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-ERMITTEE NAME/ADDRESS(-wei/rirWyNw.~L«.natUDf~''+'~eJ <br />NAME <br />ADDRESS <br />FACILfTY ,. UL-VWTL! f'111VC <br />LocAnoN'~(~EKFR C~ 8164 <br />I<C=1 t v r. Q~.NT)1=F1~. ll.D t~L- C'1PS <br />NATIONAL -OIIUTANT DISCNMOE ELIMINATION SY9TEA1 (INPDESJ <br />DISCHARGE MONITORING REPORT /OMR) <br />PERMIT NUMBER ascHM6E NUMOEII <br />MONITORING PERIOD <br />YE MO DAY YEAR DAY <br />FROM ~ TO - <br />Rorm Approv:d. <br />M I MOk oMEI No. 2oao-ooo4 <br />(SUDR JCi <br />F' - FINAL . ,~ <br />STREEYER GVt_CH TO ~U011 St'G~.-s t;F~ <br />NOTE: R~~d kletrvetlorr b~lor~ comphtfnp thh form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, fREOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANAlrsts <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - - ,.1 <br />I <br />- ~s -- <br />, .r., <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 /> REQUIREMENT <br /> 5 A MPIE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCiPAI EXECUTIVE OFFICER ' nngY . r pe.. tT o b. tb.t ub eoeument .ee.N .tt.chmenn .ere TELEPHONE <br />l <br />lb <br />enl <br />l <br />w In <br />rd <br />llb . <br />.te+n d <br />l <br />r <br />d DATE <br />n or wy <br />. <br />o <br />.cco <br />.txe w <br />t) <br />a <br />~ <br />r <br />prep.rtd .ntfee rn~ d <br />rx <br />' / i <br />,! l - to usur< tba qu.tlfled personnel ie~~7 tNber •nd eeNu.te IM Intonn.llon v ,: , ~ i <br />~ <br />,~ % ~ f t ~' ~ y .es~t,lu.a. s..d o. mr t,~y~t~ or u. Kr.o.t e. ~^no~..no ~.o.R^ u.,~.vm, r <br />iA~=~ <br />~ <br />' <br />, <br />~ ~ a t~~,^,..,.~ dt,~.t, .~.~,.~I^ ~o<<.t~..,,~ ~.I~ro.m.,l.~. t~ I~-a,~.tl~,~ <br />.. _.t 1 p ~ ~ ~! - ~ 5 <br />i. l_ <br />b~ 0`~ <br />' J ~' %~ . ~ i.: ; `1 !. _ ! / %>-. '.' ~. ~ ` fL-- fulmllted Ff, to IAe bat of m~ kwo~Ydp .nd SsMel. Iroe..avnte..nd mm-kle. ~ <br />81aNAT11RE OF I11tNCIrAI EXECUTIVE <br /> I.~n ^.,.. u.t urn .R+l~+nont p.ndna ror.YeMtnn~ r.is.lnronmuoa. A A <br /> <br />~~ ~ PRATED <br />l*dudln= tM po.dbitll~ of 11ne .nd 1r~Atenmenl fw tno.1~ .id.Uo~ <br />OFFFCER OII AUTHORIZED AOEF(T ~~R <br />C yEAR MO DAY <br />COMMENTS ANO EXPLANATION OF AevT vlv~n I Ives Irarerencr sn •rrscnmtrnra n~i~i _,4HR PEtEC I P EVFEyT 15 CLAIMED. I F CLAIM APP~,OVED BY bSflCi <br />,I , rJ' I JC-, <br />EPA Form 332Q7 (Rev. 3199) Previous editions may be used. THIS 15 A 4-j~111 COm1 PAGE OF <br />