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PERMITTEE NAME/ADDRESS pwr-.irF«WryNw/L«Nf°w (/D(QG.wrQ NATIONAL f OlltlTANT dSCHAROE ELIMINATION SYSTE7N NPOESI <br />NAME DISCHARGE MONITORING REPORT ID Rl <br />ADDRESS _ _ ~ -. _ <br />• ~O it 14 ~ PERMIT NUMBER ascHAROE N~MeEA <br />' ~ A ~ ° - MONITORING PERIOD <br />FACILfTY ~ 1 !] ,y v i; i n c., ~ L i ;-: ~ 1 t :. ~ YEAR MO DAY YEAR MO DAY <br />LOCATION ~ A i I v, li L L U l:. FROM TO _ <br />;Ty n; r _ irrr.;.t~ti_ v_v_ <br />^orm Approved <br />Done rvo zoao-oooa <br />C - 71nwL <br />E~leC cs IC CCLIJbA~:C aIVEh <br />-~` / <br />_~ <br />NOTE: Reed Imtnrctltxw beftxe L~omplet{np thle form. <br />PARAMETER QUANTITY OR LOADING pUALITY OR CONCENTRATION PJO, FftEOUENCr SAMPLE <br /> of <br /> EX ANAtrsts TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ( I <br /> MEASUREMENT <br /> PERMIT t i= L i~ -: t r _ :. :.: '~ ; .::. R . <br /> REQUIREMENT <br /> t~ r. Y <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFlCER ' "lt'1) ° " a"' Ir ° Lw leel U h dncvme"l elld dl "ISCnrnenn .."` TELEPHONE DATE <br /> prep.nrd undrr mr dlretllon or sup mhlon In eRCOrd.rre wllh . e7stem del~ned <br />__ to Ie811I! IhN qusMfled personnel proptrlr t.lhrr sod er vusle IM Infnrenallon <br /> eolmltlee. 6~ed on m~ Inquiry of uK person or penone who rruns6e the r7stem, <br /> or Ihose penore dlrMl( rvpomlhk for Eslherl~ the Informallow, the Inform.llon ~ . <br /> abmllled ht 10 the Eet or mJ LnorrW~e .nd leMrf, Irve, sccvnle, .rd tvmpbrle. <br />~ <br /> I .T .w.R Ih.t Ihere sre f1EnlM1c.n1 pensltb for wemlronE hbe Inform.Uon t10NATVRE Of -R1NCt-AL EXECtJTTVE " <br /> , <br />I <br />d <br />TYPED OR Pa1NTED n <br />udln~ the poidblllly orfl~e.na fmprlsonmenl forltlw.ln~ .lolauolu OffICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION vr• l-nT vwl.n I Ives Irrtdermc• M errecnmenra nerel <br />1. ... ..,_ ~' _. ..re _. <br />EPA Form 3320-1 (Rev 3/991 Prerious editions may be used. <br />i <br />TITis is a ~-pan form PAGE OF <br />