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PERMITTEE NAMEJADDRESS (7al,& rFaeAryjV-m?L«*r,an I/D(jerang <br />NAME <br />ADDRESS <br />1iu? <br />I SADL Ci <br />FACILITY )SID`- ?•. GRTH & SOUTH MINI <br />LOCATION R PAL SADE co r <br />LSCAN L KIDDER, V N <br />NATIONAL POLLUTANT OISCHARGE ELIMINATION SYSTEM (/NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHAIIGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040.0004 <br />(Si <br />*** NO 011 --- :HARD I X <br />NOTE: Rssd Instructiorns before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCY <br />of SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT MAX i l'i '?' MONTi <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT NA'X <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> PERMIT <br />REQUIREMENT <br />iL' r' <br />c• •'' '• <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />MA's „ <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 />NAMElT1TLE PRINCIPAL EXECUTIVE OFFICER t fe"'lY " er pe°a ty ° Is- that this document and all attachmenu were TELEPHONE DATE <br />pmpsred under my dlrecilon or fupenl>ton In accordance with a tyttem designed <br />_ to assurr that quatttled personnel property gather and evaluate the Information <br />,.' s <br />Bead on my inquir <br />of the person or <br />ersom who manage the s <br />bmitted <br />stem <br />. <br />y <br />p <br />y <br />, <br />u <br />or those persom dlrt tly mpomibie for gathering the Information, the Infoernatlon <br />I <br />'- submitted Is, to the best of my knowledge and better. true. accurate. and cornplele. <br />IGNATURE OF PRINCIPAL EXECUTIVE • . <br /> I am aware that there am significant penaftW for wbmNNng raise Information, S <br /> <br />TYPED OR PRMVTED Including the posdbluty or floe and Imprisonment for knowing .ielatiorrs. OFFICER OR AUTHORIZED AGENT COQ <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Reference on errocnmenrs hers! AL. SUSPENDED SOLIDS (TSS), TOTAL IRON At <br />EPA Form 3320-1 (Rev 3199) Previous editions maybe used r;OC 7 this iS i 4-part form. PAGE OF