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PERMITTEE NAME/ADDRESS :ln.-fade FncBirr,Vnmr.'Lacmiun ijOlfferenu <br />NAME <br />ADDRESS - <br />'~D h5 <br />'' '~ r' i h 4B <br />FACILITY i . <br />LOCATION L.1' (.; ~ 3 [:.~48 <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 />~' ! NOS OMB No. 2040.0004 <br />(~IIBR i?W ) <br />F - FiNA1. ~~'i--p~ <br />SS-:~ 5LQT STORAGE TO RED WARM <br />_ '~= <br />~#~!F <br />NOTE: Read Instructions before completing this form. <br /> NO FREQUENCY SAMPLE <br />PARAMETER QUANTITY OR LOADING DUALITY OR CONCENTRATION . OF <br /> EX NALYSIS TYPE <br /> A <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br />•~ PERMIT J <br />'= F ' REQUIREMENT ' <br />_ SAMPLE <br />' h ; ~_ ~ <br />' <br />Uraf" : MEASUREMENT <br />. <br />_ <br />. <br />~ - - <br />I,_,. .. PERMIT ,. :. .. ~ :~ <br />- <br />_F" REQUIREMENT <br /> • <br /> SAMPLE <br /> MEASUREMENT <br /> , ,: <br /> t <br />-:- - - _ _ ~ . <br /> PERMIT • <br />- "r ~ REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> , <br /> PERMIT r ~ a ~ ~„ <br /> <br />- REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ~ s <br /> •• - t t = <br /> PERMIT C,~PJ-i <br />~ ' :. " .. REQUIREMENT <br />'' ~' SAMPLE <br />f l••li~ l ; MEASUREMENT <br /> ~ - ' ",~" <br />- . PERMIT ;7 .. ~ - . _ <br />'' REQUIREMENT <br /> SAMPLE <br />~ <br />' <br />' MEASUREMENT <br />. <br />_ t: •~ <br /> PERMIT .. ti• • .. ~ , a ~ .. - .... -. <br />-. - <br />~ _ <br /> REQUIREMENT .. <br />. <br />-' ' - ' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cettrty urtdcr penally of law that this d:xumrnt and all atta.hmcnts were TELEPHONE DATE <br /> ervision ro aca:rcL•ulce with a sys[cro dc~ibmtd <br />Airectiun ur su <br />ared under ro <br />r <br />" <br />~ p <br />prep <br />y <br />to rusurc that qualified perwnncl properly gnthcr and cvnluatr the inlormntion <br />~ - <br />- <br />~~~ <br />- <br />~ . <br />J~~G 7 <br />( <br />t ~ submitud Based nn roy inquiry of the person or persons wtw nwiiage the system. - ~- <br />~ <br />, <br /> the in(unnatiun <br />the mfrxmution <br />r <br />atherin <br />di <br />tl <br />sibl <br />f <br />h _ <br />~' - ~ "" ~ }` - ~ <br /> , <br />y respon <br />o <br />g <br />g <br />ox persons <br />rec <br />e <br />ur t <br />l ., _ <br />"` <br />~ ~` <br />~~ <br />~: <br />~ ~7e. <br />submitted is, to the best of my knowledge and belief, true, nccurntc, and comp SIGNATURE OF PRINCIPAL EXECUTIVE ~- ~ <br />~ I am aware that tlicre are significvN penalises for subnutting false inCormatirm, OFFICER OR AUTHORIZED AGENT AREA DAY <br />TYPED OR PRINTED mcludinh the pussibiliq' of fine:uxl imprisonment for knowing vlolatiuns. NUMBER <br />CODE YEAR MO <br />{~UMMCIY 1 J NIYU CArr~i~n i iv~~ v~ n.. <br />EpA Form 3320-1 (Rev. 3!99) Previous edKions may be used. <br /> <br />V~RIT - SEE I <br />STF'UGT-IONS <br />OR. R F.Gt1 I F? f=Mf~i`ST5 <br />l hl~ i~ .. -i-h,I!~t lip: <br />