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PERMITTEE NAMEJAOORE55 (h.rvLFrWryH.w./Lor.now I/D(pirwvJ <br />NAME r: <br />AGGRESS ` U ~ i <br />=~Tr~ (r Hi(~t-!WHY 1 3 <br />., ~ . ~ _;~; 3164 <br />FACILfiY ~,''Ll~'.~: Y Q f"i ! t'!E <br />LocATION I•i~FKEF~ r ~ !' 1 b4 <br />Form Approved. <br />H A~ION/LL FOIIUTM/T DiSCNMOE Ell A+!N /.T!ON SYSTEM '~J!'(~E ~~ pM8 No. 2040-0004 <br />DISCHARGE MONITORINI] REPORT (DAR! ., ~ a .;; <br />ascHMOt r+u-~een "~ - I hT'ER I M PtC3E- <br />PERMIT NUMBER _ <br />T~Y'I_i'r PD~`~D TO T~1'`i7~t GR~E;•: <br />MONITORING PERIOD r- <br />YEA MO_ D Y YEA _ D,#Y ~. ;,.~ :._~.. ;,- :, . s. ~ ; <br />FROM TO _ _ , <br />NOTE: Rer.d Ir>rtructlor» b~for~ compbtfr-p thh form. <br />. , . -'-•'- - <br />PARAMETER _ <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION NO, <br /> <br />EX r-ncouE-rcr <br />of <br />rsrs <br />1 SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS AN/ <br />L <br />F'~' SAMPLE r . . <br />-.~ MEASUREMENT _ <br /> ~ <br />(~C-, PERMIT '-. _; _ _ ; :~ ~ ~- Mi :`! I h <br />f:~; - _ - _ +,_!• REQUIREMENT IN`i7 "'LAX ~ _ ___ <br />---- SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT - - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREMENT _ -- <br /> 5AMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREMENT _ <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT _ <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT _ _ <br />1 cert ~t.. . pen. tr o .. M.t Ihh dor~mrnl .nd .li ^tl.rhmenls +en n _ TELEPHONE <br />/ <br />// /~ ~ , <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER pr~~r~ oneer m~ dlrerllMt a wpenllon In .reord.nre +11h . reslem evl/nrd DATE <br />~ ~ <br />/ <br />, t to more thH qu.Nfkd personnel proptrll L.tMr •nd r•Nu.lr IM Infornrlbn / // <br />G ~/ <br />. <br />\ <br />'~~ <br />~ <br />h <br />rt. <br />tM <br />st <br />m <br />~ <br />~ <br />~ <br />w ~ . <br />( <br />~ <br />~ <br />a tn. <br />~e <br />s7 <br />r <br />. <br />saAmlttee. et.ee on mr Irtqulry of lAe prnon n< pe Woos . <br />.( ~ ~ ~ ~! <br />- mil/ <br />' ' <br />~ <br />~~ <br />, <br />_~ <br />' or those penorse dlreell~ rnponsibk for (1t1herlrK the Infornutinn, Ihr Infomutlnn <br />i ! J .: suAretllled y, to the Ant of me Yro.rled~e ^nd AeNrf, troe. rxevnte..nd eotnpk+r. + ~' .,~_ ' _ . <br />1N , ~ <br />• <br />t)((', ~ ~ ! ' ~ 1 .m •..re tAat tArn ere sl~nlfionl pendtle for abmltNn~ f.b rnformalor4 610NA TYRE Of MINCt-AL EXECllT <br />E <br />Off ICER OR AUTHORIZED AGENT <br />A A NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRWT In+iodlnf IM possf blNl) of fine •nd Impr4sontnrnt (or lno~ln( •IO1.tFern CODE <br />COMMENTS AND EXPLANATION Of ANY VIOLATIONS lR•/~r~nc• s/l •nacnm~nrs nrar~~ -1 <br />.. . <br />- - <br />Ecp Form 33?0-7 iRec 3'9?1 Previous edit!ons may to used <br />t <br />OJc4.-.,, Th>stsa~ <br />OF <br />