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PERMITTEE NAME/ADORESSpr.dr~rirvhryNw/Ler.rlowl/Dlpi.w./j <br />NAME <br />r <br />ADDRESS ~ .. L. _. _ , . _ _ i :. c. ~ ,l t. _ <br />EiGY. 1l+jU <br />:SAD:. GG ol~l <br />FACILITY <br />-SZDL :•JK:h ~~ SUIi~ ~ : Z;icy <br />LocAnoN 1~ALi~AI~c Ca yi5 j <br />;n~ nTr•;Irh_ v_v_ <br />Fprm Approved. <br />NATIONAL POLLVTANT OISCHAAOE fIIMiNATON SYSTEM (NPDES/ OMB NO. 2040-0004 <br />DISCHARGE MONITORING REPORT ~OMRI <br />PERMIT NUMBER DISCNAROE MVM6EN _ ~- = ~ : ,,, ` , <br />MONITORING PERIOD -' ~ ' ` <br />YEAR MO DAY YEAR MO DAY <br />FROM To <br />NOTE: R~ld fmtructllx>,l b~tw• cornpbtinp thls Iwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np, meo <br />ufNCr SAMPLE <br /> ~ <br /> EX µ't'~Y~S TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE , _ ~ <br /> MEASUREMENT <br />. PERMIT ,. ~. •.r..',s. czhi r = <br /> REQUIREMENT <br /> <br />_ _ <br />r ~ SAMPLE <br />' I <br /> MEASUREMENT <br /> <br /> PERMIT _ S :; .' ~ ~ / ~ r .:.: <br /> REQUIREMENT <br />' <br /> 1 r <br />i. 3r <br /> <br />~ SAMPLE <br />~ <br /> MEASUREMENT <br />. ~ 1 '.~ _ PERMIT , L ~ r, - . is ,. l- l:... <br />' '~ C k / ;, ,_ <br />' . <br />.. L L..: : ., :: ~, . _ REQUIREMENT _. r, I v <br />N }: i (, ., ~ C <br />,~ ~ 1 ,,'i t :. SAMPLE <br /> MEASUREMENT <br />_ <br />_ .. .. PERMIT ...:.~~ ~tlp~-. s::~L 7~_)C'J i~(.t/ rr~ <br /> REOUIREMEN7 <br /> SAMPLE <br />~ <br /> MEASUREMENT <br /> PERMIT _ _ .. v :'u u a.. <br />- - _ <br />~ <br />. <br /> REQUIREMENT <br /> I. A I <br />r - SAMPLE I <br />,; <br /> <br />. <br />_ . MEASUREMENT <br />1 PERMIT }V:~.. :c1rGF+T ^.iY iAS:i: <br />- ~ Y REQUIREMENT . ~ r; , .: Y Cl X <br />_ - _ SAMPLE ~ <br /> <br />- - ~ MEASUREMENT <br />PERMIT i,..(...-.~ ~•~- '~• •+ - - F:~:n12V;~UF. <br />REQUIREMENT <br />.1 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFlCER ' nnrq u «pen. t~. Lw IAN thN dxumtnl and NI .uacnmmn wen <br />TELEPHONE <br />DATE <br />prepared undrr m~ dlrertbn or wyenlflon In acrordann wilA • s~riem dd~ned <br />to asaun IhN quaMl{ed prrsonnN Properly ~NMr and traluNe IM InfomraUtln <br />- <br />salrtal/ed. lased nn m~ Irpulr) of U,e ptr~orr a prrsom who manKe /M f~stern, <br />or (host persae dlrerll~ rnporelbk for ~NheAn~ iht Inlornlallow. IM Information - - <br />wrlmllted h, Io the lest of m. know4d~t and /eMN, Irvt, atrvnle. arld romphye. <br />1 am .wan Ual Ihere are d~rdfkanl pendtles for suDmlUln~ h6e Information <br />61ONATUItE OF IRINClPAI EXECUTIVE <br />TYPED OR PRINTED , <br />Inrhrdl^e IM poadllUl~ of nne.nd Imprlsonmtnl for.n^wlne rld,tiorrs. OfFICEII OA AUTHORIZED AOENT cooE NUMBER YEAR MO DAY <br />I.VMMCI'tIJ /~1`rV Cnr ~~n~rrvre v. r.... ....~.~. ,..,. r...r w..rr..w wr. w..w........r.ra r.wr wr <br />. _ _ tl~:,,,tl:.C_i L'Yi_,. L'.~~~., t .,~1• JGI.'' if; ..i:...'• ~t Li, F <br />i, i <br />EPA Form 3320-1 (Rev. 3/99) Previous edmons may be used. ThIS IS 3 4-P3rt fQFitl. PAGE Op <br />