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PERMITTEE NAME/ADDRESS(lr ' ' f.rWryNw~lwcN/oyt/AfQ4vrw) NATIONAL POLLUTANT OiSCHAROE ELIMINATION SY9TE1.1 INOOFS) <br />NAME iffy' ~~' ' DISCHARGE MONITORING REPORT (DMRI <br />~, JU' <br />AOORE55 , <br />I SAD ~ PERMIT NUMBER DISCHARGE NUMEEN <br />Cr > , <br />FACiItTY )' `''L~~IDL'• NC.iRTN pc SOUTH MIi`•IF'- MONITORING PERIOD <br />tiEAR PALISAnE YEAR MO DA YEAR MO D 'Y <br />~~~ id~'L Ghl L ~ KII?DEF - V. P. FROM TO <br />Form Approved <br />OM$ No ?040-0004 <br />KOAUOIDi= `jOUTH T>7 CdL>a 4IV> r-. <br />NOTE: R~rd Ir>.ttucdorr b~tor~ comp{~tinp thb form. ' <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRA710N NO, <br /> <br />EX Faco~ENCr <br />of SAMPLE <br /> <br />TYPE <br /> ANAlvsrs <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE r1 ~ ~ ~ ; Q _ ~~ <br /> MEASUREMENT <br />r _ ~ <br />~, , ~. <br /> <br /> <br />:: - ~~ <br />-~:~ PERMIT <br />',I ; ~;r <br />; , ~ •;;_. <br />CIh Y ' ;,'. <br />I.11 <br /> <br />_ <br />. <br />.. <br />-` REnutaEMENT <br />.. ~- <br />,_ _' <br />r ._ _ <br />SAMPLE ~r ~ J <br />~+ ~t ~ i'n i <br />~~' OHO`- `' MEASUREMENT <br /> <br /> <br />UEi`~': '~f~l_ <br />i PERMIT <br />~:;~ AVM <br />~~AII_Y MX <br />. <br />_ REQUIREMENT ~ <br />~ <br />' <br />AS ~ ~ SAMPLE - ~ ~ 1 ~ - ~'~'~ ' I~i~ ; ' <br />~ <br />~~ <br />r MEASUREMENT <br />- <br />~ s .- <br />I ,~; . `. _ <br /> <br />DENT ~::ki lJ S VE;LUI~ <br />• PERMIT r <br />- <br /> REQUIREMENT <br />- ~: - _ - - - <br /> SAMPLE N ~ N Q, <br />/' ~ ~t ~ ~. <br /> MEASUREMENT <br />, <br />a ~ : , <br />,. <br />~seG ~ <br />~-~ ~uF'NT GRL:L~ 'vl~=; ;,~ PERMIT <br />REOUIREMENT _~., ?~(`r`i-t h7AX <br /> <br /> <br />~ SAMPLE 7 ` `, '~ `' `( <br />1 HRt' I Ri- ^tTr '-~ <br />`I\I' MEASUREMENT ` - ~ - <br />.- ,~, <br />~ <br />~ <br />' <br />,QO~ <br />- <br />.. ~; <br />, t4 • <br />•c <br />' <br />~FFL PERMIT 3UI1Fi Fi'~ T ~.. ~.:, ~ . ~ _ <br />_ <br />_ <br />. <br />. - <br />`' AEQUIREMENT <br />- <br />.._ <br />~ ~• ~ <br />-r r <br />- <br />~:-h <br />e <br />` <br />` <br />" ~ <br />SAMPLE /,2 ~ <br />~ <br />~ ~' ~ ~ <br />~ ~ 3 .~ <br />; <br />7;_ V! ~ <br />' I <br />~ - <br />_i <br />- <br />MEASUREMENT , <br />~ - <br />~ , _ <br /> ,. _- _ ~,.~ 1_ r.~,,S c ;. L:. <br />, i~ <br /> <br />.• ,.,ri <br />' PERMIT <br />REOUIREMEN'C - .. ~~ftTF2 A'J~ 11I=:TFl f'{A: <br /> <br /> <br />~' i1"1 ^'~ SAMPLE I, ' <br />~" <br />" MEASUREMENT <br /> <br />PERMIT <br />- - ~ <br />REQUIREMENT <br />t nrt~1J r cr pen. t~ o •w th.l thh dontreenl •nd ell •IUChments wen <br />-~ TEIEPNONE <br />NAME/TITLE PRI CIPAI EXECUTIVE OFFICER <br />' ` <br />GATE <br />/ <br />n ene under tw dlrecuon or au <br />p p 7 yenl>!on In trcord.nn wllh . r)atem dn4~ned 1 ~ <br />(~ (~ Yll ~\ ~:. - ; ~ to Arun Ihet grdifkd perwnnei proytAr ~.Ihcr •nd r..lrelc IM infnrwullon _ ~ ~ <br />' <br />~ <br />.nbmltlrO. t7~rd on inr IrpulrT of the ~enort « penoro who tnrn.~e 111E r.ttem, -,~ (/ <br />1L 1 ~%Z •. ~ l ~ ...• L 7 2~_l <br />~~. ~ <br />~ ~\ 1 ~ ~ .'i,l ' ~ <br />I~ <br />« Ih <br />ttl <br />ref <br />aey hk ror <br />dl <br />therln <br />th <br />I <br />tla <br />th< Inf <br />al <br />r <br />~ <br />• : <br />~ <br />.._ <br />p <br />ox penore <br />re <br />r <br />p <br />~ <br />e <br />n <br />orwu <br />w, <br />«m <br />nn <br />~~ <br />~ ~ <br />: <br />~''C G e ,~~ tuRmltt <br />to Ihr 6e.t er mr tnow40 <br />e me h <br />e h <br />tlcf <br />Ir <br />e <br />cu <br />l <br />d ee <br />- - ~~ - <br />kl - <br />e <br />, <br />~ <br />e <br />. <br />V <br />, .c <br />n <br />e. .n <br />mp <br />e. <br />1 e'n •..n th <br />l th <br />•n • <br />Nncsnt <br />EIONATVRE OF -RINCEIAI EXECUTIVE <br />Ntl <br />e <br />ltH <br />hb <br />I <br />r <br />r <br />tl <br /> e <br />en <br />~ <br />ym <br />e <br />er wt <br />nE <br />e <br />onm <br />m <br />n <br />on, <br />TYPED OR PRINTED Indrdln~ the por~hnn. or nne •nd linpr4eonment r« rno.lns .Idrthmi OFFICER OR AUTHORIZED AOEIR CODE NUMBER YEAR MO OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lR~f~r~nci a/! •ttachm~nta hen) .. ~ G TAL `~s ISP Ef`:D <br />'0-1 (Rev. 3199) Previous editions may !se used ~ ~ -' ` TITtS 1S it ~-patt fOFiTI. PAGE <br />