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PERMITTEE NAME/ADDRESS (include Facility Name/Lxation if Different) <br />NAME <br />ADDRESS <br />81424 <br />FACILITY C? I x113V n r r 1!` <br />LOCATION _A C O $1424 <br />1 Amr s: w&nt`. M T NF I+tIIfilGf•_`FL? <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. 2040.0004 <br />MINOR <br />(SUBR <br />>_ - FINAL tINTR5 <br />5R&MINF DRNG TRIG TO TUT,T*L)R <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> <br />> EX TYPE <br /> < ANALYSIS <br /> <br />AVERAGE MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />.................... <br /> SAMPLE <br /> 1 <br /> MEASUREMENT] <br /> <br />PERMIT <br />t, n <br />1133 <br /> REQUIREMENT DAIL' <br /> SAMPLE _ r - <br /> MEASUREMENTI <br /> PERMIT <br />•' E i? 4J P, <br /> REQUIREMENT 30DA NVG DA I I_ <br /> SAMPLE f , <br /> MEASUREMENT l <br /> PERMIT <br /> REQUIREMENT DA 1 L <br /> SAMPLE <br /> MEASUREMENT <br /> w - r-' <br /> PERMIT , <br /> REQUIREMENT :.A A'JO -, IL.Y ?1{ <br /> SAMPLE j" <br /> / <br /> MEASUREMENT - <br /> PERMIT t=. 0177 <br />r-' <br /> REQUIREMENT _?,:1 ?•.r,?; L; , <br /> SAMPLE <br /> MEASUREMENT - <br /> PERMIT .: r r. ,. .. - <br /> REQUIREMENT _ O r ` (;' • - rl ('_ <br /> SAMPLE <br />i - <br /> MEASUREMENT - <br /> PERMIT - <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certih under prnulh of Ian, that this document and all attachment, were TELEPHONE DATE <br /> prt-pared under m> direction or supenisiun in accordance with u eystem designed <br />-- <br /> v. assurr that qualified personnel properly gather and ewluale the information -- - - <br />_ +.hmiu d. Rased on m) inquir? of the person or person, w ho manage the ...v+tem. <br />_ or thou ponons directly -1tonsible for gathering the information, the information - , <br /> t <br />li <br />t <br />t <br />a <br />d co <br />l <br />d <br />d h <br />r • J <br /> rue. accura <br />e. <br />n <br />mp <br />e <br />e. <br />submits -d 6.14) the best of mt knowle <br />ge en <br />o <br />e <br />, SIGNATURE OF PRINCIPAL EXECUTIVE <br />' I am a% am that there are significant penalties for submitting false information. AREA <br /> ho <br />owin <br />siolatiom <br />ibili <br />e <br />t r <br />k <br />h <br />f f <br />d i OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED <br />I <br /> <br />. <br />q o <br />ine an <br />mpr <br />nm <br />n <br />ot <br />n <br />g <br />including t <br />e po>s <br />CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IUNS (Hererence aft arracnmenrs nerej <br />T;`IiR,?i-'a? -p3f t 10TITl. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 00151:'