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PERMITTEE NAME/AOORESSpwdrb s.rwrylr../L«rr°w(/DfQb..ty) <br />NAME :!': ' <br />A D{)pESS <br />FACIIiTI' _ VV Y tJ f 11 7uL' <br />LOCATION ~; ~. E-: R CQ ~ l d 41 <br />r~ ~ • I_L,,•~ D. 5ANUER~t :•,~ of L-)PS <br />NATIONDISCHARGE MON TORING REPORT (D lR/PoE.SJ <br />' t~ <br />PERMIT NUMBER gSCHMOE Nl1MEE14 <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO ` <br />Form Approved. <br />M! f•• OMB No. 2040-0004 <br />M - iNTEtt iM ~ I`?L <br />WE~7 PIY ';r, P~]tvt7 TU 1`AYI_ R .:i< <br />;~ <br />. _•~ <br />NOTE: R~~d Irt.tructlorN I~two compbtlnp tfib form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• rREa~uFENCr SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX AHAtr~s TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~ - ~ PERMIT <br />REOUIREMENI' .. _ _. <br />~-r ? , . , - '~~ <br />a X ! Mii i- <br />- . -- . <br />I'i:_; - _ . <br />' ~ SAMPLE - <br />• MEASUREMENT <br /> <br /> PERMIT - _ .. <br /> REQUIREMENT -~Gi;r. ;_;;..'i_ `, i; i.:~ ,..;.: <br /> SAMPLE <br /> MEASUREMENT <br /> <br />- - PERMIT ,. _ .. _- .. _ _ ~ . _. _ . <br />_ _ REQUIREMENT ._ _ r~ ~ , , ._ %r51'._Y i-jY, •a?j`.i i" <br /> SAMPLE <br />• :.. ~ ~ i3'_ MEASUREMENT <br /> <br /> PERMIT ....., ,. _. ... .. ~ ~ _ ._ <br />' REOUIREMEN7 ~ ~ vt70ta F~ ,':~ :ar; :.. v i-i:t ''~G:'t I'jii!ti t~ <br />_ SAMPLE - _ . <br /> MEASUREMENT <br /> <br />1 ~ O PERMIT .. ~ ... - - <br />:._^•IT OROSS tY'fi_ REOUIREMENT y'`y~ i' ~~}' <br />... .. : <br />. _ _:~.;r <br />-, r . ., ~ - SAMPLE ,. ,. _ - . . <br />' '~F~ ~' ~ ~ ~ ~ Fi. -~ MEASUREMENT <br /> <br />- PERMIT -- `- <br />. - - REOUIREMEN'1' <br />,. . <br />- ~'. ~:'..'y o-#sris i•tUN~i~ <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REOUIREMENT <br />NAME/TITIE PRINCIPAL EXECUTIVE OFFlCER ' """y ° ` pe"''y ° r,~ ena uth e«v",e"t .ne .u.u..nmMU ~..' ~ 2 <br />preperrd under my direetton a wpenhton In .cc°ed.nce with . ty.tem edin.~e ~ , , TELEPHONE <br />- , ~~ to aeurt ih.t qu.Mfled perwnn:l pro9eTrT t.ther •nd ee.lu.tr 1M Inforrn.llo" ~ ~ ~ J! /i"~~~//.~ <br />.~ l / ~ fobrrrlted. bred en my Inquiry of the perm or penao .ho ttr".~e the ey.tem, t` //~, /~ ~/~~/( ~„ <br />or thou ptnmu dtrertly respotelbk roe ~.Iherln~ Ilte Inforerullen, the Inre ~ ~.1~ ~ ~ ,/~ ~1 ~ r S~ <br />- ~ ~ ~ ~ ~ _./' wbmllted ts. b the bat of my Lro.kd~e •nd beMer, InR, .crvnle. ^nd totn e. J '' <br />l~ ~ <br />DATE <br /> <br /> <br />//-~~k <br />f/ U ~ -~: ! <br />I •m .+are tha there •re O~nlflunt pemtrta for submltHn <br />66r tnfonrutb" <br />SIGNATURE OF MIINCIrAL EXECUTIVE <br />TYPED OR PRINTED ~ <br />. <br />irMuCm~ the ptsdbl0tr or floe •nd tmprtwntnenl for -no.tn~ dd.tlotra OFFICER OR AUTHORIZED AOEMT CODE NUMBER YEAR MO DAY <br />GOMMtN I S ANU t7CrLAnn t wn yr nn r •tv~n t tvn~ Int-~t-rtrnc• rrr irr~cnmtrnca n~eq <br />~HR PRECiP EVEiVT I5 CLAIt~IF~]. IF" C'•_AThI A~'~'RC7VED ~Y 4J@CL,, <br />EPA Form 3320-1 (Rev 3/99) Previous editions maybe used - - ,- .T~Lt'3s ~~-past fprJtl PAGE Qf <br />