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PERMITTEE NAME/ADMSS a"e &FaeteI1?N-..1L eaeto" VD4!t"ru), J NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTDA INPOESI <br />NAME DISCHARGE MONITORING REPORT (D R! <br />ADDRESS <br />57:31 STATE 'WA Y' PERMIT NUMBER ascHARGE NuMeE+l <br />FACILITY :'j; OWYO :1-, MONITORING PERIOD <br />`- EKER O 8,t I YEAR M2-1 I YEAR DAY <br />LOCATION FROM TO <br />D. SANDERS, VP OF OP5 <br />Form Approved <br />MINOR OMfS No. 2040-0004 <br />(SUBR JC) _ <br />E - F 1 PEAL 'r <br />WASH BAY TO WORK AREA P0,-D <br />sf?t NO LiISi'i-= ; _ <br />NOTE: Reed Inetructiorne before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FrLEOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />. ,.... _.. SAMPLE I <br />. . <br />t - - - MEASUREMENT <br />-- - <br />.. PERMIT it Pt <br />" -- <br />l- 4"'065 VAL U' REQUIREMENT 4,x <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />- <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />- - --- SAMPLE -- <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMElTiTLE PRINCIPAL EXECUTIVE OFFICER t rrAUy antler p`n'ty ° ,w that this doeve+eel and all WIWI%rnenb were TELEPHONE <br />Prepared reds, n.y direction or w it-111flon In wrovdanre with , system designed DATE <br />, to assure that qu.Xn d prrwnnel peopeAy tathrr and t-I.Me the Inforsnetlon <br />f- -r <br />/ , <br />? <br />' <br /> <br />,• , <br />robndlted. sated an mr inquiry of the person or persons who manage the syotm, <br />- - <br />r or Iboar pe. dlrec+Iy respersdbk for plh,Ant the Informatloe, the InfornrUon <br />/ <br />subnsltled is, to be beet of my ?nowled and b~, tree, ar umle. and le. / <br />IGNATURE OF MINCWAL EXECUTIVE <br /> 1 se aware that :hem are sltnlstanl prn,Me /or wbndlNng rake Inforw um, S <br />TYPED OR PRINTED InAudint The poaslbtnty of nneand ItrtpAsonmen, forknowlnt vld,tlorn OFFICER OR AUTHORIZED AGENT CODE NUMSER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference &#effechnlenfshere), -R PRECT° EVENT IS CLAIMED. IF' CLAIM APPROVED <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used. This is a 4-part form PAGE OF