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PERMITTEE NAMEIADDRESS rlndtide F'arilify Aamell,oratian iJFNJJrrent9 <br />NAME <br />ADDRESS <br />FACILITY - <br />LOCATION DEN CID E1163" <br />. <br />.. .._?.. .,. .-... ?.... wee-..uwww?rn <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. %40-0004 A <br />MINOR <br />(SUBR JC ) <br />F - FINAL <br />DSCHO TO TRI <br />NOTE: Read Instructions before completing this form. <br /> NQ FREQUENCY SAMPLE <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION , <br />EX OF <br />ALYSIS TYPE <br /> AN <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />r <br /> MEASUREMENT v <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />l tit <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER 1 certif. under penal'` ..f law that this document and all attachments were TELEPHONE DATE <br /> prepared under my direction or wpenision in accordance with a ..vem designtd <br /> h..s•ure that ytmlirwl perwnnel properly gather and evaluatr the information <br />suhmiurd. Ilased on my imluin of the pen.m or persons who manage the syslem, <br /> onsible for gathering the information. the information <br />or th- <br />enons directl <br />res <br /> ) <br />p <br />p <br />whmiurd is. to the best of m? knowledge and belief, true. -urate. and completr. <br />SIGNATUQE OF PRINCIPAL EXECUTIVE i ! t= r <br /> I um ..are that there am %ittnifnrnt pcnaltio fur submitting false information. T AREA <br /> ent for kmawin <br />aiulatiuns <br />d i <br />iso <br />h <br />ihili <br />f f OFFICER OR AUTHORIZED AGEN NUMBER <br />CODE YEAR MO DAY <br />TYPED OR PRINTED g <br />. <br />ine an <br />mpr <br />nm <br />including t <br />e I>,ns <br />tN o <br />COMMENTS ANU LAFLANAIIVN Vr A14T vtVL-mI1%jlva (ncta1.1- an al-..... -- --/ <br />EPA Form 3320-1 (Rev. 3/99) Previous editiorts may be used. <br />:RD TO REQUEST A REASONABLE POTENTIAL ANALYSIS BE <br />Fhi, i> a 4-part f01111.