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PERMITTEE NAME/ADDRE55pwaV6F.e~6ryN../Lee.new(/p(Qfi..u) <br />NAME <br />.~ <br />AppRE55 <br />tick lµ.~i! <br />S6U~ (: (; <br />FACILITY ., y 1 L E iJ U R T' H it s c u T R cs I <br />LocAnoN 1r A L 15 K ll E C C <br />~:f i hi !.. Y T i1 It L ~: U _ G _ <br />Form Approved. <br />NATIONAL POLLUTANT OISCHAgpE fUMINATION SYSTEM r/NPDESI OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT /DMR) <br />PERMIT NUMBER ascl+AROE NuMeEn <br />MONITORING PERIOD ~ 2 TC C:CLCaACC filVcfi <br />:; YEAR MO DAY YEAR MO DAY _ <br />1 ~ ~ FROM TO <br />NOTE: Reed {netlvetlone befori Lr~pletlnp thle fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION I,}O. Fr1E0UENCY SAMPLE <br /> <br />E of <br />Y <br /> X ANA<YSte PE <br />T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />' <br /> MEASUREMENT <br />_ PERMIT <br />• ~ <br />. <br />. ,_ <br />._ : I <br /> REQUIREMENT . <br /> v r n <br /> <br />' SAMPLE <br />" <br /> MEASUREMENT <br /> <br /> <br />• PERMIT <br />-' <br />I ~ <br />G C <br /> REQUIREMENT •. <br /> <br />' SAMPLE <br />~ <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT , ,: n:_ a T ti ti :~ ., _ C. t i` C N ? ', ~, :_ / r n ~ <br /> . ., <br /> <br />' ~ SAMPLE <br /> MEASUREMENT ' <br />~ ~ <br />' <br />, <br />- <br />1 PERMIT <br />.. ~ <br />3 .; .:. <br />I C v U <br />`, :. ~ / <br />..... <br /> REOUIREMENT <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT <br />REQUIREMENT <br />~ <br />~ ~ ~~ e-- <br />. °• <br />~ l <br />~ ` ": t r <br />; r <br /> Y <br /> <br />'i ~ U 1'1 SAMPLE <br />~ . ~ <br /> MEASUREMENT <br />.i c . <br /> <br />y <br />~ PERMIT :G%:. - , r:' , ': :' ~ :1 :~ <br />- REOUIREMENT , <br /> <br /> <br />`~ k ~ SAMPLE <br /> MEASUREMENT <br />. <br />PERMIT <br />1 'v _. f ` . <br />REOUIREMENT <br /> <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER l `~n") ° r pen. i) n le.• rti~i t>.h davmem .nd .tl .u.chmenv were <br />TELEPHONE <br />DATE <br />prepared under m) dlrecllon or ^upenMon In .ccordsnre wllA . f)elem ded[ned <br />to more IhN au.eeed personnel proptA) ~.IIMr end e.sluele tht Inforwrllon <br />remilred. Bred oo m) Inqulr) or u,e person a perenru wno m.nge II,e rystem, <br />_ <br />_ <br />' - a 111ose ptners directly respordbk for [.Iherln~ Uu Inronrullen, the Inform.lbn <br />~~ <br />. fubwYlred Is. to the twt of m) knowkd~e snd bNlef, troe, uevnte..nd coa+pkte. <br />_ <br />1 em .ware Wel Ihere.re Y~nlflcant penNtks for rpmlllln~ h6e Infonrrtlen <br />810NATURE OF IRINCMAL EXECUTIVE ~~ <br />TYPED OR PRINTED . <br />lnrludl^~ Int parlb111r) w nne.nd ImpAsonmenl Io. tnowlnt .Iol.uorra OFrICER OR AUTHORIZED AOENT CODE NUMEIER YEAR MO DAY <br />COMMENTS AND Exrv~fvn 1 lvn yr nn r . rv~n r Ivrra frrereience err errernmenra Hale/ <br />_ - _ . .._ . <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used This is a 4-pan form. PAGE pF <br />.. ., .. i ._ ..-i _ ~ 1 <br />