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PARAMETER
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />EX
<br />FREQUENCY
<br />OF
<br />ANALYSIS
<br />SAMPLE
<br />TYPE
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />7 ',12t '1
<br />C: IR CE ir l Y, A
<br />; ... ..-- ::' r. :' c.',. c.)
<br />SEE CUMMEtl 5 Bz.T.L.r.-)TrS
<br />SAMPLE
<br />MEASUREMENT
<br />...': 4t-it.***
<br />4-1.-*-:;;-***
<br />i'...'..:::*
<br />11 - :,,,* - ::. -
<br />*•,:-****
<br />--- 71 - 7777777'7
<br />PERMIT
<br />REQUIREMENT
<br />a. , ..p......- :5-i-, ..::.
<br />...
<br />*-..' r. -'d....- .1. --:,-
<br />W.
<br />- : :...t .4 .1..z.;::.
<br />.t. t
<br />t:HR CEF I C HN I A
<br />01:"..!T S F.:i:riLV,
<br />SAMPLE
<br />MEASUREMENT
<br />, ....**..z , **
<br />.:
<br />***.x
<br />4.4.-
<br />- •- —
<br />,
<br />--
<br />iti.i.* -.1
<br />i tz.:".3' ,
<br />uirL
<br />■,.L.71!---...1
<br />PERMIT-,,
<br />REQUIREMENT
<br />- . ,Y , t*-.-t-
<br />*- :- --.., --* : , g- , . - 1-.:. - ",.*
<br />'i.':"*.' )
<br />Ni',:' ' ./ Jr.:"..../.1 a
<br />77
<br />**-h PE.
<br />Y1
<br />flEP i
<br />CO' t S .73;i:Lr.:e4
<br />SAMPLE
<br />MEASUREMENT
<br />.1 ii...:'..r**
<br />...
<br />,:.
<br />.
<br />..*
<br />****
<br />*il *.i.
<br />* - ;-r *-.1.11- it•
<br />t
<br />:..1 - 1
<br />=.i.l...
<br />.
<br />t=t.-17.---
<br />ZFMT
<br />, ., , ImLy
<br />L --..
<br />PERMIT
<br />REQUIREMENT
<br />-.--- ..'
<br />r..! HP P e?:--IALY
<br />... r..2`.."• , ' ...', - :: r ' r')
<br />CONilfirP. S F. !ELCJW
<br />SAMPLE
<br />MEASUREMENT
<br />, ..t.-**
<br />* i4":ti-N
<br />1-
<br />'t1 1
<br />DJ
<br />1
<br />PERMIT
<br />REQUIREMENT
<br />.:4''.. - : - .3 -- ;.: - --, -.J.
<br />1 .:
<br />P-17'..'. V r:• : _ .1::::
<br />.:J.---p
<br />*t.,.. t
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<br />s.d...;Nr
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<br />SAMPLE
<br />MEASUREMENT
<br />.
<br />-
<br />.t
<br />rr . :4-* - ::'
<br />...i.. - .1.****
<br />***.1
<br />.
<br />..-
<br />PERMIT
<br />REQUIREMENT
<br />- .....i . - ::•-k - 4 •:i.
<br />*-:, -:". .- -:.:•-:1- -.",`•
<br />1.. S :'..1
<br />3
<br />, . , -,-.:4 „.,i-K.
<br />.. f,
<br />i.).
<br />1 tn......Y , •.k.i.
<br />ti .- s
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<br />c F.P ODAPi-ls,:): : cc; .. N 7'. r'.
<br />SETz: C-31S.:' 32 Of
<br />SAMPLE
<br />MEASUREMENT
<br />-i'...-::..
<br />,
<br />:
<br />*
<br />* 44
<br />:014
<br />,..,,.. -
<br />-11-ic";•-?..t• 14- *
<br />i, .-'r. ;1
<br />PERMIT
<br />REQUIREMENT
<br />::c . "rf ,
<br />i• I :.:P t f.b.' ; OP.1 T. C
<br />SEE COPIEIENVS Ei al_ 0 7,
<br />SAMPLE
<br />MEASUREMENT
<br />;,
<br />: ,.. - ...t.*:-.1.*
<br />h
<br />- .,:.: , :t - i - ..**.i.t
<br />17.1 X C 7
<br />PERMIT
<br />REQUIREMENT
<br />-0 .-
<br />. -'. .-4-.I.-.1- :...e*-.":1.*
<br />tift.,
<br />7.:
<br />..*,. - . ,1 - A-.:1 - Y.. - . 1 *-:
<br />- .%. - a..: - . , ,,
<br />Y
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />I certify under pehalty of law that this document and all attachments were
<br />prepared under my direction or supervision in accordance with a system designed
<br />to assure that qualified personnel properly gather and evaluate the information
<br />submitted. Based on my inquiry of the person or persons who manage the system,
<br />or those persons directly responsible for gathering the information, the information
<br />submitted is, to the best of my lcnowledge and belief, true, accurate, and complete.
<br />I am aware that there are significant penalties for submitting false information,
<br />including the possibility of fine and imprisonment for knowing violations.
<br />TELEPHONE
<br />DATE
<br />04 4c t-1 12aae-
<br />1-
<br />ENV. CA...10, t Ai (7 c2-
<br />'
<br />97/I- 2 10
<br />1 1
<br />67
<br />1"
<br />.•-••^'
<br />,--
<br />SIGNATURE , OF PRINLOIPAL E CUTIVE
<br />OFF-ICER AUTHORIZED AGENT
<br />TYPED OR PRINTED
<br />AREA
<br />CODE
<br />NUMBER -
<br />YEAR
<br />MO
<br />DAY
<br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)
<br />NAME • •: ;;M:::' C Fi
<br />ADDRESS r
<br />7:f.1 7
<br />V.)JCL
<br />FACILITY T
<br />LOCATIONc74 y CO L;f52:2
<br />V?/COO
<br />CO F:A.42
<br />FROM
<br />COMMENTS AND EXPLANATION NY VIOLATIONS (Reference all attachments here)
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />PERMIT NUMBER
<br />YEAR
<br />AA
<br />MO
<br />MONITORING PERIOD
<br />DAY
<br />TO
<br />OIY
<br />DISCHARGE NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />MI NCR
<br />( U)3R )
<br />F — F I NAL
<br />CHRONIC WT
<br />r.:
<br />• Z.
<br />*** NO DISCH;iNT
<br />Form Approved.
<br />OMB No. 2040-0004
<br />MEat
<br />FOR 001A
<br />NOTE: Read Instructions before completing this form.
<br />? FM uT vaT FNCYCDWE. TKEE KS STA DFF RPT RESULTS CN 7M1S OjTFALL. YF
<br />NOT, RP7 'J Dzso" OMLT LJ 01. RP7 LGNHST /iT H STATISTICALL EIGNXT 0177 BIM
<br />4 P'r
<br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 00271 07hisl fprm. PAGE
<br />OF
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