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PERMITTEE NAME)ADDRESSp. Fa-0eyN..?L aei-(/D(fG s) <br />NAME <br />ADDRESS <br />nUk 14jt; <br />FACILITY I `a A D E L b 1 :? . <br />LOCATION <br />:ta 11AL15AUO CC dl !)L <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPOES) OMB No. 2040.0004 <br />DISCHARGE MONITORING REPORT (DMR) <br />joR L w) <br />PERMIT NUMBER DISCHARGE NUMBER _ F! h A L (` t <br />MONITORING PERIOD IC C O LO h A L C E. I Y F h <br />YEAR MO DAY [YEAR:??M:0 DAY <br />FROM TO c <br />NOTE: Rssd Instructions bsfors bomplstinp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />YPE <br /> ANALYSIS T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT be <br /> V N <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT . r. ; ... f - / A t <br /> REQUIREMENT <br />, <br /> <br />' SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />_ C r 7 <br />t: i <br />r. <br /> REQUIREMENT V b - ? <br /> <br />' SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />L <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />r l <br />r T, `. <br /> REQUIREMENT <br /> <br />' SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT It 1, : r , r 7 . _ 1 s: to ( <br />1 Y r <br />. ti i A, <br /> REQUIREMENT <br /> <br /> SAMPLE <br />r <br /> MEASUREMENT <br /> <br />PERMIT > •, - r ` i.: '. _: Ai <br />REQUIREMENT <br /> <br />I -Wy u r pens I) o law that thke document end all ¦ttachments were <br />TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />i <br />i <br />DATE <br />prepared under my d <br />rect <br />on or sup-Won In accordance with a system des gmd <br />to assure that quanfled personnel properly gather and eealu Ne the Informallorl <br />• submitted. Based on my inquiry of the person or persons who manage the system, <br />or thosr persons directly mponsIble for gathering the Information, the Information - - <br />b <br />d i <br />th <br />t <br />f m <br />k <br />b <br />l <br />." su <br />y <br />now <br />mitte <br />s. to <br />e <br />es <br />o <br />edge and bebef. Ime.. rate, and complete. <br />I .m aware IAN there are dgdfloat <br />enalrks for wbmlatin <br />raker inform <br />n <br />SIONATVRE OF PRINCIPAL EXECUTIVE <br />ti <br /> p <br />g <br />, <br />a <br />o AREA <br />OR PRINTED InAuding the prnslblllty of rem and Imprisonment roc knowing rid.torn OFFICER OR AUTHORIZED AGENT CODE NUMEfER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fReforsncs of SURchmsnts hers/ <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. This is a 4-parl form. PAGE OF