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PERMIITEE NAMElADDRESS Nndudr f'aci4lr.Yantdlt,ra6on i/!h/ferrnl/ <br />NAME "_.' ~L.L <br />ADDRESS " <br />LitJi. f?ccl <br />•; rp Di4~4 <br />FACILITY r ilrE? I :~ ~~~'] Fi :: =f: <br />LOCATION ~ ~~ (1 ~ Z Lil,~a; <br />LF,Ni`F~ WADE: t"f.;+V~ MANAaER <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 M0 DAY <br />FROM TO <br />Form Approved. <br />DMB No 2040-0004 <br />f <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION f~JC, 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 ~ ` <br /> SAMPLE ~~ <br /> MEASUREMENT <br /> PERMIT ..-~ z •-: ~: <br /> REQUIREMENT ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -. . , . -~ ., ,. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT , ,. ,. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />fi' PERMIT „ .. ~ :- .. - <br /> REQUIREMENT ~~' i I'`'"' <br /> SAMPLE <br /> MEASUREMENT <br />~:, <br /> PERMIT ~ ..- - .. .~ , . , <br />_ REQUIREMENT i• ' : '•J!';I _,.' ~~' <br /> SAMPLE ~ ~ ~ • <br />• MEASUREMENT <br /> PERMIT ,~.. , <br /> REQUIREMENT ~ ' ~ <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I „rt,r, under prnall. of law that this document and all atlachmrnls were <br />i <br />i <br />h <br />d <br />i <br />d <br />-~'- -~ TELEPHONE DATE <br /> prepared under nrv diraatinn or .~pen <br />+lun in mcordancr w <br />t <br />a gNrm <br />e <br />gne - - _, <br />~ <br /> to a•+ure that yualiRrd penunna•1 pruperlr gather and csatuate the information i <br /> <br />- suhmilted. H:esed on n» inquire „<the {a•r.on or p•nnrn who manage the +ystrm. ~ , <br />~~ <br />~ <br />' ur th,ne penun+dlrrctl~ re.pnnxitrk fur g-rtl,cring thr information, the infurmntian ', ' - -, <br />I , , ~ i ,` I- - mbmittcd is, to the best ur m. kmndedRe and helicr. true. accurate. and complete. <br />I <br />' <br />I <br />l <br />i <br />i <br />l <br />l <br />i <br />f <br />i SIGNATURE OF PRINCIPAL EXECUTIVE ~ 1 ~ ~ ' <br />• <br />TYPED R PRINTED un <br />un• <br />am awafC lhal IherY are +Ignifle <br />anl pCiW <br />N1. for .u <br />tt <br />ng <br />a <br />+e <br />n <br />or,nat <br />inrluAing the po>.ihiRty of rinr wal imprlsonm.ut for Lnu.,in~ +iduti,.n.. OFFICER OR AUTHORIZED AGENT AREA <br />C DE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />'EI <br />~~ <br />---- I!tl~ I~ :, - ~~.tf[ 1t~lltl. PAGE DF <br />