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PERMITTEE NAME/ADDRESS ()neMfr frwry N..rtoc.nun f/D(dGrwv) <br />NAME <br />. . <br />ADDRESS _ _ .. _ _ ~ .. ~. .: 1 .+ is <br />~. LitlX 14SV <br />. LISADI: CG bi5~5 <br />FACILITY ::USiJI; hUBTh ~ :iG(jTh f~lt~ES <br />LO~1O~' ~~ PALtSAiJt CG til`,l6 <br />.i.Si)l1 i.. KiffIPG L_t_ <br />Form Approved. <br />NATION AI POLLUTANT OISCNAROE ELIMINATION SYSTE.Irt //NPOESI OMB NO- 2040-0004 <br />DISCHARGE MONITORING REPORT IDMR/ , <br />., _.~ V "J <br />PERMIT NUMBER ascl+ARaE NvMeER - FINAL ~; L 5 A <br />MONITORING PERIOD ti B i 1 T G (: C A L C b F t' K <br />YEAR MO DAY YEAR MO DAY _ <br />FROM TO / <br />NOTE: R~~d {rntrvctiorn b~fori.e relpl~tfnp fhb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np, FnEauENCr SAMPLE <br /> of <br /> EX µ''IiY~g TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />. PERMIT :. ~ . <br /> <br />REQUIREMENT . <br />_ ~, !1 ~, <br />_, _ _ , <br />SAMPLE <br /> MEASUREMENT <br />- - -' - ~ PERMIT :, x. , 1 ~ , ` : / , _ <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />.,i:, 1 4 PERMIT ..:ss~~, >t;.pl¢:e.. : -.~.Sr>G= ..i. rl, ri'j .,C ` <br />% ~ ~~ <br /> REQUIREMENT - _ . <br />_ ~ :, ., : ~ ~ 1 J J _ ::'1~Y r.; ~Cn~~r <br />.. ~ i ::'', i, L SAMPLE <br /> <br />~ •' ~-J MEASUREMENT <br />. _ ~ PERMIT - n3~. ~ - j`'{,(' 70CU -.Cr_/ %'- <br /> <br />- ~ REQUIREMENT <br />IG~ n v <br />+.rn s k <br />:. 11. <br />_ _ <br />J SAMPLE <br />~ <br /> MEASUREMENT <br />G 1 .. PERMIT ~. ,. .-1 varlD~Ow ~ .., . Y i b =;~ r . <br /> <br />., <br />REQUIREMENT _ <br />.~ . <br />L ~ ~z r~Ax ~ ~z <br />i ,'. ~; ., v 1. L i SAMPLE I j ~ <br />n~..i ! .:. '.1 j 1.,. MEASUREMENT <br />~v 1 PERMIT .:_.tUd~l :.i:FCfiT .- {LY lnj';n. <br />L ~ REQUIREMENT ,:; te n j; Y ~ D n I L Y C! X <br />_. -~'.:- ... SAMPLE j <br /> MEASUREMENT <br />PERMIT ~~ ~, ; _ - „ ., Y V ~ ~ ~ :~ <br />REQUIREMENT •; <br />NAMElfiTLE PRINCIPAL EXECUTIVE OFFlCER ' "^"r ° " pr""` ° 1i- IArI ,hh docvmenl •nd dl w.ch,nenle wrre TELEPHONE DATE <br />p.ep.red under mT dlrxlMn or wprrvl~on In tccordrnn rith . system deq~ned <br /> to rwn tA.l qurMM1ad personnel proprAr L.IMr.M erWrle IM In(orm.lbn <br />robmltled. bred on mr I,pulry of the person a penwu who m.neLe the r7sam, <br /> or thoft persets dlncll~ respoMble for ~rlhMnj the Infornullow, the Inroesrlbn ' <br />f .ubmllted Is, to the heft or mr knewted~e end lntne4 true, tKCVntr, end conpkte_ -' ~' <br /> 1 rm .wsnr IA.t then en ~~nlnnnt penrltle for wAmlltln~ hbe Inforrmtfon EIONATLJitE OF IgINCNAI EXECUTIVE ~- <br />TYPED OR PRINTED , <br />Incfudint itx pedbldtr or nnr end ImpA+onmenl for knowln~ r1olrUot~ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />(;UMMt:rv I J ArvV [nrt.nnn 1 furs yr n... .,vac. ~ ,v,w InOrtrrmGte tMr rrrrr.cnmmra nt/it7a <br />,. - .. _ ..,L!lfn i~i~."...:i'. 'rllc~l ~i.~r?"', `::~..cl- ?~ --TF!„~. rF ktr(.. <br />EPA Form 3320-1 (Rau. 3/99) Previous editions may be used. Tt115 iS 8 4-P3El ~OEm. PAGE QF <br />