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PERMITTEE NAME)ADDRESSQnekdrfaNBfyNaatarL«.tram(Dtf a t) <br />NAME <br />ADDRESS <br />1 5T r, :-_ HIGHWAY' J3 <br />KER --'-'CO E <br />FACILITY DWYO . 1 S rJE <br />LOCATION i(ER CO E <br />•_I_Y D, SANDERS, VP OF OP <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM - TO <br />Form Approved. <br />OMB No 2040-0004 <br />NOTE: Read Inetruedorw before eompleth?p this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <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 <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 /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAM TLE PRINCIP EXECUTIVE OFFICER I nnur u r pen¦ y ola? that Ihb dorumenl and all attachment .ere <br />TELEPHONE <br />l <br />d <br />l <br />l <br />I <br />% <br />- - <br />DATE <br />pnpam <br />un <br />rert <br />er my d <br />on or super+Mon <br />n ar<ordann with a system designed <br />/ <br />C to mart that gaattfled personnel property gather and rraNalr the Infarmalbn <br />It, 17 <br />labmltled. Bard on m7 Inquiry of the person or perswu who manage the s <br />stem <br />• <br />y <br />, <br />' <br />or those penes dlrecty reaponslble for gathering the Information, the Infornrllon `" - <br />/ - <br />1 <br />• <br />' <br />.' <br />• <br />/ : <br />- wbmlllyd b, to the bet of my km-Wte and better, 1r . acca nle, and ro"Viate. <br />1 am aware that Men an ¦Ignlflcnnl Penaltln fee rubmlltlng rube Information <br />S143NATURE OF PRINCIPAL EXECUTIVE - <br /> <br />TYPED OR PRINTED , <br />Incbdlng I. po>rlblily of nm and lmpri".-t for knowing rIolatl r <br />OFFICER OR AUTHORIZED AGENT AAEA <br />CODE NUMBER <br />YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aM attachments herel <br />p n?1Ft.:.TP El'tNT t^ r) jlTM=r. Cl.?II"g fi?Pgn1.; <br />EPA Form 3320-1 (Rev 3/") Previous editions may be used This +s a 4-pact fgFm. PAGE OF