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PERMITTEE NAME/ADDRf55 nwr~v F.eWryNw./lorataw {/D{Qi.wu) NATIONAL f'OILUTANT aSCHAA6E ELIMINAT70N SYSTEM ((NPDESJ <br />NAME DISCHARGE MONITORING REPORT ~OMR/ <br />ADDRESS _ _ ,, ~ ~ ' <br />~;~~ 1 PERMIT NUMBER ascHAnoE NvMeEn <br />` S A U,t MONITORING PERIOD <br />FACILITY J 1 D ~. r; :+ :i . !1 L ..., . .. , :: 1 a ._ .. <br />YEAR MO DAY YEAR MO DAY <br />LoG7toN •• I' 6 i.I ~ A ~ c. CG _ FROM TO <br />:.~Ul. L. itlC~ct,, ~'.Y. <br />form Approved. <br />OMB No- 2040-0004 ~ <br />(SJBit %~) <br />'r' - f I A l+ l <br />k+:tvi li '!C CCei. Cf~I! <br />. p <br />_ _~ <br />NOTE: R~~d ktetrvetitxr b~lof~'comPlotlnp thb itxm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION n1O, Fi1E0UENCY SAMPLE <br /> of <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX 'f'ff~Y~3 TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> • `, ~ ' • ~~ r '. L : . <br /> REQUIREMENY <br /> ,, ";~. , <br />_ SAMPLE <br /> MEASUREMENT <br /> <br /> <br />_ PERMIT <br />~ " <br />/ <br />~~ C ~ - <br />' is <br /> REQUIREMENT <br />~ . .. <br />. <br />- ° - i ~l i L <br /> SAMPLE <br /> MEASUREMENT ' <br />~ PERMIT .. .'-': Irv ., .i :. c :. ' ': :~ Ct / .~ .y <br /> <br />- REQUIREMENT <br />. 1 i. '1 . ~. <br />Y. C A 'j t. <br /> SAMPLE <br />~ ' <br />. MEASUREMENT <br />,_ _ PERMIT r• 4 ~4 C:G .,~ ... ~ <br />~ '- ~ v ~ ~ /` <br />1 ,. J ~ <br />~ '' / r_ <br />~ f ~ :: <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ;. ~ C ; C `'.- Z '~ (_ ; . _ <br /> REQUIREMENT ., <br />r <br />lCi. <br />r _ SAMPLE I <br /> MEASUREMENT <br /> PERMIT ,:.?Lr.i :i£Fuh'?' LY <br />-'j ., <br />1i~:, <br />_.L: ,. <br />REQUIREMENT <br />,a ,, <br />, I L Y :. a <br />A `.., , . SAMPLE ~ <br /> MEASUREMENT <br /> <br />PERMIT ...... - ~ - ~ ..~ t 'a,• ~ F.: _ <br />REQUIREMENT y <br />NAME/T1TLE PRINCIPAL EXECUTNE OFFICER t «nt17 . er pen• q o Lw th.t mh doty menl .nd .u ^a.chtnents were <br />TELEPHONE <br />i <br />DATE <br />prrp.red under m7 d <br />re<tbn or fuyervfflon In .ccord.n<e with • s)tle/n defl[ned <br />__~- <br />to a..ure Ihel qu.Nned perwnnel proptA7 [.Iher .nd e. Jule the Infr,rnulbn <br />. , - suDmilled. seed on m7 Inquiry of the person w penoru who Iruna[e the .rum, <br /> or Iht»e pcnom direc,lr r~po.nlAk for [.theAn[ the Infonru,lon, the Infornunon ~ <br />~ - ~ <br /> wErNtted h, to the bef, of mT knowled[e .rd lxnef, Irve, .ccvnte..nd tvtnpkte. "J t!{ <br /> I •tn •w.re Uet Ihere •nr fl[nlnnnl pmdfln for luEmllnn[ hbe Infonrgtlon, 610NATURE OF -gINCIPAI EXECUTIVE <br />TYPED OR PRINTED Inchdln[ the po>a1DmtT of nne and Itnprlsonmen, for knowin[ .1d.uo,~ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS <br />h~r~l <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. Tt11S,15 8 ~-p3F( fOFtlt. PAGE OF <br />i _ <br />