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PERMITTEE NAME/AODRE55 pnewri.e~bryN~./L«.non yDlpfnwq <br />NAME <br />ADDRESS .. I :. -- - .... .:1 ~• _. ., <br />• tiU.c 14 3V <br />~Au~ c.c: u15~4 <br />FAaLITY , i u is i,l U :c 'I Yi L ~ L J 'i it t; l ti£ 5 <br />10~~ ~AL1`A~7i Cu d15~b <br />Form Approved <br />NATIONAL POLLUTANT 015CHMOE ELIMINATION SY$TE7.1 //NPDESI ~B NO. 2040.0004 <br />DISCHARGE MONITORING REPORT IDMRI <br />PERMIT NUMBER ascNAnoE Nw.~eEr _ _ , r ~ <br />. .. t <br />MONITORING PERIOD ~ - - ` " r ~" " T V - :- <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTF• Rud IrainlHlrvf~ h.}nr. rmm~l.tinn thl~ form. <br />.; n <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, uFNCr <br />FREO SAMPLE <br /> ~ <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX ANALrsls TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT • . <br />~ , <br />.~ r ~ <br />> • ~ <br />.. ` ; <br />• '• . <br /> REQUIREMENT . <br /> ,, r M <br /> <br />' SAMPLE <br />' <br /> MEASUREMENT <br /> <br />` PERMIT ~ <br />t <br /> REQUIREMENT _ ' <br /> l ~ ~ <br /> SAMPLE <br />' <br /> MEASUREMENT <br /> PERMIT ~ <br />~ ti• . ,• ~' ' <br />, =; ", - <br />t L c ~ <br />i. t, l: / <br />c n _ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br />_ PERMIT _ • -. a c .. .- : ~, . ; ". ~ .' .; J L _ / <br /> REQUIREMENT <br /> <br /> <br />.. _ . SAMPLE <br />~ <br /> MEASUREMENT <br /> PERMIT <br />, ` ` ~ <br />_ <br />~ ' _ <br />_ <br /> REQUIREMENT <br /> xA T ., r, <br /> SAMPLE <br /> <br />.... MEASUREMENT <br />1 PERMIT n .. t (~ r t ~ h 2' <br />~. i Y - <br />i '1 i i i <br />~ REQUIREMENTC <br />-. <br />: Z ~ ;• v q L >' ~i X <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .. *.. •, r. .~.- ~.<~~''i '• ~::L'1! <br /> REQUIREMENT <br />r.:a <br />NAME/TiTLE PRINCIPAL EXECUTNE OFFICER 1 "^O) " er pen. t) o Isw Ihel mh dorumem •nd .u eu.chmrnb were <br />TELEPHONE <br />DAT <br /> <br />prep.red uwder rn) dlreribn or fupenlffon In .ecordenre wllh ^ f)alem darned E <br /> <br />~~"~ to fmurt IA.1 qu.Mfled personnel properly plher end e..luele the In/orrrulbn <br /> <br />~ ~ ~ ~ IabrrJUed. Of/1Rd or1 m) Inquiry of ux perfon or persrlru who rmmRe the f)item, <br /> or thole penan directly ref pond bk for plAerin~ the Inforrnetlow. the inlorlrrllon - ~ <br /> fubMlled h6 b the bat of m) knowledge ^nd beMtf, Irf1e, .('Nrtlt, find fompklt. <br /> 1 •m swert tb.l lhrn ere d~nlrlnnl pendHa br wbmiafnj hNe Inler(Irtlen. 810NATURE Of /RINCIPAL EXECUTIVE <br />TYPED OR PRINTED Indudlnt the powlblllt) of nne ^rld ImPr4se^me^l for Ano.ln~ .idrtbru, OFFICER OR AIJTNORIZEO AGENT CODE NUM[!ER YEAR MO DAY <br />wmmcr~ 1 a nrsv cnr crsrsrs r ..,.. ... .-.... ...,ter. , ....... rr..r.r.r,s.. w, ...w.,..rrrwrrr~ r..r.! <br />EPA Form 3320-I IRev 349) Previous edi5ons may be used This is a d-part form. PAGE OF <br />