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FERMtTT'EE NAME/AOONESS p.++rww?x..??.N.. yq?..u <br />NAME <br />ADDRESa <br />FACILITY LI ?- <br />LOCATION <br />NATIONAL POLLUTANT OISCHA110E RUMINATION SYSTEM (NPOE$J <br />DISCHARGE MONITORING REPORT IDMRJ <br />PERMIT NUMBER DISCHAPAI NLZ ER <br />FROM TO L-07 10, ? row. r.pp, V,w <br />MONITORING PERIOD <br />Y O DAY Y MO D Y <br />OMB No 2040-0004 <br />MINl,R <br /> <br />PARAMETER QUANTITY OR LOADING <br /> QUALITY OR CONCENTRATION NO. pmlOuEmcy <br />Of SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX j <br />ANALYES TYPE <br /> SAMPLE <br />MEASUREMENT ? $ ,' - <br />• <br /> t .. <br />? <br /> PER MIT # '!f * iF R 1t Yt #'f!•i? '? r <br /> <br />REQUIREMENT 1R # * i€ is '?' .-. L- t <br />I• <br />] <br /> MINIMUM <br />MA I hI `1M• <br /> SAMPLE <br />MEASUREMENT ? ' <br /> 7 <br /> PERMIT sf#1f161F ?t*#* ?`? <br /> <br />R <br />EQUIREMENT <br /> <br />. 1#N# <br /> <br />' <br />70 <br /> <br />INCE/ <br /> <br />' <br /> . ? 30GA_ <br />A VG jL.'Y f3X MIltV i i <br /> SAMPLE <br /> MEASUREMENT <br />( r <br /> PERMIT <br /> <br /> REQUIREMENT <br /> :3UiA 1V r i?A S 1 '- l''f X i"fLPt7 <br /> SAMPLE <br />• MEASUREMENT <br /> <br /> REQUIREMENT ..A, - . ' ,.. <br /> -? 2. , <br /> SAMPLE , . <br /> MEASUREMENT <br /> PERMIT <br />l t <br />r *Jb <br />t .. <br />• <br />' _ REQUIREMENt ;?. • 'Y '? r .. , <br />n <br /> SAMPLE <br />MEASUREMENT S <br />?U ' • -? <br /> _ ? <br /> PERMIT <br />s Ilk <br /> REQUIREMENT 30DA AV; DA I LY MX 4 <br /> <br /> SAMPLE <br />- MEASUREMENT <br />! <br />t, <br />• <br /> PERMIT <br />REQUIREMENT T' 301?A AVM DAILY M <br /> X <br />IAMEM LE PRMICIPAL EXECUTIVE OFFICER p"WRY u.I" +.IUCf ww.... <br />1-110m N.,w..7dlmrIbwwwpgw.w,d.0pd TELEPHONE DAT <br /> <br />I. wwn lb" ..Mfd NON <br />- <br />" <br />vmbl, Mf ft?M <br />s <br />k <br />h E <br /> I <br />T <br />o <br />l <br />R <br />w <br />rmI. <br />IT <br />M <br />wMrfl.M- `w+ r _ <br /> y <br />pw <br />T <br />w w P.. N. gt <br />ww er .Rsl.w• <br />/ _ <br /> <br />, ft <br />w?tr.1 Y• M U. MI 0(=Y lk?ftd/. =W balk r <br />I+ <br />M v" <br />- / <br />` <br />_ , <br />M. .eeN <br />.• aw swf4M. <br />I ...?....« r...... r <br />rs <br />- <br /> <br />TYPED OR PPJNTED - ?. <br />u <br />p oftu Ow wMNriy W.I...,..r., <br />u. <br />?+¦r„ <br />rw <br />f a <br />, SHMAT UIIE OF PRINWAL EXECUTM[ <br /> r. <br />s <br />ry o <br />- -d <br />. f.r..?.I viows- OFF C R OR AUTMFAZED <br /> <br />)MMENTS AND EXPLANATION OF ANY VIOL <br />ATIONS /Ra/erarrca *N attachment: hwej AOEMT NUMEtER <br />C-ODE YEAR MO DAY <br />LE WAi`.EL?, & i=I TL-EA;3LF 5D I:3S L I I J I APPI.Ii FOR <br />1IiYp.?=1rIF f,F?F ?, ;•(:;? <br />A Form 3320-1 (Rev. 3/W) Prwtmm editions may be used This it 6,4 4-p.M form. PAGE OF ??