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PERM(TTEE NAME/AGGRESS pweii/. frWryN../Lecrfew ~/D~Qb.wrJ NATIONAL POLLUTANT d5CHM0E ELIMINATION SYSTEM NPOES! <br />NAME DISCHARGE MONITORING REPORT (O R/ <br />ADDRESS <br />IiUX _. PERMIT NUMBER dscNAnoENUMeEn <br />c kSET MONITORING PERIOD <br />FAC0.fTY i3URN CF<t'. ~. LL..o-. ~.1~F'. iii!+: YEAR MO DAY YEAR MO DAY <br />LOCATION , 'R SET C' l ~ ~ - FROM TO ' <br />°tES T. COOPER. EXEC U. <br />Form Approved. <br />OMB No. 2040-0004 <br />C~,t_!' <br />'1=f''7T PQh7D TL7 SAI~I)3[SI <br />v <br />NOTE: Rud k»trticdor» b~iw~ compbtinp tMri form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np, EREOUENCV SAMPLE <br /> <br />EX of <br /> ANAtrsls TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - ..< w-. ~ ;. 3:##it y. C> ,'; r'I <br /> REQUIREMENT M1'hd1 Ml%r' !';: ;:•. i "?~./i i 1 :.-•:: i t <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .brit#-S•# K.~•~iF~:•'.i-:: #~#F•~•#•:~ ~..~ •:1 ~'::i:-.' <br /> REQUIREMENT . ~' ~?.~•'• ,, ."., DA i LY ; t`:!',: • ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT tt•~x-!<#it;t ##IFSf#•tt •#z !;; N. _P k 1 ."a.,k_ % _ <br /> REQUIREMENT <br /> SAMPLE <br />__ MEASUREMENT <br /> PERMIT ;:####i' #~'•#it•## s iI••tt~t•#~'~+ 35Gb itilill ", _' <br />_it' REQUIREMENT ;317DA l'i`.':; DAILY t'~ : f <br />~'` SAMPLE c <br /> MEASUREMENT <br /> PERMIT iF###•t. ~ ~##~#••IF# '-=it•#ti,: ##G#~E# f ~~ .I-iI'•i i ~I <br /> REQUIREMENT . ^ r~ i r'i r ; ~: . P: 7 <br /> SAMPLE <br />;;c.hl i !'i~:PJ ( N~ =• MEASUREMENT <br />_ 1 !'? 0 PERMIT REP,.!:: ~; _ - #####i': "d ._ -/ ' . . <br />..,- . ,' REQUIREMENT :_~=JiJF, ~•.,, , , ;.7-~'}.. <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT q . <br />aE~UIREMENT •. i~:~iT~ MAX <br />1 Rrtnf w r pen. 1) o law thu Nh dacumcnl .nd NI ^tlnchmenu wenr <br />NAME/TITLE PRINCIPAL EXECUTNE OFFlCER <br />TELEPHONE <br />DATE <br />Prep.red under m~ dlrtcl,on or,uprretelon In nccord.nn wlth..7ftemAdEnnd <br />_- to more IAN ~u~etled perwonet Properl7 LNAer .M eeNuNe the InformNlon <br />- aubmllled. lsed on my Inquiry of U,e Perwn or (Knorr who IIt•nite IM rystem, "' -- <br />~ <br />G tflOre Penonf direcllr respondEle for ENAer7rrE the Informrllon, Iht Informrlbn <br />i. ~ <br />~ ruhmllled b, to the heel of mr knowleEEe rnd betlef, trw, rtrv nle, rnd cotnpklr. ~' ~' ~ ~ ~ ' <br />~ ~ <~ 1 <br />• ~ t ^m.w..r uel Iner:.r<:lrNnnm Pendr,ee rcr .~Drrtiinnf htw Inrnrmtlton <br />eIONATirRE OF MINCI9AL EXECUTIVE <br />~IpEp OR PRINTED . <br />kKlur. ~r .n: p.ydMlllr r.! nr .~.; im;,rw,~„w-i r.., k„ .:-f .~M,uow pfF1CER OA AUTHORIZED AGENT CDpA NVMFIER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (RI/1/I/1C• 1~1J •K~chm~nn h~rel <br />- .. r. _ <br />This is a 4-~ art form. PAGE- OF <br />EPA Form 3320-t (Rev. 3/49) Previous edl*ons maybe used. •y ~ P <br />