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PERMITTEE NAME/ADDRESS (lnclade Faci ly NawILocation if l)i ferrntl NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY ?L:h , ?LtN NiI(KE MONITORING PERIOD <br />LOCATION :-A CO F; FROM YEAR MO DAY TO YEAR MO DAY <br />I A?%1:J- I,.ADF, MTNF MANAGE: <br />Form Approved. <br />M I Pitsf2 OMB No. 2040-0004 <br />(SUBR MH) <br />F - FINAL MIN I-R E <br />CHRONIC WET TESTING FOR 007A <br />NOTE: Read instructions before completing this form. <br /> <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION NO <br /> <br />. <br />FREQUENCY <br /> <br />OF <br /> <br />SAMPLE <br /> <br />EX <br />ALYSIS TYPE <br /> AN <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT " <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE iy <br /> MEASUREMENT <br /> PERMIT t <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> . <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT <br />'' <br /> REQUIREMENT S I NGSr <br /> SAMPLE <br />-' MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />i' MEASUREMENT <br /> <br />PERMIT <br />_ <br />REQUIREMENT Y <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I certif% tinder penalty of taw that this document and all attarhnxnh were TELEPHONE DATE <br />pmparerl under tip direction or supenidon In accordance with a sy%trm dmiznrd <br />In msurr that qualified ltervmnel properly Rather and esaluste the informatioe r. <br />. _ --? -- - submIned. Rased on my inquiry of the person or fie-w, who nummV the sy stem, <br />- --- or those persons directly regxm%ible for Xalherinl the information, the information --' _ ,- <br /> <br />submitted 6. to the hest of my knowledge and brBrt, true, accurate, and complete. SIGNATURE OF PRINCIPAL EXECUTIVE ^ <br /> I am swam that there are signtriCant prnalttes for submitting falw Informatuxt AREA <br /> sinla irms <br />d i <br />riwnment for knottin <br />sibilit <br />at fi <br />e <br />i <br />l <br />di <br />th OFFICER OR AUTHORIZED AGENT NUMBER <br />O <br />E YEAR MO DAY <br />TYPED OR PRINTED . <br />mp <br />g <br />e po^ <br />y <br />n <br />an <br />nc <br />u <br />ng <br />I ] C <br />D COMMENIS AND EXPLANAIIVN Ul- AMY VIOLAIlUrva (rteference au audt:ntnerns rrerel <br />' -OURF <br />D9, IF THERE IS NOT <br />& COMPLETE OUTFALL <br />STAT. TIFF <br />fonn.