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1'ERMfT'TEE NAME/ADDRESS pw~ii/. irWryN~./L«.ria. I/D(Q6...q <br />NAME ~ <br />ADDRESS <br />3 ~ ~~ I~P- ~ ~ H i ~~~INi-1 r J, .i <br />=.:KER C <br />FACam ~_OWYO i-iI~tE <br />LOCATION _KER ~ r, L. <br />NATIONAL POLLUTANT OISCNAROE ElIMINATfON SY9TEb1 fNPDESJ <br />DISCHARGE MONITORING REPORT /D RJ <br />PERMIT NUMBER ascNAnoE NuMeE>t <br />0 =- ~- <br />MONITORING PERIOQ <br />YEAR MO DAY YE R MO-. DAY <br />O E'.• _ FROM '" TO <br />,3p , <br />Form Approved <br />M I PJO~ onna No 2oao-oooa <br />C SUBf -_~~. ) <br />F - Fs~~iAL ~''~- <br />NiEST Piz 5~1 I"Oi~t7 I'i~ ~ HYLOR •: <br />NOTE: R~~d ir»truedor+» b~/or~ eompl~th-p thb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FacouENCr <br />of SAMPLE <br /> <br />TYPE <br /> ANALVSrs <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />-. PERMIT , ., - _ , <br />_ , . i ` N l • i REQUIREMENT 30D~a ~- . (; ' ~. Y M X <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 />NAMErTITLE PRINC PAL EXECUTIVE OFFlCER ~ Rr71i~ Y r Pen. ry Lw ihJ dJe docvraeM .nd .N atechrnenu .ere - <br />~ TELEPHONE <br />~ <br />DATE <br />~ <br />prep.red under n.~ elreruon or w+per+lfon In .ccord.nce n1~h . f]elem deJ~ned ~ <br />~ <br />~ <br />~ <br />, ~ ;~ ~<~, fL, le Lefurt thN ~u.MMd Pcrwnnd PropeA! plher end to Julie the Inferrntllon i '/"~/ <br />' <br />~ <br />I~~ <br />.nernl~~ed. e..d on mr Inqulr~ o(uK Perron a penone rho 1n.ns~e the frrtr~ ~ /y / .C/ ~ <br />~ ~ <br />Oe Ihosr penore dl netll~ rayerdEM fa ~JherlrK the Inform.Urnr, the InforrrrUon (~ ~ ~ <br />-~~ ~ +~''/ ~ r•! ~ ~ ~~ J <br />7 <br />/ <br />- <br />J ~I <br />/ J <br />~ ' <br />i ~ 1 <br />~ <br />~ ~ ~ i LT% -~' <br />___ <br />~ . <br />j <br />- <br />. <br />. <br />~ f . <br />, f.. ~ <br />` alrnlUed b, to the heat of mr <br />no.4d~e and hetld, iroe, .nvrau. .nd eompkle. - <br />, .-~ <br />SIONAT'VRE OF -RINCIIAI EXf Cl)TIVE ~ <br />(- r ,~ / ~. ~~_ ; L ,~'( , - ~ <br /> I .~ ^..re Iha !here .r< fl~nlflc.M Pendtln (or euhM:tln~ 6he Inform.don, <br />TYPED ~ PRWTED Includln~ the po~lhlgtr e! floe nd IrrrpMonrnent for kno.lnT ./W.uwn. OFfFCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO OAY <br />COMMENTS ANO EXPLANATION OF ANY VIOLATIONS /Re%rence N/ ati~cnments ~e~el <br />'~HR PRECIP EVENT IS CLAIME~^. IF GL.AIM APP.iO`.'Er 8Y WflCD, <br />~t1REF1Ety r' SEE I. A 2f F>. ~ .-,-,: , ;~,~ .... .~~ P:~,: ;~ <br />EPA Form 3320. 7 (Rev 3199) Drevious editions maybe used ; ~;~; C J ?. j ;~ps+,}g-~-*3'-paTf j'p~. PAGE OF <br />