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PERMITTEE NAMElADDRESS Unrlyde Facility ~amdLxatiun if Diffrrcntl NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDESJ <br />NAME •- DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS - ~ ~ <br />i•JtS T MAIN STRE ` PERMIT NUMBER DISCHARGE NUMBER <br />.IIDAO <br />FACIUrY ' t•JC I•r0 CANYON M l ~iL MONITORING PERIOD <br />LOCATION r pN CO E YEAR MO DAY YEAR MO DAY <br />FROM TO <br />11~C F:t7A 7 NGTQN, M T NE MANAc: <br />llISCHARGE TQ LLF?EN <br />Form Approved. <br />OMB No. 20a0-0004 <br />X <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION ND, <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - ..• ..... .. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT s, r ... c:. x - . ~ ~ .. ... _. - _. _. , . : • <br /> REQUIREMENT •r • <br /> SAMPLE '~ ~ +, ~ <br /> MEASUREMENT 4 <br />- <br /> PERMIT .. ... - .. .. ..z, .,,. .., <br /> REOUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -- <br />• <br /> REQUIREMENT ' i :q " '. _ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,;. ;, . ,...: , , ... .- - <br /> REQUIREMENT ' ~ Ini?~.i : c <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .... , ., - .. _ ~. _ .. , . _ <br /> REQUIREMENT _ i•,;~' - -' ~" I' <br /> SAMPLE <br /> MEASUREMENT <br />- <br /> PERMIT ~.: ~ _ .. ,.., ,. ... .. ..... _ ;. <br /> REQUIREMENT ~-'•`a!_':A ~~.~~.; ~~,~ - ;~ ~ - - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I crrtifi under pemdh n<Irw that thi+d.rument amt all attaahmrnl+eerc <br />pn•pared undrr m+ direa'tinn or a:prni+inn in uc, urd:mrr wftb a +}+trm drwi~ned rl , TELEPHONE DATE <br />~~~ ;~ j ~ _. .;. ~ ~- it ~-~ '~i- r~-~ to a+wre lhnl yunliflrd q•rv.nnrl pruprrlt gather and r+uluulr Ihr Infurmuti.u, ,~_ l <br />~ <br />'~ <br />~l I• ~! - ` <br />/ <br />~ +ubmitterl. ensrd nn m~ inyuin of thr {w•rW.n ur prrwm whn managr the yHrm• <br />..r Ih;nr {x•n,m+dimlh raw{emvlhlc fur I,ullu•riu{; Ihr Informali,m. the inrurmatiun '~iY/ ,' ~ <br />/ I ~~ gy6 ~ry7s ,'~ <br />~;~ <br />~~ <br />~ ~ ~ <br />/ <br />/ ~ <br />~ `J -'~ ~ ~ ~ • - ' ~ mhmitpd ic, to the tu•+t n(m~ lnnwlyder and Fr,•lirt. Irur. accunue, and rum(drtr. <br />I am mare that them an .ir,df. •.m t~~n.dt,a- her .ul,miuine ra1.e inlurmatiou <br />SIGNATURE OF PRINCIPAL EXECUTIVE ~ ~ ~/ ~ i <br />TYPED OR PRINTED • <br />mrludin¢ thr pw+ibilit...r Goy .md iiopn.nmucm 6.r Ano»in~ +ndatione. OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />COD YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re-erence all attachments nereJ <br />:!! ~ 5D1_T_L~S Li;+IT AF'~LIE?-' FOF7 _=1C?YF?, 24HR <br />JR <br />EPA Form 3320.1 (Rev. 3/99) Previous editions may be used. 'F11rti 14 8 <I•-~~ft l~<)flll. <br />PAGE OF <br />