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PERMITTEE NAME ADDRESS ~lncfuJe Fu~ilin .Nume,LrK•urerNt iJDt/Jercn1) <br />NAME :. . ' .y ~ LLC <br />ADDRESS _ - ~' - ~`i ~ - <br />N6TOfV f~.'f a~.751 4 <br />FACILITY ELK ''' - "'~'- <br />LOCATION: -' ~iV t: +_l ~i i ~~ ~ I <br />CF r~-i _'• II~ETtIFJ, t7t-IFJtK <br />NATIONAL POLLUTANT DISCHARGE ELJMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2Da0.00o4 <br />.:: i., : , ~ r, <br />PERMIT NUMEiER DISCHARGE NUMBER - F I IVAL. LAMA <br />~,, .. `. - ~" -RGATQIPE RIVER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY _ / <br />FROM TO iL <br />NOTE: Read Instructions before completing this form. <br />PARAMETER pUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREDUENCY SAMPLE <br /> <br />~ OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ' <br /> MEASUREMENT <br /> PERMIT <br />i - -, : REQUIREMENT ri 1' MA X i Mi JM - <br /> SAMPLE ' <br />_- - MEASUREMENT <br />• - - PERMIT : •;t sr # :{ -ic ~E .~ ;t is x ~r 4F :t y .y~ ~ ;t -_, 1 ~ <br />-^!~L!..'i_•'~! _ _ -. t./:,~_'J_ REQUIREMENT - 3t~DA t•JG M~C 7B k'~ •;iL hit..1NTF1 <br />., , ~ - ~ ~. r SAMPLE ~ r;r.a a - / <br />':•== is MEASUREMENT V <br />~, <br />~ <br /> PERMIT ~ i .. -:?•st : - c_; ~ ,~, !_: .-.~:; <br />' - -~' -'_ . REQUIREMENT ~• ~ w~'t: rt`JG I:Iri I L.ti' riX :., ~.. r~i; •r•.: rH <br /> SAMPLE . ;, . -• > -r .: -: <br /> MEASUREMENT <br />- - PERMIT •?:-~~~#3t ~ y# r <br />- , L'?.'.i'a i ~J` :=:1 REQUIREMENT - . <br />I (•.i ~. ir';;_ ., ~ SAMPLE Q.., ; - <br />..~ '-h21=AT1''E'_('d ~ ' i.i : MEASUREMENT <br /> PERMIT ('.f-'(_'r f_-=F'L'.,°,T ##•#•# # xit~!••s~#' ->f _. ~'.~-a~ <br />' '~!_ ;JC' REQUIREMENT :.',C'~iil=. AV.= ^rli~L•T' i~Y :L:' <br />- SAMPLE . ,}_r.o ( ) ;,.,t ~ .. <br />? •_:? '-'-•' MEASUREMENT <br /> PERMIT ';tx•~..#>t~; ~ ~=1 ~kdt~F3t # ###yt# kk r v '_ _--~!._ .. a <br />• ..._.. - - - REQUIREMENT y !,"~:: - '`'<?k. ~,_!_..' :~,: r _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMErTITLE PRINCIPAL EXECUTIVE OFFICER I ccn~fl under pcnnlq .~i iew that this d~KUment and ell attachments acre <br />e : ~`,t /. <br />~ TELEPHONE DATE <br />f <br />~ ;' <br />~:: / ~fl~'C CCL "~/Y t t L _ prepared under my dirceuon or superctsron in accnrdence with a system dcst6tt <br />d <br />to accurc tttst unhfied noel n rlp ether and eealuute the mt~xmnfion <br />y r~ r ~ pe >; ~ ~ <br />~ <br />1 <br />j _ <br /> <br /> <br />i <br />~~, ~ <br />~ submiucd H+ised on my inyutn a(the person or persons who rttsnsge the system. <br />or those perams dincih' re>~xnsible far usthcrinc the information, the inforatatian ` <br />r ~(~ . ~ r• L <br />/i <br />i <br />1- <br />" <br />. • I <br />4 >ubwtted u;. to the best of rm kno~cledFe end belief <br />true <br />saturate <br />sod complete I ~ ~~ <br />~ G <br />G <br />~ <br />~ <br />-- i ~ , <br />, <br />. <br />. <br />1 am <br />n a <br />e th <br />t th <br />re <br />ti <br />lti <br />G <br />c <br />l <br />i <br />ti <br />t <br />b <br />in <br />f <br />f SIGNATURE OF PRINCIPAL ECUTIVE I <br />f <br /> <br />TYPED OR PRINTED can <br />prns <br />u <br />emna <br />oo. <br />a <br />r <br />s <br />em a <br />sicni <br />cs <br />ar <br />m <br />mg <br />a <br />se <br />n <br />l <br />di <br />th <br />ib <br />f ti <br />l <br />d <br />i <br />li <br />i <br />i <br />l <br />ti <br />k OFFICER OR AUTHORIZED AGENT A A <br />NUMB R <br />YEAR <br />M <br /> utc <br />tq o <br />ng v <br />u <br />ng <br />e puss <br />t <br />rr an <br />tmpr <br />sonmant <br />ar <br />now <br />o <br />a <br />ons CODE O AY <br />C:UMMtrvIJ AIVU tJCYLHrvAIIVrv Vr' ArvT vtv4Anvrv~ (nererence au aaacnmen[s Here/ <br />• ~IOD REPORTEL <br />R< GREASE - SEE I. B. 1. i <br />PAG E <br />4 Form 3320-t (Rev. 3!99) Previous editions may be used. ,•;t-) I ,,,~ ~ ~~) ~~,~ g ~{DaR fjpRp. OF <br />