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PERMITTEE NAMEiADDRESS ib,rlude Fro Jir. 1. ,.:,r;on rJDipemnr/ NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />flEJ PERMIT NUMBER DISCHARGE NUMBER <br />'_?RENC` MONITORING PERIOD <br />FACILITY <br />R P1I YEAR MO DAY YEAR MO DAY <br />LOCATION DEN FROM TO <br />nP 117! <br />FINAL Jr, 5N <br />GN9 B/'TRTR Tr CANADIAFII RIVER <br />X <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ; <br /> MEASUREMENT <br /> PERMIT f if 4 it*** z r b. 5 9. C: W LGEf .?`; , <br />Fr _ - RCJS' VF; _! 1 REQUIREMENT r•1 Z N, 11-iL;m MA. X ! r?t?rdTt <br /> SAMPLE <br /> MEASUREMENT <br />f'054= PERMIT f4 t#k r sFst-k r REPORT I U 5 /' 3R AL <br />FFLil:-14 i -'ALU_ REQUIREMENT ;GDr1 H`?`.T iizti: _ i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT v# i_ N r i N GRA <br />=F1_I Lid =)?fiSS V,, REQUIREMENT l?fi L' <br />?l sit Irk CGi?lDi)!T Uit SAMPLE i t <br />THRU TREAT FN T PLAN1 MEASUREMENT <br />;t;CiSv PERMIT REPOPT REPOR <br />--F- L. REQUIREMENT %A A'Jf; i> i 'Y I !X ;D <br />AND SAMPLE ( 94 <br />,1 1 SUAL MEASUREMENT <br />}t... PERMIT #zr#iI# u _,..naTS ti <br /> REQUIREMENT _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT I <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all artachments were TELEPHONE DATE <br /> prepared under my direcunn or supenuton to accordance with a system designed <br /> <br />:{ 10191 d A <br />Mum son to assure that qualified personnel properly gather and cealuate the tnfortnannn <br />h <br />h <br />h <br />- -- <br />/ } <br />• e Person or Person, w <br />o manage t <br />e system- <br />suhmittcd- Based on my inquin of t \ ( <br />+• <br />A <br />P <br />i or these persons dmecdy responsible for gathering the ndonnanon. the mfortnation <br />res <br />dent <br />ce d h <br />li <br />d <br />l ` r <br />r <br /> comp <br />submitted is, to the lr t ul ,m knowledge an <br />e <br />cf: true. accurate. an <br />ete <br />fi <br />lt <br />F <br />: <br />ai <br />h <br />h <br />- <br />t <br />f <br />b <br />mu <br />Gd <br />IC+NATURE OF PRINCIPAL EXECUTIVE <br />'S ( <br />7! -4339 <br /> <br />o C <br /> ?, <;._ <br />ies <br />or su <br />: <br />r <br />am ewan t <br />at t <br />-_- <br />can <br />pena <br />m <br />ng <br />sc m <br />n <br />i <br />i OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />Y <br />TYPED OR PRINTED nlat •n- <br />n g the hil r. ,a <br />teludin j-,; and nnpm anment for km,w <br />nc v CODE MO DA <br />GVMMLNI, ANU tAF'LANAIIVIV VF ANY VIVLAIIVIVa (rfererence au enacnmems nrrc) <br />C I° Fk,`?NT aUi?JErT TD BURDEN i?T P?r,0F RSwUI9F'-'F",,1'? - <br />,• I?ISICI,I <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. +Q3c 1 1 U,I-WSc is a 4-pan fiOM7. PAGE OF