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PERMITTEE NAMEIADDKSSpI.a"Fw*ryN..?L?u,oauD(#6r") <br />NAME <br />ADDRESS iI <br />I SAD}: U <br />FACILITY ?)SIDE 10R T H ., SOUTH M I t <br />LOCATION PAL I, i1 CO <br />SON L. : IDDER, V P. <br />NATIONAL POLLUTANT OISCHMOE ELIMINATION SYSTEM NoDESf <br />DISCHARGE MONITORING REPORT /D RI <br />PERMIT NUMBER DISCHMOE NLWBEA <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DA <br />FROM TO <br />1I NOR <br />(SUBR DW) <br />- r I NAL <br />ROADSIDE C34 TO COL[ <br />r # NO DISCHARG,F X <br />Form Approved <br />OMB No 2040-0004 <br />ME ':3A <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, NCY <br />FAEO <br />U SAMPLE <br /> O <br />F <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT I = ;A Y lJM <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> PERMIT <br />REQUIREMENT <br />A7UA AVG <br />} - ' LY MX <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> <br />. REQUIREMENT 11`)57 MAX <br /> SAMPLE <br />• MEASUREMENT <br /> <br /> <br /> PERMIT <br />REQUIREMENT <br />,1 LY <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> E <br />c.NT P <br />RMIT <br />REQUIREMENT E R AVG )PTR MAX <br />r - <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMI <br /> T <br />i <br /> REQUIREMENT <br />NAME/TTTLE PRINCIPAL EXECUTIVE OFFICER I «rtlly -der Pe-ally o aw tha11h6 doromrM and all anarhnlents were <br />r <br />red und TELEPHONE <br /> <br /> <br />_- <br />p <br />epa <br />er my dl-1k or supervtyon {n accordance with ¦ syAem designed <br />to <br />th <br />t <br />l DATE <br />I <br />- alum <br />a <br />qua <br />m d personnel Property gather and evaluate the Inrormallerr <br /> submltted. Ilaed on my Irlqulry of the person or persons who, manage the system, <br /> <br />._• or Ihaae persoro dlte "y respordbk for gatheAng the Infortnstlon, the Info atlen <br />mbmlll <br />d b <br />th <br />t <br />f m <br />k <br />t <br />b <br />, e <br />, <br />o <br />e <br />es <br />o <br />y <br />rrowfrAgr and belle!, Irur, ac r-w and complete. <br />I am awan that then are slgrr{flcaal <br />enalties fo <br />bmltlt <br />f <br />t <br />I - <br /> P <br />r m <br />ng <br />a <br />e <br />nformation, SIGNATURE OF PRINCIPAL EXECUTIVE <br />_ <br />TYPED OR PRINTED <br />aearTC A- C- aalaTlA?t ^C ALIV \/Irll {ncksding the poadblllty of floe and ImpAsonmrnl for knowing vlolaUmei <br />AYI^ - OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR <br />_ MO DAYJ <br />_TAL SUISPENDED SOLIDS (TSS), TOTAL IRON AND/OR <br />c,r-r: - rl1_ r?-l TAT `IIrr - ;( <br />EPA Form 3320-1 (Rev 3199) Previous editions may <br />}1'tti?S'14 x`a-dart form PAGE OF <br />.