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PERMITTEE NAME/ADDRESS pr~,/rF.nHryNa~w/Lsealtat 1/DlQlrrs,er) <br />NAME T~dc~~'I'~Fd P'i~iV~tVG, $I~C. <br />ADDRESS Tft~ii'~'~~2 i~~N~ <br />P. Q. SOX ~ ~7 <br />Ci~l~~f7 CC1 ~3~.62b <br />FACILITY 'T~~IPF'ER !`1~idE <br />~ocATaN ~ ~ ~ ~ G ~ ~ 8 :~ b? ~ <br />~'•~TTiti: I~c^,Yi"1ClN~D t3. DU S~1~~5, $'~'~SIGi'1 <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT (D~RI <br />CDO~3~~'~ 1 S f)OI ,A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY Y R MO DAY <br />FROM TO G <br />Form Approved. <br />OMB No. 2040-0004 <br />~ z nl©i~ <br />f S~JBR ,.JC ~ <br />f'i~f~~fl ~ ~ tJ ~"© ,.ft7s-iPISU~! ~43L.Ch9 . <br />~~~•~ i~iC3 ~1~Sfii-f~~G~ i_~! a~•'~~' <br />NOTE: R~~d Il»tfuctlons b~fw~ compl~tif-p this twm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np, <br /> <br />E <br />X FREOVENCV <br />OF SAMPLE <br /> <br />TYPE <br /> ANAIV~s <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />G:I; i,. ~itil~J CRE,~SE SAMPLE <br />U ~••-•': ~••~.t••~• f 9 ~•) ~: ~•~'~'•~'# •iF••t •1~••t~•,t# •!?•:~r#~`:i•#•k• '~' l~ 1~~` <br />~ I GJI~1L MEAS <br />REMENT V CJ V <br />~•~C)66 ~. f3 f? .PERMIT ###~##•tf• R~(]~)~~~ ''r ~~-'= 1 •;:~4•~#•#•# :i~•t#•~~# #~~#~~• ~:#~r .#f1r:,}r~, .f~r..-'(.~s-l <br />E'~'I..U~CdT CYdASsa W~OLi.I ftEQUIR@MENT' I iti~~T' h~~X i~liri-t7 ~#~ ~ 1~iim+l'~i7!- <br /> SAMPLE <br /> MEASUREMENT <br /> >' PERMIT' _: <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> Rttf1ULREMENT <br />.. <br />. <br /> SAMPLE <br /> MEASUREMENT <br />. PERMIT <br /> FiEaU1REMEN7 <br />~~~ <br /> SAMPLE <br /> MEASUREMENT <br /> >>PERMIT`;;;; a,. <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> REt~UIi~EMEN'Y <br />........................ <br /> SAMPLE <br /> MEASUREMENT <br /> >:PERMtT <br /> Rea?U~A~M~Nr'; <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' txrotr u er pena tr o law that thK document and all attachmenb Overt <br /> <br />prtpared under m~ dlrtctlon or wperv6lon In aceordana with ~ spleen deai`ned <br />/ <br />) <br />TELEPHONE <br />DATE <br /> <br />~ <br />,2A <br />I <br />j <br />~ ~ <br />to aasurt That quaHRed personnel P~~7 [other and evaluate the Information <br />t <br />B <br />d <br />I <br />l <br />f th <br />b <br />i <br />d <br />h ~ <br />~ <br />~ <br />`~// <br />// <br />_ <br />, <br />~jI r t ~ ~ <br />! <br />e ase <br />on m~ <br />,pu <br />ry o <br />e person or penom w <br />m <br />t <br />e <br />. <br />o nunate the frslem, <br />an <br />or lhox persons dlrtctl~ rtspondbk for plherltq the In/ormalion, the Informaton /~ <br />`/` <br />~ <br />~ i <br />/Z~ <br />~ III <br />/~ <br />~ ` <br />~C , <br />p, ~ ~ ~d( ! ~ t'1( /~ , <br />G/ / I, e wbmlllyd la, to the Dnl of m~ knowkdHe and belief, trot, accunlq and arompkee. <br />th <br />l <br />dtl <br />e <br />h <br />dH <br />f <br />b <br />i <br />i <br />6l <br />I <br />f <br />EIONATURE OF PRINCIPAL EXECUTIVE ~~ ~~~^ <br />~~~ <br />~+` CJ / <br /> ~r <br />un <br />pen <br />1 am await T <br />al <br />en art s <br />n <br />or w <br />m <br />tt <br />x <br />n <br />n~ <br />ormation, <br />TYPED OR PRINTED Indudln` the poadblutr of ene and Imprbwnmenl for knowln~ vidatlats. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS ANO EXPLANATION OF ANY VIOLATIONS (R~l~r~nc~ tNl ittachm~nts h~r~) <br />TSB °w. T'O-f'l~ta ~RCts'~# LI~`iITS fn9~9_L. i`~~ i~wAitla i;3r ~• Ski"T'i....~t~,}~1..~ SEr1L.~~S @..~f~i?:T <br />SEA B(~r~~l~f~! 17F E'~OLl~ REQUZ~3EP'ii~l~!~"S Ui~i~d~hZ ~. !~. 2. TF~~ i"ilaN~T~RIRiG - ~ <br />~,PPLI~i~ ~°©Et •::~=?OY~t,~4hii~ ~'L~icCli~ ~tf~f~JT- <br />L. 2 <br />EPA Form 3320.1 (Rev. 3/99) Previous editions maybe used. QQ®3f~/®"Y.~(:Ir~r~~4-~}~Q-TITI. PAGE ~,OF <br />