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PERMITTEE NAME/AODRE53 (r~i.bF.rWryN~./Loc.,to.l/p~..,,t/ <br />NAME i , , <br />ADDRESS - <br />L ~ 1 r:::. ~ 1 ~~r'1WAY ~,.i <br />FACILrTY ;]k'YO ' i T. N~' <br />LOGATION .- N(~Fi ~• Cl ? 4 c <br />:!_LY' U. ~HND)=r?~: VP CJF O:'S <br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM //NOES( <br />DISCHARGE MONITORING REPORT /DA•fR1 ;., T NQ~ <br />PERMIT NUMBER DISCHMOE NUMBER { f i <br />MONITORING PERIOD ~ I'I <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />MATC• O_~I <br />Form Approved <br />OMB No 2040-0004 <br />~_~___ <br /> <br />PARAMETER <br />QUANTITY OR LOADING __. - ---_ __-_. <br />QUALITY OR CONCENTRATION _ __.. <br />NO, .r._-_..w ...._ <br />FPEOUENCY <br />OF ._. .... <br />SAMPLE <br /> <br />SAMPLE <br />MEASUREMENT AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANAIYSts TYPE <br /> PERMIT - - <br />. , - - ~ REQUIREMENT <br />- .~:-- ., .. „ ... ~ ~ ; , _: ~ ~ .. r <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br /> REOUIREMENT <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 />NAMElTiTLE PRINCIPAL EXECUTIVE OFFICER ' "~", • " p`"•'t ° 1iwiA•t 1h" eav[n<m .ne .u .n.cnmenc. rrn <br />pnp•rrd undrr n <br />dlr <br />[b <br />or <br />l , <br />~ /~ <br /> <br /> <br />r~ <br />/• ~ <br />~ ~ y <br />rc <br />n <br />fup<r. <br />flon In fKCO.danr< rile • fTff<m dof~ned <br />In aeon tnN u•nnM nonnd A .[n<r <br />nd <br />~d . <br />/ <br />~, <br />/ <br />i <br />~ <br />~ <br />/~ TELEPHONE DATE <br />. <br /> <br />i - <br />.'~ ~ I % ~.~ ' ~ '~: : - .. ~ ~ a <br />e <br />uae IM Infnrmalbn <br />fubnill<d. Effwd on mr Irpulr~ of e[t p<noa or ptr•om rnn rruna~e In< nflem• <br />e< Inofr prne,n et.«ty r«po[nlirk ror i.ln<Anf In< Inr°.,n.uew. tn< bro.,n.oon <br />fusrtrll<d h. !e Ine pflt e! mr knorlfd~r •nd E <br />ll <br />f <br />Ir i ~~ <br />j <br />/ <br />t~(J <br />/ /! <br /> <br />r <br />t <br /> e <br />e <br />, <br />v<, ueur•I<. ^nd <ompkle. <br />I •m •r.n In•1 Inrn •n <br />l <br />Nn <br />nl <br />l ., ! <br />.7i <br />J~ / - J ~~ <br />~ <br />- '~ J <br />~ ~ <br /> <br />TYPED OR PRINTED s <br />E <br />o <br />p<na <br />tle ror rubmlttlnE rdf< Inrornstba. <br />Incfwb <br />ln <br />denu dIONATURE OF -R-NCE-Al EXECUTIVE / - <br /> <br />COMMENTS AND EXPLANATION OF ANY VIOL t <br />< po <br />r er nn<.ne l~npn,e,,,,,<n, ror t~nnwtni .td•,b,~. <br />ATIONS /R•/~r•nc• e/l •tr•chm•nr., h...r OfFICE1I OR AVTHORI2ED AGENT '~ A NUMEiER <br />CODE YEAR MO DAY <br />5F .; '-31~LY Ir <-40YR.24HF2 PF?ECIP EVENT Ia CLAIMED. IF C:LF[IM 4P~c'J'~'!=D i,'~' '.•J•,:,rr~, <br />- - '•1 ,~ . I- . <br />EPA Form 3320-1 (Rev 3'49) Prer,ous editions may be used ~; r _ c~ <; ,: ,' T31ES•-f.~ 'S-p~[~ r(~ftp PAGE OF <br />