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pERMITTEE NAME/ADDRESS pweL/rF~rrbryNrnvLoe~rronl/D~.rsnr)
<br />NAME ~-) =:sfi~l~~ #•'i.a#~#~«~'.7s L.fi_C
<br />AOORESS cA?~3S~C3Fti#~3 '.,:~'~#~ tie S~#_#%i G#~#•; 1'~:#.i~l.E
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<br />FACILITY ~f~~~L«.!F?~1 rr~?1>4. ~,t ~:.Li~ ~:t~,#-; t`''#S#''~~~'
<br />LOCATIONJ~#"d~'ir7ar."_ i~ ''--~i•~ ~ •`-k ~~r
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<br />Form Approved.
<br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM /INPDESI OMB No. 2040-0004*
<br />DISCHARGE MONITORING REPORT (DMR) (~# • h.#Cl#~
<br />PERMIT NUMBER wscNAROE NUMBER i° --~ f •' I. #~~!:~?__ ~{
<br />~~.l LJ^~#"fii-'l ~4 :~t~ ~~} a"{.-`. Div f~~~#''\
<br />MONITORING PERIOD _
<br />FROM YEAR M t, DAY TO YEAR Q DRY 3i-•t= r. #'~#I;J I .i `=pis#-3t1#?~~ # ,)(i i:?~~ ~•
<br />NOTE: Reid Instructloru before compbtir-y this form.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO.
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<br />EX FREQUENCY
<br />of SAMPLE
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<br />TYPE
<br /> ANarsls
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />th SAMPLE 3::.;.r~-, -;: ~~-•r: -~_ ~; -. f>>~Yr•Y .r. w.
<br /> MEASUREMENT
<br />::7D`~~=Mi~, ~ i. t.? fJ :PERMIT f •k •kri• b. ~ -a.. *- .. ~ . _ ,.:+.
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<br />`,a Li;"sf~ ~#":#:; CC1 MEASUREMENT
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<br />SAMPLE fiT.''R• SS"R'.h 7C>C'ri x.V. '}[' !' :.; i n''Y, L L. .• '.
<br />'. ;„~• ~`~ r MEASUREMENT
<br />} 1 ^~# .5 .. ~;~ ~:: F''~RMIT - -~' # ~:- ~.. ~ 1. LDS ~-
<br />A~~•I"#_~~J•~:#V?" f~!?CJar~~ i~fiz.(.+.~ .REtiUiREMENT<
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<br />~ •~:~•~'••~'• ~~OL1~l f',V~~ t7F;Il_.Y P1X ;..'}~I.~~1_ h}C7PiT~
<br />..J. ..... .~, ,. +~r~: ~: d i-.,`_-)•~ SAMPLE ., , 7-: .. . ~ M.. .n.•A: -R•7t' :`• Ye- ~• r:--f: i:••A :r ~ _. .
<br />• MEASUREMENT
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<br />`PERMIT` .. h.. •~..: •:~- fl: i'- it ~.~~-. ..µ - - _k I ...
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<br />~4: i.1~e~1 :l. i.) ~~~ >PERMIT ` ,t ~ r; -ir# •K• •~ •~- •a ~ r•~ ~~.#.•3i• t,:
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<br />,..~,_ ..r, P S: f~=4. SAMPLE ~ "- ;; „ . .~. •:i.n-tr . ~ ,;
<br />:} ~'~~;(31_V~:Tj MEASUREMENT
<br />-ja;~~ ~'S i ~1 r` PERMIT:: .1?.•a•3i t< .,
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' "~"r ° er pena ty o Ir.w mu th
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<br />ared under m h document end ~u utsehmenu were
<br />ervlslon In ~ccordanee with s s>>ttem dniEned TELEPHONE DATE
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<br />to mart thsl qu~HOed personnel proped~pther sod ewluNe the Information
<br />aubmltled. bead on m~ Inquiry or the person or persoro who mana`e the system,
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<br />• or those penoro dlreetly resporW bk for ptherln~ the Infotmatlon, the Information _ ~f
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<br />' ' submitted b. to the best of my knowkd~e and belief, true, acavnte, and aromplete.
<br />~ 810NATURE OF PRINgPAI EXECUTIVE J
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<br />~1 1 nm rrwsre that there sre slEnlllunt penaltles for submlltlnE fsbe Inroimstlon,
<br />TYPED OR PRINTED Ineludlnt the poalbllity or ene trod ImpAaonmenl for knowin`.idatbin. OFFICER OR AUTHORIZED AOENT CODE NUMBER YEAR MO DAY .
<br />CO~11MMgEq--~~NTS AND EXPLANATION OF ANY VIOLATIONS IRe%rence s// ettechments herd
<br />s.7 i:i h.i ~ ~.•. "", s w i t r 1 h • T t ' "!',' t=! ~. ~. ~ '-~"• ~ ..... r'~ ~ .,. .
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<br />EPA Form 3320.1 (Rev. 3199) Previous editions maybe used. . w '3 t~" 8+4 rlTl, PAGE OF
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