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~PLRMITTEE NAr.~EtADDRE~SB g11LIIAC' ,( FQAIryNmiN/IooDbn /fdlJJomr/{ ' .' : 't `~ ~ 1,. - NATIONAL POLLYTANT OtSCNAROE [LIMINATION BYITEY INPIISSI .~ ~' DISCHARGE IAONITORIN6~REPORT (DMRJ- ~ Fym ~' ; ~ . . N AC'i7 't'~^f -G1 •' ~~ti1C.S~ - L 4S~Y t -~E--G.3tLL~-- . 7.16 ~ "' IZ19 F. . OMg - K IwbNL MaroFda~.dlr8~0•', ADDRESS; -,I;• 2~_-'/--- ------= ",;'.t•c=: ~ ":.~ 4C ?b'.EGt~'P;;1?<U~t-:r:y~%~I-tR ' _-_y=_1-^`_~^-~~- --1_L--~/~_ PERMIT NUMBER oiSCnwwca NUNaaw ' -------------- ------ MONITORING PERIOD ' •ACI CITY YEAR YE R MO OAY A MO DAY FROM LOCATION ------- .1 ' ' t TO V ~ r ~ ~ 1'~ ~ ., --------- 1 ~1 ~ l3az/ /7I~231 /1i-1s1 Izbl7j /181 / I ai 1 NOTE: Read instructions before com pleting this form (3 CQId On/y/ QUANTITY OR LOADING /4 Card fTllyf QUALITY OR CONCENTRATION IwaOYEYCY ... PARAMETER (46.53/ /51611 (38J5/ /(6.531 /54-till ~ No: eP SAMPLE /31.37/ EX AwwLTfu TYP[ AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM VNITS 6I-63 1W-681 (647Gf SAMPLE ... ~ - . . s - MEASUREMENT ~ .- 'PERMIT ~ ~ E i. li :; y•r :+t .' ...µ» .`} ! " P'1 ~ ~ ~ n 41 '1\t%t`•Y ~ 3' ,f~ f&i"::-~ .(l4. _ PEQUIR M ENT ~ ~~ {{ a S M ,S f~+ NP .y. .1 I i. 1 }L--PCu. ~. SAMPLE .-'..Ir .s - ~ ay.l ~ MEASUREMENT ' 1_ -' 1 l` t:~i"~•Q'C.iti.. ~l i.e ~c'Y" - >`.. Ktrh f <a ~ '•~• *{ y. - ~.j7lGSVIRC ENT T' 1{ 6 4 ~r• i e^a , ~. i . . . .. _ .. SAMPLE ~ .~. ~ r ~ - ' ~ MEASUREMENT l'{' - ' ., .. l) .. PdRwnt. 0U1 1A R E 4~~dl' 03'' +Y.«A"7 .Y QI :[.. ~~R'"T~f " +~ q ~~:'j" ~„ / ^{ ~,~C, _' _ i ENT RE i - ~ '+- . G t : ~j P .} 2 fly "4 i -fit' "~/ _ ~ .. ~. 1 n SAMPLE •cY T;. 3f.[ ':{:, .. Ay.. . j .. . MEASUREMENT - •~1 - i /• ' .~rP<RMIT. O:~~r f.I ~~l~ 1.'i~l .IBAY"~ .t ./xY ~xi67~. +fi,{'~. ~t.~l 'L:'i ..J~ REOUIF EMCNT , ' i~ 'i [ " ...:~ .?. far' . i'i': S 1 . ~r l• ~ BAMPLE ~ v :14 r~t i-:• f i`r J r ~ it ~...`. ;.A I_~L 1 MEASUREMENT I ' :I) .: ~. ; 1 ': .PCPMIT ~ ' -@ ~I1..iB* ~'•%i*Y~ it i`4 ~F 41F~a w. ~a~A I Y ~ r. w _ - REOU~IREMBNT I f.. LF4 ~ . 1y~ ~ ~ ~ i x , ; t ' 1 ' ~ +5 3 t. . ~ _ ... I'r:. ~1'. L.4 ~~ SAMPLE +~`i90.+1} I:$F. qv ?4:.i .:Yl [:+. 4. -O' ~ MEASUREMENT `-:x :.a.l ~ it ' Ir,LPERatlri t"'' JaG T'~i`tI l •b ~•IFr#w~#Y1 .J=L '~.1~K-..t W!. T~Xf~' :~IQ ' RCOVI A,EStE Y , . . "r . ~ s c + . I I" { i - 1 r rd>r Lt lAM PLE MEASUREMENT -' -• J ! ! _ i / ~PEitNir ,. pp EN ~~ .. .~ I ~~5/ } "~ .. ~.~~ t I /~/ y ~~r T.. ~'S `~ ;rs. REOVI EM T , NAMC/TITLE PRINCIPAL CXECVTIVE OFPICER •+. QP ur rwwr v[aw•SSY rlrw r . IwrewNAr~ew • muw• w 1 ^r .i T[LVMONE ~ ' D AT. E-: e xo1vlPVwu ~ wff gw~uf l n . ~ __ ' . o: vo . I • . w. . Q .. .w ~ r / ' , Y ' .' ~ / ~ '/~ Y'.• - . . • rw f w. w...w rmexw auw~ a J ~ ~ ! ~` ~ - wn: r~E :wwew e. ~ ne ~r w u ' . ~ ':~ ' / : ~ \ +, ~ ' „ 1' /` . . • m• l • wwFw w L ~ ~ •1 SIGNATURE OP PRINCIPAL EXECUTIVC '1 {[ ~ nua e 1 :SO. /PCnQlli[S Undel !h[J[flaNhl mQy IIICIYd[ ~[1 Yf110 S1 U~008 ! / / .l ~ I, TYPED OR PRINTED Qnd/QI malirwmlmPliPnmenl of Dtfw[[n6mOnrAl andly[Qrl/ OFFICER OR AUTNORI2ED AGENT CODE NUMBER YEAR MO' . DAY ! ANO EAFLANATION OF ANY VIO CATIONS (KCI[ICnCY QY QIIQCnlI1CAlS /ICIC/ .. +..~ _ - I .. _._ rv~l 'l.r. .: iS.-t.. .. I' t' J` it\I [rLl' .. I- : .~. :~ i _..141_: .i'1 I: P,Li. .. ~[ f l' Y'. ' ._. ~... .. _,x .> . ._-,;._ . ...._ .. .. ~ ,. _f.rc _. :)::~i: ~~:: uvi: :., ~'1:1. _~- ~:-.cr._ ,.'.xi1-L•. =. .,5•. EPA Form 3320-1 (Rsv. 10-79) I D IREPLAC ES EPA FORM T-a0 WNICN MAT MOT BE UBED.I PAGC OI . UNT L SUPPLY IS E%NAUBTED ' r Vl~l t ~...~v/.ivv~:Y : L