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PERMITTEE NAMEIADDRESS dnclade Facility Yamellacadon if Different) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY MONITORING PERIOD <br />LOCATION FROM YEAR MO DAY TO YEAR MO DAY <br /> Form Approved. <br /> OMB No. 2040-0004 <br />MINOR <br />(SUER IIH ) <br />F - FINAL DEI <br />SR DSCH/UNNMD TRIB/HUBBARD CRh <br /> <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO <br />. FREQUENCY <br /> <br />of <br />SAMPLE <br /> EX TYPE <br /> ALYSIS <br />AN <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I crrliN under prnalt% of law that this document and all all. <br />chment+were <br />d <br />d <br />TELEPHONE <br />DATE <br /> prepared under mi direction or +uWrn ision in accordance with a +iAtem <br />r4lme <br /> In as-re that qualified Personnel proprri'i gather and es aluatc the information <br /> submitted. Based on my inquiry of the person or perwns who manage the scstem. - <br /> or those Person, directly respon+tbie for gathering the information, the information ? <br /> submitted is. to the test of mw kra,wicdge and tether, true, a uraie, and compkte. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> I am aware that there are %lanifirnnt penalties for submitting false informatMn. <br />FIC <br />R OR AUTHORIZED AGENT AREA <br />TYPED OR PRINTED includiog the F-sibdits of fine and impriummem for knowing violations. OF <br />E CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />'R PREC IF LVENJ T' CLAIMED. IF CLAIM APPROVED BY WQCDe <br />+SUREMENTS-SEE I. r1PG. 4-5 FOR BURDEN OF PROOF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. -.... -i _ This is a 4-part form.