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PERMITTEE NAME/ADDRESS RneirJrF.rWryN.w/Loerrar 1/D(Q6.eny <br />NAME I...QT3E,c.-r~7rr';"'~ ~ ~~~i~Y .£ ~t <br />ADDRESS Bv1U~•~~~.F~ i;'.~`if'~3YC~i~ ~'~:1:1~1~ <br />MO 3~., ~'I~ ,:s~0 <br />FACILITY ~'~3%i`~'a~~ w~ti~l'E°~14 ~'"~~Iur,,, <br />LocATaNL. ~+i~ls~ ~ ~3 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />.. : ,+ ! r ~_. rw. <br />PERMIT NUMBER ascHARDE NUMBER <br />MONITORING PERIOD <br />YEAR MO 4 Y A D if <br />FROM TO ° <br />.... -;,., ,.~r., .. ~,.m. <br />Form Approved. j <br />OMB No. 2040-0004 <br />h1 a !~£"1'~ II <br />i'ili~Ci~ It??-~ D~~I°#~~ ..I'~'~ [iUl`~I~~ ~' ~.~s~. ' <br />.,s~~. i'~~CE .i3.i'~Ot-fAt-ctiiV i~ xw~ <br />NOTE: Rssd ImtrucNom bsftxs complstinq this form. <br />PARAMETER _ QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX pREDUENCV <br />OF SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAiGE MAXIMUM UNITS ANA<Y~s <br />!'' SAMPLE ~ ~- Kr~x- .x-. r:~ , <br /> MEASUREMENT <br /> <br />- ,.-. W <br />~3L}~rt~`J~ 1 C}~ >PERMIT '.: if3A#: . <br />~F'~'.~~~ltl7 vP?~i5~ 'dALU REQUIREMENY ~-3~~•~• l"1IiVIMUf'f M,~A?CIP'i1.}P'1 :~tl <br />~t... r i" ,. SAMPLE iY .sz•tr ~w ,.t;.,. -:--.- +: s i <br />513~:~C~ ~l~l~~C7 MEASUREMENT <br />' ., ,.._ ,, <br />~ O <br />~C~~:zb ~ t <br />~F„6°'1..L~;>=i~~~ Cw~,C3'~~s",~.~ `•,~AL,,I~ P~aMIT -, <br />REQUIREMENT <br />;: :. ~ tr~i•~ <br />#•;..;i•3b <br />3QDA 'AZfGt <br />L'AIC`! MX <br />NiG:~L. <br />.~. <br />MCJN~H <br /> <br />. <br />S L.i{`t3a ~ ! z~ ~ SAMPLE .. F-___ x~: •c ;r -e• ,. ~ -~ :~ .: ,~,_ : <br />t ,~'7 'I•~ E) MEASUREMENT <br /> - - _ _. .. _.._ .~,_ , <br />Oifl~~ z !~ ~} <br />I:~`Fi_'JIwN7' iYFtCI~~ id~iL.i~° PERMIT <br />REQUIiiEMENT ~~i•~ <br />R-#•'ri~# 30I?A ;~VQ AAIi_.Y (`9X Lift i_ P401tii"'H <br />L.s.. czar trres~~~>" SAMPLE ~.: ~ x• ~~: .r. ,; :: ,. <br /> MEASUREMENT ,. ' <br /> <br />~2"3.~a8~ I ~ a <br />~°~"~'...4JI~i~°{' i"~.rFv{,7~5 ~'ALt.1L ,FERMI'f <br />REt]UIREMENT if#i'r <br />i:•#~3~3F <br />~ <br />IN~"f' MAX <br />I'~((~~'1__ <br />~Et~f i <br />Ldk s 1.IV 4.. 1.J `1 SAMPLE ; V.S! R. s,st• ~.w >r ~x - :. .: ,:h - <br />TI-t~~1 TI~L;,~`f'MEt~d'T ~~:.A~t'3 MEASUREMENT <br /> <br /> PERMIT - _ <br />~i='F'~.,I.iEIV'f +~3R'U55 4'F~Li.lF R~a:IUiREMENt ~~jL-~' AVG I}A71..Y MX ItitG.L~ ~-~T'^"~` <br />!~.. S~tE iy, #..' ~`_'s SAMPLE •:r.-x ..x.. .. .; i° .; .: ~ ~ ~::. :, .. ~. : „ . <br />°,~ ~ 13~?_ MEASUREMENT <br /> '" - .. ,..,,-.~.,-, <br />i~~Li''3~ I ~, ~°~ PERMIT <br />~~'~ L^i>~~-:.i'~7 xRa.i~=~ V~It_.3.3 : REauIaEMENT I tY~T MAX ~f~;..~ ~r ,~..°. ~ ~`' <br /> SAMPLE <br /> MEASUREMENT <br /> ',frERM1T <br /> REQUIREMENT" <br />NAME/TITLE PRI CIPAL EXECUTNE OFFICER t ttn~iy u er pen. ty o Lw tnat mh document .nd dl m.dtmenu ..ere <br />ptepued under my direction or wpervMon In .ceoraance with a system destencd TELEPHON E <br />DATE <br />e {' ryry <br />~. ~ , +~~"~ J~~l...- to wore th.t qudl0ed perwnrtel Property ether and erdu.te the In(orrrution <br />wbmitted. based on.my 1'pulry of the person or penoro wno rtune`e the rystem, <br />__ .. or those penoro directly resporolbk for ptherln` Ne Informellon, the Infornutlon yy <br />'. <br />~p ~. M'T""'" <br />V V ~r• wbmitted by to the beat of my knowkd~e.nd beNef, true, ueunle,.nd eomplela <br />I .m.w.re th.t (here art ~I <br />nMnnt <br />enaltln for <br />ubmltN <br />hb <br />I <br />f <br />tl 810NATURE OF IoRINCiPAL EXECUTIVE ~~ f f!~ ®~ <br />TYPED OR PRINTED ~ <br />p <br />n~ <br />e <br />n <br />s <br />orma <br />on, <br />Ineludin` the posslDlUty of ene and Imprisonment for knowln5 rldaUotn OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMELNTS AND EXPLANATION vF AnT vwl.n I IvNS /HI)1/MCI tNi ~tracnmtrnta nsn/ <br />~^~^ae~h'~gr~t~~.`~ ;*~{~l~~Iry°r~'+"~yhl>•i{g-;)a~tkl/~ I. C;. '1.^f~;, ~~.~y~^`,8. ;~Op?:~`,~'~ r~'1?~~t~~f,~~,~~. ~[~~^ 'r~:r:tg~~iyr~::~Tt ''~~:'(~.i3t~~..,~' fi,~le:•. ~Uk~~l4G <br /> P~t-~:~;~ ~~F'~~~1~:-""I ~. <br />SF r~'.F"u'!~~ ~~ F~~f-6.+'CVT ~~a 4J t'YV 4.f'7-~-i Y..'.. f~~47~~73»i"7~. ~4. L. !~i ~.:.~e'~+~u*'l,a"5+. ~" ~.?d.: ,l:.: L. 7.3. .L. ~. <br />1, <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. ~~~» } ~ r ~11~I1S3~a=~3Ftlf~rttl. PAGE `OF <br />a <br />