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PERMITTEE NAME/ADDRESS (include FwiWY Namelocatian if Ihfferriw NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />I?. BOX PERMIT NUMBER DISCHARGE NUMBER <br />' L. A .- <br />MONITORING PERIOD <br />FACILITY , f 1-101131-14 I111 NF YEAR MO DAY YEAR M DAY <br />LOCATION L.A CO FROM TO <br />LANCE WADE, M I1'JE MANAC <br />JOR <br />)8R <br />&rMINE DRNG TO TLJITTI <br />NOTE: Read Instructions before completing this form. <br />IN ftS <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />T? MEASUREMENT] <br /> PERMIT r r -.r'Cj *c r . I <br /> REQUIREMENT 30011 AVG i?Alt_Y MX <br /> SAMPLE <br /> MEASUREMENTI <br /> PERMIT x ld r =r t r a:. <br /> REQUIREMENT 30DA AW; DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r: I ,_ ' ?. r tart <br /> REQUIREMENT r'iVli /?V? sir l ? <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t . _ F z,. <br />. <br /> REQUIREMENT :?• ILN:{ 1 1P Ti <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT 'jODA AVG -,)A 1 Ll Mk <br /> SAMPLE <br />' MEASUREMENT <br /> PERMIT x <br /> REQUIREMENT -30DA A'? G T: A I L Y <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT 'ODA AV DAILY :' . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I semiO under Ixnalh of law thus this d,wument and all attachments wire <br />prepared under m% direction or wprrsi%ion in acaxdanre with a +ralem desi <br />ned TELEPHONE DATE <br /> g <br />to *c urr that qualified personnel properit gather and esuluate the Information - - - - - - <br /> euhmilted. Bawd on m. inquir% od the person or prrwn% who manage the s%%tem. <br /> or thorse persons directh responsible for gathering the information, the information <br /> <br />aubruitt.d h. w the he+ of ms knowledge and tidier. Irue. accurate, and rompk-fe <br />-.' "% - ?•/ <br />? <br />- - t <br /> 1 am aware that there art significant penalties for submitting rutty information SIGNATURE OF PRINCIPAL EXECUTIVE - ' •/ ?? <br />- <br />TYPED OR PRINTED,/ , <br />including the possibility ed (me, and imprisonment for knowing cioiatiun,. OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />CODE <br />YEAR <br />MO <br />DAY <br />COMMtN I J ANU tAl-LANAI IUN Ur ANY VIULAI IUN, (Hererence an affaCrlmeflrs here) <br /> <br />Occ?/CTMs.W_ _oAl(> m. <br />Form Approved <br />OMB No. 2040-0004