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PERMITTEE NAME/ADDRESS rlnrlude Fariluv :~'amdlorariun iJUiJJrrrnrt NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDESJ <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS - <br />• PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY „ ~ p"".; rr r rah is ~Ji•ii-' i_ E,;~ MONITORING PERIOD <br />LOCATION YEAR MO DAY YEAR MO DAY <br />"EfV GQ ~ FROM TO <br />t' Ktµ~Cl, ~'ECi..AI`?/~7ION MAN+r .-- <br />Form ApprovMl. <br />OMB Pio. 2040-0004 <br />~'Ji;'. <br />!'I°t~~??~i T ;- 'TF~T F't?Ft 1 ~ A! 1 "3i~-% 7 4ti <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 />~ ' <br />. <br /> MEASUREMENT ~, ~ \ .• a ~-~ / .. • v ~ >) , . <br />~ ._~,q u ~, .- ~ ~ <br /> PERMIT ~ ~ ~ ,, t ,~ <br /> REQUIREMENT ~ ~' ~"`~ ----- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT " "' ' <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT z .; . a ;, ~ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT re ;, ~.~.., <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 />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t cert'(y under penalty wf law that this dxumenl and all attachmenh were <br />i <br />l <br />l <br />d <br />~ <br />i <br />i <br />d <br />~ <br />i <br />h <br />d <br />i <br />d TELEPHONE DATE <br /> on ur mprrs <br />a <br />on in accwr <br />r w <br />a systrm <br />cs <br />prrpar v <br />urn <br />cr my <br />lrn <br />t <br />am <br />t <br />Rnc <br /> to uswra• that quullfied pr rsnnnrl prnprriy Kather and es aluata• the inrnrma0tat <br /> wbmiUcd. Nasavl nn my in~uin ur dte pa•rv~n nr Ix rums w hu maneRe the systrm, <br />or those persons directly responsible for >;atherinR the in/ormation, the in/ormetion i ~ f• <br />~ <br /> wtbmitt~d is. to the Mst of tm knowlwlkr and la•lirf, true, accurate. and complete- <br />I <br />t th <br />iG <br />d <br />i <br />G <br />b <br />i <br />i <br />l <br />- i <br />th <br />i <br />f <br />f SIGNA RE OF PRINCIPAL EXECUTIVE ~/ ~ ' <br /> <br />TYPED OR PRINTED um aearr <br />ere arc . <br />ram pcn: <br />c+ <br />.r +u <br />tt <br />+a <br />n <br />nrmauun• <br />a <br />4n <br />t <br />m <br />nR <br />a <br />mdudine the pu+sihilin , r fum arnl ~mprnnnmrnt f•~r AnowinK cinlali!•m. QFFICER OR ALITHORRED AGENT AREA <br />DE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />i„~'i-' y RFPR I) 11FRI'JATI'r'V5 F+3 "TDXi{.I?Y" F7^-T' LOWEST <br />i ~ ti _ <br />EPA FC~m 332p.• `R"v 3r39i Fr~tvr~us eni7lt^~~ -_„ T~11~ IS $ ~-~8ff tf~flll. PAGE OF <br />