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PERMITTEE NAMElADDRESS rfxrfrdr Fxi6rr Santr/Lautian iJ fh%JrrrMl <br />NAME ~ -,, - ; <br />ADDRESS ?' S ~ - <br />ZQ;; a_ . <br />~~ ~ .. <br />FACILITY i ~~ 7 L' f. i a i-:.. ~ .: <br />LOCATION ti ~ ~~ 1 t3?H <br />_+-?`J'" f_ Wr3D:~: i`S T Ids hi+~l`:AOER <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 />OMB No. 2040.0004 <br />'1i ' <br />F - F 1=~riL_ F'it~i <br />=,t;wM ~ r~F nF•ri1iL~ ,-n Tt_I~'T~F iiitAlW <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ' <br /> MEASUREMENT <br /> PERMIT .. =x -~ :; r. ~ P . r : t • ; ~ • . <br /> <br /> REQUIREMENT :~Fi?•ft ~tJC (3F~Te~ ["'Ir~•r <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT I - :-.: .. _i" Y <br /> REQUIREMENT - C~F~ Tr=: ° •,.; <br /> SAMPLE ' <br /> MEASUREMENT <br /> PERMIT -> k ,, w rr -: ~ -x . . u - r.-. , _ <br />• :REQUIREMENT -t ~=. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQU[REMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER i .miry under penalty of law that mis document and all mtachmrnu were <br />ra <br />urrd under m <br />directNm or u <br />a•raision in arronlancr with a s <br />stem desi <br />ned __ TELEPHONE DATE <br /> p <br />p <br />y <br />g <br />y <br />g -~ ~~ <br /> to v,wra• that qualified personnel properly gather and esuluale the infarmatiam ~ <br />_ __ __ - - _ . submillad. flasavl on m. inquiry of the pawn or perwm who manage the system. - <br />' I <br />_ <br />~ or those pawns directly responsible for gntttrttintt the informati~~n, the information - ~ , _ <br />~~ ' ~ ~ • suhmitted is, to the hest of my knowledge and belief. true. accurate and compk[e. ! _ <br />t %~ ~ ~ ~` <br /> <br />I um aware that tbrrr arm .ieniti.ant <br />a•ndtlea Gx whmdtin <br />falu information SIGNATURE OF PRINCIPAL EXECUTIVE - <br /> <br />• TYPE OR PRINTED p <br />g <br />, <br />maludinR the p'xsibilih .A fine and impri.onmcnl for know{ng si~dali~ms. OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />I.VMMCIV 1 J AIVU CAYLFt(VH I tVltl Vr r+n r V IVLM t IVI`1J Irterrrence an arracnmenrs Here/ <br />S <br />?U <br /> <br />YR/24f-IR PRE <br />0. ~0 DAY <br />~Ihi~ i, a -l-i~~trt tiirn~- <br />