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PERMITTEE NAME/ADDRESS Ilnclude Fnci(u~ Yame/Guntinn jf UifJrrrnU <br />NAME <br />ADDRESS ~~~ - ' <br />FACILITY F;~ i f.; I'd ~`i I ~ ~ -: <br />LOCATION ~ ,:+ - ~; ~ S 1 <br />~ at•~~~ s` WAUF , ~~I ? t•dF rtANAGER <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. 2040.0004 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> EX NALYSIS TYPE <br /> A <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ~ <br />_ 7 -- ; <br />~ C <br /> <br />.. <br />MEASUREMENT I <br />'~ ~ ~ 1 <br />~ <br />- y{ <br />/" ~ <br />.• 7 <br /> PERMIT t ,- s_I~^! ~ :- -:r: .. - _ ;.. <br /> REQUIREMENT ~pi':~~ -3~)~ ti,i; ;.: <br /> SAMPLE - ~ _.. <br /> 'MEASUREMENT ~ <br /> <br />PERMIT <br />.: ~ s: ~~ <br />~.^, r , - <br />_ . _ <br /> <br />' ~ <br />REQUIREMENT _. <br /> SAMPLE <br />~, <br />- <br /> MEASUREMENT "° <br /> PERMIT ... ^ - . , , . ~ - , , ~ .. <br /> REQUIREMENT . ~ ~ ~ ' <br /> SAMPLE ~ .~ _ <br />{~F_ . ~ . MEASUREMENT ~ J ~~ I t 14 % /"i _ <br /> - r ~ <br />sa - ~ ~.. ~ r, <br />•, PERMIT ~~.. t , .,. • ` a <br />.. r. . . <br />. <br /> REQUIREMENT C')^i~ %, .t l__ Y' r•? ~' <br /> SAMPLE ~}/ ~ <br /> MEASUREMENT <br /> PERMIT _ ... - ~,<• = - ,- ...: 1•::, .. - .. _ ~, . <br /> REQUIREMENT ' '~~+~-%~ P1~X <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I crrtir) utufer penulry ..t Inw mot thin dncurnent and au mlachmem+wrrc TELEPHONE DATE <br /> prrpured under mr dinrtiun ,x +u{x•rsisiun in xa•urdunce with u +~+tcm drsigned ~M <br /> [u uswrr that yuulified pen.,nnrl proprrf} Bother and eatduute the informuth,n <br />• <br /> wbmhtrd. Ruled un mr Inyuin u( thr per+,m nr pawns uhu mumagc Ihr system. y-~ ~ <br />_ <br />- ---- + rson. dirra4k respnn+ible for gathering the Infnrrnu6nn. the information <br />lhm - - ' <br />- or <br />e pe <br />d <br />kt .t1- ` <br />• ~ <br />/ <br />- <br />I ~ comp <br />e. <br />submitted i+, to the best at m+ knoulydge and hrlirt. Irue. accurate, an SIGNATURE OF PRINCIPAL EXECUTIVE - <br />~ ~ ' <br />ti <br />t ~' ~ ~ - ~'~ 1 um os+urr mat Ihrrr are sign cunt prnulUt+ fur submitting trly information, <br />NT <br />R <br />AG <br /> viula8nm <br />iwnmem fur -nnwin <br />c <br />uf I <br />ihili <br />f r OFFICER OR AUTHO <br />IZED <br />E CODE NUMBER YEAR MQ DAY <br />TYPED OR PRINTED' . <br />m <br />m <br />mpr <br />q <br />including the pu.+ <br />t~ o <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />•. <br />~~. - .. <br />EPA =.~:~i 3'?.p I Fa :. : 9 °,.~; -~. I him I~ a -1-I;~r! T~~ <br />