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PERMITTEE NAME/ADDRESSclnrludrFarilAY..V'amell.otarioniJDif/rrenli <br />NAME <br />ADDRESS <br />C629 <br />_GI CU S] <br />FACILITY '-IC fi 01 PI j IUF <br />LOCATION A CD 63 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <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 />( SUBIR <br />E - FINAL I`1JV7tZ <br />SR&MTNE DRNG TO CALAMIT'i DRAW <br />NOTE: Read Instructions before completing this form. <br /> NO FREQUENCY SAMPLE <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION . OF <br /> <br />EX <br />ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> 1 <br />•" <br />' <br />' <br />II <br />:F;= <br /> PERMIT ???T <br />?. <br />, F? C., r <br />; s <br /> REQUIREMENT - CiD;''. tAVi; DA . I I'''T <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT AV"' <br /> SAMPLE <br /> MEASUREMENT <br />JLV: <br /> PERMIT .. s l <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE -- <br /> MEASUREMENT <br /> r. .. <br /> PERMIT REPURT - <br /> REQUIREMENT =ODA AVIi <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> t r r_F ?,:. <br /> PERMIT L M <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br />EITITLE PRINCIPAL EXECUTIVE OFFICER I certify under Penalty (d law that this document and all attachments Here TELEPHONE DATE <br />NAM prepared under my direction nr supcnision in accordance with a system designed <br /> In assure that qualified personnel properly gather and eo aluate the information <br /> <br />- suhmittrd. Based un my inquire of the persun ur persons who manage the syalem. <br />onsible for gathering the information, the infurrwtion <br />s <br />di <br />mds <br />h j <br /> p <br />or t <br />us persom <br />re <br />r <br />suhmitted is, to the tm.t of my knowledge and twlief, true. accurate, and cumplete. SIGNATURE OF PRINCIPAL EXECUTIVE " <br /> I am aware that there am signifiimni Penalties ror submitting false inrormation. <br />R OR AUTHORIZED AGENT <br />F <br />I AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED including the F-ibilits of fine and imprts urnenl for knowing siolations O <br />F <br />CE ODE <br />? COMMENTS AND EXPLANATIUN Ur ANT <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maY be used .?OU1>?/C1L{2iS-'!ti"?"4-piift Icyt'it?.