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PERMITTEE NAME/ADDRESS (lachalir Fadfi0,V&rmcAoo0*a;lDVff-1) <br />NAME <br />ADDRESS C� <br />FACILITY 1 7 Nz- <br />LOCATION i�-� �Esz 9 _J5 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (OPLIES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />6 <br />MONITORING PERIOD <br />8. YEM MO DAY YEAR I MO. �DAY <br />1 <br />FROM wn d-7 <br />Form Approved. <br />OMB No. 20404004 <br />"NI oR <br />NOTE: Read Instructions bef re completing this form. <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />No. <br />FREOVENCY <br />SAMPLE <br />EX <br />OF <br />AKALYSIS <br />TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />SAMPLE <br />MEASUREMENT <br />E <br />R 17 U, F i 7 <br />-REQUIREMENT <br />!" X <br />Nli,-.e•*- <br />SAMPLE <br />MEASUREMENT <br />-REQUIREMENT: <br />SAMPLE <br />MEASUREMENT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />RECt1JIRE <br />SAMPLE <br />MEASUREMENT <br />. JREWENT! <br />REQl <br />SAMPLE <br />MEASUREMENT <br />PERMrr, <br />SAMPLE <br />MEASUREMENT <br />W <br />P <br />11REQU]IREMEkr' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I —Ufy under iiesnaty of la- tLat this document and W uttachment:% were <br />Prepared undo my direction or %upervislon in accordance with ti,7mcm designed <br />-the; <br />ftiqtm[iriedp.er.wonLiproperi.vcutbvmdcval=tL information <br />9- 'rFt,EPHONE <br />DATE <br />%`ub—mMed. Bmed on my inquiry of Un- person or personi, who man= the %"in. <br />or those periani, directly rmpowililir for gatlicring the information, the information <br />-3-5- <br />submitted k, to t1w lic-A army knowlefte nod belief, true, accurate. and complete. <br />including the poWbility orrine and imprionment for knowiagviolutiom� <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />100DE <br />TYPED OR PRINTED <br />YEAR <br />MO DAY <br />UUMMt:N I b AMU EAVOLANATIUN Ul' ANY VIVLA 110Nb (ff8rerenCe all arraCnMentS nere) <br />2 <br />EVEN- S--'JB,-:2C7 7C li',wRZDEN 01- :^ Fr <br />P., <br />-AP9 -4)F <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used. 4--j9Pfdrm. PAGE <br />