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PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR.-CONCENTRATION <br />EX <br />OF FREQUENCY OF <br />ANALYSIS <br />SAMPLE <br />TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />.' } 'Li AND + .', °Tr Ki. <br />V A.PAL_ <br />� ..:3 <br />"" '4_,i_,iFIVT t °0 4/AI 4.1 <br />SAMPLE <br />MEASUREMENT <br />- :H4 <br />. <br />( 94 ) ' <br />'l3•4;0 <br />** <br />**it;is,:,** <br />'ifs 2S'• •. * <br />-.y.. <br />3v.,,,.,,a%l <br />- w�.t a.✓c . <br />PERMIT <br />REQUIR <br />":: '"? ".Y'w' <br />}'it.:.i'1 .4'F T ?�.:3"''� <br />"MST :A",:: <br />'t "5'' " d'�' <br />'�,+'.h'''`5rt"';:`.' }'i+"�' <br />'ss Lc'�'I':i f'i' ^.P*3 <br />SAMPLE <br />MEASUREMENT <br />.. <br />PERMIT <br />REQUIREMENT:: <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT: <br />SAMPLE <br />MEASUREMENT <br />PERMIT,, <br />REQUIREMENT <br />, 4 <br />SAMPLE <br />MEASUREMENT <br />.1 <br />PERMIT < i <br />REQU <br />....... ......... T <br />.................... <br />• <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT; <br />SAMPLE ::::::... <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />'NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 c ertify under penalty of law that this document and all attachm nts were <br />prepared under my direction or supervision gned .,,. <br />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 knowledge and belief, true, accurate, and complete. <br />I am aware that there are significant penalties for submitting false information, <br />including the possibility of tine and imprisonment for knowing violations. <br />" \.' <br />,... --•s � �� <br />r. <br />1"S L.�. 1� _ �-- - . <br />. > • w /P`w,' - . <br />TELEPHONE <br />DATE <br />2 � ;t � f�`� <br />: C 44 f.c -iI c, t i,- <br />P` <br />�� It • t-�j <br />^ "�1 ?� <br />/ ��.r <br />° f ! (J <br />I <br />t- <br />•�-p <br />/ <br />t / <br />r <br />SIGNATUROF PRINCIPAetE�D EXECUTIVE <br />' OFFICER AUTHORI AGENT <br />CODE <br />NUMBER <br />I <br />f <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name /Location if Different) <br />NAME 77 j �� SOUyy C_, <br />0��)«f.�, i::i L,.� /}"��A�� ri'td�r l id . <br />ADDRESS l51.— jI)) D PR O.JZGT <br />r, t FBI i C, <br />FACILITY I ,, I -4: � y{_t. }E; D PROJECT <br />LOCATION { e° F. CO E; Y r•;. <br />F r i r^o <br />AN` %9-'3';6\ • E EC VP /COO <br />EPA'Form 3320 -1 (Rev. 3/99) Previous editions may be used. <br />CO <br />;24 <br />FROM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />C 1100 <br />PERMIT NUMBER <br />YEAR <br />MO <br />MONITORING PERIOD <br />DAY <br />TO <br />YEAR <br />1 1 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Ek.,:`*. + ?`E.i Lv REPORTING INSTRUCT a IONS ` SEE . C , PAGE 9. <br />001 <br />DISCHARGE NUMBER <br />MO <br />DAY <br />M NOR <br />{ <br />SUBR DD'�J ) <br />POST i F?MN'T 071:F <br />' ^?L» :.t.i Sib e 'r w 1: <br />NOTE: Read Instructions befor completing this form. <br />OIL A <br />I? GREASE — SEE d. C. 15. <br />00 .103/ 0& :jg-r a _4 -pa form, <br />Form Approved. <br />OMB No. 2040 -0004 . <br />.'...ik MZ- .';'aFiN CR <br />PAGE OF <br />3 <br />