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PERMITTEE NAME/ADDRESS (7-" IMYgNa.•/[Dresden (/D(I-1) NATIONAL POLLUTANT DiSCHAAGE ELIMINATION SYSTEM /INPOESI <br />NAME C DISCHARGE MONITORING REPORT [DM 9) <br />ADDRESS RECEIVED <br />OX 4S`' PERMIT NUMBER DISCHARGE NUMBER <br />I !: O C I 02 zow <br />FACILITY ? N" i ;; MONITORING PERIOD <br />LOCATION Division of., iIairiati0n, Y R M DA YE R DAY <br />_ I: ; y . t3 EA i ;.+ Aliruf* aR4 WetY FROM TO <br />Lt aqU_ O Q Form Approved <br />o No. 2040-0004 <br />F - F : NIAL <br />SR/MINE WTR TU DLE,'--i i Rr; B s i; i <br />NOTE: Read k»tructione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> OF <br /> EX ANAfvsrs TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />7 <br /> REQUIREMENT r <br />MINIMUM i`IAX. IMUM <br /> SAMPLE <br /> MEASUREMENT <br />f <br />G <br />' <br />_ <br />l <br />U J T Id <br />r <br /> PERMIT <br />r t LUEPJT yR?,`?.` A._ REQUIREMENT 30DA AVG DAILY MX i1C}"K ; i <br />- SAMPLE <br /> MEASUREMENT <br /> PERMIT - - <br /> REQUIREMENT 30DA AVG GAILY i=tX TiC3f+iTH <br /> SAMPLE <br />-- MEASUREMENT <br />0 PERMIT _ <br />J%i f GROSS <br />- REQUIREMENT - 30GA A'J9 DAILY PIX MOt `i <br />.., -" SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT I _ . <br /> REQUIREMENT l f,'!-"T 1HAk_ <br /> SAMPLE <br />=- -• MEASUREMENT <br />O 1 0 PERMIT <br />r ."I_ t=P,i i Rr's: REQUIREMENT - -' )`A F --AILY MX <br />,? .. <br /> <br /> SAMPLE <br />JAL MEASUREMENT <br /> PERMIT n F:S=.) :.. r <br /> REQUIREMENT i MAX - <br /> <br />NAME/TiTLE PRINCIPAL EXECUTIVE OFFICER 'fen"• " r..fly I,w that mn document and all ulachmertt, were <br />Prepared under my dtrerllott or mper+ia - la eccordanre with a system designed TELEPHONE DATE <br /> to Amore that quallned penoenel property gather and eealuale the Information <br /> ,abmitted. Based on my Inquiry of the person or persom who manage the "rim <br /> or thaw perms directly rnpotMble for gathering the Infer tlon, the Infornullon - " <br /> mbmilted le, to the best of my knewiedge and be*.(. Irv.. a mle, and complete. <br /> I am aware that them are flgninesat pmairle roc mbmltdng War lnformauon SIGNATURE OF PRINCWAL EXECUTIVE <br />TYPED OR PRINTED , <br />Including the posalbiNly of Ilr r end Imprlamnmrnt ror knowing eblallonL OFFICER OR AUTHORIZED AGEKT CAREA ODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION Or ANT VIU1.A 1 Ives fmorerence aq arracnmews mare) <br />IHR PRECIP EVENT IS CLAIMFO IF CLAIM APPROVED BY WQCD, <br />t TENTS F _: ? <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used This is a 4-part form. PAGE OF