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PARAMETER
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO
<br />E X
<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 />.. _ :
<br />, ~ �.i.. . a k .'i . i Y i'-'
<br />,: CE:17", ' 0, ; PFIN I tf
<br />• • -
<br />73E7.2 Cra # "7';F :i-i , t EiFi.,CiW
<br />SAMPLE
<br />MEASUREMENT
<br />1`.. Y * .•
<br />. .'}1. #i. µ4.Y.
<br />* *
<br />*
<br />- a'{-: •!'
<br />-l: 3#.'.. "1:..?'.
<br />PERMIT
<br />REQUIREMENT
<br />•' Z. % ". s'rf';!'i F
<br />.
<br />k s= i % . t.: ':-.'/
<br />::e -))- C: r...:1 IC317:tf>Pt
<br />',, .,t
<br />. a::' C r)11;', , Y; (.fjlr)
<br />SAMPLE
<br />MEASUREMENT
<br />3, 2:
<br />a: : ti'i..
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<br />*
<br />a: -, 3; i
<br />->-
<br />- ti - I; 1 e
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<br />i'l t1 ?. =; U..i 72
<br />a.
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<br />PERMIT
<br />REQUIREMENT
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<br />a
<br />! ... ' . .r r. e , s .
<br />CHR "' :,'. s`'� " ".^ ' i-1AL E `S--
<br />£ :. ; P
<br />✓'• ',t r.,'Y. -
<br />,.. '..7, c, :.Isis r', . , BE:1_ C �,
<br />SAMPLE
<br />MEASUREMENT
<br />. . « ` . • . . . t . . *
<br />1 -. 1 -* .** i : •
<br />H. .�4:. ;.
<br />• , ' i.:.- '^ _.
<br />•!:••i - ," .,
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<br />i: � t . .
<br />PERMIT
<br />REQUIREMENT
<br />• 3 "
<br />4 -..4 . .. r...,. VS:-te*f
<br />1 - '..1 Of.; ,
<br />,- ,4'cJ V;3 :Z.�'t
<br />L - :..
<br />n,
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<br />:; MI P MM EASUREMENT
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<br />SAMPLE
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<br />PERMIT
<br />REQUIREMENT
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<br />SAMPLE
<br />MEASUREMENT
<br />i F.*.v
<br />- :r$ :.**,
<br />i:.-:i-1.4...1
<br />i:tit. .fi..c.
<br />irr.•7:'R'It'"F"
<br />S ' i
<br />'•:X ':. 1'
<br />PERMIT
<br />REQUIREMENT
<br />... ,
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<br />.. .. R: s t..)a i =: 1 !".'i -' :"^s v:'• "IR y'ti i T `-
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<br />: ?_' COMMFT..15 BFLUI
<br />SAMPLE
<br />MEASUREMENT
<br />: `r;•gr.4:• _: iE
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<br />PERMIT
<br />REQUIREMENT
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<br />SAMPLE
<br />MEASUREMENT
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />I certify under penalty 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 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 fine and imprisonment for knowing violations.
<br />'i
<br />L.
<br />r
<br />TELEPHONE
<br />DATE
<br />(.� t`` C P- - Q CI', F k S
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<br />SIGNATURF OF PRINCIPAL EXECUTIVE
<br />' OFFICER OR AUTHORIZED AGENT
<br />TYPED OR PRINTED
<br />CODARE A E
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location ifDifferent4
<br />NAME 7 t . - , > _ . C 132 t1
<br />ADDRESS' - 1 F ;; Y :� 'ii —
<br />FACILITY ; : i. }
<br />LOCATIONf.:;.;rx ? ? ^', •
<br />�. r.. ,.. + . i i..-
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<br />EPA Form 3320 -1 (Rev. 3/99) Previous editions may be used.
<br />FROM
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />PERMIT NUMBER
<br />YEAR
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here
<br />MO
<br />MONITORING PERIOD
<br />DAY
<br />.F 3
<br />TO
<br />DISCHARGE NUMBER
<br />YEAR
<br />MO
<br />•
<br />MINOR
<br />7p �i � G.1 4 { mot
<br />C'r1R;!r; =..` C F .._ r r\ G FOR Qi{ :. A
<br />Form Approved. 4
<br />OMB No. 2040 -0004
<br />DAY -
<br />NOTE: Read Instructions before completing this form.
<br />... °<�. :: . :.i,c•E; OF T Ei w•'R,sCEDUR=. .,. T STA'1'9:S r :i:Ct4tk,..L..‘f Fl G(+1 7; <•T'
<br />- , , 9;1 L:l i -r'f C k "r:r� F_it,t * �C icFC, t ^.i^t.t w.(ii� "_ t1Par E'l Tt �< t LH )t\ 'lO "S'x_i - T RP i n
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<br />,.I ... 1.� _ 1 ".t �..i 7Y'x r•...5 ' t r'l: -!�' „� :..7 DMR.
<br />.)093 74 /O ii r-4,parf.Eorm.
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