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PERMITTEE NAME/ADDRESS pwobJr F.eWryN../Loeulen Vn~.verJ <br />NAME d.';~t~}~ t~I'I iii I NGr ~~~: <br />ADDRESS~~• A(~,(j;~,li~ia d;F~l~. ¢! ~1_~ ~R~t I`'ISNES <br />P. "J. L'S?i 535 <br />5i34`~~'Fi aE"; CD 5 ~. x•34 <br />FACILITY cAN~o~:N CF;1~4 ~~ >r~~. ct~;yc. c~~:rai;~ <br />LOCATIONc.,~i'{EEtSET ~~ 514•=~• <br />,'t "1-"6-hl • !A}vl~C Y t+rtr`t Cf Cl".i Tr'S'~'f" lJ G? <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT (D R) <br />~, . . f5f '" f'~ d <br />PERMIT NUMBER wscNARDE NuMeER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM C}5 D:~ D1 TO C}~` ~"t~' ~~ <br />Form Approved. <br />OMB No. 2040-0004 ~ <br />t~1 I N~JR ; <br />S ~UI1tY: C'tN } <br />~Elitiir€Ei~T PSfidL't 7'i~ SA~k~U1~1'~ CRE.Et~'~. <br />NOTE: Raad imtructiora b~iw~ compl~tinp thin itxm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOVENCV <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />PH SAMPLE ###### •~#•~•### ##'~••tt•#•z ( 12'1 <br /> MEASUREMENT <br />r~#-3~'rC}C3 ~. C'7 U PERMIT 3F#~it#-x-- ~t~#3t-#-tt- ##•~• 6. 5 ~#3t~Y#3E 9. O I~C~I I1~52:T <br />EF'FLUEhfT (~RC],~-,5 UA#..,1! Rt:QUIREMENI' ##:~t•# h'E I Pd I hit1M MA X I h1lJh9 SU MOh.IT <br />capi~ I I3S, T~J' 1'•AL SAMPLE ###### •~•##### •~•## .~## ( 1 ~ } <br />SUSP ENI}ED MEASUREMENT <br />CJC}530 1 0 l'} ;PERMIT ###~#at- ####yt-# ~t•#n ###### 35 70 AICE~ RAB <br />E.Fr f~U~:.NT GRC355 ti"A1..4.1 REQt31REMENT ##~•# 3 BA A~t~ A I Y h1x 1't~r'd.... NiC}1~4T <br />SDL.ID5, SETTLEAI~LE SAMPLE ~•##### ~•#~•### . ~••~••~~•-~#• ( 25'1 <br /> MEASUREMENT <br />L3©545 1 G C} •SERNMIT ~##-~## ###### ##':t• ~#~#~~ REPQR T FtEPSRT NGEf ;RAD <br />S:F~"LUE.i~(T GRdJSS tJAL.U REl1UIREMEN7 <br />;:.. ##~t•# ~+~1•iA A~S~G~ ALLY t"4X MI_l1.. M©~dZ" <br />IRE3N, TQTAL SAMPLE ###~•## •~t-##### ;~•~t••~•##•a• c' 2#'} <br />{ A° ~'~ } MEASUREMENT <br />1.~1C`?45 1 t7 ~~ `PERMIT •1F##~•#* ###3t•IF~s• ##•~• d?~t•it-iF#-it 354 •7C?C}0 NGEf <br />_ ~~- <br />E€'1:'!_U€h(T ~R©SS VAL.UI REQUIREMENT ##:,~•# 30 (•~ V DAILY t`I UaiL.. ~ <br />~ '' <br />fJ If_ AAI~+ ~~?EASE SAMPLE ###### ###### •~•####~• ##•~•#•~••st• ( 1 `~ } <br /> MEASUREMENT <br />43Sf32 1 O O PERMIT ~~' ~ ~ ##~,~• ~' '~~ ,~ ~ ## 1`~. ~,~ '' ~*~' <br />EI"r LU~:t'~T GRCi55 VALU leiEi1l11itEME.NT <br />... <br />. ~_~• ;.~, .u <br />- ~ ~r r <br />. . #### ~~~.'" ,~{. ~: ~. ~r. ~ . •+~' t'tGr 1_ ,~,, <br />FL.C3W, IN GpNDUIT ClR SAMPLE ( U;~} ~~~~~~ ~~:~~;~ ~--~~;~:;# <br />THRU 'I'REATMEIVT PLAN 'MEASUREMENT <br />~tl/.}~CJ 1. t~ U PERMIT REF'QRT f~.Ef a~~ . ~tr+rh!•#-0F•IF , •3~-iFikit#~F ##~1•### -### N E/; I STA <br />EFFt U~i~d"~~ t~R©S5 UAL.U kEnuIR~MEN't 3~DA• AEG ~JA3L_Y MX M~I1 #~~# M€fl~ <br />SQLiDl:.~, T[)'fAL SAMPLE ~:s#=rat-t -r~-~~t:t# ~s~;~~!~-~ ( 14} <br />DISSC7i...t~1~L! MEASUREMENT <br />~'Q29~a 1 Q C} E'ERMIT' ##~•*#~t ###### •;~•#•~ #-~##ar# REPQRT REPLiRT TRLY "RAID <br />Ei"I= L.UENT DR05S '~tALU ,AEUUIREMENT #~••~~# ?OLA A'~Q fSF~ I C..Y _ f"ti~ MGI1.~ <br /> <br />NCIPAL EXECUTIVE OFFICER 1 ttr111) u of ptna 1) O! I~w thll Ihb document end dI Ntxhmenb MtR <br />TELEPHON <br />E <br />DATE <br />NAME/TITLE PRI prep~led uneer m) direenon or wpenielon m nccord~nce with ~ s)rlem eeslLned <br />// ~~~L <br />J G lh-E' S T' t-•~ <br />- to assure that quoNned perwnnel PHI Pther end evnluale the Informelbn <br />fubmltted. hued on m) inquiry of the person or penoro who nuna`e the system, _ <br />~ ~ ~ <br />J <br />~ y <br />1 r , E, , <br />~ <br />/ <br />J ~ <br /> or thaafe penou dlreetl) resporolbk for ~athert~ the Informntlon, the Information u / <br />' <br />/],,, p <br />~~(~, ~ ~ }'S ~ dlJ' ~~ <br />solrmitted h~, to the bnt of m) knowkd~t n~ beNef, tme, rxcunte, s~ complete. <br />IhN Ihert ire sl <br />ninpnt <br />I <br />endtl <br />s f <br />bmltnn <br />hbe I <br />f <br />tl <br /> <br />bIONATURE OF PRINCIPAL EXECUTIVE 7'd <br />/ - "j ~ZZ <br />Y°~ 7 <br />~ <br />Q 4- <br />UB <br /> ~ <br />~m aware <br />p <br />e <br />ar m <br />~ <br />n <br />orms <br />on, <br />npED OR PRINTED ineludin5 the posslDllity of ene end ImpAwnment for knowln` vlolatbin OFFICER OR AUTHORIZED AGENT CODE NUMEIER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rafiranca all •tt~chmants haral <br />TS5 :;~ TCI~ tatL I I-~ON L_ I M y "I 5 W I !_~ BLS- WA I VEll, AND SETTLEAI.'LE 5~L I DS LMT AI'PL ;t ED Ir QR '~~ ~=-1 t;1't'F~, 24H~' PREC I P EVER•IT; <br />5E"I'TI._EAL'LE SOi_IDS f_If`'II1' Mr'~Y L'E ~rlAl~:'EI:'r 1+17R :>1f~YR, 24HR E°JI~'NT-5EE I. r'~. 1r PP 4--5, FIND I. A. a, P. cf F'GR FtQMNTS. <br />EPA Form 3320-1 (Rev. 3199) Previous editions maybe used. ~j(~~~ •~ j !~~~~5}~~a~~.-~~Tt~~rlt1. PAGE .~OF <br />