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"MTTTEE NAME/ADORESS fhti.bfwdryN..?L wj-j(DI/bwrJ <br />4A NK <br />kDORESS <br />:ACILrrY <br />OCATION <br />NATIONAL POLLVTANT 043CHAR01 ftimmAnoN WYSTD+ IINPOESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER axHAAOt Nuwsa <br />MONITORING PERIOD <br />Y D Y DAY <br />FROM l <br />lcqlcll TO c <br />+ unn ry.N? _. c <br />ONA No 2040-0004 <br />i- <br />F i':+_7 r H i <br />NOTE: Read Irlstuedom bM1or.orilPM*M this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. PRIOUENcr SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX µKrNS TYPE <br /> SAMPLE w <br /> MEASUREMENT <br /> PERMIT _ <br /> REQUIREMENT IN 6T MAX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT ?. <br />? <br /> . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br />REQUIREMENT <br />?. <br />r <br />1,! <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT j <br /> REQUIREMENT <br /> SAMPLE <br />J <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT <br /> <br /> <br />r p- '06 r r ur °i' TELEPHONE <br />NAML17TLE PRINCIPAL EXECUTIVE OFFICER y <br />wbr !;) Mr M wpr <br />?d <br />-0beffyoN <br />DATE <br />, t.@ <br />l 0 M <br />+ P N <br />`- wwRIYr -" re <br />idw ?ra.W MMtt. lat Iw.t..tl <br />N <br />.w <br />• <br />y IqW , <br />pm <br />. ? wMrnN. tom/ M rt.kT d dw IM pain w prA .t "ai --W Sr tyfMa <br /> <br />- w tawr Pwt?.m dirwttr rt.P../bb Ar..the ng tat I.Armadw• The adwWW". <br />J <br />- - wbaAwd t1 <br />n dw b.M K my Lwi.b/R md bww <br />1rw <br />wwwr.lt <br />=a e <br />i <br />w <br />. <br />. <br />, <br />, <br />.' <br />e <br />, .. <br />1 ... *.. tar laws wv /A111o.t p60111" ow wa. I I rain hawmUmtl.R SIGNATURE OF PMICIPAL EXECUTIVE <br />TYPED OR PRl1TED I.n.rsl un P..rtaslr Of 8W WW' I M a...t.s ++ OFFICER OR AUTHORQED AGENT AFWA NUkwn YEAR MO DAY <br />( mwmrl l a Arvu CAr-L.O%M- .vr? yr n... ..v... ..v.?a Inr/rwwrc. ws .r.r aa.rrwrra nwq <br />11L F- L ? "l 1 I APP!_ l l:1) F g p I r %N ? 4,jR PPt- C <br />'A W41Tr}R1r; i, <br />PA Form 3320-1 (Rev 3190) Previous adrbons may be used C? •7 1_; .v lti 16 ??n:jpfTTl. PAGE OF <br />? I