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PERMMME NAMEIADDRESS(7.&.kFer&tyN.rrL oriwLfDtfb s) <br />NAME <br />ADDRESS <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER 'JISCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />NOTE: Reed bwtrvctlorw bofori eomplating this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <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 /> <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER 1 Rf111Y Y r pen. q . ¦w the[ thle dorurrent and .I1 at.rhmenb were TELEPHONE DATE <br />prepared Ynder m? direcllon or .rprr+Non In .rcord.nre with ..r.lem ddtned <br />10 azure that qualified p.reonrel property 9.11- and erdu.le the Information - i <br />foArr1111td. 6..ed on my inquiry of tM person or peraorm whe nan.Re the fellrm, - .? ,.- <br />/ <br />i <br />• or those persons directly mpornlhir for galhMrK the Information. the Inform.th n <br />,t -bmtllyd K to Ihr b"1 of my knowledge and kW. true. a r.le• and -plew <br />I f.t,r SIONATURE OF PRINCNAL EXECUTWE <br /> AREA <br />TYPED OR PRINTED <br />_ <br />_____,•-??,•_ ___ _ ____ OFFICER OR AUTHORIZED AGENT Nt1MEiER <br />CODE <br />YEAR <br />MO J DAY <br />COMMENTS AND EXPLANA I IUN Vr nn. v1VLn I IVNa frnrerenCi en errecnmenrS nere/ <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used This is 8 4-earl form. PAGE OF