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lERMITTEE NAME/ADDRESSpweiif.Frae~lrryX~./Ler.rraw(/D{S..waq <br />NAME <br />ADORE33 <br />FA CI l tTY <br />IOCA T10N <br />., i 1 ?~ i ~ ~~I- <br />('J i <br />NATIONAL GOLLUTANT DISCHAAOE ELIMINATION SY9TEA1 //NPOfSI <br />DISCHARGE MONITORING REPORT /OMRI <br />PERMIT NUMBER ascHAFtOE NVMDEN <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM To <br />Form Approved <br />OMB No 2040-0004 <br />NOTE: R~~d k»trucNorn b~1or~ compbtlnp thl~ form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, <br /> <br />EX FREOUENCV <br />OF SAMPLE <br /> <br />YP <br /> ANALrsts T <br />E <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .;. i _ i•'. . "• c. ~ - ; 1 c ~ . <br /> REQUIREMENT -iA X T i"{~._""+ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ## , a ;., .; . ,, ~ - r , # ; <br /> REQUIREMENT _.,!. ~ •~ r-: j.j;_.; <br /> SAMPLE <br /> MEASUREMENT <br />~ _, <br />r ~ i <br /> PERMIT .;~.~a: ~ :',•ao-~~ _ .. <br /> REQUIREMENT - . ~„ ; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .r-~'S" ^•drst-: ~ a••~##~--: <br /> REQUIREMENT _ r`-i~~ • LJA ~.:-_ ~ <br /> <br />SAMPLE ___ <br /> MEASUREMENT <br /> PERMIT - + .. , - ~ #-~ f ;~ -t ;" _ - ;. r~.l' <br /> REQUIREMENT • <br />~j L <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT star#-#~+- ~L,= +.:F -~ ~ . _, -, #~_> . t <br /> REQUIREMENT : 1.1ST h! <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> - <br /> PERMIT <br /> REQUIREMENT <br />NAME/'TTTIE PRINCIPAL EXECUTIVE OFFICER ' Kr111) Y er pen. t~ " L: ~A•I NH doav menl and all .ua¢n menu were <br /> <br />prepared under m~ dl rertfon or supentfon In anordanre rllh . antem ddEnM <br />TELEPHONE <br />DATE <br /> to aaaere roar au.xned personnel properlJ ~.mer and er.lu.te tDe tnrrxanatMn <br /> fuemltted. ttaaed en me InqulrT o! the ~eraon a perewu .ne mans=e tlx system, <br /> or (hose pertors dlrerU7 resporelbk for ~aiherln~ the Infotsatatlow, the Information <br />- ~~ <br /> whrNtted b. to the Heat of mf tnow4d~e and txNef. trot, arsvnte, and rompkle. - ~.~ <br /> 1 am swan that them ere stEronunt pmaxte ror auhnrtxns rave information 61UNATVRE Of MINCtvAL EXECVTfVE - "- <br />TYPED OR PRIN ~ED . <br />+"e+"d+e~theD~Etlltaarnne.ndlmpASOnmentrortno.in~.{d.llwrs OFFICER OR AUTHORIZED At3ENT CODE NUMEiER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY V <br />(R~l~rtrnc• dt •tbcAm~nts h~r~l <br />EPA Form 3320-1 (Rev. 399) Previous editions may be used Ttus ~s a ~i-part <br />