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PERMITTEE NAME/ADDRESS (Include F'arifio.fame/!.oration if Differragl <br />NAME '-0, LLC <br />ADDRESS <br />Lim b L: 8 <br />LA !E C. 81424 <br />FACILITY HIJA I MN 1`'11 NE <br />LOCATION i. A CD 81424 <br />; Aldr;! ,AnF. MTIUtc MA?JAr1=R <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO- DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />NOR <br />LIBR MH i <br />- INTERIM MNTRS <br />&MTNF nRN Tn CALAMITY DRAW ,"Ji <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT EF1 R C r a- ,•e. ti <br /> REQUIREMENT -30 i:'r = •'" IL.'r I•;k <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT f+t#?t•};E c : i .. ,. ,.., ;: <br /> REQUIREMENT T .`.=.' <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 />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I certifi under Pemdty or law that thi% document and all attuchmems were TELEPHONE DATE <br />prepared under my direction or nupert woo in accordance with a %ystem dccigned <br />to assure that qualified perwnnel properly Rather and evaluate the information <br />submitted. dared on my inquiry of the perwn or peraona who manage the %%oem. <br />• or tbnve pet mt directly rnpondl,le for gathering the information. the information - <br />? <br />- .uhmitw k, to thr brit or my knowirdge and belief. true, arcuraie, and complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />. -" <br /> 1 am aware that them arc vignNlcant pen+dtin for wimnitting falw information AREA <br /> riwnn"t ror knowing violatinnv <br />ludin <br />th <br />wa+ibilit <br />of intr and im <br />i OFFICER OR AUTHORIZED AGENT C <br />NUMBER YEAR MO DAY <br />TYPED OR PRIN ED g <br />y <br />p <br />nc <br />e { D <br />GUMMtrY10 MrVV GArlA1YMIIWt'I Wr mvii YIIJLMii--- 1r,c,mmwc w.+ w..wa.,.r..c+.w ++-, <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used. <br />PRECIP EVENT - SEE I. <br />AY AVG IS HIGHEST MCN <br />)031C