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-; "tMRTEE NA ODAESS.Q.d~,hF.r(/tpM.~' atw NOld~+rrl NATIONAL POLLUTANT OISCMMOF EIIMINATON SYSTEM ((NPDf.SJ Form Approved <br />~A <br />I"I I I`Jul-' OMB No 2040-0004 <br />~ <br />`" <br />DISCHARGE MONITORING REPORT /OMRI <br />" <br />• ' <br /> <br />I~ -' Ii~fTER:tM ••;1-_. ;• <br />~ <br />' <br />~ <br />' <br />i~ .. :.- <br />31 y <br />: <br />t <br />PERMIT NUMBER auNA1L0E NtAaeen <br />~uP•i GR <br />'"~G55~,RD E'CP <br />iD TO W11 <br />- <br />~ i <br />. <br />_ <br />=EKER <br />'lL_ F'WYD I`•i I i~;E MONITORING PERIOD <br />. , <br />- <br />. <br />. <br />-V `R i. YEAR D Y YEAR MO- DI4X~ _ > ;: NG .' ~ .:::;'~ ~_: - 'i~ ~ = :. <br />- <br />i ,~`-',aT-Oir <br />FROM TO <br />L-_ <br />NOTE: R~~d If,Mtrut:tloM b~fof• comp{~tiny this forfn. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATIGN NO, fAE°uENCr SAMPLE <br /> <br />EX 05 <br />TY <br />E <br /> ANALrsls P <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />' SAMPLE <br />' MEASUREMENT <br /> <br />-~ (. PERMIT -. .. _ ~C)/A ~~Vt7 O~,ILY M~ '-ic= , <br />- - - REQUIREMENT <br />i SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />-- <br />----- <br />-- <br />---~- SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />~ <br />---- --! SAMPLE -•-- <br />i MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER 1 nndr r er ptm y o bw NN N h do.vment •nd .[ •ItKhtn entf were <br />TELEPHON <br />E <br />DA <br />TE <br /> pnrpe.ed ruder rw~ dlrecllon or .rrr r.Now In .tcordrnct wtiD . .7stetn deil[ned ,. _ <br />/ <br /> <br />1 <br />(~ <br />to rsurt <br />rabmllly <br />th.l grrMeed personnel pra <br />6rsrd en tnr Inpuln e( 1 <br />d <br />perl7 [.It1er .nd er.lrele t <br />He <br />erson or <br />ersoro wAe na <br />Ae In(nrwutbn <br />nr <br />tD <br />t <br />sum • i <br />'~ -~ <br />-~ <br />~"' <br />~/ ~ ~/i% , <br />/ <br />~ , <br />~ <br /> <br />. <br /> . p <br />p [t <br />e <br />( . ~~ <br />/ <br />~ / If' ;~ ~ <br /> w IDefr persern dlretllt rapoMDk for [s1Derln[ tAe Informsllo w, the Informrtie n - <br />~ , •y <br />~ _~1 <br />~ <br /> f ~ , ~ .. .. _ <br />`1 wDmllted <br />1 •1n ews b. In tDt Dell of m~ Ynow <br />.e IDst Uere srt d <br />nlrk.nl Md[e srrf Deeef, troe, rttura <br />rnsirles for wDmittin <br />fsh re, sod rompMte <br />Infor <br />Ylfow . <br />{IONA <br />Tt1RE OF PRINCI-Al E <br />XECUTIVE " ~ ',_. <br /> [ p <br />[ n <br />, <br /> TYPED OR PRINTED Inriudln[ Ilx posslDmry er one sod I mprlsonrernt fer ~no.ln[ rl dsuons OFFI CER 011 AUTHORIZED AGENT COD E NUMBER YEAR M O DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (RiJ~r~nclr N1 •tt~chm~nts h~rlrl .;.., I ~ - .,. <br /> <br /> <br />•~ ; ~~ • `This is a 4- arTtorm. PAGE OF <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used p <br />