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PERMITTEE NAME/ADDRESS pnclude Foci!/ry Nmrwllocanon lfDijfmm+) <br />NAME <br />NLI1F NOU;:rAIN E':tF.;Y, L;+:'. <br />ADDRESSD E S F N A U 7 f1 I N' E: <br />J6U7 :.OUNTI RUAD 55 <br />FACIUTYHANGLY ~;) d16U(i <br />LOCATION <br />nfTN: JEFF UUJ9`.kf <br />~ PARAMETER ~ <br />,I <br />UUUU L U U <br />FFLUENr GROSS VALU <br />DLLDS, TOTAL <br />USPENUe:D <br />JSJD I D () <br />FFLUENT GROSS YALU <br />PDY, roreL <br />(ts FF) <br />lUUS I D 0 <br />FFLUENT GRO55 YALU <br />IL nND ; Rh'ASE <br />35d1 I U .0 <br />FFLUE?ir GROSS VALU <br />LJ:, IN CONDUIT pR <br />rlKU TIiEATnEfGT PLAN <br />UJ~U 1 U U <br />F'FLUF.N'f CHO55 VALU <br />OLLUS, TOTAL <br />ISSOLYEO <br />01yS 1 U U <br />E'F'LUENr GROSS VALU <br />I6 AYD GRt;ASE <br />15JRL <br />UUbb 1 U U <br />AVERAGE <br />SAMPLE r. reona# <br />NATIONAL POLLIfrANi DISCHARGE ELIMINATION SVSTEM (NPDES) FDrm ApprOVed. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />1 L':') n <br />:, (SOUR rIY) <br />PERMIT NUMBER DISCHAAGENUMBER p _ FINAL is 5 L A !r <br />MONFiORING PERIOD SUMP DSCHRG ?0 RED KASH <br />YEAR MO DA ~ • YEAR MO DAY .. <br />FROM U U6 ~ • U .' v ::~ 40 D~SCN~~SG° ~ n~0 <br />NOTE: Rea IhS . IDnsbef0 plating this form. <br />Y OR LOADING QUANTITY OR CONCENTRATIO O. FAEOUENC SAMPLE <br />EX OF TYPE <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS M/'uY5ls <br />a'-Y#x# #as-#rzrx ( 12) <br /> <br /> do rt ' <br />SAMPLE ;:.xrs ;:q} •t ::r###7 ~'. 1, 9). <br />\SUREMENT <br /> y. <br /> ##;s r. <br />SAMPLE RF7R?P #st#i~4# <br />, ( I9) <br />1SUREMENT " <br /> ;: z <br /> ,, _ <br />. ,nr- <br />. <br />SAMPLE ?F RSe rf rr {rfin ;[e {. ~•; t~ri#SrC ,~ ?dd,t r,# ( `:)) <br />1SUREMENT •" <br /> :-;: ;. <br /> .: a#sa .T , <br />.., <br />SAMPLE ( (13) .'-i+:S#3 ~CO#(r h:% i##+;:vt,- <br />1SUREMENT <br /> # <br /> <br />SAMPLE x#atrR4 ~. 4P#O60 ~ -~,~rt ( 19) <br />1SUREMENT <br /> # ~: <br /> #>•~ <br />_~~xv,Y"=_v <br />t ~-• <br />~~ <br />SAMPLE :sr#'F43 ( 4u) ~..."r#k ###r. rk4 t##i=t# <br />1SUREMENT <br /> <br /> <br /> <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICeniy under penalty allaw that thisdacument and aM attachments were TELEPHONE DATE <br /> µ <br />SC p / WA ~ 5 tC 1' prepared uMer my direction or superWSion In accordance wiUi a ayatem designed <br />b a+eure tM qualified pereonnel properly gaU~er end evehple the IMortnetbn <br />~' <br /> submleed. Based an my Inqulryd meperapn or persona who markage the system. <br /> <br />E11L'. ~~ ~ ~c r or lhaee penwru directly reapm5ldebr gemering Ne Inbmrellon, Ne Inbrmadon <br />eabmided b,lo the beat army knowledge end belief, Wa, accurate. end complete. <br />SIGNATURE OF PRINCIPAL EXECUTIVE 70 675, ~)lj <br />O~ <br />O~ <br />~s <br /> TYPED OR PRINTED 10in O'PdfeNet Here ere Si7nYicam perrelliee for aubmining labs {nknmation, <br />includin the osa~ili e+.firo entl lm deonmem for knowin violations. OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference elf a Chments here) <br />IF V7 DLSCHAFiG£ JCCUPS, titPO!iT "NO 7ISCHARG';° DN DHH, DIL 6 .,'^~ASt. - ;E'E I.5.1.H. rjpARTEHLY SAI",PLING <br />INSTRU:TIONi - I.~.H, P. YI. <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br /> oo~o9iooo~i~-~so I <br />