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NATIONAL POLLUTANT PISCHARGH EL.IIA114A TION .SYSTEM
<br /> DISCHARGF "ITORING KEPORT `
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<br /> ltvsrr;uc'rlorts
<br /> ( r J 8117'3 1. Provide doles for perlod covered by this rep-1 In •,pu,I-m,u;.• I "I'; 11,,W I I NI,PI UI,)W'
<br /> t_._ 2. Enter reported minimum, average and maxim...., .dues u I ',I 1;1"' '••d-, r;f,: 1 ri I 1 '.
<br /> 12 V 44-16) Ill-rot in the units specified for each purumt,ler n•, ap;u�q,n.,�I• I' „I •,•,I,••- In 7
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<br /> — asterisks. "AVERAGE" is overage computed ov,r a,lo.,l fi-- ,,� L . 1, , ,.,lu,l "M,and IIMINIMUM"are extreme values observed dnunu the a :' d.
<br /> Specify the`number of analyzed samples that I--d 11 m„I r u,n,or n a. ;•, 1,.-
<br /> _-- ._ -- -- -- 4. Specify frequency of analysis for each p-Anted.I a.,N„ a-d, ,I,. (r N, "! 7" 1 v,,-
<br /> I>11-21) 122-lit t24.201 126.27) 125.29) (30-31) lent io.7 analyses performed ovary 7 days.) 11 t„nitnt-tis .nL I <,I,,I "
<br /> —' S. Specify sumple type("grab"or I'—hr- con..,,th"),Iti applt yid, 11 hr-,I,n.;
<br /> t enter NA".
<br /> r REPORTING PERIOD. FROM4EA
<br /> 1TO 1I 6. Appropriate fitgnature is required on Imitom of llu.Colin
<br /> L -3-�- I 7. Remove carton and retain copy for your record•,
<br /> R MO_ DAY EAR MO OAY S. Fold along dotted lines, staple and mail Orlyto d to,fit,r•1„ ,tn d In p,.•tt
<br /> 142-37)
<br /> �r r r)cad only) —(I card only)
<br /> 1 QUANTITY .,it l rt�,
<br /> 13•�01 UO-021 �ea-lla 102.Od119a•�61 h40-531 Tea Eli sA)5I-LE
<br /> PARAMETER
<br /> I MINIMUM AVERAGE MAXIMUM "NiT5 NO Ex MINIMUM AVERAGE MAXIMUM UN115 I , I ANAL ryl',
<br /> RENORtED C) O / Q•T� # # it # # tt if # iF 0 µ ) I ��
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<br /> r --- — - --- ^ -- ------ ------- -'—"-- - - -
<br /> t , PErmir
<br /> 5 + CONDITION
<br /> # # # i♦ # # Q # # tl p # f: # # tt # # # # # lit0
<br /> ----------- --------- ------ - 1
<br /> i-- -----------------�--REPORTEu ri # A # # ti d # # 4 # # -- ----# # # # 'r"r # # if it
<br /> L.I' It 1'IT,-I- I1J_,S IJJO.
<br /> I I
<br /> KG/0AY - ------ --- - ---- - tI:/I- j
<br /> I . PERMIT
<br /> -) CONDITION '
<br /> 1,_ ( ,r'♦ T ,F ni_ St)�,.) REP UH TED it # it # # # k # JI # # It # # # $ # it # U,
<br /> HERMIT--- ------------- ------------------- KG/DAY - -- -------'---- ------- ,,;/i_ I -
<br /> # i. # Y # # # h Iti. # # # # # # # # # it 31) t/
<br /> I I 1 CDH DI TION �
<br /> I0T/ L(,S Ft:) REPORTED # # # # # # # # It # i► # if # # it [J.O„'� V.C,f� , •f�,
<br /> I } -- ------ --- --- K G/U A Y — -----— --------
<br /> CDN UI TION It • ;
<br /> REPORTED # Q # 't # # # # It
<br /> — --- ---- -- —-- — SU ---- --- ---- --— '— - u
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<br /> PET.1`1 .F tl
<br /> rl : G 't-'1i sVI;UA[ REPUR TeD A # JJ • - # # # # # t} #-# - ;F # -# 16 —# fi # # O.6(r>
<br /> PERMIT � 1
<br /> COI•IDI TION
<br />� I � FENUHTEO 1
<br /> I l'OrI OI TrUN '
<br /> --
<br /> - -
<br /> PERMIT
<br /> CON UI TIUN �
<br /> NAME OF PRINCIPAL EXECUTIVE OFFICER - TITLE OF THE OFFICER DATE
<br /> ------------------'-"--- '---- ------'n--- -- - ►certify that I am familiar with the Information contained to this /.i,. J(-1, (J t-I,-, h•'.,
<br /> Gl/L� J l7 J-�(� /� �u�-J f el ls/ f II Q report and ihat to the beat of my Anou o dedge and belle(such dor-
<br /> _-�-1- elation 1s into, complete,and accurate. SI 14AILIPF OF prlmli.t P.AL r IEc 11 nvr-
<br /> 1_AST FIRST A M1 TITLE YEAR NO DAY OTFICFiION AUrII0111):i3O Af,Lt1I
<br /> EPA F.-3320-1(10.72) PAGE OF
<br /> • ORIGINALI )
<br /> C14 15 'ET1t F(1 OTNE: WATER FROM DUTC H CREEK ANY SINGi.E GRpd CANNOT EXC
<br />� ftl 4S "G/L FG-" 'E";c,
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