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PERMITTEE NAME/ADDRESS Oat" Fattbg•Nwa/Laeellm t(D(06rw.r) <br />NAME <br />ADDRESS <br />Bux 1UJ <br />"--SET ^IJ 8 <br />FACILITY ;;aORN CRI N i NES <br />LOCATION 2-RSET CO 6 <br />'IES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />34 <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form APProved <br />OMB No. 2040-OdO4 <br />MINOR <br />(SUER MH) <br />F - F I NAL <br />SEDIMENT POND TO EE <br />C;UNIB <br />i <br />NOTE: Read k»tfuctione bsfors completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> of <br /> EX ANA<YStS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #it wit #?t ? 6. S - ##3s 9. Ci N / i l%lu i f <br /> REQUIREMENT MINIMUM MAXIMUM MONTH <br /> SAMPLE .:.. <br />7 7-, MEASUREMENT <br /> PERMIT ;tt : r?tit # T;s Ir sh r . # it i JC <br /> REQUIREMENT X 11U!`yTh <br />_ SAMPLE <br /> MEASUREMENT <br />G PERMIT S : t#? 3f#tE?I# #3r##ie REPCI REPORT 1114CE/ <br /> REQUIREMENT `301:-H A I:? GAILY HX f?Gi?lTf <br /> <br />L SAMPLE <br />FI-. MEASUREMENT <br />?'- PERMIT '?+#9t #i' l!#iE# #3f#### 30i]G 6000 fa_C <br />R REQUIREMENT 3uG , fiVC=' DAILY MX MGNT> <br />i F SAMPLE <br /> MEASUREMENT <br />0 _ PERMIT # tE c## if #iFiFit iF if## ###### i O "C-N T IN GF; <br />ROSS '. REQUIREMENT I NS i MAX <br />; T <br />ONDU I T SAMPLE <br />; R E.ATMENT F MEASUREMENT <br />Q l G 0 PERMIT REP' T >:-SPOR T ?.? <br />_UE' !' REQUIREMENT 30DA • k,- i-"A IItY MX TF <br />:.. A F) 3E SAMPLE <br />UAL MEASUREMENT <br /> <br />PERMIT #4f it 3. 4s - a :: a # I. / <br />REQUIREMENT i NST MAX MONTH <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 `:ratty r r Pen. I) d Is. that thh document and all stlachnlents were TELEPHONE DATE <br />prepared rndrr my dlrxtlon or wperehfon In aceordanrt with . sywlem "grad <br />• _ ' r//? ,. to name that queMfled personnel pmperfy gather and evaluate the Information <br />wtbmltt.d <br />B <br />m <br />l <br />l <br />d <br />rt- <br />. <br />ase <br />on <br />y <br />nqu <br />ry a <br />,* person or person who manage the system. <br />or those perwm directly tes <br />orelbk for <br />etherin <br />the fnf <br />tI <br />th <br />f <br />ti <br />i <br />g <br />p <br />t <br />orma <br />mL <br />e <br />n <br />orma <br />on i <br />wtbmitted h, to the best of my kaawiecite end beats <br />Ime <br />a rile <br />sod com <br />lete <br />. <br />. <br />. <br />p <br />. <br />( t am .ware that there are Significant peneirks for mbmllting tale lnformwtion <br />IGNATVRE OF PRINCMAL EXECUTIVE <br /> , <br />Incl <br />di <br />th <br />lli <br />ffi <br />t <br />TYPED OR PRINTED u <br />ng <br />e poodb <br />ty o <br />ne and Impr <br />wnment fa knowing elol.lfoni OFFICER OR AUTHORIZED AOERIT CODE NUMBEA YEAR MO DAY <br />COMMENTS AND EXPLANAI IVN Ur AMT VIULA I IONS f/fetorencs till •ttactiments nore) <br />r^r'_._ Sn ICI LMT' APPLIF." r,iR R. ; Z`PR F- Tc- <br />-' <br />This is a 4-Part form. PAGE OF <br />EPA Form 3320-1 (Rev. 3/99) Previous editlorts maybe used r