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PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)
<br />NAME
<br />ADDRESS t ?;fil , I., < t
<br />FACILITY
<br />LOCATION p? S Ylri f 3?1rt, 3 ±: ??';: CO aV•rt\t• ra.• r_.••rt vtr_•elm
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES)
<br />DISCHARGE MONITORING REPORT (D R)
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 08 ,)7 O's TO his) 0-) 31G
<br />Form Approved.
<br />OMB No. 2040-0004
<br />N I NOR
<br />(5A)BR 11H)
<br />CH TO E.
<br />?•i=? x,11.1 l? T. ?C:3??1?':±:"? ! »? $ •I?••?.?;•
<br />NOTE: Read Instructions before completing this form.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY
<br />OF SAMPLE
<br /> EX TYPE
<br /> ANALYSIS
<br /> AVERAGE MAXIMUM UNITS . MINIMUM AVERAGE MAXIMUM UNITS
<br />Dafr? SAMPLE • Tr 3t 1 ' 4r f i r. s¢ kf ii t :+
<br /> MEASUREMENT
<br />1G t" L l # PERMIT ;.:::9 : ? t 9 i.•t•:? b#?? 6. .. :344.c?4•:I d. ' a t , a .r .. a
<br />rte- £-` IWA' l" r" All lt.• REQUIREMENT ?f•-?b f'•:'i M,':WX.i'11 1-. A:i'TI'r r'+ g4.i r'lL1?l •i",
<br />SOLIDS, T01-AL SAMPLE ?-tt,(.:?.^.`:•„,x•?i. .;I..?d.;i»g?.;?i••. :`!•:.:'S••sr'I'r•s:• l ?..`?,
<br />SUSPENDED MEASUREMENT
<br />3 05131 11 0 PERMIT ;.5 5..: ? n • ?r ? y.:w i 9 ?:8.?• «..? t _: ;' ?,?U ? ".ra.Y?
<br />..t" f"•: n t)>fl 1i"" REQUIREMENT .x SODA `-V(-, Mt 70 A`i:' 1G.?L.
<br /> SAMPLE µs ;'r i °i: ?? : s. ..• iF Jy}#m°
<br /> MEASUREMENT
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<br />PERMIT
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<br />r T' t i - R' i ('• a"F' it t r: REQUIREMENT .;s,•-t••31•?;, 30r), if•'rWO T)A}:1...5.. 1-1
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<br />%L. AND SRs:AtSE SAMPLE ii•dr ?3-: • i74 x :` -Af?k
<br /> MEASUREMENT
<br />u 0 0 PERMIT '.1 1 :UN`1»IN 'WR
<br />t . I*tT 0R0F'S W REQUIREMENT 31 f: 1 x '.GiT l'.t t # i I ?r ! 4
<br />F'1.OW, rU5`•IDi.IT 1133 SAMPLE C 03) ##' = :-f :ti#3t t 7r s?i4k
<br />t HRU TRHA-FMENT MEASUREMENT
<br />50050 I 0 Q PERMIT M 0R, z 3.i % ?v r:?: &.. .r :. '.: w °:L':r.i ii• . r. ;a.n 13,\1 7 KFt', 'd'C01i." ,1
<br />IF 3 f; Fn,• ' 1 REQUIREMENT t R??> l ,f.+; ,fit r 14 '{ t'? -" „d sLS z1 i 71 LFr' <I
<br />ML. AND ta•RIEDPIS;`7
<br />» SAMPLE i•'f?t'?":-1''M. 'LI' \ ?%++yt? .rl"¢,•';t•`?'71•?.?. ?'.y:''ht"?.s?•.?^. .,::r?f'rrc ?'i'.?•',?7'
<br />SUA1» MEASUREMENT
<br />rs ti`i 1 ?} 0 PERMIT i rr.y c:c ?i i3'z i S?v ?F? =t'? ? ?i A. ?: ?i? ? ? ii• y1 ?.. ; ::...' eF cs ?irr W ? 1. ? Ar ,tom U-!I^''1L
<br />?FFFLUF-N"T SF"O V AiLQ'V. REQUIREMENT }`"+ ; ' ? b i 3CS = x.•:: ; t !"t( °i;"; !
<br /> SAMPLE ,
<br /> MEASUREMENT
<br /> PERMIT
<br /> REQUIREMENT
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<br />TYPED OR PRINTED., including the possibility of fine and imprisonment for knowing violations. O
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<br />COMMENTS AND EXPLANATION OF ANY VIULANI ION5 (Ffererence all arracnmenrs nere)
<br />w; " TL i cal l.:._ {:;O1..IDS LIMIT lrf:A?;= ED FOR 10--YR, 24HR `PREC ZF EVENT SUBJECT TO 2UR""EN F PROOF REWLFwE':'iiw'6+!TS IN
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<br />PAGE
<br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 2 j "? ' ?P,4? ,aN:"f ill.
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