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PERMITTEE NAME/ADDRESS (/wrrtirlrierWryN.w/[«aron I/D~QGrrnr). <br />NAME CiX~;CJ~iil b''I~}'~:%I'.3~:~ ~....? k:: <br />ADDRESS ~iAi'~f~fi~E <br />'~ <br />~ <br />J (~~~: ~e :!yt..~ ~~:~~'}^ i`'Th~f <br />v <br />~ <br />n <br />I"• .- <br />t"~ . . <br />C <br />3 i <br />. <br />3 <br />~k <br />~ ~"i ~ ~:3 <br />gg <br />-- <br />11 <br />~~ <br />--yy t <br />+ <br />~- ,n q <br />FACILITY ;as'~Iv~~~l's G~iF'~ 4a :k:~~` ~.;~t~ IyTt~i.~wi <br />LOCATION ~;~j i~3S ~..~".. i `, it s~ ~. is :~~' <br />?~`I"TAo: '..1~:Cr~~~; T. t`<<L`ti~ t'~-;~J ~X~L v'. P. <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM NPDES/ <br />DISCHARGE MONITORING REPORT /D RI <br />PERMIT NUMBER ascNAROE NuMeER <br />MONITORING PERIOD <br />YEA MO DAY YE R MO DAY . <br />FROM '~.+ % ~. ~ t_t .3. TO ~. _ ... _ . <br />Form Approved. <br />OMB No. 2040-0004, <br />I`9 Z to!(~~S <br />i)C.#.)~, iy..:-.~Sf:t t-''I-,I~~a:' f~ lr'.:y,~'`4 i~~~A":.~`. ~`'v <br />•~:'ii {i 1''~iJ =t .r yit_ !'I.i3.l*; f~.f- S ,,9. _) •tc.y..l <br />NOTE: Reed 11»trucNor» before compl~tinq thie form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FRECUENCr SAMPLE <br /> OF <br /> EX ~NALYSI3 TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />~.) t I_ I~l'v:C) {ti ~IrsGi~ SAMPLE . 3: •>:•-~•1•K: ( ~~•~ 1 3~••i`3:: 3: }.~•!c ?: -t.••i• :~••ft•is- -~: •f•.,.: #•;. •z: <br />`~' ~'al~3i'tl~. MEASUREMENT <br />h~~'-'•U:`~b ;?. i} ~ ``PERMIT > ##i~•#••k•><• R~PCI -1" ~Ga.-s. ~+~#~~'r3~• ~ti+~~is-i. •F- 3r##'#~#•i; -ii••k ~• JI'JC.k=/ I,~tJr~L <br />:~I''~s=;_~l~==f41i' `~f~r~`.=,;= V~~~.~_-" REQUIREMENY I;`l~7 ~1AX i~[:1=CI ~•t~:~~` #'~t~SiVl", <br /> SAMPLE <br /> MEASUREMENT <br /> ;Pt;RMIT <br /> FiEQ111REMENT <br /> SAMPLE <br /> MEASUREMENT <br /> rPERMIT ; <br /> REaUIREMENT< <br />_,, ,: , .: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REt1U1REMEN`f <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> AtiCIUIREMENT>s <br /> SAMPLE <br /> MEASUREMENT <br /> _ ___ <br />PERMIT '' <br /> AE(IUIRI:MEN'C <br />... _ . <br />_... <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> f'.ERMIT ;• <br /> A~at/IREMENT>~ <br />: <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER r «n~~y u er pen, y o law thN lhb dowrncnt e~ dl stachmenb were <br /> <br />prepared under my dlrectlon or supervMon in ~acord~na with ~ system desi`ned <br />TELEPHON <br />E <br />DATE <br />/n ~ <br />J C 447°~~ ~ . ~~~ to more that. queHfled personnel PmPe~l Pty and er~Wste the Inrormelion <br />submllted <br />S <br />sh on m <br />In <br />ui <br />of the <br />erson <br />r <br />h <br />h <br /> <br />_. <br />` "`."'" ' I <br />~ ~' <br />~ ' . <br />a <br />y <br />q <br />ry <br />p <br />o <br />penoro w <br />o nunnee t <br />e system. <br />h <br />dl <br />i y <br />s 4% <br />~ <br />~ <br />) <br />~ / <br />' <br />/ or t <br />ose penom <br />recty respom <br />bk for ptherlrt` the Inrormstlon, the Inrormstlon ' <br />{ I %w~J /~ - + <br />, ~ + r ,//~ <br />~ <br />/ <br />X~~ t/ . ,( <br />r ~~,,~~~ ~ <br />j submitted Is, to the best of my knowkd~e sad betlef, tree, sccurale, and compkte. / l ~L~ ~~{ /' -~ 1 ~ ~ ©~ ~ ~ /,. <br />~.-- <br />J 1 nm swore thsl (here are slEnlllnnt pemltin for submltNn~ h6e Informstlon, I 81ONATVRE OF PRIN AL EXECUTIVE <br />TYPED OR PRINTED Ineludln~ the ponlDility of ene sad Imprlxnmenl for knowln~ rldeUom. OFFICER OR AUT1tORiZEO AGENT A A <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND E1~rv-Ir~ I ran yr nn r v tv~h t terra Irrererence ai eaecnmenrs Wesel <br />T~~ °: l"L7'~~~I,- 7:F2i'JC°~' l...It"i:l"~" a t~1T1....1~ II~ WAI'M`~t~: A3~#~+ ~f:~._I"t_ ~c~?L~ ;:.i~:.~!_.IL.r:~ €_C~`s'~ AC'fi~~.~3w~: t~t:.)F? ~:~==I C?'Y'~tJ ?~}'{-f~i t~'t"~I~~:J <br /> ~'~~' ~::~~i~iT'f <br />.r-.rl~•'"t '~'` ~:.r~l.:i4_L ti`~iCiL. Z Ll.^a 4...' fi~ }: ~" i~tt~h'~" ~1~: In3fjl t1F.~' t= €~~ ..~ ii~'~ 4'f:;, r?~~•€-i?~ ~.V:_t'/'t"-'-~.?~ I.~ €:. ~'4 :; J ~€~ ~•-~",' J~P'•I~+ <br /> ~ . /=~. ~ , r~+. :~; ="i..~t~# f'w' ~~f"tt+€?'~. <br />'V •.J J._. C. .i 1 "t4 ~. w..'~. .S.t. !"i 'V ..J ILrt7I R'~t..,'•~•• ~.•....1 'L...'l+ 9Y <br />EPA Form 3320-1 (Rev. 3/98) Previous editions maybe used. /• T,~J;L1elS.ts:3,4-r„ran- fpiltl. ~ /CG r F <br />i:lJ~"-`il(~l S..i T`...tY'•..ticJ_S:~'~.1'-.' ~ <br />