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NAME <br />•4 f <br />ADMSS ?L?iyJYU P. ,+: <br />,31 FACILITY -EK R r: (3 ?t 81 <br />LAC/1T10N i_QwYO MINN. <br />iEEKER co 31 <br />n.. - : rt t v :? CAAtR7=l7L` trio nr_ noc <br />NATIONAL POLLUTANT GISCHAROE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />.l <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO - -) .;._ <br />Form Approved <br />OM8 No 2040-0004 <br />M I NOR <br />(SUBR JC) - <br />F - FINAL MO <br />FUNDIGOOD OPO5 r:? <br />T <br />NOTE: R*od "tructioru bra(ors co?npletf?p this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FIRK UENCV SAMPLE <br /> °y <br /> EX I <br />9 TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> <br />MEASUREMENT s -- - r #itr#r? : i <br /> -PERMIT <br />- I." -INC E le <br /> ACQUIREMENT <br /> _ <br /><.OL I DS I <br />TOTft:_ SAMPLE <br /> MEASUREMENT <br />SUSPENDED <br />OQ53?? 2 O PERMIT ?I tiI It rt s? >tit r 35 "70 i1L <br /> REQUIREMENT <br />= - e c , I, / II Y_ <br />S: ? TLE??'?I_ SAMPLE s t t?s <br /> MEASUREMENT <br /> PERMIT <br />??##r <br />ti*"A <br />t•it:'#'?•# <br />REPORT <br />REPL?ft'r <br /> REQUIREMENT " <br />i T 111 <br />'I lT! <br /> SAMPLE <br /> MEASUREMENT <br />TOTA, <br /> PERMIT #:t- r'#•, s;?c #:} r?r?r #?• 1. C REPORT )NCEi `?r`+L <br /> REQUIREMENT <br />_ - - t - ,- , - r• ! nl 4 <br /> SAMPLE ??<r.?:r ( 191 <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT * <br /> IN81 <br />MAX <br />L")W, IN CONDUTT C'F SAMPLE i ,? 1' it it itiF>x - <br /> MEASUREMENT <br />(HRl! CREATMENT <br />X0050 I 0 O PERMIT t!';+r? r at:POE` r x?.. }:. = +<?it#tf Y <br /> REQUIREMENT f <br />• <br />i- I <br />. <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMERTTLE PAIN AL EXECUTIVE OFFICER I "`Illy and" penalty ° I.- that thh doc°meM'nd .u.lt.chmmn .ere <br />TELEPHONE <br />a <br />DATE <br />prepared under my direction or supq v <br />on In amordoner with . system dell6ned <br />L <br />t <br />l <br />l <br />? <br />o sawn that qua <br />ified Personne <br />?J L <br />Properly gather and r•.lu.le the Inrornullon <br />led <br />S <br />d <br />In <br />uir <br />th <br />er <br />o <br />n m <br />o <br />tho <br />. <br />awe <br />o <br />q <br />y bl <br />e p <br />s <br />n <br />r petaonf who manage the rys <br />y <br />li <br />or those <br />or <br />ersore dlrrcnr responsible for <br />therln <br />the In/ <br />r <br />U <br />the Inf <br />tl <br />oe <br />on <br />p <br />p <br />t <br />o <br />m. <br />On• <br />ernsa <br />j tat mitred h• to the lest of my knowledge and belief <br />arcuate <br />- <br />[me <br />and com <br />lete <br />, <br />i ? <br />/??- j <br />/ <br />: <br />! <br />. <br />Xf <br />. <br />. <br />p <br />. <br />• <br />y <br />j <br />f <br />! <br />l C/? ( <br />' I am await that then an significant penalnea for aubmFtnng Faler Infor"wilcn <br />SIGNATURE OF PRINCIPAL E CUTIVE ' <br />TYPED OR PRINTED • <br />I-eludlnt the p°sdbIN(y.!line and Imprfsonmeol For knowing fclatlolm OFFICER OR AUTHORIZED AGENT COQ NUM[iER YEAR MO DAY <br />adl <br />I:VMMCril 1 J Ar4U CAFLAnrl I Iva Vr nn . e'wu- r rvna FnwrlrarlQa OFF 4W9'oenrnWnta narwl <br />T P -:NT IS T- T" <br />iP9F - S1"r' <br />,, _ PAGE OF <br />EPA Form 3320=1 (Rev, 3199) Previous ldibons may be used T1115 IS 8 3'-?R fOFiTI.