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PERMITTEE NAME/ADDRESSpwrl.irl.e+bryN..?L«arwl/Dlpiswv/ <br />NAME <br /> :)SIDE NORTH & SOUTH M <br />ADDRESS BOX '490 <br /> :SAU!? Cr <br />FACILITY <br />LOCATION R PAL ? `- C( <br /> .-SON I.- DDER, V. P. <br />NATIONAL POLLUTANT aSCHAROE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER EotEGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO- DAY <br />FROM TO <br />Form APProved <br />OMB No. 2040-0004 <br />NOTE: Read k»truetion* b4afora complotlnq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> <br />EX OF <br />T <br />PE <br /> ANALYSIS Y <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r1AXIMUM <br /> REQUIREMENT <br /> SAMPLE f <br /> MEASUREMENT <br /> <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />1 certg7 ..der Pen. IT Me. that this dorumrnt and all .11.chmcnlr wrm <br />TELEPHONE <br />NAMERTTLE PRINCIPAL EXECUTNE OFFICER <br />a <br />DATE <br />Pmpsmd under mf dlrecllon «wF. <br />on In.ccordance with .,.stem dniprd <br />r (. 10 kt m that qu*hned p,rwnnei p"nwrl7 [alher and r,.#.at, the Inform.llon <br />_ J wbmllled. Bred " m, Inqulrf *(the Person « per who manse the storm. ,'}l '. ?.? <br />! 1 _: •. t .t •_ , ' C <br />- <br />_ <br />. <br />or those person directly -pondbk f« plk,ring the Inforwealon, the Inform.llon <br />whmllted b, to the best of my knew4dte and belief. Irv,, arcvnte, and compkte. <br />I am aware that them are sigNncam pensirles for wbmitun <br />SIONATURE OF PRINOWAL EXECUTWT <br />fat. Infor n.llon <br /> g <br />, A A <br />TYPED OR PRINTED InchdinE the po.dbnirf of llne.nd Imprisonment r« kex.lnE .iNaUoen OFFtCER OR AUTHORIZED AGENT NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/orence aH attachments hare! <br />iPENDED SOLIDS (TOS ): TOTAI <br />Thir is a' 4- art form. <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used p