HYDRO27864

• Permit No: C1981018
• IBM Index Class Name: Hydrology
• Doc Date: 7/26/2001
• Doc Name: June 2001 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

PERMITTEE NAME/ADDRESS (lnclyde Faclliry Nmne//nCatbn ijDipe,enr)
NAME bL'J :.~ fIJU;: ; AI ~ .. ..... :: ~i, 1't (_.
ADDRESSD :: 5 ; ~ B A il O " I t: ;' ~ . ~~
FACILITY 'aI;,LY c^ Clbal7
LOCATION
NATIONAL POLLIfTAM DISCHARGE ELIMINATION SYSTEM (NPDESJ FOfm Approved.
DISCHARGE MONITORING REPORT (DMA) OMB No. 2040-0004
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PERMIT NUMBER DISCHARGE NUMBER _ F = ,. 4 « 1 y .
MONITO .ERIOD '-L LOADOUT TO ficG .fAS:i
YEAR MO DAY YEAR MO DAY
FROM ')1 0`, G1 0 OS 3' '` !.0 DISCNARGc ~~h """
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QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
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PARA
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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CedHy untler penalty of law that this document and all adachmerite were TELEPHONE OATE

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to assure that qualifetl perWnrrel properly Oather entl evaluate iha inormation _ _
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/ submitted h,bNe best of my knoMetlga end belief, true,emurate, entl complete. SIGNATURE OF PRINCIPAL EXECUTIVE / J 7J
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TYPED OR PRINTED I em aware Nat there are slgnRcant penaldes for submihing false information,
ncutlina the oossbiN of fine end Imprisonment for Ynowinq violations. OFFICER OR AUTHORRED AGENT NUMBER YEAR MO DAY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Reference alI attachments here)
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EPA Form 3320.1 (REV 3/99) Previous editions may be used. ll ~ THIS I 9 4-PART FORM PAGE OF
0,32/Ur,0717-150 2