HYDRO28794

• Permit No: C1981008
• IBM Index Class Name: Hydrology
• Doc Date: 5/2/2001
• Doc Name: 1st Q 2001 DMRs / cant read them
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

PERMITTEE NAME/ADDRESS (include Fadliry Nmne/Incwr'on ifDiffermQ
NAME .. .. _ .
ADDRESS .. . ~.. _ _ _ _ . _ _
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FACILITY
LOCATION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form ApprOVed.
DISCHARGE MONITORING REPORT (DMR) _ OMB NO. 2040-0004
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PERMIT NUMBER DISCHARGE NUMBER ~ _ ~ - '
MONITORING PERIOD - -'
YEAR MO DAY YEAR MO DAY _ _- „
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NOTE: Read Instructions before'ctSmpleGng this form.
QUANTITY OR LOADING QUANTITY OR CONCENTRATION N0. FREOUENC SAMPLE
PARAMETER EX oP TYPE
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~ ANN"~fS
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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICeddy under panalry of law shat this documem end all tmachmems were r' / TELEPHONE DATE
Prepared under rtry dimction or auperdsion In accordance wrth a system tleslgned -
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' ' submitted. based on my Inquiry of the parson or persons who manage me syslam,
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r .. ~ - submitted le , to the best of my knowletlge end ballet, tme, accurate, entl complete. SIGNATURE OF PRINCIPAL EXECUTIVE ~ , _

TYPED OR PRINTED lam aware Viet mere ere slgnmcent penallles br submlNng lake lnbmiatton,
includin me ossibili W fne antl im risonment br knowin violations. OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY
COMMENTS AND EXPLANATION OF ANY vIUIa I IONS (Heterence au attachments Here)
EPA Form 332O-7 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF