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PERMITTEE NAMEJADDRESS ()aei &Fa-flay)Var?L«artaw I/D(Qirws) NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM NPDES) <br />NAME DISCHARGE MONITORING REPORT ID R) <br />ADDRESS <br />i 5 TA i N PERMIT NUMBER DISC-HAROE NUMBER <br />-_EKER <br />FACILITY -_OWYO f MONITORING PERIOD <br />LOCATION rKER YEAR MO DAY YEAR MO. DAY <br />'L.LY js SANDF?•, VP OF f-: FROM TO <br />Forth Approved. <br />MINOR OMB No 2040-0004 <br />( SL: ;?' <br />F - FINAL <br />WEST PIT SED POND TO TA4'LOR -R <br />NOTE: RBBd kwtrurdotn• bo/oao eompleIM9 We lam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />E <br /> ANALY93 TYP <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT _ <br /> REQUIREMENT L • , <br /> <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 /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br />NA ElTITLE PRINCIPAL EXECUTIVE OFFICER 1 nrttl) a r pens 1) o aw lhal thb doeromrnl snd a6 atlKhmenU were <br />TELEPHONE <br />DATE <br /> <br />f prepared ender my dlrectbn or suPenbloa In .ccerdann with • s)atem dtsfgned <br />to genre that quaBBed personnel Property gather and -aluale the Inforwolion J <br /> submitted. Bred ow my inquiry of the parson or Persons who amanage the system, <br /> or thou Persons directly mpoMbk for gathering the Information, the Information <br />l I <br />? <br />! <br /> <br />' mbadtted Is, to the best of my knowledge and beilef. trw. Kcunle. and eompkte- <br />I am .wars that then an st <br />nlllullt <br />makles for nrbmlttin <br />folor Inforwl <br />ts <br />a <br />SIGNATURE OF MINCIPAL EXECUTIVE LJ •J <br />, % '? ?-t <br />, - <br /> g <br />p <br />g <br />• <br />a <br />o <br />TYPED OR PRINTED Incfuding the poadmxty ornne and laryrfsoantent For knowing •tdatlast OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (R•/•rqnc•off •rucnm•ntan•r•I -'4HR PRirCIP EVENT IS CLAIMED. IF CLAIM APPROVED BY WQCD, <br />FM'. jEF ?y nra-i, <br />EPA Form 3320-1 (Rev 3)99) Previous edlhons may be used 't? 4 ' _ ' `!S'-a 4-p3Tl forth. PAGE OF