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PrRh11TTEE NAME/ADDRESS ;.. r• „u <br />NAME <br />ODDRESS f'+ <br />HESP EH OS - <br />FACILITY 1 t•.TG C OAI_ 1I 119E <br />LOCATION =:PEf?tJS <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 />Forth Approved. <br />OMB No. 2040.0004 <br />R <br />F1 NAL _TA <br />nrr_ ::1 if .tt.lt'IF 1'i? FAA'r lJL- CH <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF <br />ANALYSIS SAMPLE <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT v, <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT 1 <br />l <br /> <br /> PERMIT <br />REQUIREMENT N <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br />CIPAL EXECUTIVE OFFICER <br />I <br />P <br />I I aartiR ..nder In•n:dn it lu.a thut dd, d.nutttent and :dl onadimant+ ware <br />_ TELEPHONE DATE <br />NAME/T <br />TLE <br />R <br />N prrpo,.A under - d.rarlino.,r w(.ani+inn in o-odauar uitl. a+a,irw Je+i?m•d • ? <br />'( <br />• __? ) ,x.?` /' I-,:r+ - tho (I-ffi"l IM'R.mm'I 1,-park Kldhar alnl aaal.natr thl• .nf„rmati- <br />+uhmitlwl. Ilo-d .a. In) inyuir, 4 the I--..r pa-on,ho manapa Ih,. <br />,.n,ilda Go- Pdlha ring the inf--Wion, ilia W--lion <br />•n <br />n, din•cll <br />rc, <br />r Ili <br />n <br /> <br /> <br />y <br /> o <br />? <br />p <br />n <br />, <br />a Ip <br />+uhmilkd i,. lu the M•+t of m, 6nua.IadRa and In•h. L tnu•. aacurutr, and cumldaG•. <br />PRINCIPAL EXECUTIVE <br /> <br />NATURE <br />OF <br />SIG > ? <br />l ! ! <br />r <br /> uion. <br />tir, h ...bmltti t+Ivo . <br />That I arc ci n <br />I am TH <br />RIZED AGENT <br />A AREA <br />R YEA Y <br />TYPED OR PRINTED imn <br />inn t <br />and.mpri <br />iucludu.? hr p,thili ahd.h of i fine and a-a+.nunenl G,r An..»i n an.latiom. OFFICER <br />OR <br />U <br />O CODE NUMBE R MO DA <br />COMMENTS AND tAPLANAIIUN Ur AINT VIULA I IVtva (neae,en-o.. <br />EPA Form 3320-1 (Rev. 3.199) Previous editions may be used <br />here/ <br />EVENT SUBJECT TO BURDEN OF PROOF REOUIRE11EN1 <br />:HF 4E <br />PAGE OF