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PFRMITTEE NAMElAODI~tESS,AI,rrrr P«wgNw/fos«ww, yDf~r«.gP <br />NAME . <br />,y (, ~~ _ <br />ADDRESS <br />'.;LIwKER ~r~ CC3 <br />FACILITY ~-OL.OWYD t'1I Fd~ i <br />NATIONAL POIIUTANT OfSCNAAOE ELIMINATION SYSTEM ((NPQES/ <br />DISCHARGE MONITORINQ REPORT (OMRI <br />PERMIT NUMBER DISP~MOE NUMSEII <br />MONITORING PERIOD <br />-; - Y A MO' O Y YEA M= D <br />FROM ~' ~ ~ TO <br />Form Approved. <br />M I NOF Dona No 2oao-oooa <br />(SUER JGi <br />>+ - F~ ~ vai ~ -- <br />GULCH f; SFDI P(1FvJ /GOOD =IPt~B <br />NOTE: R~~d kntrucdotl~ b~for• eompl~tiny thb fwm- <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, PnEOUENCr SAMPLE j <br /> OF <br /> EX µAIYSiS TYPE j <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />~ ~" . SAMPLE <br />_ <br />D ` ~- MEASUREMENT <br /> <br /> <br /> PERMIT <br />~FFLf_S?_' - `' , _;;_ , ~-:+ _ _ REQUIREMENT "- - `• G <br />r pA T LY F"IX. ^I~ ' / ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />------- <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 /> REQUIREMENT <br /> <br />NAME/TITLE PRI CIPAL EXECUTIVE OFFICER 1 cenn] u er pen. t] 0 1.+ Ihtl Ihb dwftl RlCwl .nd .11 ULrAmenl. weR _ <br />TELEPHONE <br />DATE <br /> PrfP.rtd Yndtf T] Alrecflon Or fuPtrv4~ow In .rcord.net wllA . ,),1e111 dd~rlyd r ~ <br />~~ ~ d ~ ~ / <br />~l Iw anur~ tA« rru.MMd p.rsonnel yroperl] ~.Iher .nd trJu.tr IM Infnrm.llon ; <br />r'/~ ~ <br />//~ ~~~ <br />i <br />' <br /> <br /> <br />snEmllled. lMfd on m] InQuln of tM Prnnw « PenDro tAo tn.w.er fNe f.tlem, , <br />~( <br />~ , <br />C~~ <br />" `' ~ <br />~ ~ ~ <br /> <br />~ <br />-~ ~ <br />// « thew penny. dlne/l] re,PoMb4 Ia plfiMn~ Ilse Inronwaloq, IAe Infornyllen ~ <br />" ~ i ,r -. ! _ <br />L <br />" <br />~ <br />~~ ~ <br />~ /, <br />IC /~/f_- ~ :: 'i t .: !/. 1//Z.r. ~ -- .ulmltl.d M, to the lHl or m] Lnnwkd(e uW beMef. trvr. ucvnle. .nd mmpkl.. j i ! ' <br />~ <br />i ~ r ~ <br />• y - ~) - i <br />~- <br /> I •m <br />..,n u« IAen.n y <br />mm~el <br />rn,uie, to: <br />unnrnin <br />i.tr i~rr <br />,.n 61ONATVRE OF -RINC1PAl EYECIRfVE <br /> i <br />R <br />, <br />p <br />f <br />,r., <br />~.,, <br />TYPED OR PRINTED ~~.elwilA.yedemrynrn,K.~~r.,pn,o~,,,r.,~ r~: i~~~.,1~~.~M.u~,,,: Off-CfR OR AIITHORiZEC ~3ENT cow NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANr VIOLATIONS, (R~/~nnc• NI •titcAmmfa h~i~J ~ ~~~~. ~ f, c~,,~N-r Z ~ 1_.LA I t EMD. I F' CLA Z M FiPPr~Q`JEL~ i Y' Wu(:I:r <br />~l : y • - - - -- -- _ <br />~' ~7 ~ - T'tli5 i5 0 ~-pBR form. PAGE OF <br />EPA Form 3320-1 IRev 3799) Previous ediLons may be used. <br />