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PERMITTEE NAMEiADDRESS rlnaltrr4~ Far!!iry•.Nwnc.Zrx~ntion 11/Drffurcnp <br />NAME <br />ADDRESS ,~ <br />-t -~ - <br />FAauTv <br />LOCATION , <br />NATIONAL POLLUTANT DISCkARGE 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 />Form Approved. <br />OMB No. 2040-0004 <br />,~ <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np. FREDUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />• SAMPLE <br />" - MEASUREMENT <br />.._ - <br /> PERMIT ~ .; tt• r- ~ r .~ ~ - i ~ <br />r, <br />_- F-L t I ~- ; . _ _ ,: REQUIREMENT <br /> <br />~;=!( ,L.~' SAMPLE <br />-~~ FS _ ~ , _ ' ~ F? q;j( <br />= MEASUREMENT <br />_ <br />•, <br />'I -•f ~' '~ PERMIT ~-•>r;;i: ,-.. <br />" <br />' <br />' <br />' REQUIREMENT !•~ 7. <br />~ <br />.1L..• <br />, ~ <br />L t_l;: ^1T - <br /> <br />' t ': ~. SAMPLE _ <br />•r,r MEASUREMENT <br />- - - PERMIT , - ~ . ~ Y ~ • <br /> <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 />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />E PRINCIPAL EXECUTNE OFFICER <br />NAMEJTITL I +enrfy under penatr} ~>~ law that this d+nument w+d xll attuhrnentc were <br />+ TELEPHONE DATE <br />. ~alwed under ~y dtrccu,>n ur supen~isten in acarcdnnce with a s}stent dcsignnl <br />'+ <br />~- <br />-~ n. 11nt1rc that yualitied personnel pmpcrly gather and c.~aluatc the mformanon <br />l ~ ~ LG:: ~." ~ ~~=1 <br />~ ;ubmineri. Based nn my uryuin• of ehe pawn or persons u~ho managr the iy~tctin, <br />the mfornuttinn <br />respon.ible for gathenng the mformanon <br />+x thox <br />erw0.. dn>•ctl ~~f---- _ <br />- ~ <br /> <br />~_ <br />n' . <br />p <br />y <br />sulmutted is, to the tv.~a of m}' knowledge and hchet: true. acrurate.:utd a+mplcte <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />- ~' ~ <br />- '- _ <br />`' <br />- t I um auarc that there are egntficuut peaah+es for submitting Idlx mtbmtaaon. <br />l <br />OFFICER OR AUTHORIZED AGENT <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />TYPE OR PRINTED aGun. <br />including the pusibility of tint and tmpnsonmcnt for knowing vio <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br /> <br />