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PERMITTEE NAMEJADDRESS QwdJr f.rWgMaw?Lerarsen 1/DlQiwww) <br />NAME <br />ADDRESS -- <br />i. BOX =? <br />PAONIA 0 814 <br />FACILITY J I E NO ?2 M I. NE <br />LOCATION AIA CC) 814 <br />1 I TAM A RFOp . Its M T AI;: Mt,% <br />NATIONAL POLLUTANT DISCHARGE EUMINATItNi SYSTEM INPOESI <br />DISCHARGE MONITORING REPORT /O R) <br />PERMIT NUMBER DISCHAAOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />0108 No 2040-0004 <br />MINOR <br />((SUBR MH) <br />- FINAL AEI <br />SR; DEER TRL. DTC OR UNMD TRIB <br />NOTE: Read In.truc'tlone Wore eomplatlno this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREGUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT n ie s r r t ;, <br /> REQUIREMENT h1 t ,! I C'IUh <br /> <br />DS r SAMPLE <br /> MEASUREMENT ` <br /> PERMIT _ . ¢ x.. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />4s PERMIT EPOR T <br />IJr R, REQUIREMENT I . Y !'1 ?. ION • r <br /> SAMPLE <br />AS MEASUREMENT <br /> PERMIT <br /> REQUIREMENT r)A I i 11, +•;]{,! CFi <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />{i <br />REQUIREMENT <br />T P i SAMPLE <br /> MEASUREMENT <br /> PERMIT PFpr3' I:pOF'' <br />_ 1- REQUIREMENT ? I LY it r <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMErnnE PRINCIPAL EXECUTIVE OFFICER t renny a r pena y o low that this document end all attachments were <br />TELEPHONE <br />DATE <br />prepared order my direction or supn•r+Mon In accodann with ¦ system designed <br />to asure thN goahfld personnel properly gather, eand e•ahnatr the Information <br />wrhmllted. Bred on my Inquiry of the person w persons who manage the system. - <br />x chow persons directly mspadkte for gathering the Informallen, the Information ' <br />antrmlltd Is, to the beg or my knowledge and ke1W. trse, a rate. and econplote. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />nifi <br />ili <br />b <br />itti <br />r <br />i <br />I <br />f <br />i <br />t <br />f <br />tl <br /> can <br />Isma <br />a <br />or su <br />m <br />se <br />I am aware that there are s <br />g <br />ng <br />a <br />n <br />orns <br />ew. AREA <br />TYPED OR PRINTED Indodlnt the ptodblalty Wine and tenprlsonmenl for knowing •folnUorm OFFICER OR AUTHORIZED AGENT CAE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a/t attachments here/ <br />r - • NJ 77' <br />r. %i G't? rnct{tt•jr. ?r(1 <br />EPA Form 3320-1 (Rev- 3199) Previous editions may be used. This 15 a 4-par[ CGTm. PAGE OF