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pERMITTEE NAMErADDRESS rln<IuJri <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 />Forrn Approved <br />OMB No 2UaD 000a <br />.~ .{ .r <br />NOTE: Read Instructions before completing this form <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION <br />EOX. rrscuucn~t <br />DF <br />ANALYSIS SAMPLt <br />TYPE <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />SAMPLE <br />MEASUREMENT {~ <br /> ,o <br />. <br />_ TFZI ''F ~ <br /> <br />PERMIT <br />REQUIREMENT ## #: <br />"' <br />- ttit- #i:sz ~.^ tr F?EF'DiZ <br /> <br />`.Q~f^-, A• _ t <br />r~~ <br />i <br />T <br />~?~, : ~ •' i•?Y <br /> <br />a - <br /> SAMPLE <br />MEA <br />UREMENT •~ 94 ? :. ;r <br /> S : ~sr " ;' <br />~t-'t' ~L <br />` <br />PERMIT <br />REQUIREMENT #.q. `{T-r~CtfYT <br />? `• ~iS i MA h it-itii•#~i£•i~ i :. x#iF• :•if i~ <br />;: t a ,._ . <br />SAMPLE <br />MEASUREMENT <br />- <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br />- <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br />FICER I artily under pen:: ~.,~. utat tiu+ ducwnrnr ;utd all aua~I;ntcnts weer <br />f TELEPHONE DATE <br />NAMElTITLE PRINCIPAL EXECUTIVE OF cpnn,l uoJrr my ~ .~,~n or ~u~r,r.ron m a:a.m~anr ,.nh a .~otcm dnilmcd / <br />~ <br /> <br />as~:ure that quatit ~~!•nnrl pr.~pcrl} gather and e,aluutc the in5nmauou <br />,ubm,ltrd Raid o'. ~ ~~~~~~yuin :rl the Person ..r rtir•,eb eho manage the .~~stem. <br />the mf rtmunon <br />di <br />h <br />( , <br />-~- ! r <br />- <br />~ <br /> <br /> <br />~ ,. - - - f• <br /> <br />1 <br /> <br />t <br /> <br /> <br />. ~. <br />rmr <br />r m <br />rn <br />:~i iho,c Pcnons dlt ~ ~,1„•nsibk for ~athcnn~ , <br />to tha m} LnuairJgr and h li t. tnr a vratc and complete <br />• T "rbn;db d is <br />1 SIGNATURE OF PRINCIPAL EXECUTIVE . <br />• <br />, <br />~- ~ I un at~.vc that the r~miicam Penalnc, G r tf nuttm Eahc utt rtnauon' <br />'' • <br />~•••Jir-••:4^ rs I nnc and rmpn~nrm•nt t;u km~~: tn¢ ti:dat.m+ OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO DAV <br />~ TYPED OR PRINTED ~~~~ _• ,_ . rx s~ -- <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Referert:-e all attachments here) <br />- .. F _ .-. <br />I ,. I .I .-j ll' ~ .. <br />EPA Fcrm 332G-1 lRev. 3+99) Prev~ns r_:;~LOrs map ^'-. -~"- <br />