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PERMITTEE NAME/ADDRESS (1waYJrirlhryNw/Leeulon yD(QietnrJ NATIONAL POLLUTANT aSCHAROE ELIMINATION Sv3TEM /INPOES) <br />NAME DISCHARGE MONITORING REPORT /OMR1 <br /> <br />ADDRESS. f Oyu.. .~ _...:, ~ ~~v 1+' ,~. <br />. <br />A <br />`l j PERMIT NUMBER ascHArloE NuMeEn <br />. e <br />~ `G <br />~ <br />1 <br />~+ ~ ~ L ~ - MONITORING PERIOD <br />FACILITY 5 i L'• G NU h'S ii ~; ,; G U 1 H M 1 ~+ t .. YEAR MO DAY YEAR MO DAY <br />LOCATION F A L i ~ n G t r _ ,. C O y ,. _ FROM TO <br />Form Approved <br />OMB No 2040-000G <br /> <br />l - t1nnL <br />_~~ . <br />NOTE: R~~d Imtrvctiaw b~tori ~o-3npl~tinp this fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX R+EOUENCV <br />of SAMPLE <br /> <br />TYPE <br /> ANKVSts <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br />' PERMIT .. ..~r ~ ri ~ i .. i Y :~ u .a - <br /> REQUIREMENT ~, , . <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />T <br /> REQUIREMEN <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER ' `en~ry . r Pen. y o i.. ma Ih <br />Prep.red under rn~ direrllon or wpe l. e«uR,t.l .,re .u ac.enm <br />reNlon In .ccord.nce vlth ^ e.~a at. <br />f)etem deltned TELEPHONE DATE <br /> to cart Ihd qudlM1ed Ptrtonnei P~H7 tether •nd erdude the Infornrlbn <br />} wl6mllled. bred on m~ Inqulr~ of dx Perton tK Pertonn who rtuneRt IM tnlrm. <br />- or Ihtele pertone dlrecll~ retyored ble for (.iherln~ lht Inforwullew. the Infornullo. <br />` <br />-~- wbMlled b. to the bell of m~ know4EEe •nd beMef. Irve, .[ru nle, •nd ro~nPlele. <br />11f1t.n1 <br />I •T .were ud there •R e1 <br />eneltlef for .,,b.,ndn <br />abt Infe <br />d <br />n 6IONA TUBE Of PRINCI-Al EXE CUTINE ~ ~ ' <br />TYPED ~ PR~~p p <br />P <br />i <br />rnr <br />e <br />. <br />lneirwlrK the potdbluly or ~~t.ne 1rnPntonmenl ror -rro.In~ .Id.Uorea OFFICER OR AUTHORIZED AoENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRd~r~nc• dl ~ttichm~ntt h~r~l <br />EPA Form 332p-1 (Rev. 3/99) Previous edRions may be used. TI11S IS a S-Pat1 jp~Til. PAGE OF <br />