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PERMITTEE NAME/ADDRESSp~rfcwgN../torNtent/ntQi..nr1 <br />NAME <br />ADDRESS ~ . .. ~ .. . <br />FACILITY ~Iit l~~F i N t; ~GJ r! .CiI,E:, <br />LO~'T~ I'ALIS1rDF Cv ti15.:6 <br />_ ..:iUN ~.. tililJf h. Y . k. <br />NATIONAL VOLIUTANT DISCHMOE ELIMINATION SYSTEM /INPDESI <br />DISCHARGE MONITORING REPORT (OMRI <br />PERMIT NUMBER DISCHMOE NUMttER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />Dona No 2oaaoooa <br />(5Ui?tt ~i./ <br />F• - FIhrIL <br />ZGti~ S 1c• CGAL CafFP <br />- '- . <br />NOTE: R~~d Imtrveti«w b~lw• ,e'ompl~tlnp ihi~ tam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOVENCV SAMPLE <br /> <br />E of <br /> X ANAlrsts TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - .. r %, ? '1 t, ~. I `~ <br /> REQUIREMENT ~• ~ ,, <br /> SAMPLE , <br /> MEASUREMENT <br /> PERMIT _ / ,. ~ t_ : ~ <br />_ REQUIREMENT t •". A i.l :`': t <br /> SAMPLE _ <br /> MEASUREMENT <br /> PERMIT •. L: r ~ :. / ~ r ~ <br />_ REQUIREMENT. _... .. Y r i. f; G b 1 h <br />, - SAMPLE ( .. <br /> MEASUREMENT <br /> PERMIT ., - `•=;+310:. _..: ~. / '.. `v '3 _ ., i` ~ / t~ n <br /> REQUIREMENT ,; L n - J J ti i i Y '' ;' <br />.:,'i E <br /> SAMPLE 1 <br /> MEASUREMENT <br />I_ 1 PERMIT r,qy T _. <br />C .+ <br /> REQUIREMENT <br />l _ <br />_ SAMPLE I <br />~ MEASUREMENT <br />_ ~ _ PERMIT i;~.sG::: .. _.t~.1 ~ i.+..lhr <br />. e REQUIREMENT : ~: J A % i L •: n ' <br /> <br />. ~ SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT • .. ~~ ~= :' ? ~ I ~ .. ' ii <br />REQUIREMENT ,, ~ <br />NAME/T1TLE PRINCIPAL EXECUTNE OFFlCER ' "^"' " ' a""f ° '•^ Ih•t thh doevmenl and dt att•cAmrnb .en <br />TELEPHONE <br />prepared under rnf dlrecUon a wpm-Mon In •ttord•nn wltb • s]slern desd~ned <br />DATE <br />to sewn Ih •t qu•Nfled prnonnN propeAf [MAer and ertJuatr Ibe InfortnallM ' <br />~ wbmlUrd. Bred on mf Inquiry of the person or per•om .ho m•n•~e the s <br />stem <br />i <br />y <br />, _ _. <br />l <br />l <br />or Iho•e persere dl rert <br />y respom <br />bk for E•tAerln~ lAr InfornvUon, the Information ~ _ <br />~- <br />wbmllted Is. to the bell of my knowkd Ee and DeMrf, Irve, a[Nntr, and complete. <br />I ^m ^w•n Uat then ^n slEnlfle•nl prmitlrs roc wbmltTtn~ 66r Inform•1Mn <br />610NATURE OF -RINCI-AL EXEt:vrtvE - <br />- <br />TYPED OR PRINTED , <br />IrMudlnt 111e po•dDlllly of floe and Impr+sonmenl for kno.tn~ rld•uoni OFFICER OR AUTHORIZED AGENT CODE NVMBER YEAR MO DAY <br />GUMMt:fV 1 5 ANU CAt"t.nnn r wn ... ..... ....... ~ .vn.a to err ar vrr.~ aer err re.a.nrrrerrrta n.r aq <br />. .14nri FNGCYk. EVE'+1 G~CUhSp SUNJEC: i(; LI.i:CE!r Ct FFCCF <br />EPA Form 332x1 (Rev 3 99! Previous eddlons may be used <br />uCl~~~: <br />