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PERMIITEE NAME/ADDRESS gnclude Fariliry .1'amell~uafion if INffrrcnry <br />NAME , <br />ADDRESS _. .. .. .!'I"1! ;_L~. <br />~ HEX ~i7U <br />i=N (:O 8I E,~19 <br />FACILITY '»A ~ j~~ (;L;Mr LEX <br />LOCATION •^ ~ ~, (_~ >~ ].639 <br />+r wht~ - err ntanT f rlni f4AfJ 1r3~C <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 />'~~L1E fig.. -CiOU•= <br />~ r <br />~t TO `. <br />RDI: <br />~~ <br />NOTE: Read Instructions befor~cornpleting this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FREQUENCY <br />OF SAMPLE <br /> EX N <br />L <br />IS TYPE <br /> p <br />A <br />Y5 <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />' <br /> REQUIREMENT 'f" ' ' ; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ' <br /> REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - _. <br /> REQUIREMENT r' <br /> <br /> SAMPLE <br />y; MEASUREMENT <br />' PERMIT - <br /> REQUIREMENT ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT •: ;; ~• .. <br /> REQUIREMENT I <br /> <br /> SAfdPLE <br /> MEASUREMENT <br /> PERMIT . , ` ~. t _ .. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - _. <br /> REQUIREMENT ~ ~ ~ ~ `~ ~ '' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER { rrrtif) under Innahc of law thm Ihis drnument and all utt^chments were TELEPHONE DATE <br /> prepared under m+ direction or .uponision in accord^ncr with ^ astern deafgned <br /> to assure Ihut yualifitd perwnnel propt•rl~ gather and e. alu^te the informaUnn <br /> submiUad. Baxd on my inyuin of the person nr persons who m^nage the ystem. _ <br />1 <br />~ <br /> or Ihmc perxms directly resgmsible for gathering the information. the information , I <br /> d b <br />t <br />d c <br />kl <br />f <br />k <br />d <br />li <br />f <br />4• ~ ~ <br /> rue. accun <br />• an <br />omp <br />e. <br />m~ <br />noxle <br />ge an <br />e <br />e <br />, <br />submNtrd is. lu the hrst o SIG ATURE OF PRINCIPAL EXECUTIVE ' - ' <br /> I um aware that there are signific^m penalties fnr wbmittinq f^Lse information, AREA <br /> rbonmrm fnr Ynowing +fulation+ <br />l <br />th <br />ihdin <br />f f <br />d im <br />i <br />dl FFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED . <br />p <br />rtg <br />e pus+ <br />o <br />ine an <br />nc <br />u D <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ale arracnmenrs Here/ <br />,r <br />I __, - [~hi~ !, a ~ Pan +.I,n!,. <br />G_. _ -~, ' <br />