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PERMITTEE NAMElADDRESS Ilndude Facility .ti'ame//.arafion iJlh;~errrul <br />NAME <br />ADDRESS <br />FACILITY <br />LOCATION <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 MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-OOpa <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, <br /> <br />EX FREQUENCY <br />OF <br />NALYSIS SAMPLE <br /> <br />TYPE <br /> A <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certih under prnalt~ o(law that this document and all aua<hment+ Kerr TELEPHONE <br />prcpurcd under my direction or supenicitat in accordance with a item dnignrd DATE <br />to assure that yuulifled ptr.onnel prnprrl~ leather and e~uluote the information <br />athmiued. Based nn m. inyuin u! Uu perxm or pt•rsntts who manage the vystem. <br />or thux perwns dimllr repnrtsihle fur gathering the information. the Information <br />submitted is, to the tart of ms Y.rtawledge and belief. trix, »ccurate. and complete SIGNATURE OF PRINCIPAL EXECUTIVE <br />- I am aware that there are significant pendties fur whmiuing false information. AREA <br />TYPED OR PRINTED including Wr possiMlit~ of fine wtd imprisonment for Mn.nsing siolatl~xt+. OFFICER OR AUTHORIZED AGENT D NUMBER YEAR MQ DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPP. ~ ~~ -~ i'_~?~'.-; Re': _ i`+'. Pr~wbcS 2di'i:,ns ~Tiay .e __..~ i ~ll~ I. :1 -~-h;II~[ IOI-nl. <br />