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PERMITTEE NAME/ADDRESS pl.rj.r F.rWryNw/Loe.rlew yD(Qww/) <br />NAME <br />ADDRESS . .. :.. . ' y _ . <br />~iS~+UE CO tii:~lb <br />FACILITY n'J5IU~ NUh'Id L 5UUTti t9IMES <br />LocATIDN ~~ PAi.1SApk CG b1~1v <br />.. _..~SUN L. ilIODFfi. v.;/. <br />NATIOrIAI VOILUTANT OISCHAROE ELMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER asc"AnoE NuMeER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />~1t~Uii <br />(SUbn C>A} <br />f - FI AAi <br />Fut~G S 'It <br />NOTE: Reed Inetnledorle before"completi~p thle form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FRE°oF"cY SAMPLE <br /> <br /> EX µ,rlYSfs TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE , <br /> MEASUREMENT <br />. PERMIT t . . ~ : ,, <br /> REQUIREMENT * <br /> y .• _ .. n X I :! U !? <br />_ .. SAMPLE i 1 • ~ <br /> MEASUREMENT <br />.. PERMIT , _ r, C ~ / <br />.. ~ ~ REQUIREMENT <br />_ . _ , SAMPLE / <br /> MEASUREMENT <br />... ., _. PERMIT .-. ., 4. ~ ~. - . _ .. :, r'. ~ A L ;: / .- . .. <br /> REQUIREMENT <br />~ ., SAMPLE <br />~ .. ; <br />MEASUREMENT <br />_ .. PERMIT ...-.nc .: ~,. !. - ~~UU /~.,., .:./ 'rd~ <br />~ J ` REQUIREMENT ; ~, L r. is Y .: ~ ~ : ~ .I [ !. • ~ i <br />„ <br />- - ._ _ SAMPLE <br />I <br /> MEASUREMENT <br />,. PERMIT - • . r:.c ~_ .. -'~i t c . <br /> RE <br />aE <br />EIJT <br /> nuI <br />M ,`i , <br />• , _... SAMPLE ~, _ <br />r ,. is 1 :i P• h i' t ...: MEASUREMENT <br />.. U PERMIT ::C.YUii`: nt•FU1~;T ::IF h5ih <br />. - .. y REQUIREMENT _ _ r. i• ~ - y i L Y - <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT . c: F C n T -- _ t f F, 1: ~. , ~ r <br />REQUIREMENT _ , .- •1 t• ,, ., <br />NAME/TITLE PRINCIPAL EXECUTTVE OFFICER 1 Rrnlr . er Den^ y o I^+ Ih^I Ulh dorv mrnl ^nd ^p ^n^rhmenu +en <br />TELEPHONE <br />DATE <br />pnrp^ned under m~ dlncllon Of wper+hlow In ^rcord^nR +IIh ^ s)silln dd(ned <br />--- to assort IhN qudlfled psrsonnd P~~1 Plher •nd e.^bHr IM Inforllullal <br />wbmlllyd. 6ssed on ,n) Inqulr~ or 111t Deroll or ptrsosls +ho I/lange 111, sJSlrm. <br />or Iho^^ persorn dincll~ noDeldbk roc pU+Mrl~ the In-orm^Ilow, the Inforlss^Ifon <br />- wb+llllld N, to the be/ of m~ 4nowhd~e ^nd betlef, Irne. ^ccu nle. ^nd comDkle. <br />' t <br />1 ^In ^+^n tll^1 (here ^re sl~nlflr^nl pendNa for wbmlldn~ f^b+ Inform^tlon <br />EIONATLRE OF -RINCI/Al EXECUTIVE <br />TYPED OR PRUVTED , <br />Includln~ IM poislblMl) or floc ^nd Imprfsonmenl for knowln~ •ld^uoll^ OFFICER OR A VTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND e~ru~ni, I wn yr nn T vIVLA 1 IVrVS I/r1/1/MCI M IfllcnminrJ Here/ <br />... .. - .+,. .. ~ n~<'1E-. 'r;.K'; CCLC' . -, _1 .- .'rr I .C ri.G[ _?: Cf F~CirF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. T~11S,is. 2 -part:form. PAGE pF <br />_ . _ .. .. ; <br />