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t"ERMITTEE NAME/ADDRESSp,.evirF^rrhryN~./Lxa/enl/D~..wu) <br />NAME <br />ADDRESS <br />.. ~ L ... ~ . ._ ... r 1 1 . 1 .. <br />~V,; 14.iV <br />.~~A~t CC b151b <br />FACILrIY <br />=>l~b '~Uh1h t ~Cr~TH 111irh~ <br />LOCATION <br />Form Approved <br />NATIONK POIIUTAHT DISCMMOE ELIMINATION SYSTflN ~NPOES/ OMB NO 204x0004 <br />DISCHARGE MONITORING REPORT IDMR1 <br />~. ~uH L~) <br />PERMIT NUMBER ascHAnoe wuteEn -r I :~ :~ ; f. ~. ~ ~ <br />MONITORING PERIOD _ J _ . . ;. r .. . ~ r- t y ~ !: <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NDTF• R^^A IratnlNlrut^ h^}ru^ rmm~l^tlnn th{r• form. <br />PARAMETER pUANTITY OR LOADING QUALITY OR CONCENTRATION NO. uFNCr <br />rRe° SAMPLE <br /> ° <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX µAlvs~s TYPE <br /> SAMPLE <br /> MEASUREMENT ' <br /> <br />. PERMIT <br />~ . <br />~ ~ <br />~ ~ <br />` . ' <br /> REQUIREMENT <br /> w <br /> <br />• ~ ~ SAMPLE <br /> MEASUREMENT • <br /> <br />_ ~ PERMIT - <br />~ ., . <br />': = Y ~~ r _ <br />~ <br />'. ~ : <br />/ <br />. <br /> REQUIREMENT . . <br />_. <br /> <br />. .. <br />SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />- - <br />•, : F C b T <br />1 ~ ~ <br />is t+~ I ~ <br />' ~ n ,~ <br /> REQUIREMENT <br /> r - a ~ <br />_ _~ <br />~ <br />~ SAMPLE <br />- MEASUREMENT <br />... .. ~ r~ <br />__,cl 1 ~, ~ PERMIT HkFL)i~''. .i(,: '•F'rr-. ,~:vxrL ..~ t:r 1~~ b~ i.-.i <br /> REQUIREMENT <br /> ~ <br /> <br />• `• ~ ~ ~ ~ ~ ~ " ~ SAMPLE <br /> MEASUREMENT <br />_ PERMIT <br />REQUIREMENT ~ . ;: ru r.:x n r. t ~, F, l : . ~~ ,• ~ r ~ ' !/ l i '. r. <br /> M <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br />n <br />NAME/TITLE PRINCIPAL EXECUTIVE OffICER 're <br />rn u tr pen. p ~ ~.. ehrl lh6 donnrwnl ^nd .11 ^Il.chmenb were TELEPHONE D <br />T <br /> <br />prepued order rn] dl rerllon a fuptr.hlon In .orord.rrre r11h a r]Steln deb[ned A <br />E <br />_ <br />i to assure Ihal au.Mtkd ptrypnnN properl7 [alher .nd tr.ly.lt IM Infornrtlpn <br />tiubmllled. E^rrd orr m] Irpulr] of Ibt prnon tx persoro who rrunge 1(k e <br />rltrn ' <br /> , <br />] <br />a those <br />ertiolu dfrectlr rts <br />oretlbk ror <br />N <br />rln <br />I <br />f <br />U <br /> p <br />p <br />[a <br />e <br />[ <br />n <br />e <br />orrrutlon, the InfornrlMn _ - .1 <br />. - wbmilted is, to Ue btll o! m] knowfed[e snd betltr, true, sminte, .nd tompkte. , <br />- ~ <br /> I \T.wbR Ust thtre sre sl[rdfkint penNNe for s^bmlttln[ febe Infonruibn, ftONATURE OF PRINCIPAL EXECUTIVE ' <br />TYPED OR PRINTED Includln[ the powibllll] of floe srd Irlrprbonment fa knowln[ .fdstlom OFFICER OR AUTHORIZED AOEPfT CODE NUMBER PEAR MO DAY <br />~.vmmuer.~ e~rev ~i.. ~.....-....... ~. ..... .._~.. .. ~.... n... w. ...... w., w..w.......wr. r.~ rrwr wr <br />EPA Form 332x7 (Rev 3/99) Previous editions may tx used <br />L•JECT iU EU~Lr6 i.F FECI <br />Thls Is a •i-pan form <br />