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PARAMETER
<br />. QUANT LOADII ITY OR LOADI
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />.
<br />FREQUENCY F
<br />ANALYSIS
<br />SAMPLE
<br />TYPE
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />r: i `-'.;.0 §..rji 2 :..:2•:!:.; 7
<br />:.)::',-.7•32`.7211-VriD
<br />1
<br />. ZA , 77R (IR SS VA! ..k.IF,..SEPPOEMENT
<br />SAMPLE
<br />MEASUREMENT
<br />•X .,:.-:::‘ 1.--.:'-'-':
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<br />.•
<br />.,:,.. .., : .. . . . . ...::: .
<br />PERM : .--:.:'.
<br />.v.- '
<br />-
<br />ii. c
<br />4; .-.... :4 .*A--;.:-
<br />3
<br />.71470r)p, 4, .'. , ' ,- ,
<br />* '..:- PC
<br />',At: •••c.4..;P;ilt.:.;.?:2; 1•• ;:.,..,TAL.,
<br />-7 :FS,: 0 "•`-/ '7.-1R A 3 I,- Et
<br />.F,F GRO5S VAN! ,U`t
<br />SAMPLE
<br />MEASUREMENT
<br />******
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<br />P ERMIT . ::. . ..
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<br />;TOO .,.
<br />"<17-:T1:-.
<br />'.`I':,
<br />AD It i•itl 226 + AD )UM
<br />;•.` •.7. .7 713 AL.
<br />1 502 1 0 0
<br />vAp_uF
<br />SAMPLE
<br />MEASUREMENT
<br />: ,
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<br />'F-:::
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<br />..: ••:... PERMIT '.
<br />..: ,.. :.. .,.,..
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<br />J'f"-••Z AN •;..:I'l; 'rit.)TAL AS 5 . 12
<br />:ti,.73
<br />7:2 7 -,: , v(.;
<br />SAMPLE
<br />MEASUREMENT
<br />, ...'..i..1..;i- - ....:-*
<br />'..7,-**
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<br />SAMPLE
<br />MEASUREMENT
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<br />10.!)
<br />( )
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<br />..;
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<br />SAMPLE
<br />MEASUREMENT
<br />i:
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<br />PERM IT
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<br />211- IL-71;1:2 '1'
<br />'3• :' "..) 0
<br />FLUENT GROSS V .?,...1.);*:
<br />SAMPLE
<br />MEASUREMENT
<br />•=t,t3= I
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<br />NAMEJTITLE 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 suimitting false information,
<br />including the possibility of fine and imprisonment for knowing violations.
<br />TELEPHONE
<br />DATE
<br />r-a
<br />eo-- ;ke ( k C ''' eiCA ta 5
<br />C r , C iq G, .
<br />' 1'.00,/ --&,/,..? / kill
<br />"Ci , ,- f 4 r '" ' 1/4.I
<br />I (
<br />I 1
<br />- 24--- fv,..
<br />r
<br />SIGNATuRE OkORtm upALxEcuTivE
<br />OFFicER OR AGENT
<br />-----___.—
<br />AREA NUMBER
<br />CODE
<br />l
<br />YEAR
<br />MO
<br />TYPED .OR PRINTED
<br />PERMITTEE NAME/ADDRESs (Include Facility Name/Location if Different)
<br />NAME r
<br />ADDRESS
<br />C2, "iA-2.
<br />FACILITY 17. ND 1
<br />LOCATION 7. 7.1, e 522
<br />TT: t" A 71 ' 7 1
<br />FROM
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />PERMIT NUMBER
<br />YEAR
<br />MO
<br />, ••`,77
<br />MONITORING PERIOD
<br />DAY
<br />TO
<br />YEAR
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />UTERL‘l WL 7 : ' 4:1TRUCTX c. 9 PA 9.
<br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used.
<br />DISCHARGE NUMBER
<br />MO
<br />DAY,.
<br />5 :A:137 5:r,
<br />lAMMT
<br />DiBCHAT t
<br />NOTE: Read Instructions before completing his form.
<br />Z1 lO,ND Sa Sat . c. .
<br />00 c.) Cti*-* 4 4 . - P 44:;f9rm
<br />Form Approved.
<br />OMB No. 2040-0004 rt•
<br />1•71
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