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PERMITTEE NAME,%ADDRESS thwhide Fx>ilin :\'amr:'Laaatlon ilDiNenmU <br />NAME f <br />:I?iiJ Al i}r L._C <br />ADDRESS NY f ;,v M I N L <br />C :7 4310 <br />FACILITY <br />LOCATION ti, O 81 0 <br />Ar,F=IQT <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 />-NYON <br />Form Approved. <br />OMB No. 2040-0004 <br /> <br />NOTE: Read Instructions before completing this form. <br /> NO FREQUENCY SAMPLE <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION . OF <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEASUREMENT <br />, J <br />0 t ; <br /> PERMIT 0 W 1C <br /> REQUIREMENT :.• v f t I hl r i'-Y.'i•i t;i a <br /> SAMPLE <br />ME <br />T <br />5 ? ?; I <br />C' <br /> MEASURE <br />N / j r <br /> PERMIT W I C <br /> REQUIREMENT x st sr A V G 1 L '( i Ir fd <br /> SAMPLE ? = <br />33 <br />0 <br />3 3 <br />® <br />l <br /> MEASUREMENT - V V <br /> PERMIT ? ## ***4** - t ax REPORT <br />.' S <br />E:' <br />?{AU <br /> REQUIREMENT . , ,.. , . , . <br /> SAMPLE <br />? <br />? <br />' <br /> MEASUREMENT ? ? / ?? <br /> PERMIT r rx.t-f 1 #, x 7zd = r?...? t?EI'r'^ l ?EPCR Ei ORAL' <br /> REQUIREMENT ;ji::i;:' \°? •: MX <br /> SAMPLE <br />MEA <br />UREMENT a , <br /> S <br /> PERMIT ; 9.1 r#,£ iF x r dw?r-r civ rsr + Wit;) ONTIN F,'tr <br /> REQUIREMENT t:fWT <br /> SAMPLE _ nn G ' t I - <br /> MEASUREMENT Q (? V C/ 3Ci <br /> PERMIT FREFORT R-EP OR I its it3f#:G it i#'f 3f#i1 ?)j\IT i.i .(.'r' <br /> REQUIREMENT rS A FaW t Y fR X f, r t.JOt.:' : <br /> SAMPLE <br />MEASUREMENT <br />D <br />` ti <br />L <br />r/ <br /> 3Q <br /> PERMIT v; :r R; E? 3la?t i sir ,• i hl <br /> REQUIREMENT { r°f <br />NAME11TLE PRINCIPAL EXECUTIVE OFFICER -111% under penalty of law that this document and all auachmentn wcrc <br />h <br />d TELEPHONE DATE <br /> prepared under my direction ur super t.Mn in aecorciance wit <br />a sy tetu <br />esigned ,i <br /> to assure that qualified personnel properly gather and cd alume the mtormatron <br />suhmnted <br />Based on ms m <br />uirv of the <br />erson or <br />ersons who mana <br />e the s <br />stem <br /> p <br />, <br />- <br />q <br />p <br />g <br />y <br /> or th,•se pcr,ons direcils r sponsrhle for Lathering the Information, the mtunnamon <br />- suhmmcd L <br />to the best of m7 kn wiedge and belief <br />tau + unite- <br />and don,plete 2I _ <br />, <br />/? <br />? <br />r d . <br />, <br />. <br />. <br />for <br />ubmuh <br />,.:"•i.,e <br />I <br />t th <br />n <br />f <br />a <br />t <br />alis <br />nr : <br />!< <br />: <br />: <br />: <br />th SIGNATURE OF PRINCIPAL XECUTIVE J L, <br />TYPED OR PRINTED :un aware <br />en are sig <br />i <br />ic <br />n <br />pen <br />e, <br />s <br />. <br />: <br />. <br />: <br />, <br />a <br />. <br />a <br />neludtnc the pos.IbilliN of tine and Imprixmmcnt for in,-uc . ,,;.,i..• , OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXNLANPII IUN Ur- MNT VIULAI IUNa frfererence an arracnmenrs nereC <br />RECIP EVENT 10 PORDFN OF PROVE REGUIREME:NTS IN <br />_F0 THF PT <br />PAGE OF <br />EPA Form 3320-1 (Rev. 3,99) Previous editions may be used. b 1 Thls•TS a 4-EYdT4 form.