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PERMITTED: NAME/ADDRESS (Include F'aciflyName/Locadoa IfDWerent) <br />NAME N C-W EGK c m fl-1, _ Corn P19 #V PL.G <br />ADDRESS ' 17-7- }BEST FlgMS7: <br />FACILITY , f IVF- W Et-)t 11VO' <br />LOCATION w' scm$1, C•D S?aB <br />1 --,?-aMALE <br />NATIONAL POLLUTANT DISCHARGE PLIMINAMON SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2oao eons <br />MINOR <br />!!c0-0 000 D ;mod RA I (SUB DI4) <br />PERMIT U13CHAR E NUMBER F -- F I DEAL LAMAS <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM Owl 941 '"1 TO NO DISCHARGE I Y.1 >?# I QW1 vim 30, elnTC. 0aad r.,Mmonfinna hafnra nnrnniatinn thin fnnn. <br /> <br />, <br />A-rrv <br />... <br /> <br />NO <br /> <br />FREQUENCY <br /> <br />SAMPLE <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION . <br />« <br />TYPE <br /> SIS <br />ANALY <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />OIL AND GREASE SAMPLE ?? tx? 1F? t 94) <br />I <br />A MEASUREMENT <br />V <br />SU <br />L <br />f <br />B4RI? <br />Ii <br />f <br />Yt k' <br />Few ;#?I f`g f" ' <br />1??3 ) <br />3t <br />I{ iI id 3P31 # <br />#F if ##3131: <br />Si 359E <br />1 FKLY <br />1. <br />,: x U?1 <br />V <br />94066 I 0 I <br />', <br />MRN'1' <br />R 4V1 + r , <br />0=0 <br />I? <br /> <br />;, <br /> <br />. <br />EFFLUENT GROSS V ALU - <br />,.. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />y <br />` PI:RiVII?' <br />R?GjUIR?IVIBNT <br /> <br />' ,,, I <br /> <br />s) 1' <br /> <br />?! <br /> <br />? <br />1. <br />r , <br /> SAMPLE <br />' MEASUREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> , 1 1. f, 4 I Y <br />I <br /> IRiwNT <br /> SAMPLE i <br /> 'MEASUREMENT <br /> :,pROT, <br /> q?QL]L?tLi11y1ENT f , ,. ! <br /> SAMPLE <br /> MEASUREMENT <br />PERII?tT „! <br />NAM9 TTLE PRINCIPAL EXECUTIVE OFFICER I ""M tmft! Penalty of law that We document and oil sttaohmeats wme TELEPHONE DATE <br />Prepared under aa??yy direction or suparvislon is acomiam with a system designed <br />?1? <br />f r A.Y VP_k to was that qumo ed personnel properly gather and wdmte the hdbmmdon <br />submitted. Sased oo myy b*lry of the person or pan= who mattop the symm, /q 8 y 6' ? 7s b Q /a^7 2 <br />0 or these persons diceotly responsible for gatharln the lnfbtmstloa, the hffortmdon C/ 5? f <br />7 <br />submitted ea, to the but otmy Imawledge and be?ol: true, soevmte, and complete. SIGNATURE OF PRINCIPAL CUTIVE <br />?/`P..S of e V1? <br />- 1 om aware tlfet them are eignificsot ppep?s1ties 6t submitdng hive latbtmatim - <br />NUMBER YEAR MO DAY <br />TYPED OR PRINTED Including the Pwseibltiry of fine and 1m ntfemgertP 1 t for ka violations. OFFICER OR AUTHORIZED AGENT PAN <br />CO E TS INSUPLANATION OF S e rent. All site manta sue <br />TSt, IRON & MANGANESE LIMITS WILL BE WAIVED 9,t SETTLEADI-E SOLIDS LIMIT APPLIED FQR 4,*a1oYK, 24HR FRECIr <br />EVENT] TSS, IKON & SETTLEABLE SOL.I1DS LIMITS.WAIVED FOR >10YR, a4HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF <br />PAGE F <br />A Forrri:G32O- (howS/E9) Previous edltlons maY:bomeedr O