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PERMITTEE NAME/ADDRESS Rater Pw OtyMe-?Laewtisw 1/D(db.wu) <br />NAME <br />ADDRESS <br />BOX 1754 <br />;aA GO 614 <br />FACILITY NO . 111 NE <br />LOCATION - R SE'F CO S I A <br />'--iT91 F RFAR. PRF%;rnFNT ;. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDES) ?1 I O J? Form Approved. <br />DISCHARGE MONITORING REPORT IDMR) I l OMB No. 2040 0004 <br />. JDR MH ) <br />PERMIT NUMBER DISCHARGE NLWBER - FINAL uUN <br />MONITORING PERIOD ijNOFF TO N F K GUNNI SON RIVER <br />YEAR MID DAY YEAR MO DAY <br />FROM TO :X <br />NOTE: Road katructlone before tiomploting this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCY <br />of SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT s-?-. ;a-+ + .+ f• eF### !# q 1NS 1 . <br /> REQUIREMENT t'i rY i t 11 A x I uM <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT GF*'/i <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT F#it? # •# <br /> REQUIREMENT GENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .-FORT RF:I''OH' ##?I X>F a ,.. .:. f# ti. Ii'd`•.;- <br /> REQUIREMENT It'.I I L'y <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :? T <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' to 'q ° r pone f) o Law that thN dorvmcnt end all ¦tlKArraenlt were <br />TELEPHONE <br />n or Su <br />er.tstcm In acc <br />rdance with a s <br />stem desi <br />ned <br />re <br />d u <br />der my di <br />ti <br />DATE <br />p <br />y <br />g <br />p <br />pare <br />n <br />rec <br />o <br />o <br />to square I%N qualified personnel property rather and evaluate the Inforwtatfon <br />submitted. bred on my Inquiry of the person or persons who manage the system, <br />or thou persons dimly respordbie rot gathering the Information. the Information <br />submitted Is, to the beef of my knowledge and belief. arm, acrunte. and compkle. <br />SIONATURE OF PRINCIPAL EXECUTNE <br /> I em aware that there are sipdncsutt penalties for submitting rater Information, A <br />TYPED PRINTED Including the poedblgty of fine and Mgrfsomnent for knowing vldatfora OFFICER OR AUTHORIZED AGENT CODE HUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Re/arence IOM attachments hare/ <br />r•I.T - SFTTLRAPI-_r- !70I-TT)?3 L.IPIITS WATVF.i? TOR tOYFt, <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. This is a 4-Part form. PAGE OF