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<br />PERMITTEE NAME/ADDRESS Qnc7udeFarulryNamnJlocadon i/DtBerenq <br />NAME yIN@°~~ INC, <br />ADDRESSR~RTM TRnRPSJ:I CRF.'.R MI:7 k:5 <br />2/b9 :OMP~~S DRIVE, SUITc 101 <br />",RARO JU9;:TIU4 CJ 11150.5 <br />FACILITY <br />LOCATION-R RitDNDRL'_ CJ 81623 <br />. rn.~• I c iv,:, rnx~:. Ill ~rr a^_ c~a r• _ <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />1 <br />PERMIT NUMBER DISCHARGE NUMBER <br />M RING PERIOD <br />YEAR MO A YEAR MO DAY <br />FROM ..i ~~ "~" Uv 3') <br />.J.. <br />Form Approved. <br />OMB No. 2040-0004 <br />'7'.UP. <br />- r.AL <br />_ ~,.I:~IC wF.T ?ESTIYG F'UR .O1A <br />'' tiD DISCRABGE ~'" <br />.NOTE: Read Instructi6ns before completing this lorm. <br />P' I I K. h <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION,. NO. EREODENC SAMPLE <br /> VI' EX~ DF TYPE <br />PARAMETER <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS ANALYSIS <br /> <br />5t'FF:CI ::TAPRt /DdY <br />SAMPLE <br />..::•F` <br />'~~~ <br />.ic:e343 <br />~' <br />o <br />~ <br />.., .~_r'. <br />. .,r ,,;:,;.~ <br />( ).3) /~ <br />V <br /> <br />,;H.2 CBxIIDA PH `!Ih <br />MEASUREMENT <br />r <br />~~EO Y <br />y <br />T:: PJ tl :i U U r <br />' ~ } ~ ~*° .:+k>0ti1A0E0 ~ <br /> <br />~ Er Or4~#Xt#" ~ ~ '~ <br />r ST~ <br />i ~ ~ ~ -_&t#tM+~#ft'" f R- ~''^ . . <br /> <br />~ <br />h' .: 7 h h F '~ T 5 9 t: L U . RE4U~gEMENT ~ ~ : <br />~ ~ '~~ ~ ~~ C C N , ,~ `- ~""'`~, <br /> SAMPLE <br /> MEASUREMENT <br /> ~'~~;PENMIT'~ ~ ~ <br />' ; <br />r <br /> ~EfjUTAEMENT - ~` ~, 'r. , <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~ <br />' .: <br />~ ~ ~ ~' <br /> AEQU1laEM~NT ~ ,~.'. 4 - ~ 4.r ;: <br /> SAMPLE <br /> MEASUREMENT <br /> ,,.~ERMIt <br />~~ ~ ,~ : ~. , ,y ~- .J <br /> REgUIREMENT " ,,. °, <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ <br /> <br />REgUIREMENT ,> <br />- <br /> SAMPLE <br /> MEASUREMENT <br /> ~'6RM1'I'= <br />~' a <br /> REQUIREMENT ~ ~ <br /> SAMPLE <br /> MEASUREMENT <br /> p~ <br />`~~RMIZ <br />~ <br />N' <br />~f' '4`, <br />' ,%. yv <br />'d' <br />_ <br /> REOUIREM~NT .. '~, ,i <br />r 1 <br />" ~ <br />y <br />NAME?ITLE PRINCIPAL EXECUTIVE OFFICER I Cerory untlar penalty of law Nal Nis document and ell anachmeme were TELEPHONE DATE <br /> n in accordance with a system tlasignetl <br />tli <br />Ti <br />n or su <br />ervi <br />i <br />tl <br />tl <br />( ~ / . <br />~ p <br />ar my <br />rec <br />o <br />s <br />o <br />prapare <br />un <br />to assure Nat qualified personnel properly gather end evaluate Ne inlonnetion / _ <br />' <br />~ <br />- <br />/ <br />E / <br />~/. -?QI/ submitted. Basetl on my inquiry d the person or parsons who menage Ne system, -- <br />+. <br />l <br />.c <br /> or those persons tlirecey responsible for gathering the infoimellon, the inbrmation , <br />~ <br />( <br />./ submined le , to iha best of my knowledge end belie( true, accurate, arM complete. j SIGNATURE OF PRINCIPAL EXECUTIVE 77'.' z75-Y/ <br />/ <br /> I am aware that Nere are significant penalties br submining lalse inbrmation, OFFICER OR 4UTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED indudin the sibili of fine and im nsonment br knowin violations. <br />COMMENTS AND EXPLANATION OF ANY VIULA I IONS (Reference eu anacnmenrs nere) <br />~6'c: 1.9.1 Fed "ES"~ PkU:'£D'JR6, ".~'~ R`.i~7LT: JF LCTnRLITY '_1EFiVRYIU?i'; A:, ":.-:sFr.CT°~ G804TH kF:PHUDUCT20~ <br />L'liHiVATLOhS hS "TO%ICITY". RP'T LU~r'ST ~ r:FFL AT 'dHI"H .;TRTISTICALI°. 3IG`JIF DIFi' r"'ET~~F.EM TEST E CO!JTHGL <br />0013~~ooo~i~=1,x;33 ~ 1 <br />