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PERMITTEE NAME/ADDRESS(Im.6&Fmr*fy)Va.WLorarfan((D(06mw) <br />NAME <br />ADDRESS <br />i\r-M C: <br />FACILITY '?WYO ,"I PJE <br />LOCATION =;ER <br />_LY 1). <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM fIWDES) <br />DISCHARGE MONITORING REPORT WMR) <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 />,X <br />NOTE: Read katructlona before complotk+o this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCV <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />1 ren-y a r pma y 0 I.w that this dornmenl and an a11whments were <br />TELEPHONE <br />NAME/T1TLE PRINCIPAL EXECUTIVE OFFICER <br />DATE <br />prepared under my dlreclton or wpere111on In wcordanec with a syatern deslgmd <br />r--" to amrrre that qu.Ifn d Personnel PloPerly Lather and rraluate The Inforrnatlon <br />submltled. Sawed on my Inquiry of the Person or persom who -.Rate the system, <br />or those persona directly -ponsiblr for g.therlrrg the lnfornuuon. the Informatlon <br />' - tubmllled it. to the bell army knowledge and better. Iruw. arrvrale, and m.Pkle. <br />' I .m aw.- that there are 1I <br />NOt.nl <br />enattla Irr tubmltn <br />fai <br />Inf <br />m <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />ti <br /> ( <br />p <br />ng <br />n <br />or <br />a <br />on. <br />TYPE PRINTED InAoding the poodbllly of fine arid tmprtaonment for knowing elol.tlons. OFFICER OR AUTHORIZED AGENT CODE NUMtSER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ra/orenca ON attachments here) <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used This is a 4-pan