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PERMITTEE NAME/ADDRESS ifncludr Facility .\'amr/l.ncarinn if Uiffrrcnlt <br />NAME <br />ADDRESS ~ _ ..:"iF':.~ <br />,~?O <br />i::U t3iu3y <br />FACILITY ,,,, x'17 !'+IIE CCIM,°r/.~X <br />LOCATION --:EN G'D °1163e~ <br />- x~ran. F2FC1 C,1`l~:T?fltd f'IAItIAGtft <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEA MO DAY <br />FROM TO <br />Form Approves. <br />OMB No. 200-0004 <br />~, <br />NOTE: Read Instructions t)efore completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY <br />DF SAMPLE <br /> EX I TYPE <br /> ANALYS <br />S <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <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 /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 certiY~ under penalty of law that this document xnd all attachment. were TELEPHONE DATE <br /> prepared under ms direction ur .open isinn io oaordancr with a system designed _ <br /> to a+sure that qualified penunnrl proprrlr gather end es aluate the information <br /> submiurd. Based on mt inquire of the perwm ur prrwns who manage thr s)slem, <br />or th~HC pennne directly responsibly for gathering thr information, the information ~ <br />~ <br />~ - <br /> submitted is, to the best of mr Annwirdge and belief, true, accurate and cuntplrte. <br />SIGNA~IRE OF PRINCIPAL EXECUTIVE - <br />t <br /> I am aware that there are sittnificant penxlties for submitting fettie infortmtion. AREA <br /> violattati <br />ml im <br />ri+nnment for kttnwin <br />ib0ih of fi <br />I <br />h <br />i <br />h OFF ER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED g <br />. <br />p <br />ne a <br />nc <br />ut <br />ng t <br />e p»s <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachm <br />here) <br />Ell TO RE4UEE <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. '~~01 '_ 1 his 16 B d-QAtt fOCm. <br />