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PERMITTEE NAMEr'ADDRESS rb,r!udr Facdiry A'runc'Znrurron (jAijJenn!) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY MONITORING PERIOD <br />LOCATION YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />NOTE: Read Instructions before cor,Dletino this form. <br />PARAMETER QUANTITY OR LOADING <br />I QUALITY OR CONCENTRATION <br />NO, <br />FREQUENCY <br />SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE o <br /> MEASUREMENT <br /> PERMIT y 6 ? f WICE! yR.'?E7 <br /> REQUIREMENT r:- <br /> SAMPLE <br />yO / t <br />6 ) <br />1-6 <br /> MEASUREMENT 0 <br /> PERMIT *w r a - R r s iF r ,t?? 3 i•i I C E., 3 RFii <br /> REQUIREMENT -GL(1 HVG F)r+: E'EOP,! <br /> SAMPLE <br /> <br />MEASUREMENT u <br /> PERMIT RFi't-jRT Ft.i T C F .f `RAF <br /> REQUIREMENT ir" t) *Lv <br />_i 'I <br />' <br /> SAMPLE <br />, <br />' <br />/ <br />? <br /> MEASUREMENT <- <br />r O • L- 3O <br /> PERMIT '4** i ,. REFCW i REPOR T 1 2 <br />'F?FtL' <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT F x #}:--it a Q x i. G <br /> REQUIREMENT <br /> SAMPLE <br /> <br />MEASUREMENT 1 <br /> PERMIT EPOF T R7 'ORT #'?'!?## r't#'y rst ? _N i ?F CF <br /> REQUIREMENT Y E•. ,: > <br /> SAMPLE y 4 i <br /> MEASUREMENT <br /> PERMIT R ORT E'3 1 <br /> REQUIREMENT : * MAX <br />NAME'TITLE PRINCIPAL EXECUTIVE OFFICER I certlfi under lvnalty of law that this doruincnt and all attachments Wert <br />d <br />d <br />' th <br />' <br />• <br />? TELEPHONE DATE <br />_ prepare <br />tin <br />er m1 <br />recUnn „r sur1?_n ision in acoirdaricc N <br />Ittl a system dctiigncj <br />i twire that quitlitied ixr-rincl properly ether and evaluate the information / <br />' <br /> <br />b <br />i <br />d <br />R <br />d <br />i <br />i ??. <br />? <br /> su <br />m <br />tte <br />. <br />ase <br />on mg <br />nqu <br />ry of the Iwrson o <br />r persrnu "ho manage the s»tem, <br />! <br />_ <br />_ <br />ur th[Kc perx,ns dimly responsible for gathering the information. the mtormalion C <br />ref <br />! <br /> <br />submitted is, to the best of my knowledge and behet <br />true <br />accurate <br />and complete /I <br />I 1 J / ii <br /> , <br />, <br />, <br />. <br />!, i-i,c that there are si <br />ficant <br />1 <br />n <br />minas fo <br />bmitti <br />f <br />l <br />f <br />ti SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED ,, <br />g <br />i <br />r <br />se in <br />orma <br />r su <br />ng <br />a <br />on <br />, _., ? the posslbihrv of htx :old nnpnsorlnlent for knowing violations. OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />V a?r.l r\r Vr\rJ hl\V Lla r"r+...r...v.. v• rte.., •,vrr.r.v•?v .......... <br />c vrr a+aava,r rrrrcrraa tier c? <br />'PECTP c.•'E:^,!T tilt- ) CT Tl? E???pn?:^J OF PFN)!-IF .•1••j[?FMfE'NTc TN <br />EPA Form 3320-1 (Rev. 3f99) Previous editions may be used. (j c r1. } f I S YS a PAGE OF <br />-par>??rm. a <br />J