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PERMITTEE NAME/ADDRESS prreLlsieWryN.w/Loeurar 1/D(direnr) <br />NAME i~~I3QW i~3INItWG~, LLB: <br />ADDRESS S,~IiVE3C1IilV ~'~~:~ ~? ELWi {sRt-~, ik3l!Vt;:S <br />P. L~. S~Q~ S;.iS <br />FACILITY Sf~{VliClfZl~I ~"~':~ ~ ELF'S ~~e'~ M.IIVES <br />LOCATION t-.,(~1`tT:.R~J`ET' :t..1 #~ 3 43~F <br />A.'T'Tkl. hAr r+ t~'VY^P } 3 r9 <br />NATIONAL POLLUTANT OISCNAROE ELIMINATION SYSTEM /INPOESI <br />DISCHARGE MONITORING REPORT (DA4R) <br />PERMIT NUMBER ascNAROE NuMeEa <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM t?tt !~~ V I TO ;~{~ ~'t'~ ~;), <br />Form Approved. <br />OMB No. 2040-0004 <br />t~ I h1Ql~ ~ <br />f ~ula~ rare z '°`~ <br />~xkE`~~~~ ~'~ ~ ~~~~~, ~a~..ItVIVI,^-.DP+1 ~. <br />•~#~: i•SC3 I3iS~i-~AR~~E I~_I ### ~.,_, <br />NOTE: Rod imttuctlom b~1or~ t:ompl~tiny this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(aH SAMPLE ###### #If##~•# #Ic#i#•## { 123 <br /> MEASUREMENT <br />C}~?4DI;1 I G J PERMIT ##~~-## ~~###~ ### b. 5 #~##~# ~. G 1VCi=1 IhSSIT <br />EFt=LL)1f~t7 C~kC~SS VALE! RE(1I11REMI:NT <br />... ##•~# h'f MAXIt-il.}M Sid MD}tiiT~ <br />SCiL TDS, TC:l7AL SAMPLE ###### •~•##### #####ii• 4 1 `~ <br />tSPElVI?ED <br />~t MEASUREMENT <br />. <br />OQ53~3 ~ t) 1~ PERMIT' ->F###•>E# ~##~->E# ### ~+#~••~-*~ 35 7~ NCE/ RAD <br />E>~"PLUEiy~' ~RD$S VALU kEQt11REMENT <br />.. #~## A V'-' A Y Mk M~.sL ML71~7 <br />`,~CJL 1 DS, SE`f"TLEABLE SAMPLE ###### # ####•!£• ###•1i•## i ~-;~ 1 <br /> MEASUREMENT <br />(7Q545 3. +C) t7 PERMIT ~•###•## ~##~## ### ~#•r~~•IE# REPDRT R~Pt3R•T hiCE! RAl3 <br />~I't:~LUEP~#~F 6f~0~'a5 'VALE.) REQUIREMENT> #### 3UDA AVC~ D~~ILY hIx t'`EL%L IKDlVT <br />TFZt_?N, TQ~~`AL SAMPLE ###ic## ~~####~• ###### { ~?8~ <br />t A5 FE) MEASUREMENT <br />t~1~~F5 •{ (~ ~} PERMIT ` #•IC~;F~~•# •sE•sf~F##•>F• #-~•~• at•##~#•~ 3000 6U(70 t~CE/ RAI3 <br /> <br />EF~~'LUENT #.:RDSS VAL~.1 . REQUIREMENT <br />.......:>;:::....._..... ;. .~..~..~.~. At! LY MX Ll~`/L M N <br />OIL REVD Gf~EASE SAMPLE ;• ~;*-~. ~~ a:=# t##•x- #####dr ##t:### t i9) <br /> MEASUREMENT <br /> <br />0358~' ~. C) U <br />PERMIT <br />' <br /> <br />~" <br />~•#•r:• <br />., G °~ <br />- ~ <br /> <br />~} <br />~ - <br />, <br /> <br />~ <br />~ ~, <br />EFi= LUENT GRDSS VALU R~tttIIREM(_NrY ~ .~..~..~.# . <br />, « , <br />dl:. MG f L +r: <br />'. <br />FL©W, I#!t CC1iVL7UI-f' E]R SAMPLE t C}Q) #####-r; -~ # ~ Ott # ~~ r~ ~ ~~•It• <br />U Tf~EATMENT PLAN <br />THP MEASUREMENT <br />: <br />50~?'~{~j ~. G 0 PERMIT ' '!~ (~'I' ~ 7 ` <br />~ ~##~# `_Y ~r~+f~~rtr~ ~k11•il~3tiE#~. ~### ~~~, IN~Tfk- <br />EFFLUEI~7' ~RD:rB VALE! ~14QUIREMENT ~4bA AVM ~tA~L.Y ~t5( i~G~) ~-### t~N <br />5QLIDS, TO"tAL SAMPLE ###### ~~`-,~iF# ~:~~~,-t ! i~i`J <br />'JED <br />D I 3SS::+i MEASUREMENT <br />.. <br />742~'y :~ {~ ~i f~ERMiT ' #+I-~~+~~._ ~~#~#~• ~~•~ ~~-##~•# P~PORT R>~PDRT 7•RLY R 33 <br />~~~L~?=~T C7F.'D`.~S ;~f"~L~.J AEt]UIREMENT #~##:~ ~+t#~~R A41C3 I}~tILY MX 1*l#.•IL <br />NAMEI'fITLE PRINCIPAL EXECUTNE OFFICER r cerlrtr ° er pena rr o taw ih~t rhb document end no ~rtsdrmenN Overt <br />erv6lon In aeeordantx with ~ s~slem desl`rted <br />sred order m <br />direction or m <br />rt TELEPHON E DATE <br />t G ~{ ~ / _ ~ <br />J LGQJ ~ <br />p <br />p <br />p <br />to asurt Ihd quufllled perwnnel P~~7 Pther end er~N~le the Inrormatlon <br />i <br />~ <br />v enhmilted. 6aeed on my Inqu <br />ry of the person or penoro who mnnaee the arstem, <br />ur nose pert+oro direcut resporelbk ror pmerlrtT the Inrornuuon, me mror>ttnuon /,; ~1 ~ I ( <br />~ <br />~'U~ <br />g~D ga 9-s~ z ~ <br />( <br />r ~ <br />y X P ( ~J~i IG~D ~~ <br />c <br />submitted h, to the best or m~ knowledge and helkr, We, steunte, end complete. <br /> <br />dIONATLRE OF PRINgPAI EXECUTIVE <br />. ~ ~ ~ 4. 4 8 <br /> 1 nm awsrt Net (here sre slEnlnunl pendNes for suhmlltln~ hbe Inrornutlon, <br />TYPED OR PRINTED Inaudlnt the posdblllry or One end Imprisonment (orknowln~ rldsUom. OFFICER OR AUTHORIZED AOENT CODE NUMBER YEAR MO DAY <br />COMMENTS ANO EXPLANATION OF ANY VIOLATIONS /R~t~r~nc~ s/I •ttacnm~nts h~r~/ <br />TSS ?: Tr•17~iL IRC1iV LIMITS WILL I3E WAI'JED, AIVD SL:TT1._I:_~tiILE SOLIDS LM7 APPLIED FDi~ t~=1{7Y», 2~FHP, PFtEi~IP EVI^hi"I"3 <br />SETTLI~'AI1LE 5C)LIDS LIMIT t"1AY BE WAi;lED ~DF~ =>iCTYR, ~4HR EUEl+1T-SEE I. A. S ~ PP 4~--5, AP~aD I. A. ~, P. 5 Ft7F2 F~':3i~??'TS. <br />EpA Form 3320-1 (Rev. 3/99) Previous editions maybe used. t,~r~'} ~5 ~ f LT.~t~F~~~= ~~'t;~$iltl. PAGE TOF <br />