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PERMITTEE NAME/ADDRESS 1lnrlude Fdri6n .Tome/lordtion iJDifferenr <br />NAME (~}-! TFkI'"II•dF.i_~ INC'. <br />ADDRESS ~H I_GADL`!:T <br /> J X 'T','2'"'ti' b <br /> SPf2ING5 CL ~? <br />FACILITY ';::Er i~U L_CH LI~Ai.UVT~ <br />LOCATION Epj GO 8 <br />_ ah F. DurlF'L~r. UZR>i:TfJR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />i SUT3 <br />F - <br />Y IOtjA <br />Form Approved. <br />OMB No. 2040-OOdli <br />~ I <br />c. <br />,. <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY SAMPLE <br /> <br />EX OF <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 <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />NAMErTITLE PRINCIPAL EXECUTIVE OFFICER I <rrery under prnatry or Ixw Ihxt thi+d~xumrm xnd au utu~rhmcnt. ~rre <br />o <br />isi, <br />cr with x <br />r <br />ar <br />d undrr <br />. dirarlio <br />r <br />I <br />xn~ <br />nlx <br />si <br />m d <br />yi <br />d TELEPHONE DATE <br /> p <br />rp <br />r <br />m <br />n <br />r wp <br />n <br />m <br />n <br />u <br />n <br />g <br />r <br />pne <br />a <br /> to xtsurr that yuali6rd prrsonnel pruprrl. gathrr and r+aluaR tttr inturtnation <br /> +uhmiued. Ru+rd on m. inquire of the prrwm or prr+ons who managr thr y+tem, <br /> or thou person+dirred~ respomiWr for aalhrring the Information. thr informxUnn <br />~ <br /> submitted i , to the txKt of m+ ArwwledRe and belief, lrur, accurate, and compktr. ~ <br />~ ~ <br /> t am awurr that there arc+i>ini(tcanl <br />enalties for+nbmHtin <br />; fut+e Information SIGNATURE OF PRINCIPAL EXECUTIVE ' <br />TYPED OR PRINTED p <br />t <br />, <br />itxludb~e Ihr Wrsihiliq ,d fine xnd imprisonment G,r knnwint; .inlati,m+. OFAICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MQ DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a!I attachments here) <br />EPA Form 3320-1 (Rev. ar99) Previous editions may be used. Tf1iS i5 ,i -~-p3ft 10111E PAGE OF <br />