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1 " <br /> i + I <br /> a • NATIONAL POLLUTAii0--HARGE ELIMINATION SYSTEM - `.-� <br /> } DISCHARGE MONITORING REPORT rarm Approved <br /> OMB M. I54-H0073 <br /> i <br /> r rrt cT Colt E+R CR vw(/VE ' <br /> i P 6 <br /> Cd b'l6 23 INSTRUCTIONS <br /> Provide date@ for period covered by this report In spaces marked"REPORTING PERIOD". <br /> L 1. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> 11.3i I4-101 IiT•lal in the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> snter ske. "AVERAGE" is average computed over&•-lust time discharge is operating. "MAIIIMUM" <br /> Ice D L 3 ? �// 4. end"MINIMUM"ere extreme values observed d'.Ieed the reporting andlc <br /> (� �• ! a � (ZI� 3. Specify the number of analyzed samples that exceed the maximum(and/uminlmlan as appropdete) <br /> ST PERMIT NUMBER DIS SIC LATITUDE LONGITUDE permit Condl liens 1n the columns labeled"No. 8x." If none,eater <br /> pacify frequency of analysis for each parameter en No. analyses/No. days. (e.g., r'3/7" Is equlva- <br /> 4 Ica-1U rs1-aa I16-261 (26.27) (ae•aa) ISO-all lent to 3 analyses performed ovary 7 days.) If continuous enter"CONT." <br /> 1 -- S. Specify sample type(,.'grab"or"_-llr. composite")as applicable. If frequency was continuous, <br /> •.f enter 'NA". <br /> .� REPORTING PERIOD: FROM Q TO r n 6. Appropriate signature Is requimd On Colton)of this form. <br /> 'l YEARMO DAY YEAR MO DAY 7. Nemove Carbon and retvin copy for your records. <br /> •,.j 8. Fold along dotted Imes, staple and mail Original to office specified to permit. <br /> 131.371 <br /> (3 card aniy) QUANTITY fa card only). CONCENTRATION FREQUENCY <br /> -`I 1ee-661 foe-cal a",)-- _- lea-cal180.431 _ -.-166_15N Ie1.611__ let-e3 SAMPLE <br /> PARAMETER -'— OF <br /> -'] MINIMUM AVERAGE MAXIMUM UNITS EX MINIMUM AVERAGF. MAYWIIM UrN IS EX ANALYSIS TYPE <br /> -- - - 7 f q('f- L_ — roAf7- <br /> fr(or./ 2�-�-� REPORTED HO Cj J0,1 ` <br /> L V II'I fitit/�rS/Y/�y PERMIT cu C(1 m/D q <br /> C CIA)r NA <br /> CONDITION p - --- — �_ --- <br /> to } PN �I�LQ NHPO RT HD 8♦'1 '�'� -C). O Fc;', <br /> 50 SU <br /> PEHA'I T./ e-r ?.aroz <br /> CONDITION Cl 'j ' r, , /f•�.g0/V r. /✓//TL �C. REP ORiEO .�•.. ....- -�... Qr'ZZ Q.3.J M� 3/,�4• CY1rv- <br /> .:j ✓r PERMIT77 <br /> CONDITION <br /> $CL�/JS i TGT�� NFVORTEO <br /> .sue <br /> �-u s,v=�lt o�!� -- --------- 1CG•fV!/1�/�PERMIT 1 3� <br /> CONJI TICN ---9a -__ <br /> --TO REPORTED . .'7-- <br /> } - 14 �� a /a Z l he, �2 <br /> P E RMI T M1�� Ae,'/ <br /> ly vO'- V CONDITION "�-• Hµ^� <br /> REPORTED -_ - - <br /> i 7u)era(A(7-y -- _ _ 1215 23.2, —32 JTU <br /> PERMI T <br /> CONDITION -- -- -- c> 3/g� <br /> 3 G-R <br /> REPORTED <br /> I PERMIT — <br /> CONU.TION - <br /> r REPORT'En <br /> j PERMIT <br /> .j CUNDI TION <br /> a - NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> tardily that f am familiar adlh the Information can(alned In this <br /> j <br /> �t report and that to the best of my hnowlegge and belief aurh infor 2� YaS �Or`f-u A lE)(Ccuj/{/C Vl&,E E-�E?c DL`lif ,1 mation is Ores, wmplate,and accurule. <br /> SIGNktUKE OF PRINCIPAL EXECUTIVE <br /> ' - LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHONIZED AGENT <br /> EPA Form 3320.1110.72) PAGE OF <br /> ORIGINAL <br /> i <br />