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PERMITTEE NAME/ADDRESS p-d+irfertlfryNewe?Lx.non I/D?G.wu) NATIONAL POLLUTANT DISCHAADE ELIMINATION SYSTEM (NPDES/ Form Aoproved <br />NAME DISCHARGE MONITORING REPORT IDMRI OMB No 2040-0004 <br /> <br />ADORESS <br />OL_OW, I•'liE <br />- - <br />RMIT NUMB <br />P <br />R <br />fir. <br />.:? <br />i <br />- - <br />= <br /> 731 rT <br />yT` r-41C <br />=• <br />'! <br />• <br />DISCHAROENUMBER <br />E <br />E Fl <br />v <br />G <br />- <br />- - <br />i- <br />P-i <br /> r <br />r <br />r. r <br />? <br />f <br />l - <br />. <br />..+ <br />FACILITY FKEF <br />Nl MONITORING PERIOD <br /> l:.rIw <br />fJ ' YEAR MO DAY YEAR MO DAY <br />LOCATION InEF FROM TO <br /> : ' <br /> NOTE. <br />Rated kiatrurilona haler - e'ninnl-tlnn this form <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FPFOUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX J <br />ANALYSIS TYPE <br /> SAMPLE <br />MEASUREM <br />NT / <br /> E <br />I? I r PERMIT <br />b. `? <br />it# # 1t tt <br />9. Q <br /> REQUIREMENT <br /> <br />„ SAMPLE <br />MEASUREMENT <br />OENDED <br />x•30 ? (i PERMIT F? #,; Ezt;tir: x.k a t `: ?O INCE/ r p <br /> REQUIREMENT <br /> n v trG !h t`dT <br />SET TLE-?5; <br />SAMPLE <br />MEASUREMENT <br />--- <br /> <br />ci.S t c C PERMIT REPORT REPORT ': <br /> REQUIREMENT <br /> 20DA AV( <br />r <br />ML /L <br />;90i <br /> SAMPLE <br />MEASUREMENT I' I ( r / <br />, <br /> <br />_ " / h Y <br />`'` ?J <br /> <br />- PERMIT ?.y.,y i-? ?. .•..; ,t ', ir?t?> i 1 <br />c <br />REPORT e <br />dC .: <br /> REQUIREMENT <br /> <br />4 1_ SAMPLE <br />MEASUREMENT <br />N LA <br /> <br />' <br /> Imo -? ; , <br /> PERMIT 1 G (7N' <br /> REQUIREMENT <br />T <br />I F I j 4 <br />L J c EN <br />, L I i t SAMPLE <br />MEASUREMENT I .: ,t _s ;'. rat / <br />A t l r; <br />/A -? <br />i t I <br />/! al <br />• <br />' y (%j <br />E <br />13LU1wN+ XYLf <br />. <br />, <br /> PERMIT <br />RE"-_,ci, <br />0. t <br /> <br />_jNc <br />- REQUIREMENT ` <br />I I <br />T AX L i? <br /> SAMPLE <br />?b <br />? <br /> MEASUREMENT r I <br />li TPrAF; : <br /> PERMIT <br /> REQUIREMENT <br />- <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ,,, end .11.11-hmentf ere <br />t Ctf1"y "'de' pen. y e 1- Choi thh do l TELEPHONE A <br /> <br />PnP.red under me dirertlon w fuperedon In orcord.nce -11h . system dnlgned _ <br />r <br />D <br />TE <br />= J f r t _? f L + In aanre tA.t rtu.HflM ptnon",I Pe prrtl [other .rid e.4u.le IM Inrormeli m j <br />!1 mb"dlted. Beard en my inquiry of the Penoe, or penonf ho m.n.ge the system. J <br />_ <br />?CV <br />' <br /> <br />I . <br />or Ihou persom dlrvelly refpe+dhM for Eolherlnj the Inferm.tlne• the Inroern.tlom <br />?` <br />- V r <br /> <br />?r <br /> <br />.. <br />?c rvC L- % I l' r L-- <br />r mhmlued If, to the het of my kmwWge and Eetlef. Ime. otev, jr. end compkle. / [) `? y <br /> 1 .m ..en Choi then sn dffnlltcant pendtle for suhmlrllog W- Inrnrm.tton• 6IONATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED Inetudlnt the podhlllly of flow end Imprisonment for kno•Int r,olodorn OFFICER OR AUTHORIZED AOENT <br />ARE <br />ODE NUMBER <br />C <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />I.VMMCI?,J AMU CnrCnnn++vr? yr n... .rv?r•f ++v+e.? Iner+.rr ?rrc.+eer er,tert.++rrr.rnta r+.rr-/ , <br />?:C ; P EVENT IS CLAIMED. IF CLAIM APPROVED BY IJOC,[). <br />JREPIENTS - SEE I. A. 2, FG 3 FOR BURDEN OF PROOF <br />00106/