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PORMITTEE NAME/ADDRESS M, Inde Fardin %omelhwaruln iJ Different, <br />NAME <br />ADDRESS <br />. C;O;-tin <br />.,H ERUS <br />FACILITY I'j <br />LOCATION -'CiPFIR IJIS <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 />Form Approved <br />OMB No 2040-0004 <br />i5 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <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 /> <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT Il <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br />1 <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> <br />MEASUREMENT 1 <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I a•a•rtif, under Renal of lie that 116-1o a nenl ata all ati "hen-1, nera• <br />mrad under nn dire,iwn nr .u <br />av, iainn in .-ndancc n id, a .astern do igned <br />ra j , TELEPHONE DATE <br /> <br />c J 1J <br />Y ! p <br />7 <br />p <br />to u..ure Ih:u ,inabried Per-rind it-1verk gather and ea allude the information / <br />j <br /> .ubmim.d. ftaaed .m ma inquire --I the ("rain or Ikr,nna nhn m:maL','tt. -jeer. - - - <br /> or ill- I.,-- di-li'. re.lwn.ilda bw gathrrine Ill,- information. the infannahon _ <br />I - <br />. \ <br /> whmiuaYl i.. In the tK•.t nt nq Annaaled?r and Inhe1. tare. acnv:de. and -.14, t, J <br />" x ' r ' ? / I .. <br /> ant -- Ihat Iherc arc •ignifnnnt <br />"India, for .ulnnitUng rake udurnmliai SIGNATURE OF PRINCIPAL EXECUTIVE - - <br /> . <br />( OFFICER OR AUTHORIZED AGENT AREA <br />TYPED OR PRINTED includin;; lite po,ibidita ..r rine:md Imprnamm"n1 f- Am.arln?'wlali..n, NUMBER <br />CODE <br />YEAR <br />MO <br />DAY <br />(rferererrGe W1 dlldGrrrnerrrs mere/ <br />=CZP <br />EPA Form 3320.1 (Rev. 3139) Previous editions may be used