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PERMITTEE NAME/ADDRESS (l.,A,*F*r*&,NwW.L*,,yonVD(rvtnr) <br />NAME <br />ADDRESS <br />I SADE <br />FACILITY )SIDE " f NI <br />LOCATION =1 PALISADE cU F <br />_SON L KIDDER, V P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT /DMRI <br />PERMIT NUMBER El. MOE NUMBER <br />MONITORING PERIOD <br />YEAR MO D Y AR MO DAY <br />FROM TO <br />40proved <br />11 V P_ ' 4 o 2040-0004 <br />t SUcir? ... <br />tinl R I 15<1 <br /># ISCHARGE i <br />NOTE: Reed Instructiorm before completing 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 /> <br />i MEASUREMENT <br />-; ' <br /> PERMIT - <br />rF;. :, VALUF REQUIREMENT MINTIvi'.J''' MAXIMUM <br />- SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT I i fJt r f 1, t <br />jQ1 T -r f, <br />a <br />J TREATMENT SAMPLE - <br /> MEASUREMENT <br /> <br />DENT GlRI:•_ PERMIT ^r+ T _ . MX I I"J 1.,. <br /> REQUIREMENT <br />A.CIO C;R -A_ r. .r. <br /> SAMPLE <br />1 StJAL MEASUREMENT <br /> ,- <br />; IL11F=fJ'I ?Fl; , ,? , l <br />"' PERMIT . N <br />_ REQUIREMENT ", <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT <br />NAME/TiTLE PRINCIPAL EXECUTIVE OFFICER I comity o" penalty o aw that this document ¦nd all [ttwhm[nb wen <br />TELEPHONE <br />DAT <br />Prepared under me dlrerllon or su <br />prevision In accordann with . sntem deigned E <br />to assure that quaMBed perwnt.l property gather ¦nd evaluate the lnrnrmatlon <br />fobmllted. Bred on m 1 ul of the on or <br />7 nq ry Person penwu the manage the system. . <br />th <br />l <br />- <br />or <br />ou peraom direct <br />y reapoesdble for gathering the Information, the InformalMn - - - <br />t <br />- submlttrd b, to the bell a my knowledte and belle!, true, accurau, and complete. <br />1 am aware that then are dlnlncant pmoltln for mbmlttlnj robe Information. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED Including the possibility of fine and Imprisonment roc kno.ing rW.orn. OFFICER OR AUTHORIZED AGENT E Nt/MeER <br />C YEAR MO DAY <br /> OD <br />COMMC!V 1 b AIVV CArLAnA I tun yr nee r evw?. I rvtea InWrtrronc:w net aiieWflrrllnf7 nwnry <br />iFENDF=U 'g-LIDS (TSG <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used This IS a 4-part IOFTTI.