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PERMITTEE NAME/ADDRESS Nuclude Frxilrm r%:ma i . :::,n d ht//i•rrnrl <br />NAME <br />ADDRESS 1'i i NE <br />kjE`r FIRST STREET <br />f`J <br />FACILITY I DAD <br />M I N E -,r <br />LOCATION <br />J. C17 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />P <br />E ERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />)9 i FROM f f - TO <br />Form Approved. <br />OMB No. 2040-00pq <br />;1F, - <br /> <br /> <br />PARAMETER - NO I E. Read insirucnons bef ore co mpleting th is form. <br /> QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE ANALYSIS TYPE <br />1P H MAXIMUM UNITS <br /> SAMPLE r. d . <br /> MEASUREMENT <br /> PERMIT <br /> <br />Z v?=',L V <br />REQUIREMENT # v r t.- x #• x .5 it 4i tf c 3t 1? 9 <br /> <br /> SAMPLE <br />MEAS <br /> UREMENT <br /> PER <br />IT z# <br /> M it##??? ii 35 ' <br /> <br />AL ;F <br />REQUIREMENT Lj i< <br /> <br /> <br />f 30L ', PI <br />ors: <br />•-? <br /> SAMPLE <br /> <br />c MEASUREMENT - <br />-t PERMIT - k <br />F LUE-114 F GRL1E?5 VA,LLI: REQUIREMENT <br /> <br /> SAMPLE <br />_ r MEASUREMENT ' <br /> <br /> PERMIT c C•# #?? h : st# 73 5 <br /> REQUIREMENT t <br /> <br />T I" :j : r, V6 T . <br /> SAMPLE : x +f <br /> MEASUREMENT <br /> <br /> PERMIT t=# # tr <br />FL <br />', <br />' t <br />U I <br />J <br />P. 05S VALUE REQUIREMENT <br />LOW, 1 ;*4 CCN?IJ <br />I 1 C<N <br />. SAMPLE <br />1 Ha(,1 rR`_ra VNIENT PLAN MEASUREMENT <br /> <br />- - PERMIT R=F !L - t = sir <br /> <br />SS vaL?!. <br />REQUIREMENT <br />t <br />.. k Y <br /> <br />_1 <br />- <br /> SAMPLE .. i <br /> <br />' I SU! <br />MEASUREMENT x <br /> <br /> PERMIT .. t ? ?:_ nr,-? •ic##4i# <br />_ <br />z-iir t; ? <br />REQUIREMENT ? 1. . <br />L <br /> <br />NAME/TfTLE PRINCIPAL EXECUTIVE OFFICER I cc-fN under penalty of law that this document and all attachment <br />s were <br />R prepared under my direction or supenuton in accordance with a system dco-icned TELEPHONE <br />to assure that qualified <br />em <br />nn <br />l <br />l <br />h <br />DATE <br /> p <br />i <br />e <br />proper <br />y gat <br />er and evaluate the information <br />submitt <br />d Bas <br />d <br />i <br />/ <br />/ <br /> <br />- e <br />e <br />on m% mqu <br />rv of the person or rsns who manse the system, <br />or those <br />ersons di <br />tl <br />ibl r .? <br />Q,{/ <br />E / p <br />rec <br />y respons <br />e for gathering the information. the mformmon <br />submitted,, <br />to the be <br />t <br />f <br />k <br />l <br /> . <br />a <br />my <br />o <br />nuw <br />edee and belief. true. accurate.:tnd complete. <br /> <br />TYPED OR PRINTED 1 ant aware that there an smEnilicam pra.il5c S•r submitting false mRnmatmon. <br />including mho ixissmbihn of fine ant :n,pr:-nm <br />w f <br />k SIGNATURE OF PRINCIPAL E CUTIVE <br />OFFICER OR AUTHO <br />COMMENTS A c <br />or <br />nowing violanoa RIZED AGENT AREA <br /> <br />ND EXPLANATION OF ANY VIOLA <br />TIONS (Reference all attach <br />t NUMBER <br />CODE YEAR MO DAY <br /> men <br />s here) <br />11!j H I GHES DURING PERIOD REPORTED. CI I L GREASE - SEE I B. 1 D • F tR Tcc:; F, <br />IMITS WILL. Br Si='t ' r: ,, at r. 11 _ r R <br />_ _IE <br />This is a 4-part form. PAGE OF