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PERMITTEE NAME/ADDREuS jlweiiJtF~eeltryNsw.rLocer,ow I/OtdG.+nr) <br />NAME ~~.}r~ ~~}i~ I'I i i %.t.I~?~t t L. <br />ADDRESS~~'It')~t..ie~~.~ t--~*r~. _. ~L_F`~ ~''i'~. fba.i~''~f.'. <br />FACILITY ~.'nt.~~`."?F~jti; ;3=~•; ~-. ~,t. i•3':~-. _`'~~!'d~:.~. <br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM NPDES/ <br />DISCHARGE MONITORING REPORT /DAR/ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />Y 0. DAY YE !3 MO. DAX <br />FROM -~ +.n • ~ .~ TO ~•t..: .... v .. <br />Form Approved. <br />~;. r •~~~~_ ` OMB No. 2040-0004 K <br />;~cr`i s ~ii_:~' i~41r`•i;T~'.~ ~() F'll,./z.: ~ei~i?j vier <br />._ .~•x Rim }:'?. •~',~'1_iY~;i~'~;, ~- ; ~ t •~•::., <br />NOTE: R~~d Irnttvctior» b~tor~ cl~gpl~tinq thb lorrro. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION - FREQUENCY <br />F SAMPLE <br /> O YPE <br /> ANALYSIS T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />~- -- :.., .. ~:_~;,.~._ SAMPLE - .... ~ .. ... <br />„~y;=,~ 'A~.. MEASUREMENT <br /> <br />~: = ~ ~lJ~~"b's ~;~~47~tis `'~°:E_;~~ ft~aUlfi~MEN1' II~::"r"E` l~fi~; ~.±~~} <br />--- ----- .. -•~t ~~=~li~~i ; i-i <br /> SAMPLE <br /> MEASUREMENT <br /> <br />i <br />PERMIT; <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT> <br /> SAMPLE <br /> MEASUREMENT <br />- ' PERM17 <br /> REt1UIREMENT <br />.............. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REOUiR~MEN7 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQVIREMEN'f <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT< :: <br /> REUUIREiNEN7 <br />4 <br />NAMErTITLE PRINCIPAL EXECUTNE OFFICER ' tt11y ° er prm ty o ~w tbat m <br />prep.red under my dincllon or aup lr don,mem .nd .N at.chmenv were <br />ervMon In eecord.nn wllh . rystem deel`ned TELEPHONE DATE <br /> th <br />O <br />l <br />l <br />f / <br />~~~ Proper <br />y `. <br />oe <br />to assure Chet qudllled perwnne <br />orm. <br />er.nd er.lwle the In ~ ~,~.- <br />` <br />-' <br />" <br /> <br />/~ <br />' <br />~ <br />P sobMtled. Bsd on my I,pulry of the person or persoro who mana`e the system, <br />or lhox penom directly respomlbk for ptherln` the In(ortrutlon, the Informetlon '- <br />j <br />b//A / • ~ <br />f~(:J ~ ' <br />i-f'~v ~~ ~/ ~7~ <br />Q !~ <br />~L <br />~~ <br />~j / ~ <br />f f <br />Z X (~(, ~ mbmllted N, to the bnl or my knowkd~e .nd DeNef, Irvq .ccunte, .nd complete. <br />1 <br />f <br />tl <br />h <br />l0 <br />l <br />f <br />~ EIONATVRE OF PRINCIPAL EXECUTIVE / LG. J 7 <br /> em .ware Ihel I <br />~n <br />on, <br />ere.re s <br />unt pem <br />or submlttln~ 6be Informe <br />Na <br />TYPED OR PRINTED Inelnaln` the possibility of Ilne and Imprisonment for knowlnN vld.Nons OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /R~/~r~nc~ s/l ~ttschmints htrr~l <br />-, r kl,;-,r.; ~ 1`rfi;"J In's.is_E_. T~F_' Ila~~rl,~,.~e r•~I~I~:' ~,L- 'E:_~rf~;i_k ai?i_~~.):= f"_i'+€' ~€ ~_1'~t7 F"~. a; „I._-3t. ~`~3 x~" ~~':::.n , <br />t.~~ I ;= z:' ~: '-~C]~_Ir~r" .4_~1~11T s'1'v' F~~ ln;t~,I4'~~' ,'~)R ::;{sYF~. ^ k ,(a '?F~.iT-~~:~ t. ~. 'f.; pE:s ~--5, d=,.`~.? ~- A ~-?, ~ ~ F'C3R F~?t?tir~ <br />' _ _, . <br />•- ^,;:~ ~~ -, a-,,.. e - _ -. _ . ~ r; -, - . _ - t- w:1 , ' • ~t/.-; e'= _ 'zl.„'y_.ti_ ... - ie"` 7l1 ' y(`La~ F?i=i~•!ar'':t!~i(1 }'~.: '_~r..1 <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ~t:;a~}:).+} j ~ T•~~s~i~+~ 4-p17~,1~rm. PAGE OF <br />