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PERMITTEE NAME/AOORESSp~rF.ewryN.u/L«.uon(/D~I..w.q <br />NAME <br />ADDRESS <br />FACILITY UN M 1 r~~ <br />LOf/~TxNJ ~~ rl ~; .t. 5: <br />,- ?r. MIPIL-' M~~k. <br />NATIONAL 70tLUTANT OISCHAAOE fIIMINATION SYBTEM //NPDES! <br />DISCHARGE MONITORING REPORT (OMRI <br />PERMIT NUMBER asCNAROE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />NOTE: Read ImtrucNw+~ b~fw~ compl~ifrlp thl~ form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• ERE°oFNCr SAMPLE <br /> EX <br /> ANA~ysls TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT _ <br /> PERMIT =-~t~ r.. K ~ at-3; i5 Y , ~~r ,l_...!~ . _ ._ . <br /> REQUIREMENT j NST M f; ~; <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 />W <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br />NAME/TITLE PRINCIPAL EXECUTfVE OFFICER I nnllT u r psn• !T n I^w IA^1 Ult EMfRKnI ^I1d ^11 •IlKh menl! were <br />TELEPHONE <br />DATE <br /> pnp^red under n.T elrerllm, ,x ^upenlyon In ^ccord^nn wnh ^ .Telem del~ned <br /> <br />' to err th^1 yu^IlfMd Ix rwnnel propertT C^Iher •nd .. Jule the Infn.nullon d <br />~ <br />,-,._r :. ~ .ehnrued. e..ea on m. I,pulrT of the person or per.oro who lrun^`e the fTslem. <br />h <br />b ~-' <br />/ <br />' <br />- ~ <br />'~-~ Z!/v <br />Y <br />- oe Ihosr prnore direcl <br />respoad <br />k for (^lherlrK Ue Inlorm^llon, the Infornullon ~ <br />c~ <br />- ~ ~ ~~ : <br /> <br />. _ <br />whmined b, to the ix~l of mT knowfed Ee ^nd beMef, Irvq ^rru nle, •nd cempkle, i _ <br />/i J <br />~.: Y <br />~'. <br />~ <br />~"~ r <br />/,~% <br /> I .m ...,. u.l inr...,. safnlnr^nl pen.lnr+ r~r n,n:„ l::i„1 hW infnr,,,.ll.,,, SIGNATURE OF MINCY-AL EXf CUTIVE - <br />` <br /> - ~ A <br />PRINTED <br />OR <br />TYPED +„ci~y :n. „i.:~rn, , nn..nd impr7v,nm.-~ r-., A,,,..~.,r .t.deuone <br />in~ OFFICER OR AUTHORIZED A%f N' NUMBER <br /> <br />r <.rpE <br />Y AR <br />E <br /> <br />MO <br />AY <br />0 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRS/~r~nc• s// •tt~thm~nl~ h~r~l <br />i-- it ~ ~i ~~ w -- - - <br />EPA Form 3320-1 (Rav, 399) Previous editiorts maybe used TI11S_ i$ a ~3-paEl Tpf(fl. PAGE OF <br />