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PERMITTEE NAME/ADDRESS IlndtrAr Facility ,\'amdl~xatiun iJ!)iJJrrteti NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />NAME ~ DISCHARGE MONITORING REPORT (DMRJ <br />ADDRESS <br />PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY ,. ..LL:.. ~ ::.;-_ ..:;L i-~;wii_~~.. ~ MONITORING PERIOD <br />LOCATION •: ENC E; ~ ~ g 1 ,. YEAR MO DAY YEAR MO DAY <br />FROM TO <br />_IRt~F V. f-,=,'r'i E~SOPU, GEfv. Mu' <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :..: t~ _ ~ <br />• .... , <br /> REQUIREMENT r•, , ~•. ~ : ~ " . - _ ;~ <br />-~ _ ; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - ,:... ~ - _ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ ,:...... ...... .. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br />REQUIREMENT _ <br />~~-'~-• <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT - - ~ .. .. .. .. .. .. .. .. -. .. _ R ~t: t. - - <br /> REQUIREMENT ~-,:'IV ~ ' ` <br /> SAMPLE ~, '~/ <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT ,-~ 1 <br /> SAMPLE <br /> MEASUREMENT l <br /> PERMIT ~ <br /> REQUIREMENT ` <br />NAMElfITLE PRINCIPAL EXECUTIVE OFFICER I rrrtif~ under penult) at lux that thi. duumrnt and all atlachmrnb xrn <br />• TELEPHONE DATE <br /> <br />/~ ~ 1 /~ /i I <br />t~ <br />I N ~ ~ N prepared under nn direction ur svpa•nisiun in ammdum <br />r xith o s?stem designed <br />to uwrr Ihnt quulirxd prnunmd prnprrl~ gather uml r.uhmte ttx information --, j <br />~ <br />~ <br />` <br />,,_ <br />I \ l~ t"T t ~ \ a <br />d nn m <br />of lh <br />ur <br />~o <br />th <br />hmitl <br />vl <br />R <br />i <br />ui <br />+ xhn <br />n <br />s <br />st <br />so R <br />L' - ~ <br />~ ~ <br /> <br />' u <br />a <br />. <br />an <br />~ <br />ny <br />n <br />r per <br />n <br />per <br />n <br />ma <br />age <br />e <br />y <br />em. ,~ ~/ ~ <br />~7" ~ <br />~ <br />" <br />'• <br />` ~ <br />_ , <br />.. - <br />- or dwx perux,s dirertl. responsible for gathering the information, thr information 1~a+- <br />' `•' - % G <br />:` ~ ~ ~ /~ ~j ~ I <br />~ <br />~ <br />= <br />`y '-~ '~ / and c,mtplrle. <br />whmillad r <br />to thr tx•.1 of m) hnoxkdgv amt tx•liet <br />Ira< <br />accurate J / / <br />` <br />. <br />~ a t , <br />, <br />. <br />, SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED 1 um axurc that thrrr an signifkam prnahitr for submittinglahe infnrmaliun, <br />i,wluding the p,rsihilih of fine :md imprisonmrnl for AnoxinP si,dution.. OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MQ <br />DAY <br />COMMENTS AND t]<F'LArvA l Ivry yr Arv r vwLA l lvrvo Ineterence au arracnmenrs nere~ <br />;~ <br />EPA Form 3320-t (Rev. 3?99) Previous ed+tions may be used <br />Forrn Approved. <br />OMB No. 2(}40-0004 <br />DS~>~tKG lO ~ <br />c}fyZ <br />NOTE: Read Instructions before completing this form. <br />•t'111, Iti ii •~-~ <br />OF <br />