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PERMITTEE NAMEiADDRESS rlncterf fia fip•NrunuZ.earenntfD,emnt/ <br />NAME <br />ADDRE`55 EAST & WEST MINFr-' <br /> 483 3 <br />C <br />O f ' <br />rAC,.irv <br /> 1 4,ST & WEST MIf•, <br />LOCATION, <br />NON I A <br /> C D b. „_-- <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER F - FINAL <br />MONITORING PERIOD T " <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />•IE # <br /> t.v t c: neaa insirucuons oet ore co mpleting tni s corm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE I MAXIMUM UNITS ANALYSIS <br /> SAMPLE <br /> MEASUREMENT <br /> PE ? <br />t <br /> <br />- RMIT I <br />(•kiF # # ?f# ;. it o S it##ai## 9.O rfrKl_Y It15ITl <br />F <br />1 355 VAI_ V' REQUIREMENT <br /> hfA x I MUM t <br /> SAMPLE <br />a dz :t ?, <br />1.9 ) <br /> MEASUREMENT <br /> P ' <br /> ERMIT t#### <br />iF iFa•• #iF# ##it ##'?### 3S 70 NCE - 3RAD <br />F i REQUIREMENT <br /> AVG 0A I L•Y M A" -,'I M©Pd <br /> SAMPLE r##R ?'? 215 <br /> <br />MEASUREMENT <br />A4 <br />";71 . <br /> PERM #+t <br />F i ° <br />Y e <br />_ <br />- <br /> IT ? <br />t # <br />+u##? r K ####x ' REPORT 0. <br />5 4 FC- -/ .7V, <br />uRCJ' ;`i ',,,A-_U: REQUIREMENT 'CAA F- Vr_ FA I LY M r, 1"11 MONTH <br /> SAMPLE <br /> MEASUREMENT <br />1JD PERMIT , . <br /># x _ <br /> ¢ ; ;r : r v ?t # ###3f is # 3• t 7.0 I DNCE/ <br />= <br />-r REQUIREMENT ?.• jC:L (• r.°,.t'- DAILY MX r l'- _ fti]NT: <br /> SAMPLE <br />t j9) <br /> MEASUREMENT <br />r !? r_ c r PERMIT Jt it r <br /># 'f <br /> . ? <br /># >t t ,t ^ p 2 U 4. O NC F <br /> REQUIREMENT AVG, 1.)ATLY MX MONTH, <br /> SAMPLE !t x .;. x. .?- i 1 `3 ) <br /> MEASUREMENT <br /> PERMIT a !iF • <br />'I- <br />• <br /> : <br />. <br />t t # r# ###fFk it #it#?t## 10 77 Ifs F <br />-` <br />4 <br /> REQUIREMENT 't 1,1145"i i`? r GEI` f i <br />. <br /> SAMPLE ( [; ^ t r' : it a-. k a <br /> MEASUREMENT <br /> PERMIT 1=i_PORT Ri• <br />P <br />''P'T <br /> : <br />C * ##?tx +t#??### #?tttfta# TP.i t?f <br /> REQUIREMENT A AV( Dra ?i_Y !,IX. <br />NAMEMTL.E PRINCIPAL EXECUTIVE OFFICER I cenify under penalty of law that this document and all attachments were <br /> <br />prcpartd under my direction or supen•ision in accordance with a system designed <br />/ j TELEPHONE DATE <br /> to assure that qualified personnel properly gather and evaluate the information <br /> submitted. Baud on my Inquiry of the person or persons who manage the system, i / 1 l <br /> <br />' or those persun.s directly respoms•ble for gathering the information, the infomnation <br />b <br />.. <br />. <br />' s:, <br />mittcd is, to the hest of my knowledge and belief. true, accurate, and complete SIGNATURE F PRINC <br />P C <br /> <br /> <br />TYPED OR PRINTED <br />t em aware that there are significant penalties for submitting false Information, <br />n <br />P <br />i <br />f <br />:h <br />• <br />thd <br />f fi I <br />AL EXECUTIVE <br />OFFICER OR AUT <br />O / 71) r C, <br />t-7 <br /> c <br />. <br />• <br />mg <br />c <br />poss <br />uy o <br />ne :Ind Impr a anent fir knowing violations H <br />RIZED AGENT 'AREA NUMBER <br /> <br /> <br />COMMENTS AND EXPLANATION OF ANY VIOL <br /> <br />ATIONS (Reference all attachments here) CODE <br />YEAR <br />MID <br />DAY <br />VOR 10-YR, . PRECIF• EVENT SUBJECT <br />,3Y used. a A-P_ . art fprm. <br />00061 /O?J?T _ `