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PERMITTEE NAMEJADDRESS flncludr FariG'n .Fume/Location iJlhJ/rrrnt; <br />NAME <br />ADDRESS --CA >J - ~'J= COMPLEX <br />,•LRi Gd SI639 <br />FAC-uTY ~ is A i•~ I ty F G Of"!F' L E 3t <br />LOCATION ~,~N c0 81639 <br />Ir;;.K(i. ~?Ff'- Ai'Fu"~7tlN f`IANRLER <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 />Form Approved. <br />OMB No. 2t~1G-OG04 <br />f <br />Jug' _ <br />uHRCJ~iI'"' WET TJ <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY <br />OF SAMPLE <br /> EX NALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS A <br /> SAMPLE _ <br /> <br />MEASUREMENT <br />.. ` <br />,, ,, <br />r <br />i_ ~ <br />ivy _ __ <br /> t. <br /> PERMIT <br /> REQUIREMENT - - ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />~, <br />t MEASUREMENT <br />; <br />__ PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ ~ ~ • <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ~, <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br />NAMElfiTLE PRINCIPAL EXECUTIVE OFFICER I icrtifg under penulh a.f lax that thi. document and all utw<hmrnt. were TELEPHONE DATE <br /> rrpand under m+ dircetion or wprni+ion in uccurdancr with u +.+tem designed i <br /> p <br />In u+sure Ihal yuaGfied per+onnrl properh gat hrf attd Halnala' lhC InlOrlnatl(al - l <br /> mhmiurd. Naced nn m+ inyuln of the per.on xr prr.un+ xhu manage thr +y+tem. P ~ •. _ <br /> resgmvhlr for gathering the in(urnfution, Ilx Information <br />ihox~ <br />non+direcll ~ j <br /> ~ <br />nr <br />pe <br />+uhmittad ia, to the ba•+t of m+ Amixladge and hadief. trur, accurate. and complete. SIGNAT RE OF PRINCIPAL EXECUTIVE ( r <br /> I am nxure that them are cignificatn penalties for whmiuinq fakir infornwtion' <br />A <br />T AREA <br /> .inlation. <br />nt (nr knowin <br />iMlih <br />and im <br />hu <br />f f OFF ER OR AUTHORIZED <br />GEN D NUMBER YEAR MQ DAY <br />TYPED OR PRINTED g <br />. <br />o <br />ine <br />pr <br />ome <br />itnluding the ~h+ <br />COMMENTS AND EXPLANATION OF ANY vwLA-wNS (liererence au arracnmenrs nera~ <br />~WT--1 ?~ RFPROi} D1=RZVATZONS AS "TOXICITY". i~PT LOWEST <br />This is a 4-Past form. PAGE OF <br />EPA Form 3320-1 (Rev. 3199) Previous edii~ons may be used <br />