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PERMfTTEE NAME/ADDRESS(Iwei~4ieWryN~./Ler.uwf/D(Qi.rnq <br />NAME . <br />AGGRESS _ ._ .. _ ., ~.., _ . _ <br />ti~J e i'1 j'J <br />. ~AUr. ~Q Di~e:f. <br />FAaurv ; i i L. t+. U h T t3 F :i U li T :i h I a f <br />LocArloN i/ i- L I~ A L c C G t 1~ 1 b <br />NATIONAL POLLUTANT OISCHAAOE ELIMINATION SYSTEM /INPOESI <br />DISCHARGE MONITORINQ REPORT IOMRI <br />PERMIT NUMBER ascHAnaE NuMeEn <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAY <br />FROM TO <br />Form Approved, <br />OMB No. 2040-0004 <br />!'~ 1 7~ V lS <br />(~Vtn ~aj <br />F - FI SAL <br />rU~iL d iC ~LLCF~ILC rIYcl <br />NOTE: R~~d IrNtfuctltxw b~(or• cornpl~tlnp thl• Corm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANKYSts TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ c .: ~ L - _ <br /> REQUIREMENT <br />- <br /> , <br /> <br />- - ~ r SAMPLE <br />- <br /> MEASUREMENT <br /> <br /> PERMIT - :, i ! / <br /> REQUIREMENT <br /> <br />. SAMPLE <br />_ . ~ <br /> MEASUREMENT <br />. _ ~ PERMIT Y _ a ~ L / ~ <br />y : <br /> <br />REQUIREMENT <br />„ .. <br />. <br /> L -~ i ~. <br />., ~ _ SAMPLE <br />t i <br /> <br />t: MEASUREMENT <br /> PERMIT :~,t_ ? ., :~(.[~ ~tr!i <br /> REQUIREMENT {~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~: ;~%z ~ ~ ~ _ .. <br /> REQUIREMENT <br />. <br />( <br />)': ~ <br /> , <br />: <br /> SAMPLE ~ <br />... ~: 'i i~ ~. <br />MEASUREMENT <br />y (_ PERMIT -...ilu-•. `:PUk' .;LY IT~T~` <br /> REQUIREMENT - .: j L Y lei X <br />~, _• SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT ,. ; _ ;, •~ <br />t_ .h <br />REQUIREMENT - <br />NAME/TITIE PRINCIPAL EXECUTNE OFFICER ' """` ° " p`""~ ° Lw lha lhN dtxvmenl .nd .u m.chmenb were TELEPHONE DATE <br />pnp.red under mf dlreelbn or wperelslon In nrcord.nR with . astern desl[ned <br />_ _ - to mun Ih.l qu.Nfled penonnei propeAl [.thee .nd e..lu.le IM Infnrm.tlon <br />fubmllted. e.fed on my Inquiry of Ute person or pe nom who rrun. <br />e the <br />t <br /> [ <br />as <br />ern. <br />er Ihtm pence dlrerll~ respotelbk for [.Uer1n[ the Infornutlon, Ue InforrrrtMn <br /> wbmilteel h. to the Anl of mT knowkel[e •nd belief, Iroe..mrnte. •nd rompkle. - <br /> 1 •m •..n th.l /hen .n sl[niflnnl pmdMn for wbmlt tln[ false Informubn, tiIONATVRE Of /RINCfiAI EXECUTIVE ~ `' <br />TYPED OR PRINTED Inriudln[ the pnealblutr of nne.nd Imprhmtmenl roe Arro.~n[ .Id.uotn OFFICER OR AUTHORIZED AGENT p' '~ NUMESER <br />CODE YEAR MO DAY <br />COMMENTS AND [Jlrlnnn r rvn yr r.... . ~..~r. ~ rvrw Iner er enee err eneerrsnenw n~rR7 <br />• .. .. , +::~1P• .~.4Eb'I I,C.C1iriJ~ 5LaJFC1 ':C CC&Dr~l Cr FF~%CF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. J ~ ~ ` <br />