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PERMITTEE NAME/ADDRESSpnot. FwojyNan./L otim((D(Owvw) <br />NAME <br />ADDRESS _ _ ., , ,. . . <br />• ?. BOX 14jU <br />tat SADE CO d15 e <br />FACILITY LD'IuE NORTH S SCUTN nINES <br />LOCATION , h c A L I S A V E CC 01!)1 <br />I. ti i) W 1- I T r :r. C r: U. r. <br />Form Approved. <br />NATIONAL. POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI OMB No. 2040.0004 <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER [-DIICIAIIE NLM/EER _ f Z h A L C E SA <br />MONITORING PERIOD GlC A A L C t. Y: it <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Rud 'nstructinns Atafnrat r-mmn{.tlna this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br />- PERMIT rJ t , i <br /> REQUIREMENT w - <br /> <br /> SAMPLE <br /> MEASUREMENT <br />_ PERMIT <br />r <br />REQUIREMENT <br /> i ` I t <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ;.x4;15 ;:.,qca :91z r.trCh. ;tli:/ <br /> REQUIREMENT <br />JAILY t! <br /> <br />? <br /> <br />.C <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ..: h ce <br />/ <br />, : <br />/ <br />• <br /> REQUIREMENT _ - , <br /> r <br /> SAMPLE f <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT s..J:l. i. rCit T r <br />! <br /> REQUIREMENT . <br /> i G U r .. :.. L M X <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT U n T h i; 'r _ l <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER ' ""tty "I" Pen' ly ° I'w thst this document and .11 attschmenb were <br />re red Under m dlrectlon or su <br />P w y pentsion In .n-°rdance with ¦ system darned <br />TELEPHONE <br /> <br />DATE <br /> to mum that qu¦ttned personnel property lather .nd e.¦?u¦te the Inronnalfon <br />submitted. Eyed on my Inquiry d the person m pervoru who manart the system. <br />or those penorn directly responsible for tathering the inform'Ua,, the Information - <br />b <br />itt <br />d <br />th <br /> <br /> <br />- <br /> su <br />m <br />K to <br />e <br />e bat of my knowledge and better, true. a -Ie. and complete. ? - <br /> I am ¦.¦re that there are stjnlnnnt penattla for submitnng false Informstdon. ' -- SIGNATURE OF PRINCIPAL EXECUTIVE ' ( <br />TYPED OR PRINTED Inrl"nf the possibility of floe and fmprtsonment for krsowing Aclsoord OFFICER OR AUTHORIZED AGENT <br />AREA <br />ODE NUMBER <br />C <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />P..:ClF. FVC: ?.,Et`1 ^C I . I: t. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. This i5 a 4-Part form. PAGE OF