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<br />NAME S OltifkL ff~ <br />ADDRESS `.~ C (7HL t <br />- , r rt! tcy •f <br />FACILITY ;C;L f" <br />LOCATION = <br />i'Ei~ <br />NATIOt:l.L POLLUTANT D!SCHAR~SE EIIidINA i ION ~VSTELI ((NPDES) ,_ ;_.'J~SV.JUO•. <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER F i "•7A'... L.F'LT~ <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY ; <br />FROM TO <br />NOTE: Read Instructions before completing this form. <br />IftiIG CQnL: LLC <br />"LINE <br />;,~' CO 8 <br />IE <br />PARAMETER QUANTITY OR LOADING t QUALITY OR CONCENTRATION NQ. FREQUENCY SAMPLE ' <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,• .. ~ •, . __ ~ , <br /> REQUIREMENT - <br /> SAMPLE ~ <br /> MEASUREMENT • <br /> PERMIT ~r•s „ .- .~: 1 ,r .., . <br /> REQUIREMENT F';= ~• ;- ij' <br /> SAMPLE <br /> MEASUREMENT ~ ~ ~` _. -- <br /> PERMIT <br />REQUIREMENT / <br />) (- /'• <br /> SAMPLE ~ ~ . <br />. <br /> MEASUREMENT i i ;~ ; <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 />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER 1 ~erti( tmdcr penuln or 1nw mm thi+dncumem and eu mt:ahment+ werr <br />prepurrd undrr m~ direeti,m ur .uix•nhiun in :ncurdunce rith a .a+trm deXi <br />ned - <br />/~~l TELEPHONE DATE <br />_ <br />~ <br />~ ! <br />~ g , <br />/ <br />-~ /._ ~ <br />' <br />C ~ ~ ~~ ~i ~ / <br />, to asmrr Ihnt quulirird prrM.nnel prnperl~ Kathcr and r+uluatr thr inGirmrt{un ~ <br />~ +uhmittai. Ruwd .w m+ inyuin n( the person or pr~on+ who mana>Ze the ryarm. ~~-" <br />- <br />~ <br />~'~_' <br /> or (htnc pentuts dinMl~ re+pm.ihk fnr y;mhering the informati:,n, the inrormmion ~ <br />"~--- <br />~- <br />~ <br /> .uhmitt+d ie, to (he hc•V of m~ Anowlydge :fnd IK•lirf, tnm, aceuretr, rtN1 compute. <br />im nMi1rC 111x1 Ihen' dfe ~I <br />nl(null <br />H'nalbr• L,r .uhmittin¢ fulae inrnrm <br />don <br />SIGNATURE OF PRINCIPAL EXECUTIVE ~ j! ; ~' ~~ ! .'~i <br />~ -' '' ~i 1~ <br />~~ / <br />'~J l <br /> i <br />_ <br />. <br />a OFFICER OR AUTHORIZED AGENT AREA <br />TYPED OR PRINTED inchxling the p•,~~ihiim. •4 ^w :unf ,uqn i.•nunrm for Avowing +iol~tinn+, NUMBER <br />CODE YEAR MQ DAY <br />I.VMMGIV 1 J AIYU CAI'LAIVN I IVI`1 Vf" HIV T VIVLA I IVIYJ Inetert:nce an arlacnmenrs Here/ <br />EPA+Form'3320-1 (Rev. 3199) Previous editions may be used. <br />~000>r ~'hi~ i~ a 4-part form. <br />