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PERMITTEE NAME/ADDRESS itacludr l a,ililt .Nno-1- l'alwn Il IIij)rrrl/d <br />NAME <br />ADDRESS ( I <br />FACILITY <br />1E NIL- <br />LOCATION <br />?iVIA <br />CTI G <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />- <br />Form Approved. <br />OMB No. 2040.0004 <br />t`l?IN' <br />t ; NAi_ DELTA <br />'10 W FRI,", --F' 0il?ij,l <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FREQUENCY SAMPLE <br /> OF <br />TYPE <br /> EX ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />J <br />Ir. REQUIREMENT , i ; ^lU!`1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT # r ... N ,' #zt 'F ?r;r .. l <br /> REQUIREMENT <br /> SAMPLE 'r it <br /> MEASUREMENT <br /> PERMIT <br />I- REQUIREMENT i ., <br /> <br />_ SAMPLE Y: r <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE ; ._ -. . . 4 . <br />Pl A1'4 ; MEASUREMENT <br /> PERMIT ^RT - v r• i T 11,4 <br />_,- <br />?. REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <a ;7: = 1 x r .. ,f _ - 1 .,1 <br />c. REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I rrrtir+ nndrr prna t, d In- that Ihh 1-untrnt awl Al allurhrn-t. wrrr <br />l <br />di , / ? <br />r <br />? TELEPHONE DATE <br /> prrpunv <br />under nn <br />rccliun ur ,ulx•ri.ilm m urrurdauce wish a ,,,h•m dcawlrJ i % <br />/ <br />f?? r? r - <br />[ lu Ibul yualiric•d ,x r.?mnal prgx•rh pallier unJ e. aloate Iho in( <br />nnlulinl <br />.uhmiued Kawd on m, ingn- 4Ihr <br />lrrwn nl <br />.-- wha n attag, Ihr .l arnl <br />?, <br />/ <br /> I <br />I <br />. <br />ur Ih,r Ix-r.nm Ainrll+ re,hm,ihlr tnr puthrnnp it., udurmutiun, Ihr inGrmuli•n <br />t <br />/ > % <br />-i .nhmulyd i,, lu lhr Ix .t .d ma Anew h•dpe and M•lirf, trno, ix?ruratr. and e(onwiec. <br />? • . <br />?- <br />l 1 um awurr that th, un •i,n-hunt <br />-lha+for ,uhmiu in_ fuAr inhu m:dinn SIGNATURE OF PRINCIPAL EXECUTIVE I <br />' <br />'• ` "r <br />! ' <br />TYPED OR PRINTED w <br />. <br />ind inn" thr p...ihdn. d f m .nul inyui lmmmIl her Am Iinc ".4mi ma OFFICER OR AUTHORIZED AGENT _- <br />AREA <br />NUMBER <br />YEAR <br />O <br />DAY <br /> ODE <br />C <br />J MIYV G/?r LHI?MIIVIY Vr- MIYI YIVLMIIVIYJ Ir1CIC1 CIIf,C tl/I tllltl{.ll/IIC/I(J !IC/C? <br />PRECIP EVENT SUBJECT TO DSURDE19 OF PROOF REQUIR <br />:ED TO THE UIVISIUN WITFUN 48 HUUR;6 <br />EPA Form 3320.1 (Rev. 199) Previous editions may be used <br />OD':' I ?Fttt.:iYj ZYa-dart 1Hml.