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PERMITTEE NAME/ADDRESS (Include Facility Namellocation if Uifferrnt) <br />NAME <br />ADDRESS <br />c??3 <br />l <br />FACILITY HL. r r`Js ?n'r." <br />LOCATION LA 0 $ <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMA) <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 P1H ) <br />F •- FINAL i-iNTR E <br />StR&MINE IiRNG TO TUTTLE DRAW <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br />EX FREQUENCY <br />of <br />ANALYSIS SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />_ SAMPLE <br />. MEASUREMENT <br /> <br /> PERMIT a <br />REQUIREMENT <br />SAMPLE <br />A AvG. <br />DA IL <br /> MEASUREMENT <br />a TIP <br />?, :.t k'? <br />PERMIT <br />REQUIREMENT <br />SAMPLE .ti ;: •, ?: 't fi REP OR t <br /> <br />'ODA AVG <br />REP OR F <br />DAIL.'." MX <br /> <br />T <br /> <br /> <br />1 <br /> MEASUREMENT <br /> ' r• <br /> PERMIT <br />REQUIREMENT Ofd T <br />R Ef <br />DAILY <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br />A"/ <br />L•A I L. T <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 />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 -lih under lrenalts of law that this document and all attachments were TELEPHONE <br />prepared under m% direction or superskion in accordance with a system designed <br />to assure that qualified pemonmq proper(. gather and esaluale the information <br />-? - - - submitted. Bawd on my inquire of the person or persons who manage the swarm. <br />or tho,r penrms dimath responsible for gathering the Informati(m. the information '. <br />- submitted is. to the two of mi knowlydgr and belief, true, amurate. and complete. SIGNATURE OF PRINCIPAL EXECUTIVE DATE <br /> 1 am aware that there are significant penalties for submitting falx information, FICER OR AUTHORIZED AGENT <br />CO A NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED including the pmsibiliq id fine and imprisonment for knowing siolations. OF <br />COMMENTS AND hAPLANAIIUN Ur' AIYT vRJLAt1v1`4a (neteterr?e an oseoe......errw a:a.r <br />00196 :Tftis?xa part ictrri.