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PERMITTEE NAME/ADDRESSpnrrifrrNryNw.~L«a~on(/DIQGrrwr) <br />NAME <br />ADORESS <br />. ~. nv~ 1~,iU <br />:....ISaDE CG d152b <br />FACILITY U:illlti NChTH L SC(1TH M1Nc5 <br />LO~~ .r PALISADE LO ii151t; <br />Form Approved. <br />NATIONAL POLLUTANT dSCHAROE ELIMINATION SYSTEM /NPOfSI OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT lO Rl <br />~. ..~ <br />(SUbid G:) <br />PERMIT NUMBER dSCHAIIOE NUMSEA l I }!~ A L M~$ A <br />MONITORING PERIOD _ ;~ U b 2 C C C A L C Ft ~ K <br />YEAR MO DAY YEAR MO DAY __ <br />FROM TO <br />NOTE: R~~d Ir»tructitxr b~for• t:ompl~tlnp thl• form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION nJD, <br /> <br />EX FltEOUEHCr <br />of SAMPLE <br /> <br />TYPE <br /> ANALrsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />` . <br /> MEASUREMENT <br /> PERMIT .: ,. Y ti ~ I ! (i <br /> REQUIREMENT • ' <br /> r n T <br /> <br />- SAMPLE <br />~ <br /> MEASUREMENT <br /> <br />• ~ ~ PERMIT <br />~ ~ ~ <br />~ : / ; A ~ <br /> REQUIREMENT .. ~ . .- <br /> <br /> <br />' SAMPLE <br /> MEASUREMENT <br />. ~ 1 PERMIT ... - :i ~ t :, _.. , ~ t. - - ~ / - .. <br /> REQUIREMENT ,, ~• ~ ., <br /> <br />• ~ <br />` ~ ~ • SAMPLE <br />~ <br />' <br />~ ~ MEASUREMENT <br />~ <br /> <br />- PERMIT v..:.... .•'T~ s~~p •-• J., C, (, ~ _ ~\l../ ,nr. <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />1 ,- <br />~' ~ PERMIT <br />REQUIREMENT _ ~ 4 >v ~' L' -, ~ iti i. c C.:~ ~ _ _ L :`. I ? '~ <br />- <br />- I ~ r <br />' t <br />~ ~ ~ .- <br />' SAMPLE 1 j~ <br /> MEASURtMENT <br />, <br />_. ... <br />. PERMIT _ <br />~~ ~ s;FOtiT <br />~ I. .~~LY ~~ ` <br />~ . . <br /> REQUIREMENT <br /> <br />_ ,. „ , SAMPLE I <br /> MEASUREMENT <br /> <br />- PERMIT - ~ - ~ E ~ si L'! _ _ .: <br />REQUIREMENT <br /> <br />I nntly . er pent l) o Itw IhH Nh docvmenl tnd dl tlltchmenu +tnt <br />TELEPHONE <br />NAME/TiTLE PRINCIPAL EXECUTIVE OFFICER <br />DATE <br />prrptred under m~ dlrettlon or tupee•fyon In tccordtnr< with • r~ttem dd[ned <br />_ to tsure th.l qutllfkQ prnonnel progerl7 plher tnd e•Jutle the Informttlon <br />I <br />t <br />tobmltted. Etted on ant <br />,pu <br />r~ of U+e prnon or penom +ho mtnt[t the rystem, _ <br />il <br />dbk f <br />i <br />I <br />h <br />a Ihort prnone 0l rec <br />• respo, <br />or p <br />hrAn[ Iht <br />ntormtUon, t <br />e Inlonrtbn <br />~ ~ <br />wDmitled ff. b the best of m] knew4d[t tnd Detlef, tne. t[cunte. tnd colnpittt. <br />dIONATURE OF /RINCNAL EXECUTIVE <br />ih <br />t th <br />l <br />rdn <br />nl <br />lU <br />f <br />h <br />ittl <br />f <br />1 <br />f <br />l <br />l <br />t , <br />- <br />TYPED OR PRMITED t1n twtn <br />rre trt e <br />[ <br />pent <br />e <br />t <br />n <br />or ru <br />m <br />n[ <br />t <br />tr <br />n <br />onru <br />lon, <br />tncludln[ the podblllty of nne tnd Impr4ton'nenl ror kno.in[ .Ie1tUo~ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION Vr AnT vw~w i wns Iltt-7~r~nc~ sn •rricnmtrnrs Hart/ <br />EPA Form 3320-1 (Rev. 399) Previous editions may be used. , , TI11S.lS 3 4-~jBll.fOriT1. PAGE pF <br />