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PERMITTEE NAMElADDRESS rlnrlYdr Fuilin:Ycmr/Lxarian ijDifJrnnll <br />NAME , <br />ADDRESS <br />FACILITY ,~ _ :~,; i~, t r.. <br />LOCATION !,_[i L `J ~ }. q'c~' <br />`AMC F WADE, i9 I P~i£ MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDESJ <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 Approved. <br />OMB No. 204r}0004 <br />i~ <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT ~, ~ _ , <br /> REQUIREMENT L~ ., ,.,, .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~• ^,rir ,. ,. s ~ ~ >, i'r ~ _ .__ <br /> REQUIREMENT , . ~ ;. (~;~ T P' ! ; ;,'':: ~, ;,. ,~~~,;- ~_~ <br /> SAMPLE " <br /> MEASUREMENT <br /> PERMIT . c : ., ... s~ :. t . ;. ~. •~ , <br />• REQUIREMENT :r ~ • i~`,RTR Vii;,+,.. <br />' SAMPLE ~ _ <br /> MEASUREMENT <br /> PERMIT ... ~a- .~ .. - ., , . _ . .. , <br /> REQUIREMENT ~,i~'L{i Ft~'' Dfnl:_ ~ i"- <br /> SAMPLE , <br />~•-- MEASUREMENT <br />_' I PERMIT ~ - ,.. _ - _ _ ~, ~.. - <br /> REQUIREMENT ... : _ r i-~ n ~ , <br /> SAMPLE • <br /> MEASUREMENT <br /> PERMIT ~ ~ _.. _ , <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT rt:~.! _.I , t, - ... ..... ~ ... <br /> REQUIREMENT i+a "1 ~`t" I`!k <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I certif. wider prnnlt~ D( IYw that this darumem Ynd YII Ytturhmrnts aerr <br />l <br />nd <br />m <br />di <br />cti, <br />r <br />i+i <br />in <br />'r <br />rdYtrc <br />with <br />He <br />d <br />i <br />d TELEPHONE DATE <br /> prepam <br />u <br />er <br />~ <br />rc <br />m a <br />wprn <br />an <br />m <br />o <br />Y +J <br />m <br />n <br />µoe <br />c _ <br />~~~ <br /> to tusurr IhYI qualified prrrannel proprrl~ gntMr Ynd r+Ytuutr the informutinn <br />- - - --... L_ suhmitted. RY+rd .m m~ inyairy ,d the prr+,m ur Ixrvun who manYRe the y+trnti <br />I <br />~ - <br /> ar those prraon. dirrcU~ rr+pm+ible far >:athrrinu the infarnwliun. the inG.rnwtlun - _ <br />'.' <br />. <br />~ +uhmined iz, to the I,esl of m+ knauiedgr Ynd belief, true. Yccur~te. Ynd e»mptete. ~ ~ <br />_ , <br />~ <br />.. <br />1 Y <br />w <br />th <br />t th <br />kg <br />iii <br />t <br />lti <br />+ f <br />h <br />itti <br />t <br />l+ <br />i <br />( <br />tln SIGNATURE OF PRINCIPAL EXECUTIVE ~ -- -- -~ <br /> n' <br />m Y <br />urr <br />a <br />ere Yrc e <br />n <br />cYn <br />penY <br />or w <br />m <br />nR <br />Y <br />n <br />ornu <br />e <br />r <br />OFFICER OR AUTHORIZED AGENT AREA <br />• TYPED R PRINTED including the pmsihilih of finr Yr11I imprt+anmtnt fnr knawinE riulYtiunt D NUMBER YEAR MQ DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference al! attachments here) <br />_ r Fn F'ilrt 1 nYR ~24NR PRFC T F FVi"NT - Sr'E I R. ^, <br />PAGE OF <br />EPA Form 3320-~ (Rev. 31991 Previous edihons trlay be used. This<ic-a ~-~:trt fcirm. <br />