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PERMITTEE NAME/AODRESSp.eMLF.rWgNw/Lxut°nl/D(Qi.ret) <br />NAME ~t)'~v?~ !~?~:~C?l.li~~;,i`::~' ~.,! i~?1'9'~!~ <br />ADDRESS~'~i;~ ~, ~ ipi~. ~ ~`i ~. ~a1= <br />FACILITY ~~i'U~I3*- i,l;'j, ~ id~~i~is:. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPOESI <br />DISCHARGE MONITORING REPORT /DMRI ~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM f37 k r i_? :'. TO 1:f ! 1. ~ ;~ ;l. <br />Form Approved. <br />OMB No. 2040-0004 <br />5i3; i~i~~~, T';~~.. ~ ~ u n~: tii~si°?7~ -r;a ~~ ; <br />NOTE: Raad Inatructiorta baiwa cotnplatin9 thta form. <br />~~I Ii~. "V .. L-f... .;-G-~1"z fS. ~.~.:. N'F1 R JI^T. :-1 .S 1 ~3 L:. kkY9 G'i <br />Np <br />FREOUENCV <br />SAMPLE <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION , of <br /> EX TYPE <br /> ANALY~s <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />~~#,.,. ~i~iF2 Cii'd1~P•~i~f.' SAMPLE •E~•i;-k~•s~..t !' ~'•'~3 :'~r:3:-~:. 'Yr-.`.~-x?::$•i:- iF?•-~i•3E:r.: <br /> MEASUREMENT <br />~ g ~~~~ <br />~4~~ ~ f~L? PERMIT ~;-,. .. s: ~ .. .. ~ .., <br />r <br />,..., ~ .... r <br /> <br />~.: <br />_;....~ <br /> <br /> <br />. . <br />.. _ <br />- ~'I_t)Fc6~'f' ~ t"1~"~ t I. -- REQUIREMENY' a :,~ ~ -1*-1~;~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT' :,:., <br /> REQUIREMENT <br />_.. . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REF1l11REMENT' <br /> SAMPLE <br /> MEASUREMENT <br /> .'..PERMIT <br /> pEC1UIREMEN7 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT `;' <br /> REt~UiREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ' PERMIT <br /> REaUIREMEN7 <br /> SAMPLE <br /> MEASUREMENT <br />~,.-- 'PERM17 <br />REt]UIREfNENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' Ge""y ° `Pe""~ ° l.w au tn <br />n or su <br />di <br />ti <br />d <br />d h document oa .n.nscnmertn were TELEPHONE <br />errMon In . <br />dante with . s <br />riem dal <br />ned <br />eo DATE <br /> y <br />t <br />rec <br />o <br />p <br />c <br />r <br />er my <br />prep.re <br />un <br /> to sosure the go.Hlled personnel property ether snd er.hnte the Informstlon <br /> submitted. Baxd on my iipulry of the person or persoro who rruns`e the system, / <br />~ Q <br />, <br /> or those perwrn dlreetty respondbk for ptherlrt` the Informstlon, the Inforrrrllon ~ <br />~ <br />~/ <br /> knowkd <br />the best of m <br />e snd betlef <br />We <br />.ceunle <br />and mm <br />lele <br />t <br />d I <br />t <br />b <br />i C ~ t) ~ <br />~' t/ <br /> <br />l <br />/ y <br />tl <br />, <br />, <br />p <br />. <br />, <br />e <br />o <br />m <br />t <br />s, <br />su <br />TURE OF PRINCIPAL EXECUTIVE <br />N . ~ <br />) i ~ <br />~ ~_ i4 <br />~ :~ <br />d ~ F 1 sm .wsre tbu there •re s1Enl0nnt pendtln for s°bmitHnE hbe Informstlon, SIG <br />A NUMBER E <br />R O <br />TED OR PRINTED Indudin` the posdblllty of Ilne and Imprisonment for knowintl rlMaUom. OFFICER OR AUTHORIZED AGENT CODE Y <br />A M DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRa/~ranca all attachmanta haral <br />~,."~:"! "i"_.~.~,F3L~. ~}i... z 77~ L. ~ F'i I: ~ Fwi~'C-'L ~ ~:~ r3i~1L.`~ :!. ~ 4_-- ~4 C~`Y'~ !, ~~;.~-~~'t +'i~ 4~i.: s: i~ L I.-.[~.. '. ;.. ~?._.'~ s i"; ~ ?.~. s 1~ C'_~^-~ ~ <br /> r=,~':='[~ a't`! C~ i~':' Ir~r.~•.'''?. <br />`?'1:~ c~: ~f;Cii\! L.~I~'~5'~r-ro-ro U+I%L.~,. i~lCD7 ~~ :~i'''r'-'L.~'~~ "ir ~y;~~'~€:%i:.'t~ i'~s:~~~:~1"!~.~_~=i~F1!'~~-- -~ ?. ~~. ~::~ ~'i~ .--~, t ''-: L-I;~":7~1t LIB i'?.1C7'~~ <br />F~;Lt ~t s~ °t "I'v) l~! L, ~a: (:%4 :L: Pr"~l~.""._ . A, . ... ..::n i'is ,.... ._. t L'+i .1" 't_... ..,'s ..'4"" :~. 1 ....ft , -. ~ . _ . PAGE :OF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. X115 l~ 8, 4 par~.~~Otm. <br />