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PERMRTEE NAME/ADDRESS (/naYJeFnelaryN~rvLoeoNow UUIQGr+n4 <br />NAME Ci;n~~~°~:. I~3't3`~i's3`dt~, 3~! :~ <br />ADDRESS sir>T~3I1~~.~# ~~%~~~. :~ L#~~+ ~~>~.9ti ~iI .-~.,.s <br />FACILITY ,"a `~?~~11s ~ 3'a 3"~3 ~,:. td 1•'s :'•t ~ f .. ",•`~. 4, ~ F'+, ~``) ~ 333" <br />LocAT1oN;~,.'r~"(.1`'~i;`3" C.t.t ~t~.~3.?.~ <br />NATIONAL POLLUTANT OISCHAROE ELIMINATON SYSTEM fNPOESI <br />DISCHARGE MONITORING REPORT /D RI <br />. PERMIT NUMBER ascHAROE Nt1MaER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM %} : ~. ~? ~~ 3 TO ~yf ; "t _~ t <br />1~3 ~ s~3 J~ <br />r <br />1_ yam'. pp f ; i~~[ i.... <br />Form Approved. <br />OMB No. 2040-0004 <br /> <br />NOTE. R~~d k»trut:titxa b~itx~ complytiny this Corm. <br />4"'; i t"1. 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's {...Y ~ A <br />9_~ f ?W~.,t ~3~3 ; ~.~T~~ z ~ `~f,~31_i.} AEt1UIREMENT <br />_ _.:. , •~-•>;•af•r- .~C~S3?~t f~~~: ~?~ I i_ Y' 1`~i X s i+-;-~ ~._ <br />ITLE PRINCIPAL EXECUTNE OFFICER ' «rtrty ~ er pens ty o Isw thrat Nb document ram dl dlsxhmmb were <br />t <br />l <br />ned <br />d <br />i <br />l <br />I <br />i <br />h TELEPHONE DATE <br />NAME/T ` <br />s sys <br />em <br />a <br />s <br />on <br />n oeeordr.nn w <br />t <br />prepared under my dlrectlon or wper. <br />I - <br />~ r ~ ( <br />. <br />, to tenure thtl qusHatd personnel Pr~~l Esther end ersluHe the Inrornutlon <br />saDmllled. assed on my inquiry of the person or person who nunsee the system, •^~ f <br />/ j~ ` ~ ~J is" <br />, <br />,, <br />. <br />ry_ .~ <br />~~ l' ~~~ ~ <br />~ the Inforrtwllon <br />oralbk for <br />stherlrr <br />the Informatlon <br />directl <br />res <br />th <br />s ~ <br />\ . r 1 ~~ J''-'J ! • l - -F"~~~ ' Y <br />~ ) <br />, ° <br />~ <br />. <br />- <br />, l ~ <br />,. ~ ( <br />r ` <br />' <br />v <br />1 ~ <br />! E <br />, <br />p <br />E <br />y <br />or <br />e person <br />o <br />suDmllted b, to the Dnt of my knowkd~e snd Dtaer, We, eccunte, and complete I ~`)~~ ,rx <br />~'C- ~ <br />/_ '. ~ p I . <br />d <br />., <br />f <br />/ <br />C ~( r <br />+1.: <br />` 1 r.m swsre thN Then en slEnlaunt penaltln for suDmltan` hhe lnrormstlon, ~IONATURE OF PRINCIPAL XECUT <br />VE A A <br />N <br />DAY <br />TYPED OR PRINTED ~ IncluelnttheposslDllltyorarserrnd.lmprlsonmentforknowln~.idatbin. ~ ~ OFFICER OR AUTHORIZED AOENT CODE UMEIER YEAR MO <br />COMMENTS ANO EXPLANATION OF ANY vlc~~A I IvNS Irrt-7~nrnc~ sn ~Ricnm~nra n~r~i <br />' <br /> <br />.. ,_ <br />-!`~:-i ?_ }t1 `lat.. I~~3'°! 3....1;1'1:1"3•S ~J1l..t_ ~~~ 4J{~,;~4'}. ?3, H3V%:I i'.i~`~'";~l~r ..~~~ '(i1~ L_I`l'i" ~3~;-'i..~~=T' i~t.3k~: ~.+.~.,`i°,', i-'r(.(-! j ~,nrf.;~;. i-t<I~l~lr <br />; <br />~~..I..~.{ <br />'~~'~:,33_;~ ~1.~3._ ~uti F_1:3"1I `3' 3°7,~Y GE 4nlo'r7'4~'[:~ ~ #_?3~: ~ 2~3Y3~'.,~-~.F•tr-'s;~ t•'>•'1~3i3~• :,:~~ s . r?. ~ , r1 r' '3• ~, : ,rJL? :.r. ;~:...t. r° . r F~ I~ r~,~l"2C~ <br /> ? ~;.. <br />. .. <br />.~. <br />-l"(3L.• rii A+ -rrt- T' ,-. "o- - _ ~ .. / ~ 7 ~ ~ <br />. ... .- :.~ ~- n 1` <br />'1e <br />`' <br />' , f -• - ~:. ,~ <br />8-t4=~~KE.€ <br />~T(-l <br />r~~ <br />1~ <br />~ ..».h ... _j-t ._ ..:. ~j <br />PAGE ~OF <br />3/99) Previous editions maybe used. <br />R 1,,4. <br />.Jr <br />; <br />~ . , <br />. <br />,.1 <br />. <br />j <br />ev. <br />EPA Form 3320-1 ( <br />