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PERMITTEE NAMEJADDRESS (/neskr&ForWryNaw?Lecor,•w (/D(dfwarv) <br />NAME J . <br />ADORESS 51 <br />• . Z3UA iL..IJ <br />FACILITY <br />JILL ?:Gh1h D h,Zr <br />LOCATION ;i C,U Ii <br />P A L L .i F. L t <br />LC <br />tillY i - c r 1 t If <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDESJ <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER Ec,MGE NUMBER 1 Z L <br />MONITORING PERIOD 1 <br />YEAR MO DAY YEAR MO DAY S FROM 1 FROM TO 1?1 . <br />Form Approved <br />OMB No 2040-0004 <br /> <br />PARAMETER <br />1>< <br />QUANTITY OR LOADING <br />-- <br />QUALITY OR CONCENTRATION <br />NO, <br />FRE V NCY <br />OF <br />SAMPLE <br /> AVERAGE MAXIMUM 7 <br />UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br /> REQUIREMENT r.. _. 1 I <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br />REQUIREMENT - <br /> <br />r SAMPLE <br /> <br />MEASUREMENT { <br /> PERMIT <br /> <br />REQUIREMENT L C F. 'j C ! / <br /> <br />- V <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br /> <br /> REQUIREMENT c / <br />/ <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT T 1 ;, <br /> <br /> SAMPLE <br />t <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> I <br /> SAMPLE <br />MEAS <br />R <br />M <br /> U <br />E <br />ENT <br /> PERMIT <br />r ;r Ln T Y <br />REQUIREMENT ; i n <br />t <br />«^'t> ° r penally o (law that this document and all attachments were <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER <br />Prepared under my dlrectlon or superyhton In accordsne , with a syriern designed TELEPHONE <br />to assum that qualified personnel <br />ro <br />erl <br />the DATE <br /> p <br />p <br />y ga <br />r and evaluate the Infornutlon <br />b <br />it <br />B <br /> su <br />m <br />ted. <br />ard on my Inquiry of the Person or persons who manage the system, <br /> or those persons directly responsible For gathering the Inrormallon, the Inrormauon <br />submitted le, to the best of m <br />knowled <br />e <br />d b <br />li <br />f <br /> y <br />g <br />an <br />e <br />e <br />. true. swr -te, and mmpkle. <br />1 am aware that there are si <br />nificant <br />en <br />lti <br />f <br /> <br />R PRI <br />ED g <br />p <br />a <br />es <br />or mbmittlng false Information. <br />In <br />h SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED O <br />NT c <br />eding the possibility of fine and Imprisonment fa knowing vi•lauoets OFFICER OR AUTHORIZED AGENT p A NVM[1ER <br />C YEAR <br />EAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOL ATIONS (Ra/aranra a// ar?arhrnaerr. h...l ODE <br />i .. 1 _ to .. e. ?i 1 tj f _. I • / .t L t , J C c 1 a' 1 T. <br />I C <br />EPA Form 3320-I (Rev. 3/99) Previous editions may be used This is a 4-part .form. PAGE OF