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PERMITTEE NAME/ADDRESS (include Facility hante/Location if Different) <br />NAME `.,J r•t?. <br />ADDRESS (•aH i;0 er< ::'` D 1='ROJI-cl <br /> <br />N) U :I -CU E j 4; <:, <br />FACILITY } - <br />LOCATION <br />L•zfi 1 r''tJf=, '( <br />t t ;. <br />C 'ac:._. <br />n•.tn'kd. t ••'n' •. I r ;_tY:r.I`.1 ::r k;n . •11-1 <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) OMB No. 2040-0004. <br />DISCHARGE MONITORING REPORT (DMR) 4 11 NOR ? <br />PERMIT NUMBER DISCHARGE NUMBER ?-.? )'`'€, <br />MONITORING PERIOD '„- , ?'_• it".i" < ,: a : TO -N <br />YEAR MO DAY YEAR MO DAY v" <br />FROM 7717 TQ <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FREOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />RADIUM r . , SAMPLE -•4' 4:-1• ,; .n; tt.• -P--A'•rc?V. }:• #????s?F { 17) <br />I SSOLVED MEASUREMENT <br />`33033 I `w"' I PERMIT 3eswAllk_ti# it °#1#?# •1< K;?. ?#??sE # ? <br />y :?t?##? CI L_ t PEF'I?t_? -+?it?'r1S <br />F U) NT ?3RDSS V:3f_t.j REQUIREMENT 4 i-x .:30DA '-G <br />ANGANE`3E'; i'iF ? AL SAMPLE #it:.#Ir jf.p#. .r se#ii 83 <br />RECOVER AB ? MEASUREMENT <br />12 3 1 <br />L1 PERMIT RE 0RT <br />CROSS VAL.Uu <br />FLUENT REQUIREMENT <br />?< si a r <br />30LaA H' 'G <br />DAILY MX <br />UG;L_ <br />P AD I UM <br />fi'} I tJ".( SAMPLE i 3i is # 3E # # :i 3£ ? t tr ? it ;: ? ? ? ? # ## ; # <br />17) <br />C <br />-229; TOTAL MEASUREMENT <br />115"-13 1 C 0 PERMIT #z':#dr## #?; ?t.u.'E A ?E ?.r ?i zt ##? is to ###!t ?; !? T rL ? ?:?!' I Y :tI}"!F'C9S <br />FF L.UEN' .,'F'Uss VAL_U'= REQUIREMENT Ix.tt.ss.; Lc tll .`t M3 <br />RAKIZUPI, :i-' SAMPLE 3i 1 3F., n xx:s .*:# ?i i c ) <br />f3 MEASUREMENT <br />.aa-.: o PERMIT #YrdEd? ## ##?#?# # "?## #####•?E 700 <br />I1?t? <br />EEiti_Yf <br />,L?CIPt7S <br />EFFLUENT L7"Ft©S VALUI• REQUIREMENT K -hr 'k. :. 1) A <br />3 Ga DAILY MX <br /> <br />ILY M <br />:'LO w, I]'.) C:;':)I?klr iJT T OR SAMPLE t ?3u i 3£ !?) fi 1r #• ## :; # <br />HRU TREATMENT PLANT MEASUREMENT <br />0050 1. w ) PERMIT D. 03 REPORT ## t? ? ?s# #it z 1 fit##3E #?t 3E C <br />CSI 01141 [ NI . :t3t31D?. <br />FF-LUEN7 aROSS VALU.tE REQUIREMENT ;:30DA r'•1tVG DAILY MX .IQuj <br />tlEttlti?L '-1 -1 <br />YF"tI`. <br />SAMPLE <br />+ 1E#i# <br />##fii <br />f r <br />o <br />i'3 <br />DEMAND ('COD) MEASUREMENT } <br />31017 I tiJ } PERMIT # 5# i # #?# # E !# # # #i£ ### iF iE 100 2'00 EEIK.L1 °0 i`1P ©S <br />FFLUENT ROSS Vr?tl._I,ji REQUIREMENT #•?c 3?3t3t W-a i tt IM( MG/1. <br />l_ AND SAMPLE tf••#*nti#it• t 94:i =rt•.?•p..p..?:••?• ?;?••?i••r#?•?;.-?;• •gl.•??•?n#••q• <br />I SUAL MEASUREMENT <br />34066 1 0 tj PERMIT i? Si3F?i## REFORT Y °S°M ?#? I?# I? #? #i£?i tl ##3biE## i I?#aF I: Fr<:i_Y' Xta4Jf?i <br />FFLUEN'l- GROSS VAL LIE REQUIREMENT TNST i°t <br />I x <br />pa =c) <br />NAMEIrITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were <br />TELEPHON <br />E <br />DATE <br /> prepared under my direction or supervision in accordance with a system designed ? ^ `'' <br />?` t ' t <br />? ?-1'- <br />' to assure that qualified personnel properly gather and evaluate the information <br />h <br />th <br />t <br />f <br />h ,..-- <br />• * <br />'•? - <br />• <br />F ? em, <br />e person or persons w <br />o manage <br />e sys <br />t <br />submitted. Based on my inquiry o ?,?„T-...., <br /> or those persons directly responsible for gathering the information, the information <br />r.7A t % .? submitted is, to the best of my knowledge and belief, true, accurate, and complete. SIGNATURE F PRINCIPAL ECUTIVE <br />YY _ 1 am aware that there are significant penalties for submitting false information, <br />win <br />violations <br />d i <br />i <br />t f <br />k <br />ibili <br />f ti <br />i <br />l <br />di <br />h `• QFFICE O'R-A?ITHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED g <br />. <br />mpr <br />sonmen <br />or <br />no <br />ty o <br />ne an <br />nc <br />u <br />ng t <br />e poss _ CODE <br />COMMENTS AND EXPLANAIIUN UI- ANY VIULAIIUNS (rtererence all arracnmenis nere) <br />GUt P-1L'RI...> & REPORTING 1NS?RUCTION=; -- SEL I. C ?a PAGE ^r <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. <br />OIL Af\,D GREASE - SEE T. C. 15. <br />000E34/Obh?244"-p;9 rm PAGE ? OF z