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NATIONAL POLLUTANT 'HARGE ELIMINATION SYSTEM - e <br /> % or Approved <br /> • DISCHARG ITORING REPORT <br /> f7 NO. 158-H0073 <br /> r <br /> Cl)r,1_ (PPEP PLANT <br /> 1f i1� lar7� iGR <br /> C A'<rl'}\i;;A1.E INSTRUCTIONS <br /> r_ <br /> I. m <br /> Provide dates for period covered by a report ID values <br /> marked"REPORTING PERIOD". <br /> i $. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> in the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> 12-31 14-1e1 1/7-Ial - asterisks. "AVERAGE" is average computed over actual time discharge is operating, "MAXIMUM" <br /> and"MINIMUM"are extreme values observed during the reporting period. <br /> 1 3y6 `f i z 11 3. <br /> Specify the number of aulyzed samples that exceed the maximum(and/ar mfnlmwn as appropriate) <br /> ST PERMIT NUMBER DIS SIC LATITUDE LONGITUDE permit condl Uons In lha columns labeled"No. Ex.' I[none,enter"O". <br /> 0- lent to 3frequency of analysis for analyses performed every each <br /> days.) itler as No.conti continuous niterO"CONTeys. (e.g., "317"is equlva- <br /> 120-211 122-29 I2M2e1 i2e-271 120-201 130-3t1 <br /> S. Specify sample typo("Qreb"or"_hr. composite")as applicable. If frequency was continuous, <br /> 1 '• Doter "NA". <br /> REPORTING PERIOD: FROM g �� TO 9 �C'1 Q 1' 6. Appropriate signature is required on bottom of We form. - <br /> 7. Remove carbon and retain copy for your records. ' <br /> YEAR 'MO DAY YEAR MO pAY g. Fold along dotted lines, staple and mail Original to office specified In permit. <br /> 164-ee) 1e9-701 <br /> 1 r2.371 <br /> (3 card only) QUANTITY '. (a cab only) CONCENTRATION FREQUENCY <br /> PARAMETER 12a-4m 1N-03) E54-e11 1e2-a3113a-rtal 1ee-e3) Iareu 442-e3 OF SAMPLE <br /> MINIMUM AVERAGE -MAXIMUM UNITS EX. MINIMUM AVERAGE MAXIMUM fGD [ <br /> TYPE <br /> ANALYSIS <br /> ` Fi.)'•; 114 C():,'?UIT REPORTED Q /00 31O ft Y tt iF 11. tt p 1F Y # # # <br /> 117 <br /> MGO <br /> 110 �f) corrDlTPERMlioN M tS p .h # tt # # * # # li # p 1< M O # # # 1/7 IN <br /> L.i FPS• Tr)T(tL DIGS REPORTED # # tf tt # Y # # # # # # Y p * O Z7,6 q p # ++ O Ilgo (g-g <br /> '• 0-I ;S +LVF-')) KG/DAY MG/L <br /> _ <br /> 73.. CONDITION <br /> i PfiD # # �l 1� # Il' {► �} * fl it fl fl # # 1/90 GR <br /> ') TI <br /> LtI,S, TOTAL Sl1SP REPORTED # 'p rf # M p t► p # p # >t q M # it �► p -618 0 1�9D ' Go <br /> t q OWL <br /> fl`I0 i�t PERMIT KG/DAY <br /> 1 CONDITION > # t 30 1/90 CO <br /> F # N .' <br /> TOT At, (��S Fr_) REPORTED >Pr ,� ,� y # # # # q q p if +► +t tt 1y 0.71 0e'j i� 41,10 co <br /> f <br /> KG/DAY MG/L' `" <br /> PERMIT <br /> 4�i CONDITION 3#5 7a0 , 1/9p0 ,CO <br /> p <br /> P� 4 Y II LF,- RILPORT90 # tt If III * N i/ If Y p O•C+ # - �+• p 10 <br /> 5U SU <br /> PERMIT <br /> COND1 r1oN O IS p It• # p A # # # Y N (asp ♦f # #' # 9a0 1/90 GR <br /> i <br /> a CfL 6 GRE1)` E,rVIi1)A REPORTED tt # p q +► A N +► i* p p # # ! p # q M # 0 ►�qp V1 <br /> PERMIT <br /> CONDITION # IS • fl i► q # q IS, tl p 0 M >F N # ,} p M q 10 1/90 VI <br /> REPORTED <br /> F1.1 PERMIT <br /> 4 CONDITION <br /> REPORTED <br /> d PERMIT <br /> CONDITION <br /> OF PRIN <br /> CIPAL NCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> _ f Car nod that I am familiar with the information contalnuc!n this <br /> ']Q report and that to the beat of my knowledge and belief such lntor- <br /> 'y �t�(�C�r ( ! O 1 , / me Non is tju% complete,and accurate SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> 317131{ <br /> EPA Form 3320-1(10.72) PAGE OF <br /> ORIGINAL 1 1 <br /> i (O4 IS StTTLFD VINE WATER FROM DUTC H CRE8K ANY SINGLE GRAB CANNOT EXC <br /> FED 45 MIS& F09 TSS <br />