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/ERMITTEE NAME/ADDRESS pwarr s.ewq N..r t«.eraw (/o(~.eeet) <br />NAME <br />ADDRESS <br />=,; ~~I t, i , i ,Hwr~, ; _ <br />,~ rKER `~D s31b4 <br />FAaLm _ DWYfl rt : , , ~. <br />LocAraN KER ;: t3 8 f 64 <br />f_LY C: `~~ ~I??:~Rtiit VP OF O°S <br />NAT10NAl POLLUTANT dSCHAROE EUMINATiON SY4TEM (NPOESf <br />DISCHARGE MONITORING REPORT ID RI <br />PERMIT NUMBER ascHtuLQE NuMeEn <br />MONITORING PERIOD <br />YEAR MO DAY Y MO DAY <br />FROM TO <br />Form Approved. <br />M 7 NDR oMa No zoao-ooaa <br />SUT3R JG i <br />F - FINAL ;'~ <br />PR05E'>=~:'I' SEI} PL/GLIDE' SPRIh.~C~ <br />NOTE: R..d M-.trvction. b.tor. compMth-9 thb torn. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION ND, <br /> <br />EX FREQUENCY <br />of SAMPLE <br /> <br />TYPE <br /> /WALYAS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE .. _%ljiJ ~ i~~ <br />~ ~ ~~ f,~, <br /> MEASUREMENT ' <br />`, . PERMIT -. .. •_ .. <br />• _ <br />i= ;_UL' ,.. ~ _ REQUIREMENT = ~'~ `~ _. "~~'~ I L_Y (+t ;1 r .:: , <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 /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/'fiTlE PRIN IPAL EXECUTIVE OfFlCER t ren'tr ° ' s'r"e1r o fie- test u,t+dor~mrot one of ruKnw,rnv were <br />y/f TELEPHONE <br />r rnr direction or <br />w I <br />ft <br />wd <br />e <br />Nl <br />r <br />ord <br />t <br />R with • s <br />m d <br />t <br />d <br />~ <br />/ <br />d DATE <br />_ <br />r <br />prepare <br />e <br />wt~ <br />r <br />o <br />n t <br />c <br />t <br />n <br />e <br />e> <br />`ne <br />' .!,f <br />• <br />_ <br />~ <br />/ <br />y <br />~ /J tr /. ~ ~ ~ to erasure that quaMikd perwwnel ~roytAr j>.tEer trod errtWatr tht Inrennelbn <br />~:%i ~ / .i/ C/ <br />/ <br />~ <br />. <br />/ tabmtttd. bred wn mr inqulrr d tM person er vertnrM wM ttinatr drt trrterrt, .(-'T ! l ~` G` <br />/ ~ <br />. ' or those pthrro dlreetlr mporrrEk fa tathrrl w~ IM Iwforrrutiow. Ihr InfommtMn _ ' / `~ • 1 <br />;' ~ % ( <br />~ <br />~, i <br />%~ <br />~ <br />x i' ~~ <br />/ <br />L <br />/ <br />~ <br />t <br />^' ' t. ' /~~L . ~ ~ ~~::~ :.' In ` /.---- suEtntitrd b. to thr Eat M mr tnew4d~e and EeIMf, true. twcvretr. and comPMr. <br />/ ~ <br />810NATVRE Of Mi1NCtrAI EXECIlTTVE _ <br />' '' <br /> 1 stn s..sre that then sre sl~nlflrswt yrr,dda rot wtDmt;dr,t hlv inrontutbn. <br />TYPED ~ PRIrITED Inrfudin~ the pesdEllllr of Awe end Irrtprlsomerrnt rot kno.ln~ Hdeuord OFFICER OR AUTHORIZED AOEMT CODE NUMElER YEAR MO DAY <br />COMMENTS AND EXPLANATION or ANY vIVLA I wNS IrfHeiMC• err •rr.cnm.nw n.r.r ,4NI~ PR1=CIF' r <br />,-, ~,rr~,r-~„~~,-.• r-,rt y. ~~as_e-;- _ s :3 , ,.. ;=(~ _,_ ;~RTRLY LAMFL7 <br />EPA Form 3320-1 (Rev 3`99) Previous editions may he used <br />lT IS CLAIMET~. IF Cl_AIM AF?RDVED T3'Y WrC[ <br />- OFF T A a. PG. 3 FOR I~II~f~.O~l~ i7F °!,'OQF <br />i3~iisf4a~3=part form PACIE OP <br />