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F'ERMffTEE NAMElADDRFSS (/aerb i^eWy N^.dlxwr^w (/D(Dlwwv) <br />NAME <br />ADDRESS <br />.. _ i =1 ~. <br />'SADE rr. <br />fACILITY .~'~,~ID~ Iti~t4 ~;i 4: ~~OUTN ~1 <br />LocAT1oN P AL I .: -'-,'_ C f <br />NATIONAL VOLLUTANT gSCNAROE ELIMINATION SYSTEM //NPDES( <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER gSCNMOE NLIM6ER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approval <br />OMB No 2040-0004 . <br />NOTE: R~^d Ir»t-uctitxw b~iw~ compbtFny tfib /wm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX EAE~UENCY <br />of SAMPLE <br /> <br />TYPE <br /> ANALrs+s <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ~ , ~ '/ ~ / <br /> MEASUREMENT <br />` PERMIT <br /> REQUIREMENT " I~tt t) f <br />- SAMPLE ~ !I i•i ; <br />: ) <br /> MEASUREMENT ~ . <br /> <br /> PERMIT .. _ <br /> REQUIREMENT <br /> <br /> <br />'' SAMPLE _ i <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT .. . <br /> SAMPLE , <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br />t ~ 1~`'„' <br />- <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t arttt) ° r pen• ry o ^. u^1 NN dtxvrntnt ^ne ^e ^u.chrrtent~ wen /~ TELEPHONE <br />prep^red order n!f dire<tlon or fuPerelfon In ^reord^nn +Ith ^ grlem de~fned ~ 1 ~ ^, <br />' DATE <br />f, •. ~ ,^ ~ _ to sure 111.1 r/u^MfIM ptr^onntl OroperiT plher ^nd e•^IuHe 1M Infor+utbn •~ ( <br />~ <br />^ubmltted. S^^ed oa tnt IrputrT of the penoa a penoru +ho m^n^~e the r <br />sum <br />t <br />~ ~ ~ ; ~ <br />y <br />. <br />.. <br />~ c c ~ <br />or ihtr^e ptr^on! dlret:tlr rvpemlbk for ~^1heAn~ the Inform^tlon, the Infonrt^tlon ~ ` ~ ~ ~ <br />_-~ ~ / <br />~ '. ~ <br />~ <br />_ <br />tubn+llted h, to the bet of ^7 Ynow4dp ^nd belkf, 1rYe. ^ct:vnte, ^ad comykte. ' ' " <br />~ - <br />Nlkant <br />I ^m .+^n th^t were ^re d <br />en^Itkf -or rubnYttln <br />r^4^e Inrortn^tl <br />t10NATURE OF tRINCf-Al EXECUTIVE <br />w <br />TYPED OR PRINTED y <br />t <br />( <br />o <br />, <br />InAudlrK the potelbillte None ^nd Irnprf^oament for km+fnE .Id^tlore^ OFFICER OR AUTHORIZED AGENT CODE NVMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (R~/~rtrnc• ~/1 •Etachm~nts h~r~1 <br />Y ~ ~1k5 15 9 <br />EPA Form 3320.1 (Rev 3/99) Previous editions may Ix used <br />