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I'ERMITTEE NAME/ADDRESS pneirlrFaefMryNwa/Loeatow IJD(Qirenr)
<br />NAME TI~~iI~P/=~. I"III~IE~U: I~f;.
<br />ADDRESS TF2~11'i'III~ I"1I111~
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<br />ATTI~I: ~AYI"Il~l}II} U. ;I?U ~30IS, F'~':~~0(3t°'1
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<br />Form Approved.
<br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM //NPDES/ OMB No. 2040-0004
<br />DISCHARGE MONITORING REPORT /DA4R/ (+~ I S~".Qit
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<br />PERMIT NUMBER DISCHMOE NUMBER ~ "` 1= I #Y/°il.. ~d~~T
<br />['QIVI? ~g Tt3 U7~ 04UL.0:1°!
<br />MONITORING PERIOD
<br />FROM Y ` D `. TO YFAR ~ D Y iE.#;•~• i'~IC1 I3I~~• CI~ARU~ ~'#'~' `
<br />NOTE: R~~d Instructlora b~for~ compbtin9 this form. +I
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO,
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<br />EX FREQUENCY
<br />of SAMPLE
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<br />TYPE
<br /> ANALYSIS
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br /> SAMPLE ''t' ..R. ' ~ ~
<br /> MEASUREMENT
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<br />SUS~'~I~iD~D MEASUREMENT
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<br /> MEASUREMENT
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<br />L.Uk~=•i~ T ~I~CD~a~a Vr`=r1...~! RE(lUIREMENT •' 35~#~~~ ;.34T
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<br />( ~4S ~~) MEASUREMENT / ~ `
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<br /> SAMPLE • ~ 3r •K#: •~••~••~• :~••1t•ti• •AriE•9iy3': •~••a• ,~
<br /> MEASUREM NT
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<br />U 35~3~ I U U : PERMIT -~: #iI.3z• ~; .: ~i -tt- r t ~
<br />~F'i= LU~4~T f~~a~'t8~ V~~! U It~t3UtREMENt •I~~••~••'.~ I h~57' 1"lAX I''f~'/L. +~ ENl'
<br />I- ~ s a.l~ t, 1 SAMPLE ~•H-#r •~. ~,.. •r: sx
<br />~"HRU 'i"~~ATC~~RiT PLAN MEASUREMENT
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<br />50U5U $ U U i?ERMIT - . R r#•sf••It•
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<br />s::1='€=1r~i'II!'dT 0:F2OS~ ~l~L.U REat11REMEN'C 3017A ~A~Ju L~ATLY X I~3G7J sx•:~•#~
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<br />U I ~~l7Le'41ET, MEASUREMENT
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<br />?U~9~ 1 U U PERMIT ~' •~•3i•#• - ,
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<br />~~r~l_U~I'vi LY~Q~a ~1~1.U ,REDUIR~MENT_ ~ #~38# ~ =~Si.?~?:~ AVi~ 3.7t~,IE..`Y I"1:X ABU/L
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 ttrluy u er pena ly o law that thb dotvmenl and dl alta[1lmenb were
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<br />1 am aware That then are sl~nlllunt pendtln for submlltln
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<br />COMMENTS AND EXPIANA I ivN yr nn r v rv1.N 1 wrva I/f~nrmc~ sn •aacnmrnra n~i~/
<br />TSS F,~ T(J-1':~t~ I~Ofd Laf`~~' i'~ WILL ICE iiJ,~I~l~Ir+, gy S~TTI..~'t~F3L. =C3L..I~}~ L_?'i"fI~' l~Pl'LI~O ~'OF2 t=1?~~l~, 2~•-•Ift PF2IIC;IP ~V~f~ST-
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<br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. ~~ i ~,g~~~g~~,-~f'®np• PAGE ~OF
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