HYDRO24725

• Permit No: C1981010
• IBM Index Class Name: Hydrology
• Doc Date: 7/25/2001
• Doc Name: Second Quarter 2001 DMRs & WET TEST
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

PERMRI'EE NAME/ADDRE$$ (7ncfude Faclliry NamNlncadon ljDiffexrrt) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) FDnn ApPfOVed.
NAME DISCHARGE MONITORING REPORT (OMRJ OMB NO. 2040-0004
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ETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS avALysis
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NAME?ITLE PRINCIPAL EXECUTIVE OFFICER IGedily under panalry of law that this tlocument and all enachmenb were TELEPHONE DATE
prepared under my tlirecbon or supervision In ettordenoe wM a system deslgne0
to assure a~ quellfied personnel propehr gather end evaluate the IMOrtnatlon
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submMed. Based an rtry lnqulryol Ne persm or persons who manage the system, / ~
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aubmibetl b, to the best of my knowledge and bellel, tote, etttnete, end comp
ete. SIGNATURE OF PRINCIPAL EXECUTIVE

TyPEO OR PRINTED l am avrare WrQ the6 era significant penalties TOr submMling lalsa lydormason,
lncludin the sblli Wens end im rieonment br krpwi violations. OFFICER OR AUTHORIZED AGENT
NUMBER
YEAR
MO
DAY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ell attachments here)
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