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PERMITTEE NAMEAADDRESS (Inelmie pwlk Nume&4-11011 UD(pe-00 <br />NAME N W EG?C' Cmfi-" _C-6#n PAA/x.w-C. <br />ADDRESS , 17--Z V40cr FtAV. .S7- <br />FACILITY . Nx w E L t p/ vo' yt/ <br />Form Approved. <br />NATIDNAL PoLLUTANr DISCHARGE RUMINATION SYSTEM (NPOES) OMB No, 2040-0004 <br />DISCHARGE MONITORING REPORT (DMR) MINOR <br />'G0'•000 (SL)13R DK ) <br />i AR UMBER .. FINAL LAMAc <br />MONITORING PERIOD -I/B ?r• f j c <br />G?Aaa YEAR MO 'DAY T8 YEAR MO DAY _ #31'# NO DISCiHAROE fKI ### <br />?YJ1? C O j??L'Fa.+ ? • ----- NOTE: Read Instructions or <br />ATTN <br />QUALITY OR CONCENTRATION NO. FREq?UFENCY SAMPLE <br />PARAMETER QUANTITY OR WADING EX ANALYSIS TYPE <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />OIL gp rt 0Mt.&QE SAMPLE ###### ( 94). ,##tt### ###dl## ###### <br /> MEASUREMENT <br />' <br />VISUAL <br />r3R <br />' <br />,) <br />E $$3 <br />' r <br />t # : <br />; # i ?t # <br />?t ## <br />J1 `'l4L Y <br />; OF <br /> <br />I C O <br />84066 <br />'i ERI(Al!'.., <br /># *4 <br />i <br />?i ,f <br />. <br />.. <br />3tet# <br /> <br />ErFLUENT AROSS VALUE #I pI-IR, Nlgt±T, <br />:. ) ftl?:l I"ia? .: I?I0==0 <br /> SAMPLE <br /> MEASUREMENT <br /> . <br />• i <br /> "Alkd <br />n <br /> S <br /> UREMENT <br />MEA <br /> <br /> pISR11?T,: <br />i ` <br />` <br /> IR??T <br />REpL .: , <br /> SAMPLE <br /> MEASUREMENT <br /> i, <br /> I . <br /> ?IFrf??IR?tiUIEN1` r , : , <br /> SAMPLE <br /> MEASUREMENT <br /> <br />?J MIT- <br />{ <br />1 J a. <br />.i 1 <br />{ <br />i <br /> i!IS,T?f?1}E,IrI1?1?A 11 <br />.. .l .i <br /> SAMPLE t <br /> MEASUREMENT <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br />AMEI t ITLE PRINCIPAL EXECUTIVE OFFICER t certtiy uttder penalttyy of taw that this documem cad ell attachments were <br />d? Prepared my direadom or supervision in wardcnee with a system designed <br />KA-yft? to "on that gtetltied persoonal properly gather' and evaluate the httbratation / <br />submittal Based on MY Inquiry of the parson or persons who menage the system, <br />_or those persons directly respoaclble for geth_ah Ile Intbrmatioa, the Iatbrmation <br />?!`+°+5 I ?e ?'? - - - submitted is, to the bast of my knowledge and bA f, true, aaourate, and complete: <br />I am aware that there am sigmi8eam poaalties fbr submitting false tmfornetion, <br />TYPED OR PRINTED heludhrg the possibility of One and imprisonmam for knowing violations. <br />r _ vas Awn LA A o A 10 O (Reference a alts manta ere <br />714 rib-997S t4$ 107 Z7 <br />OF PRINCIPAL CUTiVE - - - - <br />OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TS;3, IRON & MANGANESE LIMITS WILL BE WAIVED P. SETTLEABL.E SOL I D5 L. I M I r Rrri a Eli r ur% y, -y a <br />EVENT; TSS, IRON & fSETTLEADLE SOLIDS LIMITS WAIVED FOR >10YR, a4HR PRECIP EVENT SUBJECT TQ BURDEN OF PROOF <br />I . -T,httxiL at 4 »artSeart. PAGE -10F