn Lwpna:NmlyArb~nlmlbaNJgvA/ - ~; _'pFFI R'OR AO7NORIZE AGENT.•.^.' [NUMBER ~., ,YEAq MOT tDAY. COMMENT AND E%PLANATIpN OF ANY V IOLATION6 (Ke/eren[e Au arla[Amsn(a Mrf) 74' flLln~e iS ~or4) dltcbar`'e on ~/~13~2'c _ _ ~ K.