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PERMITTEE NAME/ADDRESS (Include Facility NamelLucation tf Different)
<br />NAME EI ir_ i. 4; _ RP .
<br />ADDRESS WH µ#T1%.! P >±:D1jEC
<br />h'
<br />FACILITY i - ?
<br />LOCATION
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<br />Form Approved.
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) OMB No. 2040-0004
<br />DISCHARGE MONITORING REPORT (D R) 171 NOR
<br />PERMIT NUMBER DISCHARGE NUMBER 17 r ) r,: #
<br />MONITORING PERIOD ISa7Et?4 r
<br />YEAR MO DAY YEAR MO DAY -
<br />FROM `.! F.li.' lF l TO ..;7 M.rt. lv4,k I a 'r; 1E??I?;ly: ??* ##ii
<br />NOTE- Read Instructions before completing this form.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY OF SAMPLE
<br /> EX TYPE
<br /> ANALYSIS
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />• I°1 SAMPLE =: # s .• i ?t{ r: ; ; ,
<br /> MEASUREMENT
<br /> PERMIT # 3i * !i i# ?# #2: j= I< a, rs ..# 3t 3i # s# y. tF-FKL Y ?R A')..i
<br />F I r i-' , r_ c ; # s REQUIREMENT *411 s #; 11 1' 2 i`IC)4"# F^. % X. *; ,} i _ 1
<br />SOL. I DV', +,;}T #1L_ SAMPLE c.y.
<br />°U aPEFt D' r' MEASUREMENT
<br />0530 .1. 0 i0 PERMIT '•lf'ti:#i##.. •!E••i iE•n?s •t #"#••: si••7r##•#>•-1r 20 30 W EEKLY :.G7fif1-''L,jv
<br />F F 1 1,_7 N ') }=.fi `;J `.%?,)._U : REQUIREMENT Esc r
<br />300 P"; VG
<br />MX 1 a yr
<br />MG,•L
<br />"EI_..E;N :i ?EC,- SAMPLE w k } x?_a .:> . ,, n1•-9-t 28)
<br />fER ABL E: MEASUREMENT
<br />i)` Et ?• i. °} , PERMIT [ # t t ft ti * 'r5 ### i 20 REPORT 1, IEFKL-Y ;Uf`JPGF--j
<br />EFFLUENT GROSS VALUL- REQUIREMENT 300A AVG MX 'JG/i....
<br />li4i> N I C. 7".:1.,. SAMPLE t<.. . H. . yF @. •.tr.y t .. #x. ..tz # x ( E3 7
<br />f A- A511 MEASUREMENT
<br />00;' Z PERMIT #### ,.} #..?g.. #E 3f ?s# 3b#3ri##tE 100 REPORT 9EEKL ' OMF rl`
<br />F x LIJE k ; { R 1`??; ALIJ REQUIREMENT s 4t a. 30U A A{! DA14,..Y MX VG i°L
<br />ZINC SAMPLE ? ;ry # i # fi ?:: ? •.t< "- f k # !> k # 3f C cl? )
<br />CIVIL. E;;ECOVPL?ABLE MEASUREMENT
<br /> PERMIT it t #iEiiii fE k 1 # # 1##3 #3€3i oo 1000 EE,V`I.Y :OMP(.:3
<br />'FFLUa jU7 F' `?i VALi.)E. REQUIREMENT 0DiC: AVG DAILY MX 1. - r i.
<br /> SAMPLE tE3FrEit'# ..{.p Ky.n # t• ( :'L •.
<br />o';'AL RE.'_;r1V1:=FEABL.E MEASUREMENT
<br />D1113 ?) s::) PERMIT # t#s ## ittii#FsF# # .3t# iF## # 10 REPORT
<br />FFLlJ1 Nr4 GROS,S, VALUE REQUIREMENT , 30DA AVr T?i,;[1_-Y MX Ljr ."L.
<br />1i •. ACT 7a?''... SAMPLE ?i##rYt# s-..??:? 3*ii#w'i t#,<?.#yi f J`t
<br /> MEASUREMENT
<br />S
<br />'K' 2 PERMIT #3cis?3$# 3E FF#3"o f£ #'3r ##riF#k# #r 3 It 10
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<br />0NI 7
<br />.FFL_UE:N' ;"ROSS VALUE REQUIREMENT h. 1c# t;`#<? ( I IfIX ? t T'
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were
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<br />^ TELEPHONE DATE
<br /> prepared under my direction or supervision in accordance with a system designed _..-?
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<br />re that qualified personnel properly gather and evaluate the information
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<br />or those persons directly responsible for gathering the information, the information
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<br />SIGNATURE OF PRINCIPAL EXECUTIVE - 71
<br />TYPED OR PRINTED I am aware that there are significant penalties for submitting false information,
<br />including the possibility of fine and imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT ODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reverence all attacnments nere)
<br />i•3UAF'Tk:F t_..Y :}:l'i! ss'1_ I1`3C 4 REPORTING y,`JS`2 RUCTIC?N 5 - sr:,I- I. C. 9, 1'-AGE 9
<br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used.
<br />7_1.11_ AND b•FZr.ASE SF,-. t.. C, 35,
<br />00073 0 *Aj?-,j;s,* -4pa t-_)k7)nn. PAGE ? OF g.
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