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PERMITTEE NAME/ADDRESS (Include Fadllry NmnNLarntlon ijDigerarq <br />NAME igF~t'r:ti `IiI'.;:, L':~. <br />ADDRESS T ; r p.P t: Z " I F: <br />FACILITY ` . '1 I .-; C J " ! ' ?'. <br />LOCATION <br />NATONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />' (' : i. <br />-,~ ~tinv. ~. +d <br />,- PERMIT NUMBER DISCHARGE NUMBER F(~ ~ _ r • I t <br />. - 1. <br />MONITORING PERIOD • - ~~ • ~ r ~- ~~ <br />YEAR MO DAY YEAR MO DAY <br />FROM L . ~. ; '1 ] TO J 1 .J t ~ .: ^ ^ ~ !: ~ J . <br />Form Approved. <br />OMB No. 2040-0004 <br /> <br /> <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER <br />EX <br />of <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNal.YSls <br />_ ~..J ' d : i. F. a •t ~ 1 : 3 C . SAMPLE <: -: n .y ., ,. ,::•. c: ^ .y .: ::.....::: ~: _ .. ... ~ ~ ~ <br />t <br />..~ :' I .) A ~' ~; n ('. MEASUREMENT 1/Lyj~ ~J ~U ~;y <br /> ~ii `-:5p <br />~~ ~` ~ ~ ~ ~`F . - ,: " ~`~ M is~ <br />r r : <br />'1." )': <br />V <br />l <br />` ~ <br />' <br />I s~ ,a+'v ~ <br />t S ,~ra4 "t ~ ~ '~ <br />~ '~` ~ <br />i~ _ <br />. <br />. <br />.. <br />r. <br />. _ ~ . <br />r <br />-_ ~ <br />"; ~.; ~:4T ~ pit :~ :,C SAMPLE r ~: rs'=:f .X ',~ <br />•::: :'.~ ^.r: .. / <br />- 1 ': -' - %+ L ~ MEASUREMENT >~~~ ~ ~ ~ ~ <br />.. <br />.. ~~,_ ~ ~, <br />t:, <br /> <br />t} .~. .. <br />;, <br />~ <br />t <br />ER_ <br /> <br />~.~ . <br /> cl ; , <br />, <br />SAMPLE <br />MEASUREMENT <br />~•~ M ,. <br />FIECt ~MENT' ` <br />SAMPLE <br />MEASUREMENT <br />TGIiV .1m.. <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />~~ "" t - ,~ <br />SAMPLE <br />r <br />"# z-{~~ ' <br />a~ . > + [' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICerVly under penalry of law that thls document end ell edachmem9 were TELEPHONE DATE <br />prepared under my tllrecTion or aupervlsion in aaordanw wah a system tlesigned <br />b aaeure Net qualiMed personn& properly gather end evaluate Ne inlormadon //~ /a ~ ~~ ~ 70-824-440 U I <br />N. Gordon Peters submlbetl. Based on my Inquiry of Vre pennon or persona wTO manage Ne elstem, ~S G L. - <br />Presidcent/General Mana er orthweperecwtllrectiyreeponsiblabrgathedngthalnbrmatlon,thelMOrmatian <br />g aubmRtetl la. m the best of my know7etlge and belief, we, eCCUrMe, entl complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED I am aware that there ere sign~oMt penalties for subm'ming iabe Inrorrreaon, OFFICER OR AUTHORIZED AGENT <br />includino the oossbiliN Ol gne end imodaonment for knowlrq violations. rnnr NUMBER YEAR MO DAY <br />OnAeaAFNTC ANO EXPLANATION OF ANY VIOI ATIONS IRelwrwnrw all aHachmwntc hwrel <br />' ... I.i..:. PF' /-J,r'..i .. ... ;,I L' ~.1~ !"..i` •t~~,.'C;:'.:. ..^J''. LCS~ - .i:'6'.'f ;TI" ~.a. I` .I ~ ;-T`+,lTi: %'ii:... <br />rU.; :i F' ''r. .iT Jri :; 'iISK` d,.: „/r ~ -t'..r ,, t. e. ~ ,.~V ~. .,~ ,i _ ~ ~r <br />.. 1''.;L C', ,, A~.".. ~ T~ I:. i. Y :'~; 5; .,J.-.. "i .. .. ~ _ :~ iL <br />EPA Form 3320-~ (REV 3/ A) Previdus editions may be use ~ - ~ ~' - ' ' ~~ ' "' " - ' "~ ' "~' ~' ' ~ ' - ' IS I$,A4~PAR ORM ' P GE I -' OF <br />