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PERMITTEE NAME/ADDRESS(/wrvrYSaeYfprNa.rafLwrNtow(/DlQiranr) NATIONK POIIUTANT 014CHMOE ELIMINATION SY9TQA ~NPDESf <br />NAME DISCHARGE MONITORIN4 REPORT IDMRI <br />ADDRESS <br />"~`" ' -'`~`' PERMIT NUMBER ascHARQeNUMecR <br />~: 5ADE L ~ _ <br />FAClurv :~jD~ ~i0R7H ?, SCiUTr1 M!hf_~ MONITORING PERIOD <br />PALISADE YEAR MO D Y YEAR M_ D Y <br />~~Tp" FROM TO <br />_5UN f__ KIDDER, Ir, <br />Form Approvted. <br />OMB No 2040-0004 <br />NOTE: R~rad k»trucdonra Mftx• compbtinp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />EX of <br />TYPE <br /> ~NALY~s <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> ~' ~ ~ <br />~ `G/ ~ ~ <br /> MEASUREMENT ° <br /> <br /> <br /> PERMIT <br />REQUIREMENT <br />- <br />' 1 i ItitUPi <br />MAX T h'tUhl <br /> <br /> SAMPLE <br />~ <br />N <br /> MEASUREMENT <br /> <br /> <br />_ <br />.. : ~;:: ~ ~ PERMIT <br />REQUIREMENT <br />i ; , ~ -' 1•Ic~, :~ <br />.. <br />-. <br /> ,_ <br />_ <br />. ~-MI:!, SAMPLE <br />° -' ~ <br />-~vi-f <br /> MEASUREMENT <br />{,. - _ <br />~-. r :_.. <br />;;* ~ <br />. _ :: PERMIT , r ~ - r. <br />~_ r 1X ,_ <br />;.~; _., <br />_ REQUIREMENT <br />- c, - - - -.,,. <br />' <br />' SAMPLE _ - <br />- MEASUREMENT <br />C <br />0 - - <br />~ l PERMIT <br />!T _=R0~~ <br />REQUIREMENT -. ,~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />T <br /> REQUIREMEN <br />C <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />l tertilr u r ptna 1~ o aw thal Ihh dxumenl ^nd aY attKhmeats rert ~ <br />~ TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTNE OFFlCER i <br />prtpared coder tn~ dlrtrtlon er fuprr•i>fow In accordann wlth • e~alem dd ned ~ <br />DATE <br />` <br />1 <br />%) r\ (.- ~-` /t r"f~ fn ~: ~ • ~~_ to amurt that quaNtled personnel properlT father and e•aluatr tM Inforntatlon I <br />D <br />l <br />1 <br />f <br />tn <br />tled. Daaed ew m7 I~pu <br />rT o <br />tM person er persorn who mawate tM tntenr, <br />m <br />Lm'_{~~_ ~ Q.'Y~ c <br />orolDM for <br />th <br />~ or Ih <br />e <br />or <br />elr <br />i <br />m <br />+ <br />M l <br />r <br />t <br />, <br />~ 1 <br />' <br />p <br />~ <br />oa <br />pers <br />q <br />p <br />e. <br />ni I <br />n <br />~ <br />u <br />K <br />ormauen, <br />M Inrornruon <br />~ , ., ~~ , , , <br />~.;. , <br />-±- whrtllted ~ <br />to the Sell or m~ knowlea~e and Detlef <br />~ - " - - i . ' 1 <br />Iroe <br />acrvnte <br />and avm <br />kle <br />- . <br />, <br />, <br />, <br />` P r\ <br />, <br />p <br />. <br />1 un await Uat tMrt art fl <br />nlflriwt <br />rnaltly for wrDrnltttn <br />ilON11TVRE Of Nt11NCMAl EXECIJTfVE <br />fal~ Inf <br />° <br />[b <br />~ <br />p <br />~ <br />or <br />rta <br />n, <br />TYPED OR PRINTED Inrfudlnf 1M poaatbllltr of floe and IirpASOr,menl for knowln~ •idatlona OfFfCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPt_ANATION yr nor vlv~~.l lens pta~r~nci ~rf •rr~rnm~nra n~n(OM <br />SUSPENDED SCILTUS cTSS), TOTAL IRON <br />EPA Form 3320-1 (Rev. 3/991 Previous editions maybe used) O 1 13 / c~~ pis ~' ~-parl -form. PAGE OF <br />