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FERMITfEE NAME/ADDRESS (/1.!>i1J/ iteWry Nw.rLeeuron (/D(Qlw+wd <br />NAME <br />AGGRESS `~~n i:{`jJ <br />A DL ~% 0 ~~` <br />FAGIITY `~li?i NDR7H °~ 3:JUiH M1N~ <br />~~~ P AL_ I SAD r D ~ <br />~:r~nl I !S T WHI=R . ~.~ P _ <br />NAT10NA1 POLLUTANT dSCNAROE ELIMINATION SYSTEkI ((NPOESI <br />DISCHARGE MONITORING REPORT (OMR! <br />PERMIT NUMBER ascr+ARaE NuMeE>~ <br />MONITORING PERIOD <br />YEAR MO DAY Y AR MO OAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040.0004 <br />NOTE: Rssd Irlstructlorls bs/ws complsthlp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREOOFENCr <br />ANALrs1s <br />SAMPLE <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br />I ~ , ; lyi ii•' <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT ; •,_, ;':~~., !';;:.. ~..., <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REOUIREMENT _ <br /> SAMPLE <br />MEASUREMENT <br /> <br /> <br />. PERMIT <br />REQUIREMENT - ,, <br />, . ~ <br />~ • • <br /> S A MPIE <br />MEASUREMENT <br />, ~-•~ <br /> <br />rL l PERMIT <br />REQUIREMENT :`,QTR AVi <br />_,: ;? Y I~€' t i~1 t <br />-- <br />' SAMPLE <br />MEASUREMENT <br />. >. _ _ . ~._ <br />.. . . <br /> <br /> PERMIT <br />REQUIREMENT ~, ,, .y. _ _. <br /> , <br />TIVE OFFICER <br />C ' """r ° " a""~ ° '"'h"'~ y ~O`°"""""d'n .11.cn mtnu ant TELEPHONE DATE <br />U <br />NAME/TiTLE PRINCIPAL EXE <br /> <br />- PRP.RA YIItIK m) Air,c1{o11 O/ fY~e. 111 °rtord°t1c't .Ilh . fT]1em CdL11tA <br />Ie °f111rt Ihtl qu.Mned Personnti Pr°ger17 LHMr ^nd e•.lu.le 1111 In(ermtlloll <br />.°lm1t11E. e.tte °" m~ 1"qulry o(111e Person er Pertpu who mu1.Le 1ht Iy>,1em, <br />or Ihoet prrsela dl rectli mpolMbk for LstherlrlL the InfornuUon, 1111 InrormaUon <br /> <br />-~ ~ , <br />~ , `~ <br /> <br /> <br />-J .' <br />.~ <br /> <br />~ <br /> <br /> <br />_ <br />. <br />- wlbmllled k. b the bat or m~ twewMALt end heMef, Irve, .[cunle. end tomPlelt. UTI <br />* <br />1 ''-~. • <br />TYPED ~ PRWTED 1 em e.ert Ih°11hen ere>IL111nc.11t Penslt{es ter wlhmllnnL r.6e Informelbn, <br />InA1M1nL 1hr powlbinlr or nne end Iwryrlsonmenl for Lnowlnl •IdeUerl>. VE <br />iIONATURE OF FRINClFAI EXEC <br />OFFICER OA AUTHORIZED AGENT A A <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rs/srsnci s/l srricnmsnta nsnl ~ TOTAL rsUSP)<NDED <br />Tt•iS ~~ a -1-p;rrt form <br />EPA Form 3320-1 (Rev 3/99) Previous edRrons may be used <br />