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PERMITTEE NAME/ADDRESS pudMJrFaWryNwvL«onon 1/D(QGnnr) <br />NAME ~'r"3l~PP~~ `t`IIN~'f~Cs, T~!C. <br />ADDRESS T~~C~F'F~t, E`'If ~I~ <br />FACII.TTY T~~I~~~~ I'I~I~t~ <br />LocATR7N~~~;I~ %.O 8~.~~~i <br />r~'1"'T'Pd: I~~Yf'iOltiiI~ G. L}U I3Ci~~, F'C~~S/GI"3 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SrSTEM NPDESI <br />DISCHARGE MONITORING REPORT /D R) <br />ri 1 ~ <br />PERMIT NUMBER DISCHAAOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM O? $ C) G° ~ TO ~)'~ ;~ 2 ; ; :t <br />Form Approved. <br />OMB No. 2040-0004 <br />P1 ~ C~3 C11a <br />(rz.r' U%3~ .~C i~ <br />f~~l}T~. I~~T ~~~~t~~l~l~ ~CI~ ~~~~ <br />NOTE: Read imtructiom b~iw~ comphtinp thh form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np, FREOUENCr SAMPLE <br /> OF <br /> EX ANKr~s TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />LC SO O i ~~i-E~~ 48~-3r~ c~Cl SAMPLE #•x•##-Ye# 3c?$#### #•~I•='rir•3<•# #-:~#•3S•#E ( ~~ ~ <br />~ ~~ ~ Q~AP~i~~i ~ ~t MEASUREMENT <br />'T'~h'I:~~ ~ O C~ PERMIT #~N#-~## #-!*•:~3s~~~# e ##•~ ~Lt~C~ =~J~~1 #~~##•?~~t• ~ :~~-#### ~E~- ~-t•~tL.'~' :>;d%t~ <br />~t='FL1.~~(~ITiaRQS.''a <)A~L4! FtEdUIREMENl' ###.~. !'~11~ LJALI~+~ ~Y~'t~il" <br />LCSQ ~'1'E-~iT~d~ 9t51~hZ t~{.;~. SAMPLE •#••#~~•~•#vc #•?r#•~#}.r •~•k4fi:t#•~E #•'sd-iF##•# C ~3a <br />~ ~r~~p}..~~ll,-,~,r,~ MEASUREMENT ~~------ -~--~~ <br />~`Af+l6G ~. C"j Q PERMIT •u##### ####3r:'# 3 ### Jt~. C7C)Ct:[ #iF# # ##~:~## ~FZ- ~T'E2i...'y` r)•i~~% <br />~~"i=`I...t.#Iri~iT G~tCi~a 'i1r~L~1~ REQUIREMENT.. #?d•iF' Mt~i V~L.tlE CIWt~IT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,/ <br /> RE~lUIREMEN7 <br />........::.:..:.:.::.:........ . <br /> SAMPLE <br />\ <br /> MEASUREMENT ~ <br /> 1'ERMI~` '' ,` <br /> REQUIREMENT <br />:.::.:. <br />;.;::: ` <br /> SAMPLE r l <br /> MEASUREMENT / 1 <br />V <br /> <br /> tf ~~Ui1~~riit~tJ`F`, <br />:>; <br />, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT>::»>< <br /> REi1Ull#EM~N1` <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> >f'ERMIT <br /> AEIIUIR~MENT' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />- ' txrtnr u er pem ty o sw thst thN document sad dl ettschments were <br />prepared under my direction or wpervMon In oecordante with a system desi`ned ~ p <br />~ ,t- <br />TELEPHON <br />E <br />DATE <br />t <br />/^ <br />~PY1G/~ ~ . G • (~'' JG /S to aoure that qusNRed personnel properly ether end evsluNe the Informallon <br />wbmltted. hued on m 1 ul of the rson or <br />y nq ry Pe person who m.ns`e the system. j ~ (J//t'+°^ <br />~ <br />( <br /> <br />_/ /~ <br />~~~ <br />~S or those penoro directly resporolbk for plherlrq the Inforrrutlon, the Informsllon <br />submitted b4 to the Dal of my knowkd~e end beNef, tae, sttvnte, end mmpkte. f <br />~ ^ ~ ~~ <br />97l j ~ y • /l <br />~~ r <br />l <br />• <br />. ~ <br />t <br />G.' ( 1 rrm ewrrre Ntl there en sl~nlRnnt pendtle for aubmlttln~ htx Infonmtlon EIONATURE OF PRINCIPAL EXECl1TIVE / <br /> , <br />Indudl <br />th <br />dDllit <br />rR <br />d I <br />i <br />TYPED OR PRINTED n` <br />e pos <br />y o <br />ne an <br />mpr <br />sonment for knowin~.lolallons. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMCIVTS ANU [/t,e-LArrw 1 furs yr nr~ r rrrvs.n r rvrs~ Intrrtnmctr sn euecnmrrnca ntnq <br />S~~ ~. ~~. S, FEE'. 6-~' ~'-~'~ D~~":~I!_~ Os= TI~ST PR©CE3aU~~. R~PO~T L~5C7 - aT~TI~TYC;=1~... F'03f~?T a ~- ~t"i~T~ trl9-f~Ct-e .!S <br />LlE T NRtP.~ 70 a0`1< O~ "1'.eS"I" Oi? ~`,~,I~l:~OI^'`f.S, aa'I~.ID ~; 4 '~CI-# ~CUI"~ 'i OX TO IT1° I ~`~~' E2~F*O~T ~'~~RI'i TO ~~~. t~1i i~;t- ~~.T ! ~O T I I~.IL' NO! <br />~wC,'~ ~,~ ~ „na~T I~~g3~+~~ ~+ai~rl`~b~ ~i~lale~`~-dl~ll=~'t 8;~ ~~t~l <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. - ~O~O~/ E-~g~~~~~[~'~>Yp, PAGE AF <br />:4 <br />