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PARAMETER <br />M-37) <br />( Cara' Only) QUANTITY OR LOADING <br />(0 .1 (34 ) <br />t•I Card Only) QUALITY OR CONCENTRATION <br />(3R-45) (46-53) (54451) <br />NO. " <br />EX s <br />62-6j) <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />. <br />SAMPLE <br />MEASUREMENT <br />4 <br />7, z.r <br />J <br />7, 8 Y <br />1. 0 2 -- <br />PERMIT <br />REQUIREMENT <br />'4 <br />' <br />- <br />; / I <br />sAmet.F. <br />MEASUREMENT <br />, -1 <br />1g <br />PERM11` <br />Eg CM REM ENT <br />...di <br />, <br />SAMPLE i <br />I MEASIA Rgm ENT <br />.r <br />' <br />a, a Oa <br />Zei <br />1 PEPI MVP <br />REQUIREMENT <br />0 / (1- <br />e), <br />....-.? •--1 <br />, <br />SAMPLE <br />MEASUREMENT <br />,--- <br />, <br />,..., <br />,„...--'*- <br />61.4-1$ <br />i i . • 7 <br />in <br />/ <br />1 <br />RE9titritimoft <br />0. Z 2 - <br />SAMPLE <br />MEASUREMENT <br />0.000e <br />0.0017-- <br />PERMIT <br />RequmgmatiT <br />OW/4- <br />SAMPLE <br />MEASUREMENT <br />00 0 , ,0 <br />.....,, <br />... <br />, <br />0 , oo 8 <br />0. e , <br />t4AME/TITLE PRINCIPAL. EXECUTIVE OFFICER <br />1 CEPT FY UNDER PENALTY ( F LAW THAT I HAVE PERSONALLY E X AMINE() <br />AND AM FAMILIAR WIT el THE INFORMATION SUBMITTED HEREIN AND BASED <br />ON MY INOUIPY OF THOSE INDIV DUALS IMMEDIATELY RESPONS/B1 E FOR <br />OBTAINING THE INEORMA Th. ■ BELIEVE THE sveown EU INFORMATION <br />is TRUE ACCURATE Apo c:JmPt ETE i AM AW (HA I' t HERE ARL 519 <br />NIEK:ANT PENALTIES FOR SUE1MfTTING F ALSE INF OR M A TION INCLUDING <br />THE POSSfBiLfTt OF FINE AND imppt;ONMENT Et E 19 o s, t low AND <br />33US.7i131S. th,taliteat tInder 111., StatIttes 'nal miarli trnel, up ro Sla101 <br />,,,,4 ”r rr,o,,tat "Eprlsoetrna r11 of I E mgrI(to, and .5 IPrtis 1 <br />TELEPHONE <br />, <br />RO IT-.1P 4 1?-A^4‹.). <br />3 4. 3 <br />- r- il-4'0 <br />SIGNATURE OF PRINCIPAL Ex Ect.srt vE <br />OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED <br />A A <br />NUMBER <br />PERMIT ME/ADDRESS (incltid4 <br />fr4.-1114r ( ocalion if difierrat) <br />NAM E P144(c____ <br />A DEIRESE <br />_2 _ _ <br />ifACJI-ITY -Cf.! , <br />LOCATION 7 <br />CIOMMENT AND EXPLANATION OF ANY VIOLATIONS e creme al 1411,14, )',Ii s ter« <br />NATIONAL POLLUTA $CHARGE ELIMINATION EVETEM ‘NPUL.t <br />DISCHARGE MONITORING REPORT OP4R) <br />12-161 117-191 <br />PP OM <br />eo - 0o 4 ,o r 0 <br />PERMIT NUMBER <br />yEAFI <br />8.6 <br />120 111 <br />MONITORING PERIOD <br />MO DAY <br />'DISCHARGE N v.4 .IER <br />T EAR MO DA <br />/ Z / To II <br />/ <br />(22 2 (It 3i, <br />(?;- J:0 t2 ( *14- 1#J <br />1',) 'Approve:a' <br />04 2000-001 <br />NOTE: Read Instructions before compfoing <br />1. A T E <br />; 7 7.5" <br />EAR O 17:;-A17 <br />