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<br />iMITTEE NAME/ADD(/Of/YA! NATIONAL POLLUTANT 018CN~ ELIMINATION BYSTEM ! NPDES ) <br />~ili(r Nlmr/Loruion,,rr'! illrylnrl DISCHARGE MONITORING REPORT / DMR1 <br />ME_ !'Le BI/U~ 1.1.6E CG_LENLI.S II~____ (1-161 (17-191 <br />DRESS 13G~ SGUTH YALL____ _ _ CGJJIid;.21 ~v4 rl <br />__ rLa=57i1 FF' _______ AZ .r1 tlUQl _ PERMIT NUMBER D~.cXAlo. .uN!!! <br />---------- --------- MONITORING PERIOD <br />iLRY T~ y}~^ YEAR MO DAY YEAR M Dq.Y <br />CATION (,(,J UWIL VI.C ~-C(H~LL. FROM V TO yA, _ <br />'.lt.: ~ 1 T=? -cm=°--^°~ PHESICEN4 <br />110-111 R1-171 ltd-151 l16~171 /18-191 mill <br /> <br />:iIilJn <br />(S U v H y a) FaNy Y#$S~ved. <br />F - F I tr;L L OMe No. zoao-oooa <br />1ti CHnnGi. RaDI~I44~tu~Flm~P•Sanatf: <br />+'+ hG .T.LSCdtiflCL (~~ #r~O AJ <br />NOTE: Read instructions before comDletinod'tfhis form. <br /> (l C[Jd Only) QUA TRT OR LOADING (/ Gni Only) QUALITY OR CONCENTRATION <br />PARAMETER (16-SJ) (51.611 (78-151 (46-571 (54-61/ NO. FRED Y SAMPLE <br /> <br />(J1 J7/ EX LYSLS TYPE <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS <br /> (d1dJl pr6dl (p9~J01 <br />D SAMPLE ~3~+^'~} i~u 4:::4 %.`•' <br />~ <br />~ :y i';: it .': ;: <br />3 <br />S ( I?) <br /> MEASUREMENT ~ ! ~ ~ <br />Y G,.-6 <br />1. =iL ~v i 1 u PEVMrt'~ ~ •~ +' ~ 9r <br />~ x4;:r G!Q fat:'~ai y!y ONCE/ GHAB <br />it:. LIiL7 ofi055 Ydi.u Q~IRe7±er4T - ~ .. <br />. ~ a::fw,< NI NItlUH UARIMU[~ SU , <br />`JONT <br /> 9AMPLE 1 <br /> <br />MEASUREMENT / <br />~~ <br /> PERMR <br /> REQUIREMENT. ~ ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMEM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT..' <br /> REQUIREMBNT ,' ., <br /> SAMPLE <br /> MEASUREMENT <br /> ' PERMIT .. . <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMEM <br /> PERMR~~ .. '.. ~I.. . <br /> REQUIRBMENT ~ ' - ~ . <br /> 9AMPLE <br /> MEASUREMENT <br /> PERMIT . ~.. <br />1 <br />: t <br />^ - <br />- . <br /> RBQUIRBMCNT . <br />< <br />- <br />ME/TITLE PRINCIPAL E%ECUTIVE OFFICER i CERTIFY UNDER PENALTY aF LAW THAT i NAVE PERSONwur EIUMINED TELEPHONE D A T E <br />~^ <br />~~~'.C ~e~~C <br />V ~J AIO M1 FMILNR WfIN TIE IFORMATpN SIIBAITTED NEREN: ANp BAUED <br />d MY WDURY ff TNOSE NDVDl1AL~ MMECMTELY RESR]NyBLE FOR <br />09T i TIE IFORI.MTI~YI 1 EIJEVE TFE SUBMITTED NFORM1TgN ~8 <br /> TRl1E ACCl11MTE AIL COMPLETE 1 AM AWARE THAT TFERE ARE <br />WDNG <br />E <br />F <br />F <br />F <br />T~ <br />I <br />~ Z <br /> <br />~, 1 ~ TH <br />PO55®IITY DF FNE <br />E <br />AND MPRSONMEM. SEE <br />iB US <br />~ <br />O <br />O <br />33 USC 1 I] <br />f <br />N <br />' <br />M <br />/ <br />' <br />SIGNATURE OF PRI IPAL E%ECUTIVE f~~'Z~ <br />W 7l <br />~7y3~ <br />S <br />O( C. <br />`~ <br /> <br />TTPED O RINTED Ip / <br />II/ <br />(A <br />IfQ YlNru IR.y <br />J Y <br />er f <br />nfNEe l~pu up r9 <br />dICDLO W or nutlmum impnnnmMe N DerRCn 0 nlonlb .N S pTlnl <br />OFFICER Oq A ORIZED AGENT <br />F'REA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />-..-.~.-....... ~..~~............ ... ..... ~...~........o L..~......c r~ uuun.mm~ rmc/ <br />LL E GHIruSE--SEE FOOTNOTE F/! PAGE 3. QHTHLY Sd[7PLING I,RSTHUCTIOt75--FOOTNOTE D/. <br /> <br />