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PERMITTEE NAME/ADDRfSS nw~i FwrtbyNw/Lerrtaw (/D(Qirwer) NATIONAL POLLUTANT gSCHMOE ELIMINATION SYSTEM NPDESI <br />NAME DISCHARGE MONITORIN4 REPORT /D R) <br />AGGRESS . <br />BOX PERMIT NUMBER gscNAnoENUMeE>. <br />~"'~`'~T MONITORING PERIOD <br />FACILITY i,ORN CF~~', f•: t=~4. CNi", rill+~: YEAR MO DAY YEAR MO DAY <br />LOCJITION :_F2:;E7 Ci- FROM TO <br />•'~ES r. coo~~~, EXEC V <br />Form Approved. <br />OMB tJo. 2040-0004 <br />lst <br />;FI'i I. i=iEi•J i P~)(`~IG To EI_;n %i <br />- ~, <br />NOTE: Rssd It+struetiats bsiors complsdnp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION PIQ, <br /> <br />EX FREQUENCY <br />or SAMPLE <br /> <br />TYPE <br /> ANAtrsts <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />- PERMIT ,r #•#-k-it# 'lost:: ; ._, ~. - .>###+~ 9. C} i'dc.;I~ <br /> REQUIREMENT !"EItJ: f•i'.;;` MAXIMUM f'?04`~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #ir•st#~~# #itFi;•-~i: ^ ~'f~a _ _. , <br /> REQUIREMENT lick 1:.. ~ i'i?. '''ii_:.•.: ' ; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r • . .aa# ###~•~# - :~ . .. ~.-!•.< ,- n' F< ~ R ll•J `r . . <br /> REQUIREMENT ~<'; ta`.J1 C~1Ii_.Y !~~{ -'13~,•.i <br /> SAMPLE <br /> MEASUREMENT <br />' ~ PERMIT '+### ##fi•### -?~•### ~;::%QQ r,00t~ hdG 1 ~ ' Aci <br /> REQUIREMENT 1 i~3r~ !-~,'. DF'i 1 L1` h3k htL?P~IT <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT #•~1 #### it ~ i•## -:f#•~-~•~`k# j t7 T <br /> REQUIREMENT It•J=;1- ~, ',~~FiT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT RE€ gEFrJRT #i?~###~• , -.i :. <br />- - .. , <br /> REQUIREMENT {~f,~;=•. , ILA' i"!?C ' ; <br />t <br />_ ,-~ :'.~ SAMPLE - <br /> MEASUREMENT <br />PERMIT si•##-]; st : tr a~;: ni: 'i -. .. , ; <br />-~ <br />REQUIREMENT I I~lS T f'tFa X <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER ' "^"Y ° ` ve""f ° •- Ihet Uh docvmenl .nd .11 ^tleuhmrnu .ere TELEPHONE DATE <br />prepared under m~ dl recllon er nuper+4~on In nccoedence nllh . f)ttten dd~ned <br />In anYre lhn ~ueillf{ed perwnnel propeA) ~alher urd ee.lYele IM In/onerllon <br />-~ tYDmltled. bred on m~ InQYIr~ of the ptno" a pengr .ho m.ngt the ertem, - <br />or thole pen°rs dlrecll~ retporvlAk for (alhrrln~ lht In(oren.tlon, the Inrorelrlbn -" ~ - - ~ -. /,. <br />~'-- wf>mltled b. w the Eot of m~ kne+kd~e end Delver, IrYe, eccunle, .nd complete. 1 ~ ,,' = ~ -. <br />thtl tnrre.re>r <br />YM1c,rnt <br />en.hles fa <br />fIONATUf1E OF -RINCIPAL EXECIJTTVE <br />1 .m <br />. <br />r <br />rYbmlln <br />f <br />be Inf <br />tl <br />~ ~ ~ / <br />~ p <br />p <br />. <br />. <br />e <br />r <br />nE <br />^ <br />orm. <br />on, <br />TypEp OR PRMITED IndYelnp Iht p"nlerolT of nne.ne ImpAaonmrnl ror tno.1"E .l°IeUpc^ OFFICER OA AUTHORIZED AGENT COOE NUMBER YEAR MD DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rsfsrsncs sd sttschm~nts hsrsl <br />EPA Form 3320-1 (Rev 399) Previous editions may be used- ~ T111S IS 8 ~-p8fi fOf1T1. PAGE OF <br />