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PERMITTEE NAMEIADDRESS iInclude F'arilue Namellocation if Different) <br />NAME )!.J, L.LC <br />ADDRESS <br />FACILITY ilf. <br />LOCATION <br />f.- _i F, APJA?;ER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />I <br />PERMIT NUMBER <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />i ;?, A[?arcvec7 <br />?I.1B No 2Gti0-0003 <br />NOTE: Read Instructions before romntetino this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :.t _. . <br /> REQUIREMENT ?. , <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT , sf :t Iz :_ <br /> REQUIREMENT ; , . <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT x r <br /> REQUIREMENT i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certif. under Penally of Inn, that this doctunem and all attachment. were TELEPHONE <br /> <br />prepand under ms- dirrcuon or sur-ision in accordance with a ry%tem deciltned DATE <br /> b. --e that yuafifrd personnel properh gather and evaluate the inf,,rmAtion <br /> :ubmillyd. Rased on ins inyuin of the p- or person. who manage the .)stem, , <br /> or those pervnis dlrrcds responsible for gathering the information, 0* information <br /> <br />- submitted i, to the best of m?. knowledge and belief, )rue, accurate, and complete. <br />I ",.-are that me <br />e <br />c si <br />irica <br />t <br />lti <br />b <br />f <br />i <br />f <br />SIGNATURE OF PRINCIPAL EXECUTIVE , <br />- <br />TYPED OR PRINTED r <br />ar <br />gn <br />n <br />Pena <br />es <br />or su <br />tting <br />m <br />alse information, <br />Including the po,sibilitc of fine and imprisonment for knowing.iolations. OFFICER OR AUTHORIZED AGENT ARE E NUMBER YEAR MO DAY <br />rOMMENTS ANn FXPI ANATInN r1F AhIV Vlnl ATlntue <br />EPA Form 3320-1 (Rev. 3f99) Previous editions may t)e used. - 510 /