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NATIONAL F`04LUTA HARGE Zc-IhIlt;ATION SYSTEM
<br /> DISCHAR !TORING REPORT Far,,Approlv,,'
<br /> so.
<br /> INSTRUCTIONS
<br /> Provide dates fur period covered by Wis report In spaces ma,l-.,d-REPORTING PERIOD".
<br /> Eat-repo reed minimum,--ga m.d values under"QUANTITY"and"CON C V',,'TR ATION"
<br /> in !hu units isp-ificd for each p-am—, Do.., ..1e, val...in b....—I
<br /> Ate I. AVERACE` Is average comp aced over actual time disch&.Z,I.operaung. M AX MUM
<br /> 00 d
<br /> he cp— g period e s-ly —d pla, atrama values ' maximum- peperiodmaximum,excvcd he. i (- .d/., r.;,mxa to-PP-Pli-I-)
<br /> --- p—it —�t`,Ii,iun :the Coltt= labol,l Ex." It none,enter ST PERMIT NUMBER 1 4. Speciiy f-q.'a,y f.,,.Iyai.for—ch p—met-..No. day.�(e.g.,"317-is qiva-
<br /> LATITUDE LON-ITU,,E
<br /> 1-1 to 3 an,jy—p-i—ed every 7 d.ys.) If continuous cot.,"CON T.
<br /> S. Specifympl.typ.("Il"b"-"—I.,c—posili")46 applicable. If frequency was continuous.
<br /> are,"NA".
<br /> REPORTING PERIOD: FROM 7 LIF�l-� i�j TO
<br /> 6. A Ign.t—ia-q.,i,ed on Laott—of Lh-loan.
<br /> -uaiI�-py f-y— .—dl.EP 7 Move bu.and
<br /> YEAR
<br /> A B. Fold along dotted lines,staple and mail Original to office specefied in p,rmit.
<br /> QUANTITY —Ir) !:�P.JCEN7RATION FREQUENCY
<br /> —'e,1 �4 r, `1 SAMPLE
<br /> l:O
<br /> PARAMETER OF
<br /> I U INIMIJM .11..AQ. MAXIMUM MAXIMUM UNII� EX MINIMUM NITS EX ANALYSIS
<br /> REPORTED `
<br /> .—TE.
<br /> PE—IT
<br /> 0.1c.T—
<br /> J,
<br /> R-11
<br /> -T
<br /> fl
<br /> .4 T
<br /> ' FL-PORTED
<br /> —ME rF PRINCIPAL%-.XECUTIVE OFFICER TITLE OF THE OFFICER DAY
<br /> I certify mat I am tnai-w1Ih the irilaoma,i—contained I.'his
<br /> .,pc,t ad fl,,It tome be4t f!,,y kri..,edlle Au.d be each
<br /> h lot.,
<br /> V J 4) A VICE SIGNATURE OF PRINCIPAL EI(ECUTiVE
<br /> —Ii..1. complete, ad
<br /> I LAST FIRST la 11 TITLE A yOFFICER OR AUTHORIZED AGENT
<br /> F—2320-IfID-7Z PAGE OF
<br /> ORIGINAL
<br />
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