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PERMITTEE NAME/ADDRESS ~brluJr fucrluc .\arnail.:a utr~~rr J Ni Jnenrr NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTELI ((NPDES) vL'U ~+= -~~~'''~'~"~'' <br />NAME J DISCHARGE MONITORING REPORT (DMR) :., ~ <br />ADDRESS ~ J ~ R (~ H ~ <br />~t ~~~ ,:.,;~: PERMIT NUMBER DISCHARGE NUMBER _ FINAi-- NINTRS <br />,•L.. r'~ i'.. •.~ r-.l __ ;_'`~,^J`' T~ TUTTLE L'R ~W <br />FACILITY ~ !„IOR 17 =N ~. ,,, := MONITORING PERIOD ~ <br />YEAR MO DAY YEA M DAY <br />LOCATION .LA ' GLJ FROM TO <br />. ._ _. .. _ ~ .... ... _ ...- .... . ~. NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREt]UENCY <br />of SAMPLE <br /> <br />EX <br />NALYSIS TYPE <br /> A <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />~i SAMPLE <br />*;) MEASUREMENT] <br /> <br />- <br />' <br />-; _ _ <br />- <br />br• <br /> PERMIT - . , I <br />c F . r. <br />' ., <br />, <br />- REQUIREMENT :>V6; ~:-iIl_'r' ", . ~. <br />I"1t7R1T <br />- SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ " .~+,~ ~' _~r I ,:. ., _ - <br /> REQUIREMENT 30DA F~Vr~ T.-1hHIt_Y ~ '"'~~` <br /> SAMPLE <br /> MEASUREMENT <br />," <br />. _ PERMIT _ >r ~.r...>,. :'<+_~' :~ r .~ _; .. <br /> REQUIREMENT -+:?~,r; ritl~ I~F,.T i - 'x ..,, _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .>__. <br />" - <br /> REQUIREMENT .. i~`"'' ` '~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r , - ~- <~ :~ :: _ ~ :. ~_ ;- <br /> REQUIREMENT :SODA AVG DOILY I`~X '" <br /> <br /> SAMPLE <br />"_ • . MEASUREMENT <br /> PERMIT ,; :_ :., _::,: ~ a .-:: s:.->- „a= _, _ _ <br /> ;r:;'A ~.;'~TI y -~ ~ y:,t <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br />1 <br />_. <br />r . <br /> PERMIT " ' -. r. 3- ~ _~ <br />, ~ <br />~ <br />'~, _ <br /> REQUIREMENT <br />NAMErfITLE PRINCIPAL EXECUTIVE OFFICER I urtif) under penuln or mw ,bat thi. documrnl one au euwrhmena werr _ _ - <br />` TELEPHONE DATE <br /> prepared under mr direction ur eupen i~irM in amxdunca• with a .)stmr deigmd _---- __ <br />-~ <br /> to n<;ure ahat qualified personnel pr:rperh galhcr and e, aluate the informaUuo ' ~\ <br />~ ~ <br />------ ~ ~ submiltad. H¢srd un m~ inquiry u(Ihc prrvm ..r pcrmm who manage thr s~slem. <br />enuns diredl~ mpmaihlr for kalherinp Ibe infornw[ion. the information <br />or Iho.r ~ ~ <br />t -- , Q <br />_ <br />~ ~ p <br />suhmittad i.. ,u the Ixt of m} know hdgr and hrlirf. true. ac~urvlr, and complete. <br /> <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />~' ~ ~ ~, _ <br />- • <br /> <br />a <br />' <br />- I um aware that there are signifkanl penultias for suhmiNing false information. NT <br />H <br />RI <br />D A <br /> ahdarkm+ <br />iu,nmcnt fur Anurin <br />ihilil <br />r 6n <br />and i <br />i <br />th OFFICER OR AUT <br />O <br />ZE <br />AGE NUMBER <br />COD YEAR MO DAY <br />TYPED OR PRINTED g <br />. <br />e <br />mpr <br />includ <br />ng <br />e q~s~ <br />) o <br />COMMENTS AND EXPLANATION VF ANY VIULAI larva (rfe-erence au affvcnrnem~ rrrrr/ <br />EPA F,-err .,.,20 i iR~, ~'r=-. ~.; ~~,~ ~ r,. <br />