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PERMITTEE NAME/ADDRESS Ilndrutr Facility .YamdLucatinn if IhQirenrr NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS .- . .. ' " <br />~, g(~{ f_ =: - PERMIT NUMBER DISCHARGE NUMBER <br />'~'H MONITORING PERIOD <br />FACILITY -~,,,y HOR i 7_ C)Iv t"i i. hdr_ YEAR MO DAY YE R MO DAY <br />LDCAT1oN ~;, L A ~, Q ~- FROM TO <br />~ L..F+~tCE WADE. MIME I9ANf~G1r' <br />Form Approved. <br />OMB No 24x4.0004 <br />R~ii'1i1VE DR1~4G TO 7'UTTLE S~RAti <br />y ~- .: <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, 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 , .. - ~)}; i•' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -a-~r~-,:: .. .. -its:~~ FZEF'C?R? -'.EF'QP3 -:~v~_ ., <br /> REQUIREMENT 3S~DA AV~~ I1r1 i L.'i" ` • P3(.71k <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ".~. :->-< '. RF°[3RT FcEPi ir;'j <br /> REQUIREMENT ~ ~,?Dra A'.'i;~ i.~' i. i`tk: '~ ,.• <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r. ~r ii-I: ,; ., ~ ;_ r - . - _ . <br /> REQUIREMENT • •=') t • _ . <br /> SAMPLE ~ <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT I <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 wren under prnnh~ nnnw mnt Ihi, durumem aml uu uuaehmems were <br />re <br />urad under m <br />riiim n <br />rrr ision i <br />~o <br />dir <br />d <br />~c with n <br />s <br />tr <br />de <br />i <br />d TELEPHONE DATE <br /> p <br />~ <br />p <br />a <br />r wp <br />n nn <br />r <br />um <br />, <br />m <br />s <br />ytne <br />s <br /> Io assure thnt yuuli(ied pcrWmnel properi~ Kulher and rs uluutr the inturmntion <br />- -- ---~ ----- ,utanitted. fiu+ed on mr inyuirv u! the Ix•rwn nr pawn. whu muaalte the q,tem. ~ <br />~ <br />_ ur Ihux prhon. dirrdl~ nspm.iMe fur >rrthrrit~ the inrornw[ion, the inturmaUon ~ _ - __ <br />/ <br />~ ~ .ubmitted is, to thr best of mr Anawledge and trelief. Irtx, ucrurur. and complelr. ,~ '' <br />' <br />~ ; ` / / <br /> <br />1 am aware Ihut there are significant <br />enultie for>uhmittin <br />tahr infunnation SIGNATURE OF PRINCIPAL EXECUTIVE ~ <br />~ ` <br /> <br />TYPED Q PRINTED p <br />R <br />. <br />maludint; the pu„ihiliq of one antl imprisonment for Anowin_ aiulutiom. OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ' ~•? 1 E~ ~t1S i~ t! ~-p~fPt IOf11l. <br />