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PERMITTEE NAME/ADDRESS f7 W" fart4ry Xa wo'Lnrartan (/D(#Leen,) <br />NAME DWYO Cf-I"AL -01-1;:' ANY, L. P. <br />ADDRElSS OWY11 MI AE <br /> <br /> <br />FACILITY '.ER <br />JWYU Pill INE <br />LOCATION 7 ?: ER c.0 1 <br /> LY D. OA !`di.; E `.'P OF ?FS <br />NATIONAL POLLUTANT 04SCHAROE ELIMINATION SYSTEM NPDESJ <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER DISCHARGE NUMSEIt <br />MONITORING PERIOD <br />YEAR MO DAY YEAR ?MO DAY <br />FROM TO <br />c.,.m Apa'o,=c <br />?W9 '?c -1043-0004 <br />>; <br />NOTE: Read !nstrvctlorw bsforo comclstirto this form- <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .r t?. C <br /> REQUIREMENT t a t i 7t r ? >, +. "•tiUi I 1': ` <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT k : „L r <br /> REQUIREMENT _ -. .. ! . LY rl;: i7ON T ) <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ! , I HEFEI, <br />_ . <br />o <br /> REQUIREMENT t`i-'• DAIL C'X MOhifh <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r <br /> <br />177 <br /> <br />77CF-7- . r. <br />- ?: <br /> REQUIREMENT ;ioD'l Al/r.: DA 1 L Y <br />c SAMPLE - <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT h? 'T MAX t' /L a?)\IT <br />_ SAMPLE r- , . <br />r MEASUREMENT <br /> PERMIT < . r •..- <br />•,_NT I?RCI'?' L' REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t Reilly Y er pen. ty . i¦. tha thb docurmm and all a1lKhm <br />prep.reA Ynder m. dlr,rcil- or wpe.•rl/on In ateord.nre with . enb wrR ?_ <br />.ystrm dofgrlyd - % - ?- <br />- - <br />- <br />. - <br />, TELEPHONE DATE <br />I to enure that quaMOtd per and properly gatht and r..lu.lt the Infonn¦tlon <br />e <br />ltt <br />sa <br />rd o <br />m <br />t <br />e <br />w ? <br />, <br />_ _ <br />- - - <br />? <br />"?` <br />' <br />• "? <br />^ <br /> aY <br />m <br />. <br />n <br />ng <br />r <br />. <br />y <br />ry of the person or penom who mange the:.,tem. ' <br />- <br />?f <br />_ <br /> or thost proem dlrxtly r P-erllble for gathering the Wormallon, the Inforrrullm %.?. ? .0 t= <br />i 1 <br />7 <br />?? <br /> <br />/t wbmlltrd Is, to the bet of mf ?ne.{edge and belief. true. Krvnle. and complete. 0 ,r L <br />_ ? /I? N /?-. <br /> I ern..." that there are sllnlnnnt prnalde for mbmlfting robe Infon tlon. SIGNATURE OF PRINCIPAL EXECVTtVE <br />TYPED OR PRINTED Incfuding the possibility of fim and Imprisonment for knowing rtol.lforn OFFICER OR AUTHORIZED AGENT CAE NUIOWR YEAR MO DAY <br />UUMMIZ11I, Ar1V CAF-L/1reAI tun yr r...1 Ivrea rnwrvrvnctrsneittacnmsnrznsrat <br />'4HR PRECIP.'EVENT 1.5 CLAIMED. IF CLAIM APFRGVFE! PY WrlCL': <br />r.D MF_ASIiR;4,r4j?f4I'S - SEE I A 2, PG. ? FOR BURDEN OF FROGIV <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used _ I fIIS is a 4-Pan.fcirm. PAGE QF