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PfRMITTEE NAME/ADDRESS(Iwei~J.f.erNryN~./LerNra.~/D~ww~r) <br />NAME <br />AGGRESS _ <br />sL!~ ~: i~ <br />FACIIrrY =-it ~:. A~fYO:J 1''i T NE <br />LOCATION -' -''-; <br />._ ID I3 MTLI,ER: BUSiN1=SS ~~~bR <br />NATIONAL pOlIIJTANT D13CNAROE ELIMINATION SYSTEM /NPDf$1 <br />DISCHARGE MONITORING REPORT IDMR! <br />PERMIT NUMBER o+scl+AnaE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />F -- t• i <br />`i I EVE N <br />` ,~, <br />NOTE: R~~d Irntrucdorw D~fw• compl~tlnp thl• form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np, <br /> <br />EX FREOUENCr <br />of SAMPLE <br /> <br />TYPE <br /> µALYSf3 <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />` SAMPLE <br /> MEASUREMENT <br /> PERMIT .. ,. ~: ,, . - ._ <br /> REQUIREMENT :'sS1' f"',AX. <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENTC <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/'TiTLE PRINCIPAL EXECUTIVE OFFICER ' """~ " ` pe"'tr ° •= Iha U+N doramenl •nd .H •ItKAmrnU weR <br />TELEPHONE <br />DATE <br />prepared under m~ dlrrctlon or wper.hlow In Kc'ord•nce with . sTtlem defijned <br />" <br />'~ ~- ~-'r to uavR that qu•Nfled personnel properiT j•ther •M tr.lu.le the Infnrwullon . <br />- <br />L_ c. <br />~~~ '..) t:... L - >ahnruee. evee °.,n> tnqutrT of the pcrsen °. pertnrn woo roan^je the ,.,te.n. /~ (y/~ <br />/~ <br />~ <br />n `- a.i "" <br />or those <br />erterre dl rectl <br />res <br />o~Me for <br />•therln <br />the Infonr <br />llae> <br />the Infonr <br />tl `~ <br />/ <br />p <br />T <br />p <br />j <br />j <br />-_ <br />u <br />, <br />r <br />o <br />-~ <br />whmitted b, to the bnt of mT krwwW je .M heNef, true. Kcvnte, end compkte. _ ,!,'I ~ <br />61ONA TUBE OF rRINCI-AL EXECUTT/E I <br />-~ ~ <br />h ! <br />C~ <br />~ ~ / <br /> 1 •m •w•R thu t <br />en •R sI jMfk.nt prndtla for submlttlnj f•6e Infornutlen. A A <br /> <br />TYPED OR PRINTED IMudlnj the pMSihmtr ornne.nd Imprfsowment fn.-,wwlnj •Id.thMt OFFICER OR AUTHORIZED AGENT NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /R~ltrr~nc~ sll ~ttachm~nE~ h~r~l <br />±- ':VE <br />-Rx <br />FPA For.,, 3320.1 iRP. 3~co~ F.o:•.,~~_ .-d~nons .... - sof <br />f MONTHI. ~ AVG. DURING PERIOD REFt-~F:"I EI: <br />PAGE <br />