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PERMfTTEE NAME/ADDRESS (In.eLir ieWryNr./Lor.now (/D~Qbnwv) NATIONAL VOILUTANT DISCNAAOE E1IMINATION Sr9TEM (/NPOE$l <br />NAME DISCHARGE MONITORING REPORT /OMRI <br />ADDfiESS ' <br />[iOX J: PERMIT NUMBER asc-+AnoENUMSEn <br />c'F2SE1' MONITORING PERIOD <br />FACILm i_ORM CRU, y~ l^~r ~Ki~, Mliv`: <br />YEAR MO DAY YEAR MO DAY <br />LOGTION r`~ ~ ET C C' FROM TO ' <br />9FR T C:fi(iPFR. FXF(' V <br />Form Approved <br />OMB No. 2040-0004 <br />r -. ~,- <br />F - F I (•IAL r <br />Rt 1t`iCIF'r ~"~:.f ;~ r ! 3RD! Gt#f~~i~(t SOt'a R . <br />l <br />NOTE: R~~d Irntructlaw b~flx~ compbti~p thb fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, <br /> <br />EX FREQUENCY <br />of SAMPLE <br /> <br />TYPE <br /> ANAIrsIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - ~ ..-. ;i .i #;, ~ -rtx~~#,~~a R. [1 ...,IC.E~, <br />- I{.~~_,I r <br />• REQUIREMENT !'<I(4I(`il;Pl (^.r'~ 7!"It_~'°'' ilt7l,~i <br />t._ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - .. '• -r ~#~-fix ~#-tt•##~r .i... i U <br /> REQUIREMENT _ `.Jl.i.'t r'=` _ L: r~'•. I <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##•It#~1•# #i~•#•tt•## ,. •it•##•fF#•:+ 1' F? PI I~•it.::. - ;s .K <br /> REOUIREMENT ~4ilr'~ f~V `J'; ~4i I {_'V ~ f, <br /> SAMPLE <br />-t _ MEASUREMENT <br />~~ c I PERMIT :i =~ ###-1t <. -_ o--;Z•~!•3E~ ~ .- s: -., ~r#it ,3(~c:>v -,!'~'. `,•... ~,;: r=Lf <br />-: REOUIREMENT ;3(JC'F~ r~ . _.' ; (~ <br />~f•- _ SAMPLE <br /> MEASUREMENT <br />= PERMIT ~ r' is ': ### :~ i::i # ## i~~~ #### ! ~- :'=1Pd' ~ _ <br /> REOUIREMENT .; i ;-j.":!1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT f?EPORT REf'OP,T ., -, dt :r ~. ,. ,. j. <br /> REQUIREMENT aUr1 A`J,:, Grtif_Y ~ iX _ <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT ~.... ~ ~._:, .,. ;; „ ~ 8r r :~ ~ ~ _ . <br />REQUIREMENT i:~T ^Y~ <br />ME/'TITLE PRINCIPAL EXECUTIVE OFFICER t fe^"r a er pen. t~ o I.w lAa lhh do[vmenl .nd .II.1t.chmenU were TELEPHONE DATE <br />prep.teE under ink dlrecllon or wper+4yon In .crord.nn .Ith . s~rlem ddtned <br />NA <br />to mare thN qu.Mfled penonnei properll t.tMr raid e..lu.te IM Inform.tbn _ <br />• wtbmllted <br />Bred rn m~ Ingalr7 of tM pereon or ptnoro wM m.n.te lM sr.lern <br />~ ' <br />, _ <br />. <br />1 . <br />or those prnom dfrecty nnpo,MtNe for ptherlnt the Inform.Uen, tM Infnrm.tlon ' <br />/~ <br />j ~- abmllted !+, b the bnt of m7 lnow4dte .nd btlfef, trw, .rcu nlr, .nd avmplete. i <br />• ~ ~ <br />I iIONATVItE OF -RINCI/Al ~EXECIlTIVE <br />l <br />lfk <br />t <br />l <br />r ~ I <br /> tn <br />.. <br />1 .m...re tl..t tMre .re s <br />pen. <br />tla far wbn <br />tdnt r.he Inrornutfon, <br />TYPED ~ PRgVTED InrludlntlMpa.dDlllt~Mflne.ndimprlsonmrntfor-nowlnt.lol.tlon. OFFtCEN OR AUTHORIZED AaE!(T CODE NUMEiER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /R~%r~nc~ d/ •tt~cArn~nta h~r~/ <br />~ I. <br />EPA Form 3320-1 (Rev. ~) Pm`~ous editions may be used- TIllS lS 3 4-pal't (OfTtl. PAf3E Of <br />