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PERMITTEE NAME/ADDRESS Nltfleda FaciG[) ,Peale/Loceriun if Uiffrrrah NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMRJ <br />ADDRESS .._ <br />i:1X r ~ . PERMIT NUMBER DISCHARGE NUMBER <br />FACIUTV MONITORING PERIOD <br />~~ NQR T?ON h'I ~ P•?~ YEAR MO DAY YEAR M DAY <br />LOCATION J LA - `~' FROM TO <br />r-•J <br />L.ANC ~ Wr1DE, C'! I f~lE MAMA <br />Form Approved. <br />OMB No. 2040.0004 <br />a ~,.,~ <br />+!)r AR N6 TO TUT <br />:~ <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION I~Q• FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> ~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT, <br /> PERMIT ' r:. ~ ~Y OR I Pt ~ %t.. , _ ~ .. <br /> REQUIREMENT' 30DA ~3'/r: £rHll.'•,' t-ti: ~'~ : ii <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT xr. ~ ~ ... ;;FI-=fJFt 1 .,>>=%~~ <br /> REQUIREMENT :3fJDA = .°~' 1 s ~^•; , <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ..- ., -c i ,- ~i ~ _ ... <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ._, t,,, . ~_ <br />- REQUIREMENT ;:r~ F1',/C-- - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t-~#•kr;•~ a, 's :- : z 1 ~~ , <br /> REQUIREMENT .. =-`•~= DAILY Pl?~ - <br /> SAMPLE <br />~_ _ ~i { 1 NL_!_ I L.' 1 `~ ~•' MEASUREMENT <br />' ~' t !l PERMIT #• ~•~•~ia .. :~~•. ,. -...-. ., t I ._ L+ ~. <br /> REQUIREMENT '*' '"). ~°+ r',~•`~.= ._ ~'! i!. r ? ;•tn!; <br /> SAMPLE • <br /> MEASUREMENT <br /> PERMIT •~•~- ~• I_ - .. _ _ ~ . - _: ~ . ! - ' - <br /> REQUIREMENT 3t~DA AVIi ~%+=11 L. Y I~'f_i ' <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I certip under penalh o(luw that Ihi. Auaumcnt and dl altnrhments Here <br />r <br />ar <br />d u <br />de <br />a di <br />i <br />ti <br />i <br />I <br />d <br />i <br />h <br />d <br />i <br />d <br />- TELEPHONE DATE <br /> p <br />rp <br />n <br />r m <br />rec <br />on nr cuprn <br />n accor <br />uncr w <br />c <br />c <br />on <br />t <br />~ c~clem <br />c+ <br />gnr <br /> tU LLhf nrl' Thal yualltlCd pcnllanel pn~q'rl~ gMlhef Mod rl alYalC the Illrwrma11W1 <br />-_~~-- ~ __ suhmitlatl. Nr.ed on m~ inquiry of the perwm wr prrWUn who manage the ssalem, ,, ~~ ` ~. <br />~ <br /> ..r thux perwatc dirxUa rapmcihk fur gathrnng the mrurntalion. the informatiun ; (1 - <br />' wbmitlyd ic. In the bn1 of m) km~wledge and halfa f. Inu•, aaY Urale, and avm pktr. ~ s - , ~' ~ - - I - ' <br />~~ • <br />• I nm uw arr that Iherr arc +ignifiarnt prnahiea fot .ubmitune f~hr iur~•rnwU„n SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED • <br />tmlu<ling the ptnvbFlh~ of fine and imprimnmant tur An•,wing ai.•L~tron,, OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br /> <br />