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PERMITTEE NAME/ADDRESS(Iaei~JrfarYl~ry Nr./Lx.rron (/DIQ.r.wr) <br />NAME <br />ADDRESS _ <br />^EFKER ~:O 81641 <br />FACl~rrv ~I-O:~YO "' s ItiE <br />~ ~acATla+ -.-KKR ,":C Bib41 <br />~ ~._L_Y D. ualu ~hc~, ~rP 0~- ass <br />NATIONAL POIWTANT DISCHMOE EUMINATiON SYSTEM II~FOE.SI FOffT1 AppfOVed <br />OINK No 2040-0004 <br />DISCHARGE MONITORINt3 REPORT /DMRI <br />~ ~, <br />' <br />F <br />PERMIT NUMBER ascHAnoE NuMeEn ~ ~ 1 NTE:F i ~ ;il <br />- <br />P <br />MONITORING PERIOD I ' <br />. «,IlL <br />YEAR MO DAY YEAR MO DAY - . <br />FROM TO <br />NOTE: Rt+~d Imtrvetlorw b~for~ compl~tMp thM form. <br /> PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FnE°uENCr <br />of SAMPLE <br /> <br />TY <br /> ANA<rsts PE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT - ~ . ~.: <br /> - , '. REQUIREMENT ~ ~`''~ .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> AEQUIREMENT <br />NAME/TITIE PRINCIPAL EXECUTIVE OFFICER ' `!"'I' " ` °!"''~ ° I'"'"" `hh °""'"'!"I .nd dl ""`""'!"" ""` -' ! -~ TELEPHONE DATE <br /> prepered under n,~ dlrellbn a fuyer•I!!on In alcordancr wllh . sT/tem dgl~ntd , <br />/ , <br /> 10 awYR IhN ~uanned plnonnel proplrlT ~.Iher and er.lY\I! the InforwlalMn ~ <br />~ <br />i ~ <br />~ ~ <br />~ ' <br />• <br />~ <br />f <br />Bawd on m <br />Ir <br />wlAmrlird <br />ulr <br />0! Ore <br />erwn a <br />enorq .h <br />mans <br />IM l <br />t f <br />J <br />_~ <br />~/ <br />^ <br />~ <br />/ <br />! <br />J <br />~ <br /> . <br />r <br />p <br />7 <br />y <br />p <br />=e <br />o <br />rs <br />em. ~ <br />~ <br />~'V V ~, ~% / ~ G! ~ <br />-2 <br /> er Ihtwe penare dlrecll. respordbk for ~.Iherln~ the Informallan, the Inrornrl{oa / , <br /> <br />wlA+ritled 6L b the Aesl or m~ -noY4d[e !nd Eetlef. Iroe, accvnle, and lompkle. <br />1 am.w.rr th.l Ihere ere f~nlnnnl penettta for aAmIIHn~ rabe Inronlrtlon <br /> <br />{IONATVRE OF f'RIMCI-Al EXECUTIVE C <br />`- - ~ ~ <br />I <br /> , <br />TYPED ~ PRINTEp Inchrdln~ the o".snoN~ of nne end Imprtsonmenl ror tno.In~ .IO1aUorri OFFICEN OA AUTHORIZED AOEMT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION Or wnr vwE.~llvns Irra~r~ncpsn~rr~cnm~nrsn~r~/ {~ p~~~-IP EJEPiT IS CLAII"I~U. IF GLf;II"t Af'PF?Ob'FL~ rY W[C <br />~ ti <br />